Colorectal Issues: Symptoms and Concerns About Cancer

Colorectal issues

Hello doctor, since January of this year, I have been experiencing recurrent diarrhea followed by normal stools.
When I went to the hospital, they diagnosed it as gastroenteritis.
In March, I underwent an upper endoscopy, and the doctor found mild ulcers and inflammation, as well as Helicobacter pylori, which was subsequently eradicated.
Now, my stools feel unusual; they seem to be in clumps.
Typically, my morning bowel movements start as solid and then become loose and watery towards the end, and I often notice mucus.
I am very concerned that I might have colon cancer.
Why do my stools appear to be distinctly clumped together?

Wang Daming, 10~19 year old female. Ask Date: 2019/09/10

Dr. Chen Shidian reply Gastroenterology and Hepatology

It should just be a bowel movement abnormality; if you're concerned, you can check for occult blood in the stool.

Reply Date: 2019/09/10

More Info

Understanding colorectal issues, especially when symptoms like diarrhea, changes in stool consistency, and the presence of mucus occur, can be quite concerning. It's important to approach these symptoms with a comprehensive understanding of potential underlying causes, including the possibility of colorectal cancer, but also considering other benign conditions.

From your description, it seems you've been experiencing a range of gastrointestinal symptoms since January, including alternating diarrhea and normal bowel movements, which were diagnosed as gastroenteritis. The subsequent findings of mild ulcers and inflammation during your endoscopy, along with the eradication of Helicobacter pylori, suggest that your gastrointestinal tract has been under some stress. The presence of mucus in your stool can often be a sign of irritation or inflammation in the intestines, which can occur due to various reasons, including infections, inflammatory bowel disease (IBD), or even dietary factors.

The fact that your stool feels like "little balls stuck together" could indicate a few things. This type of stool consistency is often associated with constipation or incomplete evacuation, which can happen if the stool is hard or if there is a lack of fiber in the diet. It can also be a sign of irritable bowel syndrome (IBS), which is characterized by a combination of diarrhea and constipation, along with abdominal discomfort. IBS is a functional gastrointestinal disorder and is not associated with cancer.

While your symptoms are concerning, it is crucial to remember that many of the symptoms you describe—such as changes in stool consistency, the presence of mucus, and abdominal discomfort—are not specific to colorectal cancer. In fact, colorectal cancer symptoms often include persistent changes in bowel habits, blood in the stool, unexplained weight loss, and abdominal pain. The absence of blood in your stool and significant weight loss is reassuring, but it does not completely rule out the possibility of cancer.

Given your history of gastrointestinal issues, it would be prudent to follow up with a gastroenterologist. They may recommend further testing, such as a colonoscopy, especially since you have ongoing symptoms that are causing you concern. A colonoscopy can help visualize the colon and rectum and allow for biopsies if any suspicious areas are found.
In terms of lifestyle and dietary modifications, increasing your fiber intake through fruits, vegetables, and whole grains can help improve stool consistency and promote regular bowel movements. Staying hydrated is also essential, as it can help prevent constipation and improve overall digestive health.

In summary, while your symptoms warrant further investigation, they do not definitively indicate colorectal cancer. It is essential to consult with a healthcare professional who can provide a thorough evaluation and appropriate testing to determine the underlying cause of your symptoms. Early detection and intervention are key in managing any gastrointestinal issues effectively.

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