Constant Urge to Defecate: Potential Health Concerns

Having a constant urge to have a bowel movement throughout the day?

Hello Dr.
Ke: I often feel a heavy sensation in my buttocks throughout the day, accompanied by a feeling of needing to have a bowel movement.
This sensation is usually milder during the day and becomes more pronounced at night.
I feel heavier when standing than when sitting.
I have experienced rectal bleeding during bowel movements, with a significant amount of bright red blood that does not mix with the stool.
This has occurred three times, and each time it happened when I was straining to have a bowel movement.
Over the past few days, my stools have been loose, occurring two to three times a day, with colors ranging from brown to golden yellow, and there is some undigested food present.
I read online that having a constant urge to defecate can be a symptom of colorectal cancer.
Aside from the persistent urge and rectal bleeding, I do not have any other symptoms, but I am really scared.
I kindly ask for your clarification, doctor!

Wang Tongxue, 10~19 year old female. Ask Date: 2017/12/13

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 advisable to maintain a light diet and good lifestyle habits, while avoiding spicy, irritating, and greasy foods.
Increasing your intake of dietary 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: 2017/12/13

More Info

It's understandable to feel anxious about your health, especially when experiencing symptoms that can be alarming, such as a constant urge to defecate and rectal bleeding. Your concerns about potential serious conditions like colorectal cancer are valid, given the symptoms you've described. However, it's essential to approach this situation with a balanced perspective and seek professional medical advice.

Firstly, the sensation of a constant urge to defecate, particularly if it worsens at night or when sitting, can be attributed to various factors. These may include gastrointestinal disorders such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), or even rectal prolapse. The fact that you have experienced bright red blood during bowel movements, especially if it occurs after straining, could indicate hemorrhoids or anal fissures, which are common and often less serious conditions. However, any instance of rectal bleeding should be evaluated by a healthcare professional to rule out more serious issues.

The changes in your stool consistency and color are also noteworthy. While variations in stool color can occur due to dietary changes, the presence of "cai zha" (which I assume refers to undigested food particles) and the frequency of bowel movements may warrant further investigation. It's important to note that while online resources can provide information, they can also lead to unnecessary anxiety. Self-diagnosing based on internet searches can often exacerbate fears without providing clarity.

Given your symptoms, it is crucial to consult a healthcare provider, preferably a gastroenterologist, who can perform a thorough evaluation. This may include a physical examination, a detailed medical history, and possibly diagnostic tests such as a colonoscopy, which is the gold standard for investigating colorectal issues. A colonoscopy can help visualize the colon and rectum, allowing for the identification of any abnormalities, including polyps or signs of cancer.

In the meantime, managing your anxiety is equally important. Anxiety can amplify physical symptoms, creating a cycle of worry that can be difficult to break. Techniques such as mindfulness, deep breathing exercises, and cognitive-behavioral strategies can be beneficial in reducing anxiety levels. Engaging in regular physical activity and maintaining a balanced diet can also support both your mental and physical health.

It's also worth considering that while the internet can be a valuable resource, it can also lead to misinformation and heightened anxiety. Focus on gathering information from reputable medical sources and consult with healthcare professionals who can provide personalized advice based on your specific situation.

In summary, while your symptoms warrant attention, it is essential to approach them with a clear plan. Schedule an appointment with a healthcare provider to discuss your symptoms in detail. They can guide you through the necessary evaluations and help alleviate your concerns. Remember, early intervention is key in addressing any potential health issues, and taking proactive steps can lead to better outcomes.

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