Signs You Should See a Doctor: Ovarian Cysts and Cancer Concerns

Which outpatient clinics should I visit, and what diseases could potentially be cancer?

In June of this year, I experienced severe abdominal cramping and bloating, making it nearly impossible to eat.
During my visit, the doctor mentioned that there was a 2.6 cm cyst in my stomach.
By July, my condition had not improved, and I was also experiencing lower back pain and significant discomfort in my abdomen.
In August, due to irregular menstruation, I consulted a gynecologic oncologist who diagnosed me with an ovarian cyst, but it was uncertain at that time.
Recently, I have been suffering from diarrhea, and suddenly, I have become constipated, with my stools appearing thin and elongated, accompanied by mucus.
I often feel the urge to have a bowel movement but cannot, and I also feel a blockage when passing gas.
My lower abdomen is unexpectedly very distended, my appetite has significantly decreased, and I have experienced slight weight loss and increased anemia.
Additionally, whenever I eat, a noticeable bulge appears in the upper left part of my abdomen, and I am unsure if this is related to the cyst.
I focus on a healthy diet, consuming fruits and drinking 2500 ml of water daily.
Doctor, could you please help me? Is it possible that I have colorectal cancer or ovarian cancer? My gastrointestinal issues are truly distressing.

Ms. Chen, 10~19 year old female. Ask Date: 2018/09/02

Dr. Huang Jianzhong reply Obstetrics and Gynecology

In June of this year, I experienced severe abdominal cramping and bloating, making it nearly impossible to eat.
During my visit, the doctor mentioned that there was a 2.6 cm cyst in my stomach.
By July, my condition had not improved, and I was also experiencing lower back pain and significant discomfort in my abdomen.
In August, due to irregular menstruation, I consulted a gynecologic oncologist who diagnosed me with an ovarian cyst, but it was uncertain at that time due to recent diarrhea.
Recently, I suddenly experienced constipation, and my stools have been thin and elongated, accompanied by mucus.
I often feel the urge to defecate but cannot, and I also feel a blockage when passing gas.
My lower abdomen is unexpectedly very bloated, my appetite has significantly decreased, and I have lost some weight.
Additionally, my anemia has worsened.
Whenever I eat, a noticeable bulge appears in the upper left part of my abdomen, and I am unsure if this is related to the cyst.
My diet is primarily healthy, consisting of daily fruits and 2500 ml of water.
Could you please help me, doctor? Is it possible that I have colon cancer or ovarian cancer?
Answer: The diagnosis of an ovarian cyst in August suggests that it is unlikely to be ovarian cancer.
As for colon cancer, it is advisable to consult a gastroenterologist first.

Reply Date: 2018/09/02

More Info

It sounds like you are experiencing a complex set of symptoms that are understandably concerning. Based on the information you've provided, it is crucial to address your symptoms systematically and consider the potential implications of ovarian cysts and other gastrointestinal issues.

Firstly, let's discuss ovarian cysts. Ovarian cysts are fluid-filled sacs that can develop on the ovaries. They are quite common and often resolve on their own without treatment. However, certain types of cysts, such as complex cysts or those that are larger than a certain size, may require further evaluation to rule out malignancy. Your mention of a "water cyst" (likely referring to a simple cyst) and the diagnosis of an ovarian cyst suggests that your healthcare provider is monitoring your condition closely.
The symptoms you describe, including severe abdominal pain, bloating, changes in bowel habits (such as diarrhea and constipation), and significant weight loss, warrant further investigation. While ovarian cysts can cause discomfort and may lead to complications, they are not typically associated with changes in bowel habits. However, if a cyst is large enough, it can exert pressure on surrounding organs, including the intestines, potentially leading to gastrointestinal symptoms.

Your concerns about the possibility of ovarian cancer or colorectal cancer are valid, especially given your symptoms. Ovarian cancer can present with vague symptoms such as abdominal bloating, changes in appetite, and gastrointestinal disturbances. However, it is essential to note that these symptoms can also be attributed to other conditions, including benign ovarian cysts, endometriosis, or gastrointestinal disorders.

Given your symptoms of significant abdominal pain, changes in bowel habits, and weight loss, it is crucial to seek further evaluation. A comprehensive approach may include:
1. Imaging Studies: An ultrasound or CT scan can provide detailed images of the ovaries and surrounding structures, helping to assess the characteristics of the cyst and any potential masses.

2. Blood Tests: Tumor markers such as CA-125 can be useful in evaluating ovarian masses, but they are not definitive. Other markers may also be assessed based on your symptoms.

3. Gastrointestinal Evaluation: Given your gastrointestinal symptoms, it may be beneficial to consult a gastroenterologist. They may recommend further testing, such as a colonoscopy, especially considering your changes in bowel habits and weight loss.

4. Monitoring Symptoms: Keep a detailed record of your symptoms, including their frequency, duration, and any associated factors. This information can be invaluable for your healthcare provider in making a diagnosis.

5. Follow-Up: Regular follow-up with your gynecologist or oncologist is essential, especially if your symptoms persist or worsen. They can provide guidance on the need for surgical intervention or further diagnostic procedures.

In conclusion, while your symptoms may be concerning, they can arise from various conditions, both benign and malignant. It is crucial to work closely with your healthcare providers to determine the underlying cause of your symptoms and to develop an appropriate management plan. Early detection and intervention are key in addressing any potential health issues effectively. Please ensure you seek medical attention promptly to address your concerns and receive the care you need.

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