Could It Be Colon Cancer? Symptoms and Risks - Gastroenterology and Hepatology

Could it be colon cancer?

Hello Doctor, I am 22 years old.
My father was diagnosed with stage III colon cancer when he was nearly 60.
I have experienced constipation symptoms since I was very young, but my stool has always been in large, cylindrical shapes.
This June, due to increased stress, I started experiencing bloating and excessive gas.
I also have cramping and diarrhea during my menstrual period, while my usual stool shape is grainy, with occasional normal cylindrical shapes.
There is no foul odor, but a few days ago, after drinking a cold beverage, I noticed white mucus in my stool.
I have been monitoring it for the past few days, and it has since disappeared.
I would like to know if this could be irritable bowel syndrome?

A, 20~29 year old female. Ask Date: 2016/12/21

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, Miss.
You may just have irritable bowel syndrome.
Please pay attention to your lifestyle and dietary habits.
Changhua Hospital cares about your health.
Chen Shidian.

Reply Date: 2016/12/21

More Info

At 22 years old, you may understandably be concerned about the possibility of colon cancer, especially given your family history with your father being diagnosed with stage III colon cancer at nearly 60. However, it is important to recognize that while family history can increase your risk, the likelihood of developing colon cancer at your age is relatively low, particularly if you do not have other significant risk factors.

Your symptoms of constipation and changes in stool consistency, such as experiencing pellet-like stools and occasional normal-shaped stools, are more indicative of functional gastrointestinal disorders rather than colon cancer. Conditions like irritable bowel syndrome (IBS) can lead to symptoms such as bloating, gas, and changes in bowel habits, which seem to align with what you are experiencing. Stress can exacerbate these symptoms, and it is not uncommon for individuals to notice changes in their gastrointestinal function during periods of increased stress.

The presence of white mucus in your stool can be concerning, but it is often not a direct indicator of colon cancer. Mucus can be produced by the intestines for various reasons, including irritation or inflammation. It is not unusual for individuals with IBS or other functional gastrointestinal disorders to notice mucus in their stool, especially during flare-ups. If the mucus persists or is accompanied by other concerning symptoms such as blood in the stool, significant weight loss, or persistent abdominal pain, it would be prudent to consult a healthcare professional for further evaluation.

Given your family history, it is wise to maintain regular check-ups with your healthcare provider. They may recommend starting screening earlier than the typical age of 45 for average-risk individuals, especially considering your father's diagnosis. Screening methods such as colonoscopy can help detect any abnormalities early on, even before symptoms arise.

In summary, while your symptoms warrant attention, they are more likely related to functional gastrointestinal issues rather than colon cancer. It is essential to manage stress, maintain a healthy diet rich in fiber, and stay hydrated to help alleviate constipation and promote regular bowel movements. If you have ongoing concerns or if your symptoms change, do not hesitate to reach out to a healthcare professional for personalized advice and potential screening options. Regular monitoring and open communication with your healthcare provider can help ensure your gastrointestinal health remains a priority.

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