Blood in Stool: Is It Hemorrhoids or Colon Cancer at 18? - Surgery

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Blood in the stool?


Recently, I have noticed blood in my stool, although not a lot, and I experience slight pain in my anus.
I am concerned whether this could be an anal fissure or colon cancer.
Is it possible to develop colon cancer at the age of 18? Should I go to the hospital for an examination?

Mr. Wei, 10~19 year old female. Ask Date: 2017/08/06

Dr. Ke Fangxu reply Surgery


At the age of 18, the likelihood of developing colorectal cancer is not zero, but generally speaking, it is extremely low.
Based on your description, it seems more like hemorrhoids.
It is recommended to maintain a light diet and a good lifestyle.
Spicy, irritating, and greasy foods should be avoided.
If symptoms persist without improvement, you may consult a physician for medication or consider undergoing a colonoscopy.

Reply Date: 2017/08/06

More Info


Experiencing blood in your stool at the age of 18 can understandably be alarming, and it's important to address your concerns with accurate information. While the presence of blood in stool can be associated with serious conditions like colon cancer, it is much more commonly linked to benign issues such as hemorrhoids or anal fissures, especially in younger individuals.

Firstly, let's discuss the potential causes of blood in your stool. Hemorrhoids, which are swollen veins in the lower rectum or anus, can cause bright red blood on the toilet paper or in the toilet bowl. They are often associated with straining during bowel movements, which can occur if you have constipation or hard stools. Anal fissures, which are small tears in the lining of the anus, can also lead to similar symptoms, including pain and blood during bowel movements. Both conditions are quite common and can occur in individuals of all ages, particularly if there are issues with bowel habits.

On the other hand, while colon cancer is a serious concern, it is relatively rare in individuals as young as 18. The majority of colon cancer cases occur in older adults, typically over the age of 50. However, certain risk factors can increase the likelihood of developing colon cancer at a younger age, including a family history of colorectal cancer, certain genetic syndromes, inflammatory bowel diseases (like Crohn's disease or ulcerative colitis), and lifestyle factors such as diet and physical activity.

Given your symptoms—blood in the stool and slight pain during bowel movements—it is advisable to seek medical attention. A healthcare provider can perform a thorough evaluation, which may include a physical examination and possibly a referral for a colonoscopy if deemed necessary. A colonoscopy is a procedure that allows doctors to view the inside of the colon and rectum, helping to identify any abnormalities such as polyps, inflammation, or tumors.

In the meantime, there are several steps you can take to help manage your symptoms and promote better bowel health. Increasing your fiber intake through fruits, vegetables, and whole grains can help soften your stool and reduce straining during bowel movements. Staying well-hydrated by drinking plenty of water is also crucial. If you are experiencing constipation, over-the-counter stool softeners or laxatives may provide relief, but it’s best to consult with a healthcare provider before starting any medication.

It's also important to address any anxiety you may have regarding your symptoms. Stress and worry can exacerbate gastrointestinal issues, leading to a cycle of discomfort and concern. Practicing relaxation techniques, such as deep breathing exercises or mindfulness, can help alleviate some of this anxiety.

In summary, while blood in your stool can be concerning, it is more likely to be related to hemorrhoids or anal fissures rather than colon cancer at your age. However, it is essential to consult a healthcare professional for a proper diagnosis and to rule out any serious conditions. Taking proactive steps to improve your diet and manage stress can also contribute to better digestive health. Remember, early intervention is key to addressing any health concerns effectively.

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