Symptoms: Could It Be Colorectal Cancer?

Colorectal cancer

I experienced rectal bleeding during my last bowel movement (there was even blood in the toilet before I had a bowel movement, and the amount was somewhat significant).
I went to the hospital for emergency care, and they diagnosed me with internal hemorrhoids.
After taking medication, I did not experience any further bleeding.
However, since the bleeding stopped, I had stomach pain once, and then I felt bloated.
Additionally, I have noticed mucus in my stool and around my anus, which seems similar to symptoms of colorectal cancer.
Could I have colorectal cancer?

andy, 10~19 year old female. Ask Date: 2017/12/10

Dr. Ke Fangxu reply Surgery

At the age of 17, 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.
I recommend starting with a light diet and maintaining a good lifestyle.
Spicy, irritating, and greasy foods should be avoided, and increasing your intake of plant fiber can also be beneficial.
If symptoms persist without improvement, you may want to consult a physician for medication or to undergo a colonoscopy.

Reply Date: 2017/12/10

More Info

When considering the symptoms you've described, it's essential to approach the situation with a comprehensive understanding of colorectal cancer and its associated signs. Colorectal cancer can manifest in various ways, and while some symptoms may overlap with benign conditions, it is crucial to recognize the potential warning signs.

Firstly, the presence of blood in the stool, especially if it is bright red or accompanied by significant amounts, can be alarming. While you mentioned that a doctor diagnosed you with hemorrhoids (internal hemorrhoids), which can indeed cause bleeding, it is important to note that any rectal bleeding should be evaluated thoroughly. Hemorrhoids are common and often benign, but they can coexist with other conditions, including colorectal cancer.

The symptoms you are experiencing, such as abdominal pain, bloating, and the presence of mucus in your stool, can be indicative of several gastrointestinal issues. Mucus in the stool can occur due to irritation or inflammation in the intestines, which can be caused by conditions like irritable bowel syndrome (IBS), infections, or inflammatory bowel disease (IBD). However, it can also be a symptom of colorectal cancer, particularly if it is persistent or accompanied by other concerning symptoms.

Weight loss, changes in bowel habits (such as diarrhea or constipation), and changes in the caliber of the stool (such as becoming thinner) are also significant symptoms that warrant further investigation. While you have not mentioned weight loss, the combination of abdominal discomfort, changes in bowel movements, and the presence of mucus should not be taken lightly.

It is also worth noting that colorectal cancer can sometimes present with vague symptoms, such as fatigue or changes in appetite, which may not seem directly related to the gastrointestinal tract. The fatigue you mentioned could potentially be linked to anemia, which can occur if there is chronic blood loss, even if it is not immediately apparent.

Given your symptoms and the family history of colorectal issues, it is advisable to pursue further evaluation. A colonoscopy is the gold standard for diagnosing colorectal cancer and can help visualize the colon and rectum directly. It allows for the identification of polyps, tumors, or other abnormalities, and biopsies can be taken for histological examination.

In summary, while your symptoms could be attributed to benign conditions such as hemorrhoids or gastrointestinal irritation, the overlap with symptoms of colorectal cancer cannot be overlooked. It is crucial to follow up with your healthcare provider for a thorough evaluation, including a colonoscopy, to rule out any serious conditions. Early detection is key in managing colorectal cancer effectively, and addressing your symptoms promptly can lead to better outcomes. Remember, it is always better to err on the side of caution when it comes to your health.

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