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Colon cancer is most often diagnosed in patients over age 50, but more and more millennials are now battling the disease.

According to a recent report, among people born in 1990, five in one million will develop colon cancer. That’s up from three in one million among people born in 1950.

Colon cancer has a number of distinct symptoms, particularly among bowel habits. People with the disease may produce thin, ribbon-like stools, and may pass blood. Frequent bloating and constant gas may also be signs of a colorectal issue.

Fatigue or a lack of energy and sudden weight loss could point to colon cancer as well.