Gastroenterologist explains what colon cancer really looks like inside the body; shares early signs most people miss

Most people never see what colon cancer actually looks like. A gastroenterologist breaks it down, showing how tiny polyps silently grow into dangerous tumours.
Colon cancer is often called a “silent” disease because it usually develops without any obvious warning signs. Many people don’t know what it actually looks like inside the colon or how early changes begin. Dr Joseph Salhab, a gastroenterologist and health content creator from Florida, specialising in digestion, liver, pancreas and nutrition, shares in his December 8 Instagram post what colon cancer really looks like and the symptoms that should never be ignored. (Also read: Noida, Delhi oncologist warns 'persistent cough is not normal'; shares early signs of lung cancer you should not ignore )
What does a healthy colon look like
Dr Salhab begins by showing what a healthy colon should look like. “This is what a colon should look like. It's fairly uniform in colour, the surface looks smooth, there’s no abnormal growth or inflammation there,” he explained. But cancer doesn’t start suddenly it, begins with tiny, harmless-looking polyps.
“We think that most cancers in the colon start off as little polyps or growths. They can start off super small, but if left in your colon long enough, they tend to get bigger and bigger,” he said.
Over the years, that small polyp can become significantly larger. “After a few years, that small polyp can start looking like this,” he added, showing how it grows into a large mass that begins to interfere with normal bowel function.
How do polyps turn into colon cancer
As these growths expand, they can cause several symptoms. According to Dr Salhab, “It starts causing problems like abdominal pain, bleeding, a change in bowel habits resulting in constipation or more frequent bowel movements because the stool is trying to make its way past it and you’re not really emptying your colon the way you should.”
The good news? When discovered early, these polyps are completely treatable. “The key is to catch it when it’s small like this because it’s easily removable and curable, and it will never turn into cancer once it’s removed,” he emphasised.
Gastroenterologists can remove these polyps during a routine colonoscopy, often during the same appointment in which they’re discovered. “We have tools we can use in the colonoscopy to turn something like this and remove it, and we can close up the little cut after we remove it, and then your colon is as good as new,” Dr Salhab explained.
Note to readers: This report is based on user-generated content from social media. HT.com has not independently verified the claims and does not endorse them.
This article is for informational purposes only and not a substitute for professional medical advice.
ABOUT THE AUTHORAkanksha AgnihotriAkanksha Agnihotri is a lifestyle journalist with over 3 years of experience. She is a psychology graduate and holds a postgraduate diploma in Radio and Television Journalism from the Indian Institute of Mass Communication, Delhi, where she graduated as a gold medalist. Originally from Bhopal, the beautiful capital of Madhya Pradesh, she draws inspiration from the city’s rich cultural heritage and layered storytelling traditions that subtly shape her narrative voice. She writes extensively about fashion, beauty, health, relationships, culture, and food, exploring everything from trending styles and runway moments to wellness routines and mindful living. Passionate about meaningful and candid conversations, she enjoys interviewing celebrities, doctors, designers, and film personalities, diving into discussions on fitness, beauty, mental health, and everything fun in between. With a keen eye for trends and a thoughtful understanding of human behaviour, she brings depth, sensitivity, and authenticity to her stories, ensuring they resonate with a wide and diverse audience. When she’s not working, you’ll usually find her lost in a book, planning her next mountain trek, or mapping out spontaneous travel escapes. She loves discovering new authors, revisiting old favourites, and spending quiet afternoons in museums soaking in art, history, and culture. An avid bird-watching enthusiast, she finds joy in early morning walks, spotting rare birds, and reconnecting with nature. Whether sipping coffee while journaling her thoughts or exploring hidden corners of a new city, she constantly seeks inspiration in everyday moments that often turn into compelling story ideas.Read More
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