Constipation: Is It a Sign of Colon Cancer? - Surgery

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Bowel movement issues


I have experienced constipation frequently since childhood, and my stools are often hard and pellet-like.
I also tend to stay up late.
Recently, my abdomen feels hard, but I don't have the urge to have a bowel movement.
I have been taking probiotics occasionally, and I do have bowel movements, but they are still pellet-like and have a yellowish-brown color.
Could this be a sign of colon cancer? Does staying up late and being constipated increase the risk of colon cancer? I am currently eating plenty of vegetables and trying to drink enough water, but I still only have a bowel movement every 5 to 7 days.
Thank you for your response, doctor.

Niming, 10~19 year old female. Ask Date: 2018/03/26

Dr. Ke Fangxu reply Surgery


The likelihood of developing colorectal cancer at your age can be considered negligible.
Based on your description, it seems more like a case of stubborn constipation.
I recommend starting with a light diet and maintaining a good daily routine.
Spicy, irritating, and greasy foods should be avoided.
Increasing your intake of dietary fiber from plant sources can also be beneficial.
Regular exercise and adequate hydration are very important as well.
If symptoms persist without improvement, you may want to consult a physician for medication.

Reply Date: 2018/03/26

More Info


Constipation is a common gastrointestinal issue that can be caused by a variety of factors, including diet, lifestyle, and underlying medical conditions. While it is understandable to be concerned about the possibility of colon cancer, especially when experiencing significant changes in bowel habits, it is essential to approach this issue with a balanced perspective.

Firstly, it is important to clarify that constipation itself is not a direct sign of colon cancer. Many individuals experience constipation for reasons unrelated to cancer, such as inadequate fiber intake, dehydration, sedentary lifestyle, or stress. In your case, you mentioned a history of constipation since childhood, which suggests that this may be a chronic issue rather than a sudden change indicative of a serious condition like cancer.

The appearance of your stools, described as "hard" and "lumpy," can be associated with constipation. This type of stool is often a result of dehydration or insufficient fiber in the diet, even if you are currently trying to eat more vegetables. It is also worth noting that the frequency of bowel movements can vary significantly from person to person. While some people may have daily bowel movements, others may find that they only go every few days, and this can still be considered normal for them, provided that the stools are not excessively hard or painful to pass.

Regarding your concerns about colon cancer, there are several symptoms that may raise suspicion for this condition, including:
1. Changes in Bowel Habits: A sudden change in the frequency or consistency of your stools, such as persistent diarrhea or constipation that lasts for more than a few weeks, can be concerning.

2. Blood in the Stool: The presence of bright red or dark, tarry stools can indicate bleeding in the gastrointestinal tract, which should be evaluated by a healthcare professional.

3. Unexplained Weight Loss: Losing weight without trying can be a sign of an underlying health issue, including cancer.

4. Abdominal Pain: Persistent or severe abdominal pain, especially if it is accompanied by other symptoms, should be investigated.

5. Fatigue: Unexplained fatigue can sometimes be associated with cancer.

In your case, while you are experiencing constipation and changes in stool consistency, these symptoms alone do not necessarily indicate colon cancer. However, it is crucial to monitor your symptoms and consult with a healthcare provider if you notice any alarming changes or if your constipation persists despite dietary adjustments and the use of over-the-counter medications like probiotics or stool softeners.

Additionally, lifestyle factors such as chronic stress, lack of physical activity, and irregular sleep patterns (like staying up late) can contribute to gastrointestinal issues. Incorporating regular exercise, maintaining a consistent sleep schedule, and managing stress through relaxation techniques can be beneficial for your overall digestive health.

If your constipation continues or worsens, or if you develop any new symptoms, it would be wise to seek medical advice. A healthcare provider may recommend further evaluation, which could include a physical examination, blood tests, or imaging studies, to rule out any serious conditions and to provide appropriate treatment options.

In summary, while constipation can be a symptom of various gastrointestinal issues, including colon cancer, it is not a definitive sign of cancer on its own. Maintaining a healthy lifestyle, staying hydrated, and consulting with a healthcare professional for persistent symptoms are key steps in managing your digestive health.

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