Gastrointestinal Issues: Are My Symptoms a Sign of Colon Cancer? - Gastroenterology and Hepatology

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Bowel issues


Hello doctor, I visited the doctor on May 13th, and the doctor diagnosed me with acute gastroenteritis.
After taking the medication, I felt better, but sometimes my stool is a bit loose, and even when it is formed, it tends to be narrow, about the thickness of a 5 to 10 NT dollar coin.
Am I at risk for colon cancer? I have no family history and I am 16 years old.
Thank you, doctor.

Lin, 10~19 year old female. Ask Date: 2021/05/31

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: The probability is very low.
After acute gastroenteritis, the gastrointestinal tract requires some time to heal, during which there may be some changes in bowel habits.
There is no need to worry too much.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2021/05/31

More Info


It's understandable to feel anxious about gastrointestinal symptoms, especially when they involve changes in bowel habits and consistency. Based on your description, it seems you have experienced some gastrointestinal distress, which was diagnosed as acute gastroenteritis. After treatment, you noticed that your stool sometimes appears loose or narrow, resembling the thickness of a 5 to 10 cent coin.

Firstly, it's important to note that changes in stool consistency can be influenced by a variety of factors, including diet, hydration, stress levels, and underlying gastrointestinal conditions. In your case, since you mentioned that you had acute gastroenteritis, it is possible that your digestive system is still recovering from that episode. Acute gastroenteritis can lead to temporary changes in bowel habits, including diarrhea or changes in stool form.

Regarding your concern about colon cancer, it's crucial to understand that while changes in bowel habits can be a symptom of colorectal cancer, they are not definitive indicators on their own. Colon cancer symptoms often include persistent changes in bowel habits, blood in the stool, unexplained weight loss, and abdominal discomfort. However, your age (16 years) and the absence of a family history of colon cancer significantly lower your risk for this condition. Colon cancer is much less common in younger individuals, particularly those without a family history of the disease.

The narrowing of stool, often described as "pencil-thin," can sometimes be associated with more serious conditions, but it is not exclusive to cancer. It can also occur due to benign conditions such as irritable bowel syndrome (IBS), which is common among adolescents and young adults. IBS can cause a variety of symptoms, including changes in stool consistency, abdominal pain, and bloating.

Given your symptoms, here are a few recommendations:
1. Dietary Adjustments: Ensure you are consuming a balanced diet rich in fiber, which can help normalize stool consistency. Foods like fruits, vegetables, whole grains, and legumes are excellent sources of dietary fiber.

2. Hydration: Drink plenty of fluids, especially water, to help maintain hydration and support healthy digestion.

3. Monitor Symptoms: Keep track of any additional symptoms that may arise, such as abdominal pain, blood in the stool, or significant weight loss. If these occur, it would be important to seek medical attention.

4. Follow-Up: If your symptoms persist or worsen, or if you have ongoing concerns about your bowel habits, it would be wise to consult with a healthcare provider. They may recommend further evaluation, such as stool tests or imaging studies, to rule out any underlying conditions.

5. Stress Management: Since stress can exacerbate gastrointestinal symptoms, consider incorporating stress-reducing activities into your routine, such as exercise, mindfulness, or relaxation techniques.

In conclusion, while it's natural to worry about serious conditions like colon cancer, your age and lack of family history are reassuring factors. Focus on maintaining a healthy lifestyle, and don't hesitate to reach out to a healthcare professional if your symptoms continue or if you have any concerns. Your health is important, and staying informed and proactive is key to managing any health issues.

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