Bloating and Diarrhea: Could It Be Colon Cancer?

Abdominal bloating and diarrhea?

Last month, I experienced constipation and pain during bowel movements, along with blood in my stool, although the blood was almost separate from the stool.
There was even a drop of blood that flowed beside the toilet once.
A week later, I had abdominal bloating, and a few days after that, I had diarrhea.
However, I haven't seen any blood since then, but I have had significant bloating above my navel for a month.
For the past two weeks, I have also been experiencing diarrhea.
A few days ago, I visited an ENT specialist, and the prescription included three types of gastric medications, one intestinal medication, and an antidiarrheal.
For the three days I took the medications, it seemed like the bloating was less, but I still had some diarrhea.
The next day, my abdomen became bloated again, and it felt like I had been holding in stool for too long.
However, in the past few days, the bloating and diarrhea have returned.
For the past month, I have been checking my stool manually, and I believe there is really no blood! Could this really not be colorectal cancer...? (Pressing on my bloated abdomen causes pain.)

Wen, 10~19 year old female. Ask Date: 2016/04/27

Dr. Ke Fangxu reply Surgery

This situation likely indicates a higher possibility of hemorrhoidal bleeding.
As long as there is no further bleeding, it should not be a concern.
It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements.
Warm sitz baths may also help alleviate symptoms.
Over-the-counter hemorrhoidal suppositories can be used, but it is best not to take stool softeners indiscriminately.
At this age, increasing dietary fiber and hydration should be sufficient.
If bleeding persists, it is advisable to consult a physician.
At 17 years old, it is almost impossible to develop colorectal cancer, so there is no need for excessive worry.

Reply Date: 2016/04/27

More Info

When it comes to gastrointestinal symptoms such as bloating, diarrhea, and blood in the stool, it is understandable to be concerned about the possibility of serious conditions like colon cancer. However, it is important to consider the full context of your symptoms and medical history before jumping to conclusions.

Firstly, the presence of blood in the stool can be alarming, and it is a symptom that should not be ignored. Blood can appear in various forms, such as bright red streaks on the stool or darker, tarry stools, which may indicate bleeding from higher up in the gastrointestinal tract. In your case, you mentioned that the blood was almost separate from the stool, which could suggest a few possibilities, including hemorrhoids or anal fissures, especially if you have experienced pain during bowel movements. These conditions are more common than colon cancer and can cause similar symptoms.

The bloating and diarrhea you are experiencing could be related to a variety of factors, including dietary choices, stress, or gastrointestinal disorders such as irritable bowel syndrome (IBS). IBS is characterized by a combination of symptoms including abdominal pain, bloating, and changes in bowel habits, which can include diarrhea and constipation. It is also worth noting that certain foods, especially those high in fat or sugar, can exacerbate bloating and diarrhea.

Given that you have been experiencing these symptoms for an extended period, it is crucial to follow up with a healthcare provider. While your symptoms may not necessarily indicate colon cancer, they warrant further investigation to rule out any serious conditions. A thorough evaluation may include a physical examination, a detailed medical history, and possibly diagnostic tests such as a colonoscopy, especially since you have had blood in your stool.

Regarding your concern about colon cancer, it is important to remember that while it can occur at a younger age, the risk is generally lower in individuals without a family history of the disease or other risk factors. However, symptoms such as persistent changes in bowel habits, unexplained weight loss, and abdominal pain should always be taken seriously.

In the meantime, managing your diet and lifestyle can help alleviate some of your symptoms. Increasing fiber intake, staying hydrated, and avoiding trigger foods can be beneficial. Additionally, stress management techniques such as mindfulness or relaxation exercises may help reduce gastrointestinal symptoms.

In summary, while your symptoms are concerning, they do not definitively indicate colon cancer. It is essential to consult with a healthcare professional for a comprehensive evaluation and appropriate management. Early detection and intervention are key in addressing any potential issues, so do not hesitate to seek medical advice.

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