Concerns About Colon Health: Signs and Symptoms to Watch For

Q: Concerns About Colon Health: Signs and Symptoms to Watch For

Hello： The likelihood of having a mole or anal fissure is relatively high. <br>If there is no improvement, you may consider consulting a gastroenterologist or a colorectal specialist at Changhua Hospital to address your health concerns. <br>Dr. <br>Tsai An-shun.

Worried about having a colorectal disease?

Hello doctor, I haven't been paying much attention to my health, so I'm not sure about the ongoing situation.
Three days ago, I noticed fresh blood (a small amount) when wiping after a bowel movement.
Since then, I've been monitoring my body and have been eating more vegetables.
Yesterday, my stool was yellow but had a blood stain on it.
Today, the stool color was darker (I checked online about the color of black stools related to colon cancer, and it wasn't that dark, more like a deep coffee color), but there were no blood stains (I didn't see any).
I'm not quite sure what constitutes "thin" stool; I couldn't find related images online, but it was slightly narrower than a banana and shorter.
As for weight loss, I haven't experienced any; I've been underweight since having peritonitis at the age of four, and I've maintained around 45 kg since the first year of high school.
I have some abdominal discomfort just above the navel; it's not painful, just a strange sensation, and sometimes it hurts a bit, but that's rare.
After my peritonitis, the doctor mentioned that eating too few vegetables could lead to intestinal adhesions, but I'm not sure if that's related.
I've also had iron deficiency anemia since childhood.
Could my symptoms possibly indicate colon cancer or another condition?

Niming, 10~19 year old female. Ask Date: 2020/12/23

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: The likelihood of having a mole or anal fissure is relatively high.
If there is no improvement, you may consider consulting a gastroenterologist or a colorectal specialist at Changhua Hospital to address your health concerns.
Dr.
Tsai An-shun.

Reply Date: 2020/12/23

More Info

Your concerns regarding colon health are valid, especially given your symptoms and medical history. The presence of blood in your stool, changes in stool color and consistency, and any abdominal discomfort should be taken seriously. While I cannot provide a diagnosis, I can help you understand the potential implications of your symptoms and the importance of seeking medical attention.

Firstly, the appearance of fresh blood on toilet paper can be alarming. It may indicate several conditions, ranging from benign issues such as hemorrhoids or anal fissures to more serious conditions like inflammatory bowel disease (IBD) or colorectal cancer. The fact that you have a history of abdominal issues, including peritonitis, and iron deficiency anemia adds complexity to your situation.
The color of your stool can also provide clues about your gastrointestinal health. Yellow stool may suggest malabsorption issues, while dark brown or coffee-colored stool can indicate the presence of digested blood, which may arise from bleeding higher up in the gastrointestinal tract. The narrowing of your stool, described as being thinner than usual, can sometimes be associated with conditions affecting the colon, including polyps or tumors, but it can also be a result of dietary changes or other benign factors.

Given your symptoms, here are several important points to consider:
1. Seek Medical Evaluation: It is crucial to consult with a healthcare professional, preferably a gastroenterologist, who can perform a thorough evaluation. This may include a physical examination, a detailed medical history, and possibly diagnostic tests such as a colonoscopy. A colonoscopy is particularly important given your family history of colorectal cancer and your symptoms.

2. Monitor Symptoms: Keep track of any changes in your bowel habits, including the frequency, consistency, and appearance of your stool. Note any accompanying symptoms such as abdominal pain, weight loss, or changes in appetite. This information will be valuable for your healthcare provider.

3. Dietary Considerations: Increasing your intake of fiber-rich foods, such as fruits and vegetables, can help improve bowel regularity and overall gut health. However, if you have concerns about adhesions from your previous abdominal surgery, discuss dietary changes with your doctor to ensure they are safe for you.

4. Family History: Given your family history of colorectal cancer, it is essential to be proactive about screening. The general recommendation is to begin screening for colorectal cancer at age 45, but earlier screening may be warranted in individuals with a family history of the disease.

5. Iron Deficiency Anemia: Since you have a history of iron deficiency anemia, it is important to investigate the cause. Blood loss from the gastrointestinal tract can contribute to anemia, so addressing any potential sources of bleeding is crucial.

In summary, while your symptoms may not necessarily indicate colorectal cancer, they warrant a thorough evaluation to rule out any serious conditions. Early detection and intervention are key to managing gastrointestinal health effectively. Please prioritize scheduling an appointment with your healthcare provider to discuss your symptoms and concerns in detail.

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