Abdominal Issues: Is Your Symptoms a Sign of Colon Cancer?

Abdominal issues?

I have been experiencing constipation recently, followed by diarrhea after a few days, and then my bowel movements returned to normal.
However, my stools have become thinner, about the size of a 5 to 10 NT dollar coin, and they are ribbon-like.
I also have mild abdominal pain throughout the day, but it does not affect my daily activities.
Could this be a symptom of colon cancer?

A Feng, 10~19 year old female. Ask Date: 2016/06/05

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, sir.
It's mostly nothing to worry about.
If you're concerned, you can come to the outpatient clinic to check for occult blood in your stool.
Changhua Hospital cares about your health.
Chen Shidian.

Reply Date: 2016/06/05

More Info

When it comes to understanding abdominal issues and the potential signs of colon cancer, it's essential to consider a variety of symptoms and their implications. Your description of experiencing constipation followed by diarrhea, along with changes in the shape of your stool and mild abdominal pain, raises some important points for discussion.

Firstly, the change in the shape of your stool, particularly if it has become thinner or pencil-like, can be a concern. In some cases, this can indicate a narrowing of the colon, which may be caused by various factors, including the presence of polyps or tumors. However, it is crucial to note that not all changes in stool shape are indicative of cancer. Other benign conditions, such as irritable bowel syndrome (IBS) or inflammatory bowel disease (IBD), can also lead to similar symptoms.

The intermittent nature of your symptoms—alternating between constipation and diarrhea—suggests a possible functional gastrointestinal disorder, such as IBS. IBS is characterized by abdominal pain and changes in bowel habits without any identifiable structural or biochemical abnormalities. It is often triggered by stress, dietary factors, or changes in routine, which could be relevant given your academic pressures.

Mild abdominal pain that does not significantly impact your daily activities is another important aspect to consider. While persistent or severe abdominal pain can be a red flag, mild discomfort is often associated with less serious conditions. Nevertheless, it is essential to monitor any changes in the intensity or nature of the pain.

Given your family history of colon cancer, it is prudent to be vigilant about any gastrointestinal symptoms. Family history can increase your risk for developing colorectal cancer, and individuals with a first-degree relative diagnosed with the disease are often advised to begin screening earlier than the general population. The American Cancer Society recommends that individuals at average risk begin screening at age 45, but those with a family history may need to start earlier.

In your case, while your symptoms may not immediately suggest colon cancer, it is essential to consult with a healthcare professional for a thorough evaluation. A healthcare provider may recommend diagnostic tests, such as a colonoscopy, to rule out any serious conditions, especially given the changes in your stool and your family history. Additionally, stool tests can help identify any hidden blood, which is another potential indicator of colorectal issues.

In summary, while your symptoms could be related to benign conditions like IBS, the change in stool shape and your family history warrant further investigation. It is always better to err on the side of caution when it comes to gastrointestinal health. A healthcare professional can provide a comprehensive assessment and guide you through the appropriate steps for diagnosis and management. Remember, early detection is key in addressing any potential health concerns effectively.

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