Healthy Bottom Line MD | Colon Cancer & Digestive Health

Dana Hayden MD
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Healthy Bottom Line MD is a weekly podcast about colon cancer screening, digestive health, colorectal surgery, and prevention. Hosted by Dr. Dana Hayden, MD, MPH, FACS, FASCRS — colorectal surgeon and Professor of Surgery — each episode delivers clear, evidence-based conversations about colonoscopy, stool-based testing, rectal bleeding, leakage, changing bowel habits, and what common colorectal symptoms really mean. From “Do I really need a colonoscopy?” to understanding screening guidelines and early warning signs, Dr. Hayden breaks down complex medical topics into straightforward decisions

Episodes

  1. Apr 1

    It's in the bag...What is a colostomy?

    “Poop… in a bag?”It’s one of the most misunderstood topics in medicine—and one that can dramatically improve (and even save) lives. In this episode of Healthy Bottom Line, Dana Hayden explains what a colostomy (ostomy) actually is, why it’s performed, and what patients can realistically expect before and after surgery. You’ll get a clear, no-nonsense breakdown of: What an ostomy is and how it worksThe difference between colostomy, ileostomy, and urostomyWhen an ostomy is temporary vs permanentCommon reasons for surgery, including rectal cancer, diverticulitis, Crohn’s disease, and ulcerative colitisWhat daily life with an ostomy bag is really likeHow modern care allows patients to live fully normal, active livesThis episode is designed for patients, family members, and anyone trying to better understand a diagnosis or upcoming surgery—without the confusion or fear that often surrounds it. Bottom line:While the idea of an ostomy can feel overwhelming, the reality is often far more manageable—and in many cases, life-changing in a positive way. colostomy explained, ostomy basics, ileostomy vs colostomy, colorectal surgery, rectal cancer treatment, Crohn’s disease surgery, diverticulitis, ostomy lifestyle, ostomy recovery Healthy Bottom Line breaks down complex medical and surgical topics into clear, practical insights—helping you understand your options and make informed decisions about your health. Disclaimer: This is for educational purposes only and not a substitute for professional medical advice. Consult your doctor for personalized screening recommendations or if you're experiencing symptoms.

    13 min

  2. Mar 8

    Cologuard vs Colonoscopy: Understanding Your Colon Cancer Screening Options

    In this episode of Healthy Bottom Line MD, Dr. Dana Hayden explains the fundamentals of colorectal cancer screening — what screening actually means, why it matters, and how to decide which test is right for you. You’ll learn: • What colon polyps are and how they relate to cancer• The differences between stool-based tests like FIT and Cologuard• The role of blood tests and virtual colonoscopy• What to expect from flexible sigmoidoscopy and colonoscopy• The benefits, limitations, and follow-up requirements of each option Colorectal cancer is often preventable when polyps are found early. The key is choosing a screening test you’re comfortable completing — because the only wrong decision is not getting screened. If you’re 45 or older, or unsure which option makes sense for you, this episode will help you approach screening with clarity and confidence. Disclaimer: This is for educational purposes only and not a substitute for professional medical advice. Consult your doctor for personalized screening recommendations or if you're experiencing symptoms.

    8 min

  3. Mar 1

    Hemorrhoids…friend or foe?

    Hemorrhoids… friend or foe?Most people think of hemorrhoids as something painful or embarrassing — but what if they’re actually a normal and helpful part of your body?In this episode of Healthy Bottom Line MD, Dr. Dana Hayden explains what hemorrhoids really are, why we’re all born with them, and when they become problematic. You’ll learn the difference between internal and external hemorrhoids, why symptoms like bleeding or swelling happen, and why surgery is often avoidable.More importantly, we’ll talk about practical, everyday habits that can calm symptoms and protect your long-term bowel health — from improving stool consistency and avoiding straining, to simple changes in bathroom routines that make a meaningful difference.This is a straightforward, judgment-free conversation about a very common issue. No fear. No hype. Just clear guidance so you can make confident decisions about your health.If you’re experiencing rectal bleeding or new symptoms, it’s always important to speak with your healthcare provider to ensure appropriate evaluation and screening.Subscribe for more practical conversations about digestive health, colon cancer screening, prevention, and common colorectal concerns — delivered with clarity and reassurance.Disclaimer: This is for educational purposes only and not a substitute for professional medical advice. Consult your doctor for personalized screening recommendations or if you're experiencing symptoms. Disclaimer: This is for educational purposes only and not a substitute for professional medical advice. Consult your doctor for personalized screening recommendations or if you're experiencing symptoms.

    9 min

  4. Feb 23

    What to Expect When You're Expecting....A Colonoscopy

    Colonoscopy anxiety is common — but uncertainty doesn’t have to be. In this episode of Healthy Bottom Line MD, Dr. Dana Hayden walks you step-by-step through what actually happens before, during, and after a colonoscopy. From scheduling and bowel prep to sedation, recovery, and understanding your results, this is a straightforward guide to removing the mystery from the process. You’ll learn: How to prepare in the days leading up to your procedure What “split-dose” prep means (and why timing matters) What you can eat and drink — and what to avoid What sedation feels like How polyps are removed Realistic risks (and how rare serious complications truly are) When you’ll need your next screening Most people feel far more anxious beforehand than they do afterward — and nearly everyone feels relief once it’s done. Colonoscopy is one of the most powerful tools we have to prevent colon cancer and detect it early, when it’s highly treatable. The inconvenience is temporary. The peace of mind can last years. If this episode helps you feel more prepared, share it with someone who needs it. Early detection saves lives.

    9 min

  5. Feb 20

    Why Did Dawson Get Colon Cancer?

    n this episode, I discuss the alarming rise of colorectal cancer (colon and rectal cancer) in people under 50 and why screening can literally save lives by catching it early.The tragic losses of Chadwick Boseman (diagnosed at 39, passed in 2020) and James Van Der Beek (diagnosed in 2023 at age 46, passed in 2026 at 48) highlight a growing and concerning trend: early-onset colorectal cancer is on the rise, now the leading cause of cancer death among adults under 50 in the U.S. Recent 2026 data from the American Cancer Society shows that while overall cancer deaths in this age group have dropped significantly since 1990, colorectal cancer deaths have increased by about 1.1% annually since 2005—surpassing other cancers like breast, lung, and leukemia. Incidence in younger adults continues to climb 1-2% per year, with projections showing even sharper increases ahead.Experts point to potential contributors like sedentary lifestyles, obesity, processed foods, alcohol, changes in the gut microbiome, and other environmental/lifestyle factors—though the exact causes are still under investigation and often multifactorial. The good news? Many cases are preventable or highly treatable when detected early through screening.Current guidelines (from the USPSTF, American Cancer Society, and others) recommend starting regular colorectal cancer screening at age 45 for average-risk individuals—down from 50 due to this trend. Options include colonoscopy (every 10 years), stool-based tests (FIT annually or stool DNA every 3 years), and more. If you have symptoms (like changes in bowel habits, blood in stool, unexplained weight loss, or abdominal pain), don't wait—talk to your doctor sooner, regardless of age.As a board-certified colorectal surgeon, I'm here to break down the facts, bust myths, share what to expect with screening/surgery/recovery, and offer practical tips for gut health, nutrition, and fitness to lower your risk and support overall wellness.Watch to learn:Key warning signs in younger adultsWhy early screening matters more than everLifestyle steps to reduce riskHopeful stories and prevention strategies #colorectalcancerawareness #ColonCancerUnder50 #GutHealth #CancerScreening #EarlyDetectionDisclaimer: This is for educational purposes only and not a substitute for professional medical advice. Consult your doctor for personalized screening recommendations or if you're experiencing symptoms.

    2 min
  • 5 Episodes

About

Healthy Bottom Line MD is a weekly podcast about colon cancer screening, digestive health, colorectal surgery, and prevention. Hosted by Dr. Dana Hayden, MD, MPH, FACS, FASCRS — colorectal surgeon and Professor of Surgery — each episode delivers clear, evidence-based conversations about colonoscopy, stool-based testing, rectal bleeding, leakage, changing bowel habits, and what common colorectal symptoms really mean. From “Do I really need a colonoscopy?” to understanding screening guidelines and early warning signs, Dr. Hayden breaks down complex medical topics into straightforward decisions

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