Changes in Stool: Should You Worry About Colon Cancer? - Gastroenterology and Hepatology

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Abnormal stool?


Hello Doctor, five days ago I had a cold and gastrointestinal discomfort.
I saw a doctor and took medication for three days.
Although my appetite hasn't been great, my symptoms have improved, so I didn't return for a follow-up.
However, yesterday afternoon around 3 PM, I noticed that my stool was very thin and light brown in color.
I had one bowel movement that took about 15 minutes.
Today, I had two bowel movements.
The first was at 10:30 AM, lasting about 6-7 minutes, with light brown color and thicker stool, but the amount was very small.
The second bowel movement was at 3 PM, lasting about 10 minutes, with a mix of thin and thick stool, also light brown in color.
I would like to ask the doctor if my stool being thin for just these two days is a sign of colorectal cancer, or if it is just due to the gastrointestinal cold that hasn't fully resolved.
Should I consider getting a colonoscopy?

Chen Fanglin, 20~29 year old female. Ask Date: 2016/03/26

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: It is normal for bowel patterns to change slightly during the acute phase of a health issue.
If there is no improvement after a few weeks, please consult a gastroenterologist.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2016/03/26

More Info


When it comes to changes in bowel habits, particularly the consistency and shape of stools, it is understandable to be concerned about potential underlying health issues, including colon cancer. In your case, you have experienced a temporary change in your stool, which has varied in thickness and color over the past few days.
Firstly, it is important to note that stool consistency can be influenced by a variety of factors, including diet, hydration, and gastrointestinal health. Given that you recently experienced gastrointestinal discomfort and were treated for a viral infection, it is possible that your bowel changes are related to this illness rather than a sign of something more serious like colon cancer. Viral infections can lead to temporary changes in bowel habits, including diarrhea or constipation, and can affect the shape and consistency of stools.

The fact that your stool has returned to a more normal consistency and color after a couple of days is a positive sign. However, it is also essential to be aware of certain red flags that may warrant further investigation. These include:
1. Persistent Changes: If you notice that your stool remains consistently thin or changes in color persist beyond a few days, it would be advisable to consult a healthcare professional.

2. Accompanying Symptoms: If you experience additional symptoms such as significant weight loss, persistent abdominal pain, blood in the stool, or changes in appetite, these could be indicators of a more serious condition.

3. Family History: If you have a family history of colorectal cancer or other gastrointestinal diseases, it is prudent to discuss this with your doctor, as it may influence the need for screening.

4. Age Considerations: Generally, individuals over the age of 50 are recommended to undergo regular screening for colon cancer, including colonoscopies, regardless of symptoms.

Regarding your question about whether you should undergo a colonoscopy, it is best to consult with your healthcare provider. They can evaluate your symptoms in the context of your overall health history and determine whether a colonoscopy is necessary. If your symptoms are indeed related to the recent viral infection, they may suggest monitoring your condition for a short period before proceeding with any invasive testing.

In summary, while temporary changes in stool can be concerning, they are often not indicative of colon cancer, especially in the context of a recent gastrointestinal illness. However, if changes persist or if you develop additional concerning symptoms, seeking medical advice is crucial. Regular screenings and open communication with your healthcare provider are key components in maintaining gastrointestinal health and addressing any potential issues early on.

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