Your Digestive Issues: From Constipation to Cancer Concerns

A small amount of stool?

Hello Doctor: Recently, I've been feeling bloated in my abdomen, and when I press about 5 cm above my navel, I experience a sensation of nausea.
I haven't been able to pass anything I've eaten; I have the urge to defecate, but only a thin stool comes out (the color is normal and it's soft, not hard).
I feel like there is a large stool in my rectum, but no matter how hard I try, I can't pass it.
I visited a doctor who initially said it was norovirus, and during my second visit, the doctor said it was caused by constipation.
Could you please tell me, Dr.
Ke, what is happening with my abdomen? Could it be colon cancer or stomach cancer?

Shang, 20~29 year old female. Ask Date: 2016/04/07

Dr. Ke Fangxu reply Surgery

Although the probability of developing a malignant tumor at the age of 24 is not zero, it is generally very low.
Based on your description, it seems more like irritable bowel syndrome or general gastrointestinal discomfort.
It is recommended to maintain a light diet and good lifestyle habits.
If symptoms persist without improvement, you may ask your physician for medication.
If there is still no improvement or if you are very concerned, you can arrange for a colonoscopy or gastroscopy.

Reply Date: 2016/04/07

More Info

Dear Patient,
Thank you for reaching out with your concerns regarding your digestive issues. Based on the symptoms you described, it seems you are experiencing significant gastrointestinal discomfort, including bloating, nausea, and difficulty with bowel movements. While I understand your anxiety about the possibility of serious conditions such as colon or stomach cancer, it is essential to approach this systematically and consider various factors.

Firstly, the symptoms of bloating and nausea, particularly when accompanied by changes in bowel habits, can often be attributed to functional gastrointestinal disorders, such as constipation or irritable bowel syndrome (IBS). Constipation can lead to a sensation of incomplete evacuation, where you feel the urge to have a bowel movement but are unable to pass a substantial amount of stool. This can result in the passage of only small, thin stools, which you have described.

The initial diagnosis of norovirus suggests that there may have been an acute gastrointestinal infection, which can cause symptoms like nausea and changes in bowel habits. However, if your symptoms have persisted beyond the typical duration of a viral infection, it is reasonable to consider other underlying causes, including chronic constipation or dietary factors.

In terms of your concerns regarding colorectal cancer, it is important to note that while changes in bowel habits can be a symptom of colorectal cancer, they are not definitive on their own. Other symptoms of colorectal cancer may include blood in the stool, significant weight loss, or persistent abdominal pain. Given your age and the nature of your symptoms, it is advisable to undergo further evaluation, which may include a colonoscopy, especially if your symptoms do not improve with conservative management.

Additionally, dietary habits play a crucial role in bowel health. A diet low in fiber can contribute to constipation and bloating. Increasing your intake of fruits, vegetables, whole grains, and adequate hydration can help improve bowel regularity. Regular physical activity is also beneficial for promoting healthy digestion.

If your symptoms persist or worsen, I recommend consulting a gastroenterologist for a comprehensive evaluation. They may suggest diagnostic tests such as imaging studies or endoscopy to rule out any serious conditions. It is essential to address your symptoms promptly to prevent complications and ensure your peace of mind.

In summary, while your symptoms may be concerning, they are not necessarily indicative of cancer. However, it is crucial to seek further medical evaluation to determine the underlying cause of your discomfort and to receive appropriate treatment. Please do not hesitate to reach out to your healthcare provider for further assistance and guidance.

Best wishes for your health,
Doctor Q&A Teams

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