Mucus in Stool, Left Abdominal Pain, and Constipation - Gastroenterology and Hepatology

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Mucus in stool, left lower abdominal pain, constipation?


Hello Doctor, I am 15 years old and currently studying in the United States.
Due to the pandemic, I am unable to return to my home country and I am hesitant to visit a local hospital.
For the past two months, I have been experiencing intermittent constipation.
I previously saw a doctor and my condition improved, but recently, I have been attending classes from home and sitting for long periods.
Normally, I have a bowel movement once a day, but for the past two days, I have been experiencing pain in my lower left abdomen.
After taking a laxative, I started having diarrhea, but the pain has not decreased.
After bowel movements, I noticed yellow mucus and my stool has a foul odor.
Additionally, I have some swelling and itching around the anal area.
I am very concerned that this could be cancer or colitis.
I hope the doctor can help me.

Li Pin-Yu, 10~19 year old female. Ask Date: 2020/06/01

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: In terms of incidence by age, the likelihood of developing colorectal cancer is quite low.
It is important to pay attention to the intake of fruits, vegetables, and fluids, and to engage in regular physical activity to promote intestinal motility.
As for conditions near the anal area, there may be some minor growths or lesions; it is also advised to avoid prolonged sitting.
If the situation does not improve, it is still recommended to seek medical attention.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2020/06/01

More Info


It sounds like you are experiencing a combination of symptoms that can be quite concerning, especially at your age. Let's break down your symptoms and address your concerns regarding mucus in your stool, left abdominal pain, and constipation.

Firstly, the presence of mucus in your stool can be a normal occurrence. Mucus is produced by the intestines to help lubricate the stool and facilitate its passage. However, if you notice an increase in mucus, especially if it is accompanied by other symptoms such as pain, changes in bowel habits, or blood, it can indicate an underlying issue. In your case, the yellow mucus and the foul odor of your stool could suggest a few possibilities, including an infection, inflammation, or irritation in the gastrointestinal tract.

The left abdominal pain you are experiencing could be related to several factors. Given that you mentioned having constipation and then experiencing diarrhea after taking a laxative, this could indicate a change in your bowel habits that is causing discomfort. When stool becomes hard and difficult to pass, it can lead to abdominal pain. Conversely, diarrhea can also cause cramping and discomfort as your intestines work to expel the contents rapidly.

Your concern about potential serious conditions like cancer or inflammatory bowel disease (IBD) is understandable, especially with the presence of pain and changes in your stool. However, it is important to note that these conditions are less common in someone your age. IBD, which includes Crohn's disease and ulcerative colitis, can present with symptoms such as abdominal pain, diarrhea, and mucus in the stool, but it is typically accompanied by other symptoms like weight loss, fatigue, and sometimes blood in the stool.

Given your symptoms, here are some steps you can take:
1. Dietary Changes: Ensure you are eating a balanced diet rich in fiber, which can help regulate your bowel movements. Foods like fruits, vegetables, whole grains, and legumes can aid in preventing constipation. Staying hydrated is also crucial.

2. Physical Activity: Since you mentioned that you have been sitting for long periods due to online classes, try to incorporate some physical activity into your day. Regular exercise can help stimulate bowel function and alleviate constipation.

3. Monitor Symptoms: Keep track of your symptoms, including the frequency of your bowel movements, the consistency of your stool, and any associated pain. This information can be helpful if you need to consult a healthcare provider.

4. Consult a Healthcare Provider: If your symptoms persist or worsen, it is essential to seek medical attention. Even though you are hesitant to go to a local hospital, consider telehealth options where you can consult a doctor remotely. They can provide guidance and may recommend tests such as blood work or imaging studies to rule out any serious conditions.

5. Avoid Self-Medication: While laxatives can be helpful for constipation, overuse can lead to dependency and worsen bowel function. Use them sparingly and under the guidance of a healthcare provider.

In summary, while your symptoms can be concerning, they are not necessarily indicative of a severe condition like cancer. However, it is crucial to address your symptoms with a healthcare professional who can provide a thorough evaluation and appropriate management. Taking proactive steps regarding your diet, activity level, and seeking medical advice will be beneficial in managing your symptoms effectively.

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