Could It Be Colon Cancer? Symptoms and When to Seek Help

Q: Could It Be Colon Cancer? Symptoms and When to Seek Help

Hello： In terms of age, the likelihood of developing colorectal cancer is low. <br>It may be helpful to review your recent dietary habits (fruits and vegetables, hydration, variety of foods), bowel habits, and emotional state to see if there are any changes compared to before. <b

Is it colorectal cancer?

Since the beginning of April, I have been experiencing constipation, with hard and dry stools.
I have to strain a lot during bowel movements, and there is blood mixed with mucus.
Later, I changed my diet and increased my water intake, which made my stools less hard, but I often feel like I haven't completely emptied my bowels and frequently have the urge to go but cannot.
I have bowel movements about every 2 to 3 days, but the amount is small.
Sometimes the stools are flat, and then I might go a week without a bowel movement, ultimately needing to drink a lot of yogurt to relieve myself.
Initially, I had watery and hard stools, but later I noticed that my stools became thin and accompanied by clear mucus.
I often feel like I haven't fully emptied my bowels.
I have had constipation before, but I never experienced thin stools or the sensation of incomplete evacuation, and my constipation was usually resolved by improving my diet.
However, this abnormal bowel pattern has persisted for nearly a month without improvement.
I have considered getting a colonoscopy, but it is inconvenient since I am studying abroad.
Could this be a sign of colon cancer? Should I get checked while I am abroad?

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

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: In terms of age, the likelihood of developing colorectal cancer is low.
It may be helpful to review your recent dietary habits (fruits and vegetables, hydration, variety of foods), bowel habits, and emotional state to see if there are any changes compared to before.
If there are differences, try to restore your previous habits and observe if your symptoms improve.
If the situation persists without improvement, further examination may be considered.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2016/04/29

More Info

When it comes to gastrointestinal symptoms, especially those involving changes in bowel habits, it is essential to approach the situation with caution. Your symptoms of constipation, hard stools, and the presence of blood or mucus can be concerning and warrant further investigation. While it is understandable to be anxious about the possibility of colon cancer, it is important to consider a range of potential causes for your symptoms.

Colon cancer, or colorectal cancer, often presents with a variety of symptoms, but it is crucial to note that these symptoms can also be indicative of other conditions, such as hemorrhoids, anal fissures, inflammatory bowel disease (IBD), or even benign polyps. The presence of blood in the stool, changes in stool shape (such as becoming thinner), and a feeling of incomplete evacuation can be associated with colorectal cancer, but they are not definitive indicators of the disease.

In your case, the timeline of your symptoms is significant. You mentioned that you have been experiencing these issues for about a month, with changes in your bowel habits, including constipation and the presence of mucus. The fact that you have previously managed constipation through dietary changes suggests that you may have a functional gastrointestinal issue, but the persistence and nature of your current symptoms are concerning enough to warrant further evaluation.

Here are some key points to consider:
1. Symptom Duration and Changes: Symptoms that persist for more than a few weeks, especially when they change in nature (e.g., from constipation to thinner stools), should be evaluated by a healthcare professional. The duration of your symptoms and the changes you have experienced are important factors that should not be overlooked.

2. Blood in Stool: The presence of blood, whether bright red or darker, can indicate various conditions. While hemorrhoids are a common cause, it is essential to rule out more serious conditions, including colorectal cancer. Blood in the stool should always be evaluated, especially if it is a new symptom.

3. Stool Characteristics: Changes in stool shape, such as becoming thinner or more ribbon-like, can be a sign of an obstruction or mass in the colon. This symptom, combined with others you mentioned, should be taken seriously.

4. Seeking Medical Attention: Given your symptoms, it is advisable to seek medical attention as soon as possible. If you are currently studying abroad and have access to healthcare services, consider scheduling an appointment with a gastroenterologist. They may recommend a colonoscopy, which is the gold standard for diagnosing colorectal issues, including cancer.

5. Dietary Changes: While you have made dietary changes that have helped in the past, it is crucial to ensure that your diet is balanced and includes adequate fiber, hydration, and nutrients. However, dietary changes alone may not resolve underlying issues, especially if there is a structural problem in the colon.

6. Family History and Risk Factors: If you have a family history of colorectal cancer or other risk factors (such as age, lifestyle, or genetic predispositions), this information is vital for your healthcare provider to consider when evaluating your symptoms.

In summary, while your symptoms could be related to benign conditions, the combination of constipation, blood in the stool, and changes in stool characteristics necessitates a thorough evaluation. It is essential to prioritize your health and seek medical attention promptly. Early detection and intervention are crucial in managing any potential gastrointestinal issues effectively.

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