Do I Need a Colon Cancer Screening After Recent Bowel Changes?

Is there a need to undergo colorectal cancer screening?

Hello, recently after experiencing a sudden episode of diarrhea, my bowel movements have changed from an average of one per meal to 2-3 times concentrated in the morning to noon.
The stool volume has decreased, and I sometimes feel fullness in the lower left abdomen, with occasional mild cramping, particularly around the sigmoid colon area.
Is it possible that this could be colon cancer, and should I undergo screening for colorectal cancer?

Qiújiù de cāngshǔ, 20~29 year old female. Ask Date: 2017/04/23

Dr. Yang Zhichao reply Gastroenterology and Hepatology

Hello Mr.
Hamster, your symptoms are more indicative of irritable bowel syndrome (IBS).
However, it is recommended that you consult a gastroenterologist for further evaluation to rule out other potential causes.
Let the gastroenterologist provide you with a thorough examination and treatment.
Changhua Hospital cares about your health.

Reply Date: 2017/04/23

More Info

When it comes to changes in bowel habits and the potential risk of colon cancer, it is essential to take any new or unusual symptoms seriously. Your recent experiences of increased bowel movements, changes in stool consistency, and localized abdominal discomfort warrant a thorough evaluation.
Colon cancer screening is crucial, especially if you are experiencing symptoms such as changes in bowel habits, abdominal pain, or any other gastrointestinal issues. The symptoms you describe, including increased frequency of bowel movements and discomfort in the left lower abdomen, could be indicative of various conditions, including but not limited to irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), or even colorectal cancer. While it is true that many benign conditions can cause similar symptoms, it is essential to rule out more serious issues.

The American Cancer Society recommends that individuals at average risk for colorectal cancer begin screening at age 45. However, if you have a family history of colorectal cancer or other risk factors, you may need to start screening earlier. Even if you are under the typical screening age, your symptoms may necessitate an earlier evaluation.

A colonoscopy is the gold standard for colorectal cancer screening and diagnosis. It allows for direct visualization of the colon and rectum, and if any abnormal areas are found, biopsies can be taken for further analysis. Given your symptoms, a colonoscopy would be a prudent next step. It can help identify any polyps, inflammation, or other abnormalities that may be present in your colon.

In addition to a colonoscopy, your healthcare provider may recommend other tests, such as stool tests for hidden blood or imaging studies, depending on your overall health and specific symptoms. These tests can provide additional information about your gastrointestinal health and help guide further management.

It is also important to consider lifestyle factors that can influence bowel health. A diet high in fiber, regular physical activity, and adequate hydration can help maintain healthy bowel function. If you are experiencing significant stress or anxiety about your symptoms, it may also be beneficial to discuss these feelings with a healthcare professional, as stress can exacerbate gastrointestinal symptoms.

In summary, given your recent changes in bowel habits and abdominal discomfort, it is advisable to consult with a healthcare provider about undergoing a colonoscopy. Early detection is key in managing colorectal cancer effectively, and addressing your symptoms promptly can lead to better health outcomes. Don't hesitate to reach out for medical advice, as your health and peace of mind are paramount.

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