Bowel Issues: Signs of Colorectal Cancer You Shouldn't Ignore

Bowel issues and colorectal cancer?

I have always had irregular bowel movements and experience constipation.
I can't recall how long it's been since my last normal bowel movement, but in recent months, I often have stomach pain after eating and diarrhea.
I also frequently pass gas, which is not foul-smelling.
A few days ago, my stool appeared normal, but I noticed blood on the tissue when wiping.
Recently, when I pass gas, there is a small amount of brown mucus that comes out as well.
What could be wrong with me, doctor?

Bang Me, 10~19 year old female. Ask Date: 2018/02/09

Dr. Chen Shidian reply Gastroenterology and Hepatology

Miss, you have a combination of anxiety disorder and internal hemorrhoids.
It is advisable to visit a gastroenterology clinic for a definitive diagnosis.
Changhua Hospital cares about your health.
Chen Shidian.

Reply Date: 2018/02/09

More Info

When it comes to bowel issues, especially those that involve changes in bowel habits, the presence of blood, and unusual mucus, it is essential to take these symptoms seriously. Your description of experiencing constipation, abdominal pain after meals, diarrhea, and the presence of blood and mucus in your stool raises several concerns that warrant further investigation.

Firstly, the presence of blood in your stool can be indicative of various conditions, ranging from benign to more serious issues. Bright red blood typically suggests that the source of bleeding is closer to the rectum, which could be due to hemorrhoids, anal fissures, or other rectal conditions. However, if the blood is darker or mixed with the stool, it could indicate bleeding from higher up in the gastrointestinal tract, such as the colon or small intestine. The coffee-colored mucus you mentioned could also be a sign of gastrointestinal bleeding or an inflammatory process.

Your symptoms of abdominal pain, particularly after eating, could suggest several gastrointestinal conditions, including irritable bowel syndrome (IBS), inflammatory bowel disease (IBD) such as Crohn's disease or ulcerative colitis, or even colorectal cancer, especially given the age-related risk factors. While colorectal cancer is more common in older adults, it can occur in younger individuals, particularly if there is a family history of colorectal cancer or other gastrointestinal diseases.

It is also important to consider the impact of stress and diet on bowel health. Stress can exacerbate gastrointestinal symptoms and lead to changes in bowel habits. Additionally, dietary factors, such as a low-fiber diet, can contribute to constipation and irregular bowel movements.

Given your symptoms, it is crucial to seek medical attention. A healthcare provider will likely recommend a thorough evaluation, which may include a physical examination, a detailed medical history, and possibly diagnostic tests such as a colonoscopy. A colonoscopy is particularly important as it allows for direct visualization of the colon and rectum, and any abnormalities can be biopsied for further analysis.

In summary, while some of your symptoms may be related to benign conditions, the presence of blood and mucus, along with changes in bowel habits, should not be ignored. It is advisable to consult with a healthcare professional as soon as possible to rule out serious conditions, including colorectal cancer. Early detection and intervention are key to managing any potential issues effectively. Remember, it is always better to err on the side of caution when it comes to your health.

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