Abnormal stool?
Hello doctor, I am 16 years old.
Every time I finish dinner, I experience abdominal pain a few minutes later and need to have a bowel movement.
I have a bowel movement once every 1 to 2 days, and each time it is not much, dry, and there is blood (separate from the stool).
Am I at risk for colon cancer?
Wo haipa., 10~19 year old female. Ask Date: 2021/03/17
Dr. Chen Shidian reply Gastroenterology and Hepatology
It may not be, it could just be irritable bowel syndrome.
Please adjust your diet, reduce oil and dairy intake, and eat slowly.
Reply Date: 2021/03/17
More Info
Understanding abnormal stool and gastrointestinal symptoms in teenagers is crucial, as these can often indicate underlying health issues. Your symptoms of experiencing abdominal pain shortly after eating, infrequent bowel movements (once every 1-2 days), and the presence of dry stools with blood are concerning and warrant further investigation.
Firstly, let's break down your symptoms:
1. Abdominal Pain After Eating: This could be a sign of various gastrointestinal issues. In teenagers, it might be related to conditions such as irritable bowel syndrome (IBS), food intolerances, or even gastritis. The pain occurring shortly after meals suggests that your digestive system may be reacting to the food you consume.
2. Infrequent Bowel Movements: Normal bowel movement frequency can vary widely among individuals, but typically, having a bowel movement less than three times a week is considered constipation. In your case, having a bowel movement every 1-2 days, especially if the stools are hard and dry, indicates that you may be experiencing constipation. This can be caused by a lack of dietary fiber, inadequate fluid intake, or even stress.
3. Presence of Blood in Stool: The presence of blood, especially if it is separate from the stool, is a symptom that should not be ignored. It can be caused by several factors, including hemorrhoids, anal fissures, or more serious conditions like inflammatory bowel disease (IBD) or even colorectal cancer, although the latter is rare in teenagers.
Given your age and the symptoms you are experiencing, it is essential to consult a healthcare professional for a thorough evaluation. Here are some steps you can take:
- Keep a Symptom Diary: Document your symptoms, including when they occur, the type of food you eat, and any other relevant details. This information can be very helpful for your doctor.
- Dietary Changes: Consider increasing your intake of dietary fiber by consuming more fruits, vegetables, whole grains, and legumes. Additionally, ensure you are drinking plenty of water throughout the day, as hydration is key to preventing constipation.
- Consult a Healthcare Provider: Schedule an appointment with a doctor, preferably a gastroenterologist, who specializes in digestive health. They may recommend tests such as blood work, stool tests, or imaging studies to rule out any serious conditions.
- Discuss Your Concerns: Be open about your worries regarding colorectal cancer. While it is unlikely at your age, your doctor can provide reassurance and guide you on the necessary steps to take based on your symptoms.
In summary, while your symptoms could be indicative of a benign condition, the presence of blood in your stool is a red flag that should be addressed promptly. Early intervention can lead to better outcomes, so do not hesitate to seek medical advice. Remember, taking care of your digestive health is important, and addressing these symptoms now can help prevent more significant issues in the future.
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