Left Abdominal Discomfort and Flat Stool: Should I Worry About Colon Cancer?

There is a feeling of heaviness in the left abdomen, and the stool is flat?

About a month ago, I suddenly felt nauseous, but after taking some antacids, I felt better.
However, since then, I've had a persistent feeling of heaviness in my left abdomen, and I've often struggled to have bowel movements.
Recently, the heaviness in my left abdomen has decreased, but my stools still seem unusual; I have to exert some effort to pass them, and most of the stools are flat and ribbon-like.
After researching online, I can't help but wonder if I might have colon cancer.
Could you please help clarify my concerns?

Xiao Jun, 10~19 year old female. Ask Date: 2017/08/09

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Based on the symptoms, the likelihood of gastrointestinal dysfunction is the highest.
If the symptoms persist, a consultation with a gastroenterologist is recommended for evaluation.

Reply Date: 2017/08/09

More Info

Experiencing discomfort in the left abdomen and changes in stool consistency can understandably cause concern, especially when considering the possibility of colon cancer. It's important to approach this situation with a clear understanding of the symptoms, potential causes, and the necessary steps to take for diagnosis and treatment.

Firstly, the symptoms you describe—persistent left abdominal discomfort, difficulty in bowel movements, and the presence of flat or ribbon-like stools—can be indicative of several conditions, not just colon cancer. Flat stools can occur due to various reasons, including dietary changes, dehydration, or gastrointestinal issues such as irritable bowel syndrome (IBS) or inflammatory bowel disease (IBD). However, they can also be a sign of an obstruction in the colon, which is why they warrant further investigation.

Colon cancer often presents with a combination of symptoms, including changes in bowel habits (such as diarrhea or constipation), blood in the stool, unexplained weight loss, and persistent abdominal discomfort. The fact that you have experienced changes in your stool shape and consistency, along with abdominal discomfort, does raise a flag that should not be ignored. However, it’s crucial to remember that these symptoms can also be associated with benign conditions.

Given your symptoms, it is advisable to consult with a healthcare professional who can conduct a thorough evaluation. This typically includes a detailed medical history, a physical examination, and possibly diagnostic tests. The most common tests for evaluating colon health include:
1. Colonoscopy: This is the gold standard for examining the colon and rectum. It allows for direct visualization of the intestinal lining and the opportunity to take biopsies if any suspicious lesions are found.

2. CT Scan or MRI: These imaging studies can help identify any abnormalities in the abdomen and pelvis, including masses or obstructions.

3. Stool Tests: Tests for occult blood in the stool can help identify bleeding that may not be visible.

4. Blood Tests: While not definitive for colon cancer, certain blood tests can provide information about overall health and help rule out other conditions.

In your case, since you have already experienced symptoms for a month, it would be prudent to expedite your consultation with a gastroenterologist. They can assess your symptoms in the context of your overall health and family history, which is important since a family history of colorectal cancer can increase your risk.

Additionally, lifestyle factors such as diet, exercise, and stress management play a significant role in gastrointestinal health. A diet high in fiber, adequate hydration, and regular physical activity can help alleviate some symptoms of constipation and improve bowel regularity.

In summary, while your symptoms could be concerning, they do not automatically indicate colon cancer. However, due to the nature of your symptoms, it is essential to seek medical advice promptly. Early detection and intervention are crucial in managing any potential issues effectively. Remember, many gastrointestinal conditions are treatable, and addressing your concerns with a healthcare provider is the best course of action.

Similar Q&A

Understanding Abdominal Pain and Bowel Changes: Is It Colon Cancer?

Hello Doctor, I have recently experienced sudden sharp pain in my left abdomen while standing or sitting, along with tenderness when pressing on that area of my abdominal muscles. Additionally, I sometimes feel discomfort during lunch or dinner. Lately, my bowel movements have va...

Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: The situation you described seems more like a phenomenon caused by retained stool or constipation. Although there are cases of colon cancer in individuals in their twenties, the probability is extremely low, so there is no need to worry excessively. It is important to main...

Left Lower Abdominal Pain and Constipation: What You Need to Know

I noticed blood around my stool, resembling a halo effect. I have a colonoscopy scheduled for May 20. I mentioned to the doctor that my left testicle also hurts, and he said it could be due to shared nerve pathways, but I forgot to ask what might be causing the pain. Currently, I...

Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello, a colonoscopy has been scheduled, and we will discuss further after the examination. If the results are normal, it will be a functional issue. Wishing you peace and health. Sincerely, Dr. Chi-Feng Chen, Attending Physician, Department of Gastroenterology, Taoyuan General H...

Is It Colon Cancer? Understanding Symptoms and Concerns

Hello Doctor: Since I started seventh grade, I have often experienced incomplete bowel movements, or I feel the urge to go but cannot. Sometimes, I also have diarrhea. Recently, I noticed a soft lump near my anus, but it is not painful. However, I do feel pain when I strain durin...

Dr. Cai Jinji reply Gastroenterology and Hepatology
Hello, Hannah: If you are feeling unwell and are concerned, it is advisable to see a physician for evaluation or examination. Director Cai Jin-ji of the Gastroenterology and Hepatology Department at Nantou Hospital.

Understanding Left Lower Abdominal Pain and Diarrhea: Is It IBS?

Hello Doctor, my symptoms started last year when I experienced a breakdown for a period of time due to certain reasons. After that, I began to have diarrhea, although I still have normal bowel movements, the frequency of diarrhea has increased. Subsequently, I started experiencin...

Dr. Chen Bingze reply Surgery
Hello, I think this issue might be concerning for you. I suggest you inform your family and arrange to have a colonoscopy under sedation at a hospital. Basically, the risk of colorectal cancer at your age is very low. Instead, it’s important to be aware of the possibility of infl...