Concerns About Colon Cancer: Abdominal Discomfort and Symptoms

Concerned about whether it is colorectal cancer?

Hello Doctor, I have been experiencing occasional abdominal discomfort since last week.
However, since my menstrual period started, I am unsure what might be causing it.
Last week, I frequently had loose stools that were not entirely watery but were completely unformed, and there was a lot of yellow mucus.
This week, my bowel movements have significantly decreased; previously, I would go once or twice a day, but now I feel the urge to go without being able to, or I spend a long time trying to pass only one or two small pieces or just mucus.
I feel a constant sense of urgency and heaviness, which is very uncomfortable.
This week, I managed to pass a long, formed stool only once; the rest have been just a few small pieces or mucus.
The mucus is thick and yellow, and the stools are mostly soft and yellow, with the one formed stool being slightly darker in color, but there was no visible blood.

I have been under a lot of stress due to midterm exams and am worried about my health.
I have had similar issues in the past and consulted a doctor.
In early January of this year, I had a digital rectal exam, and the doctor said there was no problem, possibly irritable bowel syndrome.
After that, my symptoms improved, and I didn't think much about it.
However, this time the symptoms feel different; previously, I had constipation with hard stools and abdominal discomfort, but after my menstrual period, I have not experienced any abdominal pain, loss of appetite, nausea, or vomiting.

I have read many articles online stating that a sense of urgency and changes in bowel habits could be indicative of colorectal cancer.
During my last digital rectal exam, I had anal fissures due to constipation but no issues with hemorrhoids, so I am very concerned about the possibility of colorectal cancer.
Even if it is irritable bowel syndrome, it is still very uncomfortable, and I often hear digestive sounds in my abdomen and sometimes experience embarrassing flatulence.
However, my biggest concern is whether I might have colorectal cancer.
Thank you, Doctor, for your hard work.

Twenty years old this year., 20~29 year old female. Ask Date: 2020/05/07

Dr. Lin Minghui reply Gastroenterology and Hepatology

Hello! Irregular bowel movements can sometimes be soft and sometimes hard, and there may be mucus present.
You have previously undergone a rectal examination and have been diagnosed with an anal fissure.
Based on your description, it is possible that you are experiencing irritable bowel syndrome (IBS), which can present with symptoms such as abdominal pain, borborygmi, diarrhea, or constipation.
Colorectal cancer is associated with genetics, heredity, lifestyle habits, a high-fat low-fiber diet, lack of exercise, and obesity.
It is important to maintain a positive mood and healthy eating habits.
If symptoms persist, please follow up in the outpatient clinic.
Wishing you health and safety! Sincerely, Dr.
Ming-Hui Lin, Attending Physician, Department of Internal Medicine, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2020/05/07

More Info

Your concerns about abdominal discomfort and the potential for colon cancer are understandable, especially given your symptoms and the stress you are experiencing. It’s important to approach this situation with a clear understanding of the symptoms and their possible implications.

Firstly, the symptoms you describe—such as changes in bowel habits, the presence of mucus in your stool, and feelings of incomplete evacuation—can indeed be concerning. However, these symptoms can arise from a variety of conditions, not just colon cancer. Conditions such as irritable bowel syndrome (IBS), infections, inflammatory bowel disease (IBD), or even dietary changes can lead to similar presentations. Given your history of constipation and the recent stress from exams, it’s possible that your symptoms may be related to IBS, which is often exacerbated by stress and anxiety.

The presence of yellow mucus in your stool can indicate irritation in the intestines, which may occur due to various factors, including dietary choices or gastrointestinal infections. It’s also worth noting that the consistency of your stool and the frequency of bowel movements can fluctuate based on stress levels, hydration, and dietary intake.
Your previous medical evaluations, including a digital rectal exam that showed no significant issues, are reassuring. However, it’s crucial to continue monitoring your symptoms. If you notice any alarming changes, such as blood in your stool, significant weight loss, or persistent abdominal pain, you should seek medical attention promptly.

Given your family history of colon cancer, it is wise to be vigilant about any gastrointestinal symptoms. Regular screenings, such as colonoscopies, are recommended for individuals with a family history of colorectal cancer, typically starting at an earlier age than the general population. If you have not had a colonoscopy recently, it may be beneficial to discuss this with your healthcare provider, especially considering your symptoms and family history.

In terms of managing your current symptoms, consider the following:
1. Dietary Adjustments: Focus on a balanced diet rich in fiber, which can help regulate bowel movements. Incorporate fruits, vegetables, whole grains, and plenty of fluids to stay hydrated.

2. Stress Management: Since stress can exacerbate gastrointestinal symptoms, consider techniques such as mindfulness, yoga, or other relaxation strategies to help manage anxiety.

3. Regular Exercise: Physical activity can promote healthy digestion and alleviate some symptoms of IBS.

4. Follow-Up with Healthcare Provider: If your symptoms persist or worsen, or if you develop new symptoms, it’s essential to consult with your healthcare provider for further evaluation. They may recommend additional tests, such as a colonoscopy or imaging studies, to rule out any serious conditions.

In conclusion, while your symptoms warrant attention, they do not necessarily indicate colon cancer. Keeping an open line of communication with your healthcare provider and being proactive about your health is the best approach. Remember, early detection and intervention are key in managing any potential health issues effectively.

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