Symptoms of Colon Cancer: What You Need to Know - Gastroenterology and Hepatology

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Symptoms of colorectal cancer?


During high school, I often experienced blood in my stool (the stool was very hard and the blood was bright red).
After starting college, my sleep schedule and diet became irregular.
Recently, over the past month, I've been experiencing frequent abdominal gas, along with sounds of peristalsis, as if gas is moving through my intestines.
It's difficult to pass gas, and I often have prolonged episodes of belching, usually after meals.
When I have gas, my abdomen feels somewhat uncomfortable.
Sometimes I experience constipation, but other times I don't; occasionally, I have diarrhea, although the color is normal.
When I'm not constipated, my stool is shaped like a thin log, but it tends to break apart when it comes into contact with water.
At times, I also have larger stool pieces, and wiping can reveal mucus.
I have researched some information and noticed that certain symptoms resemble those of colorectal cancer.

Liu Xiaojie, 10~19 year old female. Ask Date: 2021/02/10

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: Colorectal cancer does not have specific symptoms; certain symptoms are merely indicative.
It is important to pay attention to whether your diet is balanced, and if you are getting enough hydration and fiber.
If necessary, you may consult a gastroenterologist.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2021/02/10

More Info


Understanding the symptoms of colon cancer is crucial, especially for individuals experiencing gastrointestinal issues. Your description of symptoms, including blood in the stool, abdominal discomfort, gas, and changes in bowel habits, raises valid concerns. While it's important to remember that not all gastrointestinal symptoms indicate cancer, being vigilant is essential.

Colon cancer, or colorectal cancer, often presents with a variety of symptoms, some of which can overlap with other gastrointestinal conditions. Common symptoms include:
1. Changes in Bowel Habits: This can manifest as diarrhea, constipation, or a change in the consistency of stool. You mentioned experiencing both constipation and diarrhea, which can be a sign of underlying issues.

2. Blood in Stool: The presence of bright red blood can indicate bleeding from the lower gastrointestinal tract, which may be due to hemorrhoids, anal fissures, or more serious conditions like colon cancer. It's important to note that even small amounts of blood should be evaluated by a healthcare professional.

3. Abdominal Discomfort: Symptoms such as cramping, bloating, or persistent gas can be associated with colon cancer, but they are also common in conditions like irritable bowel syndrome (IBS) or inflammatory bowel disease (IBD).

4. Changes in Stool Appearance: You mentioned that your stool can be thin or fragmented. A change in the shape of your stool, particularly if it becomes pencil-thin, can be a red flag for colon cancer, as it may indicate a blockage in the colon.

5. Unexplained Weight Loss: While you did not mention this, significant weight loss without trying can be a symptom of colon cancer.

6. Fatigue: Persistent tiredness or weakness can also be a sign of cancer, often due to anemia from chronic blood loss.

Given your symptoms, it is advisable to consult a healthcare provider for a thorough evaluation. They may recommend diagnostic tests such as a colonoscopy, which allows for direct visualization of the colon and the opportunity to take biopsies if necessary. Additionally, stool tests can check for hidden blood, which can be an early indicator of colon cancer.

It's also worth considering lifestyle factors that may contribute to gastrointestinal symptoms. Stress, dietary choices, and irregular eating patterns can significantly impact gut health. Incorporating a balanced diet rich in fiber, staying hydrated, and managing stress can help alleviate some symptoms.

In summary, while your symptoms may be concerning, they do not definitively indicate colon cancer. However, given the potential seriousness of your symptoms, it is crucial to seek medical advice. Early detection and intervention are key in managing any potential health issues, including colon cancer. Regular screenings, especially if you have a family history of colorectal cancer or other risk factors, are recommended starting at age 45 or earlier based on individual risk assessments.

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