Weight Loss and Constipation: Is Colon Cancer a Concern?

Colorectal cancer concerns?

Hello, I have lost about three kilograms in the past month, and recently I've been experiencing a dull discomfort in my lower abdomen along with persistent urges to have a bowel movement, but not much comes out.
I went to the hospital for an X-ray, and the doctor said my abdomen is filled with stool, so they prescribed a laxative for me.
However, I want to ask why I have never experienced this kind of constipation before and why my weight has dropped.
Could it be because I have been eating fewer fruits and vegetables while living away from home? After taking the medication prescribed by the doctor, I was able to have a bowel movement, which was somewhat loose but the color was a normal yellow-brown.
I read online that colorectal cancer usually presents with blood in the stool, so does this mean I can rule out that possibility?

hon, 20~29 year old female. Ask Date: 2016/04/30

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, sir.
You can have a fecal occult blood test.
If there is no blood reaction, then there is less reason to worry about colorectal cancer.
Changhua Hospital cares about your health.
Chen Shidian

Reply Date: 2016/04/30

More Info

Weight loss and changes in bowel habits can be concerning, especially when considering the risk of colon cancer. Your recent experience of losing about three kilograms in a month, along with persistent abdominal discomfort and constipation, warrants careful evaluation. While it is true that significant weight loss can be a symptom of various health issues, including cancer, it is essential to consider the context of your overall health and lifestyle changes.

Firstly, weight loss can occur for many reasons, including dietary changes, increased physical activity, stress, or underlying medical conditions. In your case, you mentioned that you might not be consuming enough fruits and vegetables due to living alone, which could lead to inadequate fiber intake. A low-fiber diet can contribute to constipation and may also affect your overall health, including weight management. The softener prescribed by your doctor is a good step towards alleviating constipation, but it is crucial to address the underlying dietary issues as well.

Regarding your concerns about colon cancer, it is important to note that while blood in the stool is a common symptom associated with colon cancer, it is not the only indicator. Other symptoms can include changes in bowel habits, such as persistent diarrhea or constipation, unexplained weight loss, abdominal pain, and changes in the appearance of stool. However, the absence of blood does not completely rule out the possibility of colon cancer, especially if you have other risk factors, such as a family history of the disease.

Given your family history of colon cancer, it is prudent to remain vigilant about any changes in your health. While your current symptoms may not directly indicate cancer, they do warrant further investigation. A colonoscopy is often recommended for individuals with a family history of colon cancer or those experiencing concerning gastrointestinal symptoms. This procedure allows for direct visualization of the colon and can help identify any polyps or abnormal growths that may require further evaluation.

In addition to the colonoscopy, consider discussing your dietary habits with a healthcare professional or a nutritionist. Increasing your intake of fruits, vegetables, and whole grains can improve your digestive health and may help alleviate constipation. Regular physical activity is also beneficial for maintaining a healthy weight and promoting regular bowel movements.

In summary, while your symptoms may not immediately suggest colon cancer, they should not be ignored, especially given your family history. It is essential to follow up with your healthcare provider for further evaluation, including a potential colonoscopy, and to consider making dietary changes to support your overall health. Maintaining open communication with your healthcare team will help ensure that any concerns are addressed promptly and effectively.

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