Is it colitis or colorectal cancer?
1.
Bowel movements occur twice daily between 5:00 and 7:00 AM, with the second bowel movement sometimes being unformed.
2.
The second bowel movement occasionally contains a small amount of white mucus mixed with blood, resembling fish roe.
3.
There are occasional sharp pains in the right abdomen, similar to nerve pain.
4.
After resting for one hour following the first bowel movement, as the stool moves from the ascending colon to the rectum, it feels as if it is sliding over an internal injury, accompanied by sensations of body numbness, chills, and weakness, making it difficult to exert strength.
Gradually, as the stool reaches the descending colon, strength returns to normal and warmth is restored.
5.
There is occasional swelling 4 cm to the right of the umbilicus in the morning, which subsides by noon.
Is this colitis or colon cancer?
kevin, 30~39 year old female. Ask Date: 2016/04/27
Dr. Chen Shidian reply Gastroenterology and Hepatology
Hello, if your symptoms persist despite medication adjustments, you may consider checking your stool and undergoing a painless colonoscopy or sigmoidoscopy.
Changhua Hospital cares about your health.
Chen Shidian.
Reply Date: 2016/04/27
More Info
Based on the symptoms you've described, it is understandable to be concerned about the possibility of serious conditions such as colitis or colon cancer. However, let's break down your symptoms and consider what they might indicate.
1. Bowel Habits: You mentioned having two bowel movements each morning, with the second sometimes being unformed. This could suggest a few things, including dietary factors, stress, or even a mild gastrointestinal infection. The presence of mucus in your stool, especially if it is accompanied by blood, can indicate inflammation in the intestines, which is often seen in conditions like colitis.
2. Mucus and Blood in Stool: The presence of white mucus and blood in your stool is a significant symptom that should not be ignored. While it can be associated with benign conditions like irritable bowel syndrome (IBS) or infections, it can also indicate more serious conditions such as ulcerative colitis or even colorectal cancer. The mixture of red and white blood could suggest irritation or inflammation in the bowel lining.
3. Abdominal Pain: The occasional sharp pain in your right abdomen could be related to various gastrointestinal issues, including appendicitis, diverticulitis, or even referred pain from other organs. The sensation of your bowel movements causing a "sliding" feeling and subsequent weakness could suggest that your body is reacting to the discomfort or pain, which is not uncommon in cases of inflammation or irritation.
4. Physical Symptoms: The feelings of numbness, chills, and weakness that you experience after bowel movements are concerning. These symptoms could indicate a systemic response to pain or discomfort, possibly due to an underlying inflammatory process.
5. Swelling: The occasional swelling near your navel could be related to various factors, including bowel distension or even localized inflammation. This symptom, combined with your other gastrointestinal issues, warrants further investigation.
Given your symptoms, it is crucial to consult a healthcare professional, preferably a gastroenterologist. They may recommend several diagnostic tests, including:
- Colonoscopy: This procedure allows direct visualization of the colon and rectum and can help identify any abnormalities, such as inflammation, polyps, or tumors.
- Stool Tests: These can help identify infections or inflammatory markers in your stool.
- Imaging Studies: An abdominal ultrasound or CT scan may be necessary to assess for any structural issues or abnormalities in the abdominal cavity.
While your symptoms could potentially be related to colitis or another benign condition, the presence of blood and mucus in your stool, along with abdominal pain, necessitates a thorough evaluation to rule out more serious conditions, including colon cancer. Early detection and diagnosis are key in managing any gastrointestinal disorders effectively.
In summary, while your symptoms may not definitively indicate colon cancer, they are concerning enough to warrant further investigation. It is essential to seek medical attention promptly to ensure that any potential issues are addressed early on.
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