Bloating and Irregular Bowel Movements: Signs to Watch For

Bowel movement status modification

Recently, I've been experiencing abdominal bloating and a constant urge to pass gas, which is often foul-smelling.
I also feel reluctant to have a bowel movement, and it has been 2 to 3 days between bowel movements, sometimes even up to 4 days.
I've noticed a small amount of red substance in my stool.
I'm unsure if it could be blood, and this has been going on for about three weeks.
Could this be a sign of colon cancer, or what other conditions might it indicate?

Chen Junpin, 20~29 year old female. Ask Date: 2019/03/27

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Based on the symptoms, it appears to be a gastrointestinal dysfunction combined with bowel irregularity.
It is recommended to increase the intake of fruits and vegetables while reducing fried and irritating foods.
If symptoms persist, a visit to a gastroenterologist is advised.

Reply Date: 2019/03/27

More Info

Bloating and irregular bowel movements can be concerning symptoms, especially when accompanied by changes in stool color or consistency. Based on your description, it sounds like you are experiencing bloating, a desire to pass gas, infrequent bowel movements, and the presence of a reddish substance in your stool. These symptoms can arise from various gastrointestinal issues, but it's important to approach them with caution, particularly given your concerns about colorectal cancer.

Firstly, bloating is often caused by the accumulation of gas in the digestive tract, which can result from dietary choices, food intolerances, or gastrointestinal disorders. Foods that are high in fiber, such as beans, lentils, and certain vegetables, can lead to increased gas production. Additionally, swallowing air while eating or drinking can contribute to bloating. If you have recently changed your diet or have been under stress, these factors could also play a role.

Irregular bowel movements, such as having a bowel movement every two to four days, can indicate constipation. Constipation can be caused by a lack of dietary fiber, insufficient fluid intake, or a sedentary lifestyle. It can also be a symptom of underlying conditions, including irritable bowel syndrome (IBS) or, in more serious cases, colorectal cancer.

The presence of a reddish substance in your stool raises a red flag. While it could be due to dietary factors (such as consuming beets or red-colored foods), it could also indicate the presence of blood. Blood in the stool can manifest as bright red streaks, which may suggest bleeding from the lower gastrointestinal tract, or it can appear darker, indicating bleeding from higher up in the digestive system. Given that you have noticed this change for three weeks, it is crucial to seek medical attention.

Regarding your concerns about colorectal cancer, it is important to note that while your symptoms could be indicative of this condition, they are not definitive proof. Colorectal cancer can present with various symptoms, including changes in bowel habits, blood in the stool, unexplained weight loss, and abdominal discomfort. However, not everyone with these symptoms has cancer. Other conditions, such as hemorrhoids, diverticulitis, or inflammatory bowel disease (IBD), can also cause similar symptoms.

To address your concerns, it is advisable to consult a healthcare professional for a thorough evaluation. They may recommend diagnostic tests, such as a colonoscopy, to visualize the colon and rectum and to check for any abnormalities. A stool test may also be conducted to check for hidden blood. Early detection is key in managing any potential issues, especially with colorectal cancer, which is highly treatable when caught early.

In summary, while your symptoms warrant attention, they do not automatically indicate colorectal cancer. It is essential to consult with a healthcare provider who can perform the necessary evaluations and provide a proper diagnosis. In the meantime, consider keeping a food diary to track your dietary habits and any associated symptoms, as this information can be helpful for your healthcare provider. Additionally, maintaining a balanced diet rich in fiber, staying hydrated, and engaging in regular physical activity can help improve your bowel health.

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