Changes in bowel habits and conditions?
Hello, Dr.
Ke.
Recently, my bowel habits have changed significantly.
About one to two weeks ago, I noticed bright red blood when wiping, and I felt some internal discomfort.
My stools have also changed from being solid and formed to smaller pieces.
Although the bleeding when wiping has stopped, I have noticed some mucus instead.
Additionally, I have been experiencing soreness on the left side of my body upon waking up.
I drink about 3000-4000 mL of water daily and walk regularly, but I feel that my intake of fruits and vegetables is somewhat lacking.
The most significant change in my diet has been consuming a lot of breakfast cereal from Costco, while the rest of my diet has not changed much.
Given that these symptoms could be indicative of colorectal cancer, I would appreciate your insights on this matter.
Thank you.
Dai Dai Qiu, 10~19 year old female. Ask Date: 2018/05/23
Dr. Ke Fangxu reply Surgery
At the age of 19, 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 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: 2018/05/23
More Info
Changes in bowel habits can be a significant indicator of underlying health issues, and your recent experiences warrant careful consideration. Bowel habits can vary widely among individuals, but any noticeable change, especially when accompanied by symptoms such as blood in the stool, pain, or the presence of mucus, should be taken seriously.
In your case, you mentioned a history of normal bowel movements that have recently changed to smaller, pellet-like stools, along with episodes of bright red blood during wiping. While the blood may have subsided, the presence of mucus and the discomfort you feel on your left side are concerning. It is essential to understand that while these symptoms can be alarming, they do not automatically indicate colorectal cancer. However, they do necessitate further investigation.
The presence of blood in the stool can arise from various causes, including hemorrhoids, anal fissures, diverticular disease, or more serious conditions such as inflammatory bowel disease (IBD) or colorectal cancer. Given your symptoms, it is crucial to consult a healthcare professional for a thorough evaluation. A colonoscopy may be recommended to visualize the colon and rectum directly, allowing for the identification of any abnormalities, such as polyps or lesions, that could explain your symptoms.
Your mention of increased mucus in your stool could also be indicative of several conditions, including irritable bowel syndrome (IBS), which you may already be familiar with. IBS can cause changes in bowel habits, including diarrhea, constipation, and mucus production, often exacerbated by stress, dietary changes, or other lifestyle factors. It is worth noting that dietary habits play a significant role in bowel health. The introduction of new foods, such as the breakfast cereals from Costco, could potentially affect your digestive system, especially if they are high in fiber or contain ingredients that your body may not tolerate well.
Additionally, you indicated that you are consuming a substantial amount of water daily, which is excellent for hydration and can aid in digestion. However, if your diet lacks sufficient fiber from fruits and vegetables, it may lead to constipation or changes in stool consistency. A balanced diet rich in fiber, combined with adequate hydration and regular physical activity, is crucial for maintaining healthy bowel function.
The discomfort you feel on your left side could be related to gastrointestinal issues, such as gas, bloating, or even muscle strain from physical activity. However, persistent pain should not be ignored, especially if it is new or worsening. It is advisable to monitor your symptoms closely and seek medical attention if they persist or worsen.
In summary, while changes in bowel habits can be benign and related to dietary or lifestyle changes, your symptoms warrant a comprehensive evaluation by a healthcare professional. A thorough history, physical examination, and possibly diagnostic tests such as a colonoscopy will help determine the underlying cause of your symptoms and guide appropriate treatment. It is essential to address these changes proactively to ensure your health and peace of mind.
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