Abdominal Pain and Blood in Stool: Is It Colon Cancer?

Abdominal pain followed by blood in the stool?

One night, I experienced abdominal pain and went to the bathroom.
At first, my stool was light brown and streaky, followed by a mushy mass that contained some blood.
When I wiped with toilet paper, I noticed a lot of blood and some mucus on the paper.
Could I have colon cancer? Can I ask for some advice?

Dian Dian, 10~19 year old female. Ask Date: 2017/08/10

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Please first visit a colorectal surgeon for evaluation, and undergo further examinations if necessary.

Reply Date: 2017/08/10

More Info

When it comes to abdominal pain and the presence of blood in the stool, it is essential to approach the situation with caution and seek medical attention promptly. Your symptoms, which include abdominal pain, changes in stool color and consistency, and the presence of blood and mucus, warrant a thorough evaluation by a healthcare professional.

The symptoms you describe can be indicative of several gastrointestinal issues, some of which may be serious. Blood in the stool, particularly if it is bright red or mixed with mucus, can suggest several conditions, including hemorrhoids, diverticulitis, inflammatory bowel disease (IBD), or colorectal cancer. Given your concern about colon cancer, it is crucial to consider your personal and family medical history. A family history of colorectal cancer, especially in first-degree relatives, increases your risk for developing the disease.

Colon cancer often presents with symptoms such as changes in bowel habits, unexplained weight loss, persistent abdominal discomfort, and blood in the stool. However, it is important to note that not all cases of blood in the stool are due to cancer. Conditions like hemorrhoids or anal fissures can also cause bleeding and discomfort.
In your case, the fact that you have experienced changes in your stool, including the presence of blood and mucus, along with abdominal pain, suggests that further investigation is necessary. A colonoscopy is typically the gold standard for diagnosing conditions affecting the colon. During this procedure, a doctor can visualize the inside of your colon and rectum, take biopsies if necessary, and remove any polyps that may be present.
Additionally, your symptoms of abdominal pain could be related to functional gastrointestinal disorders, such as irritable bowel syndrome (IBS), which can also cause changes in bowel habits and discomfort. However, given your symptoms and family history, it is crucial to rule out more serious conditions.

In summary, while your symptoms could potentially indicate colon cancer, they could also be due to other less severe gastrointestinal issues. It is vital to consult with a healthcare provider who can perform the necessary examinations, including a physical examination, blood tests, and possibly imaging studies or a colonoscopy, to determine the underlying cause of your symptoms. Early detection and diagnosis are key to effectively managing any gastrointestinal condition, especially when it comes to cancer.
Please do not delay seeking medical attention, as timely evaluation can lead to better outcomes and peace of mind. Remember, your health is paramount, and addressing these symptoms with a healthcare professional is the best course of action.

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