Rectal Bleeding: Should Teens Worry About Colon Cancer? - Gastroenterology and Hepatology

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Fecal occult blood


On May 3rd, I experienced mild constipation, but it improved last week.
However, I feel that my stool doesn't look very healthy.
Today, I suddenly had abdominal pain and urgently needed to use the bathroom.
After going home and using the toilet, I noticed some red in the water, but it wasn't the entire stool that was red.
There was blood when I wiped.
I would like to ask the doctor if this means I have colon cancer.
I am only 16 years old.

Lin, 10~19 year old female. Ask Date: 2021/05/14

Dr. Chen Shidian reply Gastroenterology and Hepatology


A diagnosis should not be made in this manner; it is advisable to observe for a few more days, as it is likely a case of mild bleeding from the anal vessels.

Reply Date: 2021/05/14

More Info


When it comes to rectal bleeding in teenagers, the concern for colon cancer is generally low, especially at the age of 16. While it's understandable to feel anxious about symptoms like blood in the stool or rectal bleeding, it's important to consider the context and common causes of these symptoms in younger individuals.

In your case, the symptoms you described—occasional constipation, abdominal pain, and the presence of blood when wiping—are more likely associated with benign conditions rather than colon cancer. Common causes of rectal bleeding in teenagers include hemorrhoids (piles), anal fissures (tears in the lining of the anus), or even minor gastrointestinal issues such as constipation or dietary factors. Hemorrhoids and anal fissures are particularly common in individuals who experience straining during bowel movements, which can occur with constipation.

It's also worth noting that the incidence of colon cancer in individuals under 20 years of age is extremely rare. Most cases of colon cancer occur in older adults, typically over the age of 50. The symptoms you are experiencing are more indicative of issues related to the rectal area rather than a serious condition like cancer.

However, it is essential to monitor your symptoms closely. If the bleeding persists, increases in frequency, or is accompanied by other concerning symptoms such as significant abdominal pain, changes in bowel habits, or weight loss, it would be prudent to seek medical attention. A healthcare provider may recommend a physical examination, and if necessary, further diagnostic tests such as a colonoscopy or imaging studies to rule out any serious conditions.

In the meantime, here are some general recommendations to help manage your symptoms:
1. Dietary Changes: Ensure you are consuming a balanced diet rich in fiber. Foods such as fruits, vegetables, whole grains, and legumes can help promote regular bowel movements and prevent constipation.

2. Hydration: Drink plenty of water throughout the day. Staying hydrated can help soften stools and make them easier to pass.

3. Regular Exercise: Engaging in regular physical activity can help stimulate bowel function and reduce the risk of constipation.

4. Avoid Straining: When using the bathroom, try to avoid straining. If you feel the urge to go, respond to it promptly rather than holding it in.

5. Consult a Healthcare Provider: If you continue to experience symptoms or have concerns about your health, it’s always best to consult with a healthcare professional. They can provide personalized advice and reassurance.

In summary, while rectal bleeding can be alarming, especially for a teenager, the likelihood of it being caused by colon cancer is very low. Most often, it is due to less serious conditions that can be managed with lifestyle changes and, if necessary, medical treatment. Always prioritize open communication with your parents or guardians about your health concerns, as they can help you seek the appropriate care.

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