Should I Get a Colonoscopy? Symptoms of Potential Colon Cancer - Surgery

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Could this be colon cancer?


Three weeks ago, I noticed blood streaks on the toilet paper after wiping.
I also felt my heart racing and had some difficulty breathing, making it hard to sleep at night.
The blood streaks only lasted for two days, but then I experienced discomfort in my anus and a constant urge to have a bowel movement.
Now, I feel tightness in my anus and still have the urge to go.
My weight has been decreasing over the past few days; I was originally 57 kg and now I'm down to 56 kg.
Sometimes I experience abdominal pain, and there is a small amount of red blood in my stool.
I also feel a bit short of breath.
Should I get a colonoscopy?

Wei, 10~19 year old female. Ask Date: 2016/08/26

Dr. Yu Mingchang reply Surgery


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Reply Date: 2016/08/26

More Info


Based on the symptoms you've described, it is highly advisable to seek a colonoscopy as soon as possible. The presence of blood on toilet paper, changes in bowel habits, abdominal pain, and unintended weight loss are all concerning signs that warrant further investigation.

Understanding Your Symptoms
1. Blood in Stool: The appearance of blood, even if it was only for a couple of days, can indicate several conditions ranging from hemorrhoids to more serious issues like polyps or colorectal cancer. The fact that you later noticed blood in your stool is particularly concerning and should not be ignored.

2. Changes in Bowel Habits: The feeling of persistent bowel urgency and discomfort in the anal area can suggest inflammation or other issues in the gastrointestinal tract. This could be due to conditions such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), or even colorectal cancer.

3. Weight Loss: Unintentional weight loss is a significant red flag. Losing weight without trying can indicate that your body is not absorbing nutrients properly or that there is an underlying condition affecting your appetite or metabolism.

4. Abdominal Pain: Abdominal discomfort can be a symptom of various gastrointestinal issues, including infections, inflammatory conditions, or malignancies.

5. Shortness of Breath and Palpitations: While these symptoms might not directly relate to colon cancer, they could indicate anxiety or stress due to your health concerns. However, they could also suggest a more systemic issue that needs to be evaluated.


Why a Colonoscopy is Important
A colonoscopy is a crucial diagnostic tool that allows doctors to visualize the interior of the colon and rectum. It can help identify abnormalities such as polyps, tumors, or areas of inflammation. If any suspicious lesions are found during the procedure, biopsies can be taken for pathological examination to determine if they are benign or malignant.


Recommendations
Given your symptoms, I recommend the following steps:
1. Schedule a Colonoscopy: Contact your healthcare provider to arrange for a colonoscopy as soon as possible. Given your symptoms, this is a necessary step to rule out or confirm any serious conditions.

2. Document Symptoms: Keep a detailed record of your symptoms, including when they started, their frequency, and any changes. This information will be helpful for your healthcare provider.

3. Discuss All Symptoms with Your Doctor: When you see your doctor, make sure to discuss all your symptoms, including the blood in your stool, weight loss, abdominal pain, and any feelings of anxiety or shortness of breath. This comprehensive overview will help your doctor assess your situation more effectively.

4. Consider a Complete Blood Count (CBC): In addition to the colonoscopy, your doctor may recommend blood tests to check for anemia or other issues that could be related to your symptoms.

5. Stay Hydrated and Maintain Nutrition: While waiting for your appointment, ensure you stay hydrated and try to maintain a balanced diet. If you're experiencing significant discomfort or changes in your ability to eat, seek medical advice sooner.


Conclusion
In summary, your symptoms are concerning and warrant immediate medical attention. A colonoscopy is a critical step in diagnosing potential issues within your colon and rectum. Early detection is key in managing any potential conditions effectively, especially when it comes to colorectal cancer. Please prioritize scheduling this procedure and discussing your symptoms with a healthcare professional.

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