Urgent Medical Advice Needed: Symptoms Suggesting Possible Colon Cancer

Q: Urgent Medical Advice Needed: Symptoms Suggesting Possible Colon Cancer

Answer： Losing 40 kilograms in six months is an astonishing change. <br>While the likelihood of developing colorectal cancer at the age of 23 is not zero, it is generally considered to be low. <br>Given your situation, it would be advisable to first consult a metabolic specialist

I'm sorry, could you please clarify your question?

Recently, I have lost about forty pounds over the past six months, and my appetite has significantly decreased.
I have been experiencing continuous rectal bleeding, almost no appetite, and symptoms of nausea and vomiting.
Some doctors (including those at major hospitals) have diagnosed me with hemorrhoids without performing a pelvic examination.
However, I have been having frequent bowel movements, which mostly consist of some tissue, and my stool has become unformed and mushy.
Sometimes, there is yellow mucus and oil accompanying it, with a very foul odor.
After researching these symptoms online, I suspect there may be a risk of colon cancer, especially since there is a family history of such conditions.
What would you recommend I do?

A-Jia, 20~29 year old female. Ask Date: 2018/02/26

Dr. Ke Fangxu reply Surgery

Answer: Losing 40 kilograms in six months is an astonishing change.
While the likelihood of developing colorectal cancer at the age of 23 is not zero, it is generally considered to be low.
Given your situation, it would be advisable to first consult a metabolic specialist to check for potential causes of weight loss, such as thyroid issues or early-onset diabetes.
Additionally, please arrange for a colonoscopy to rule out less common conditions like Crohn's disease or malignancies.

Reply Date: 2018/02/26

More Info

I'm sorry to hear about the concerning symptoms you're experiencing. Based on what you've described, it is crucial to take these symptoms seriously, especially given your significant weight loss, changes in bowel habits, and the presence of blood in your stool. These symptoms could indeed suggest a serious condition, including colon cancer, particularly considering your family history.

Firstly, the symptoms you mentioned—such as significant weight loss, decreased appetite, nausea, vomiting, frequent bowel movements with abnormal stool consistency, and the presence of blood—are red flags that warrant immediate medical attention. While some healthcare providers may have attributed your symptoms to hemorrhoids, it is essential to pursue further evaluation to rule out more serious conditions.

Here are some steps I would recommend:
1. Seek a Specialist: If you haven't already, consider seeing a gastroenterologist. They specialize in digestive disorders and can provide a more thorough evaluation of your symptoms.

2. Request Diagnostic Tests: Given your symptoms, particularly the blood in your stool and changes in bowel habits, a colonoscopy is highly recommended. This procedure allows for direct visualization of the colon and rectum, and it can also facilitate biopsies of any suspicious lesions. Additionally, imaging studies such as a CT scan may be warranted to assess for any abnormalities in the abdomen and pelvis.

3. Blood Tests: It would be beneficial to have blood tests done, including a complete blood count (CBC) to check for anemia, which can occur with significant blood loss, and tumor markers such as CEA (carcinoembryonic antigen) if colon cancer is suspected.

4. Monitor Symptoms: Keep a detailed record of your symptoms, including when they occur, their severity, and any other associated symptoms. This information can be invaluable for your healthcare provider in making a diagnosis.

5. Discuss Family History: Make sure to inform your healthcare provider about your family history of colon cancer. This information can influence the urgency and type of diagnostic testing you receive.

6. Avoid Self-Diagnosis: While it’s understandable to seek information online, it’s important to avoid jumping to conclusions based on internet searches. Each individual's situation is unique, and only a healthcare professional can provide an accurate diagnosis and appropriate treatment plan.

7. Consider Lifestyle Factors: While awaiting your appointment, consider any lifestyle factors that may contribute to your symptoms, such as diet, stress, and physical activity. Maintaining a balanced diet and staying hydrated can be beneficial.

In conclusion, your symptoms are concerning and should not be ignored. It is essential to pursue further evaluation promptly. Early detection and treatment are critical in managing conditions like colon cancer effectively. Please prioritize scheduling an appointment with a gastroenterologist and advocate for the necessary tests to ensure a comprehensive evaluation of your health.

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