Gastrointestinal Issues: Symptoms and Concerns - Gastroenterology and Hepatology

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Gastrointestinal issues


Hello Doctor, three nights ago I suddenly experienced severe abdominal pain.
After using the restroom, there was no improvement.
After taking medication, the pain alleviated significantly, and the next day I felt much better, but I still occasionally experience abdominal discomfort (dull pain) that is not localized.
Before that day, I had very regular bowel movements, but in the past few days, my stools have been about the size of a five-cent coin, measuring around 2 to 5 centimeters in length.
Sometimes they are loose, and the amount during each bowel movement is not much, but I constantly feel like I haven't fully emptied my bowels.
I typically go to the restroom about three times a day.
Could this be a sign of colorectal cancer? Thank you, Doctor!

Yú zǎi, 10~19 year old female. Ask Date: 2021/06/02

Dr. Chen Shidian reply Gastroenterology and Hepatology


It is only a short-term motility disorder; further observation is recommended along with a light diet.

Reply Date: 2021/06/02

More Info


Gastrointestinal issues can be quite complex and often present a challenge for both patients and healthcare providers. Based on your description, it seems you are experiencing a range of symptoms that could be indicative of several gastrointestinal disorders. Let's break down your symptoms and concerns.

Firstly, the sudden onset of severe abdominal pain, which you mentioned improved after a bowel movement, could suggest a few possibilities. One common cause of acute abdominal pain that resolves after defecation is related to bowel obstruction or constipation. However, since you mentioned that your bowel movements have changed in consistency and frequency, it could also indicate a functional gastrointestinal disorder, such as irritable bowel syndrome (IBS) or even a mild case of gastroenteritis.

The fact that your stools have varied in size and consistency—from being coin-sized to mushy—could suggest a change in your diet, hydration status, or stress levels, which are all known factors that can affect bowel habits. IBS is particularly known for causing alternating symptoms of diarrhea and constipation, along with abdominal discomfort.
Moreover, your concern about the possibility of colorectal cancer is understandable, especially given the changes in your bowel habits. While it is important to be vigilant about any significant changes in your gastrointestinal health, it is also crucial to consider other less severe explanations first. Colorectal cancer typically presents with additional symptoms, such as significant weight loss, persistent changes in bowel habits, blood in the stool, or severe abdominal pain that does not resolve. Since you mentioned that your stools have not shown blood and you have not experienced other alarming symptoms, the likelihood of cancer may be lower, but it should not be dismissed entirely.

Given your symptoms, it would be advisable to consult a gastroenterologist for a thorough evaluation. They may recommend diagnostic tests such as a colonoscopy, especially if you are over the age of 45 or have a family history of colorectal cancer. A colonoscopy can help rule out any serious conditions and provide a clearer picture of your intestinal health.

In the meantime, consider keeping a food diary to track what you eat and how it correlates with your symptoms. This can help identify any dietary triggers that may be contributing to your gastrointestinal distress. Additionally, maintaining adequate hydration, increasing fiber intake, and managing stress through relaxation techniques or regular exercise can also be beneficial for your digestive health.

In summary, while your symptoms may be concerning, they could be attributed to functional gastrointestinal disorders rather than something as serious as colorectal cancer. However, it is essential to seek medical advice for a proper diagnosis and treatment plan tailored to your specific needs. Remember, early intervention can lead to better outcomes, so do not hesitate to reach out to a healthcare professional for further evaluation.

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