Bowel Issues: Could They Indicate Colon Cancer?

Bowel issues

Hello doctor, I am 25 years old and have been experiencing long-term issues with irregular bowel movements (about 1-2 times every 2-3 days).
I previously noticed a growth near my anus that resembles a hemorrhoid, but it was not painful.
Recently, another one has appeared, and I experience pain after having diarrhea or straining during bowel movements.
Occasionally, when my bowel movements are more normal, it seems to retract back inside the anus.
Lately, I have noticed a change in my stool pattern; my stools have become very thin and soft, and I am more sensitive to heavy, greasy foods, which cause me to have diarrhea shortly after eating.
I often feel the urge to go but cannot, or I feel incomplete after a bowel movement.
These symptoms have persisted for about two and a half weeks.
Could these symptoms possibly be signs of colorectal cancer? Thank you!

Miss Wang, 20~29 year old female. Ask Date: 2021/08/09

Dr. Ke Fangxu reply Surgery

The probability of developing colorectal cancer at the age of 25 is not zero, but generally speaking, it is very, very low.
Based on your description, it seems more like irritable bowel syndrome (IBS).
It is recommended to start with a light diet and maintain a good lifestyle.
Spicy, irritating, and greasy foods should be avoided, and increasing dietary fiber intake can also be beneficial.
If symptoms persist without improvement, you may consult a physician for medication or consider undergoing a colonoscopy.

Reply Date: 2021/08/09

More Info

Understanding bowel issues, especially at a young age like 25, can be concerning, particularly when symptoms such as changes in bowel habits, the presence of anal lumps, and discomfort during bowel movements arise. While it’s natural to worry about serious conditions like colon cancer, it’s important to consider a range of potential causes for your symptoms.

Firstly, the presence of lumps around the anus that resemble hemorrhoids could indicate external hemorrhoids or possibly anal tags, which are common and usually benign. Hemorrhoids can cause discomfort, especially during bowel movements, and may become more pronounced with straining or constipation. The fact that you mentioned these lumps do not cause pain unless you are straining suggests they may not be serious, but they should still be evaluated by a healthcare professional.

Your description of bowel habits—having bowel movements every 2-3 days, experiencing changes in stool consistency (such as thinner and softer stools), and feeling incomplete evacuation—could indicate several conditions. These symptoms can be associated with functional gastrointestinal disorders, such as irritable bowel syndrome (IBS), which is characterized by abdominal discomfort and altered bowel habits. Stress, diet, and lifestyle can significantly influence IBS symptoms.

However, it’s crucial to rule out more serious conditions, including colorectal cancer, especially since you are experiencing changes in stool shape and consistency. While colon cancer is less common in younger individuals, it can occur, particularly in those with a family history of colorectal cancer or certain genetic predispositions. Symptoms of colon cancer may include changes in bowel habits, blood in the stool, unexplained weight loss, and abdominal pain.

Given your symptoms have persisted for about two and a half weeks, it would be advisable to consult a healthcare provider for a thorough evaluation. They may recommend a physical examination, including a digital rectal exam, and possibly a colonoscopy to visualize the colon and rectum directly. A colonoscopy is a crucial tool for diagnosing any abnormalities, including polyps or tumors, and can also allow for biopsies if necessary.

In the meantime, consider dietary modifications that may help alleviate some of your symptoms. Increasing fiber intake through fruits, vegetables, and whole grains can promote regular bowel movements and improve stool consistency. Staying hydrated is also essential, as it can help prevent constipation. Additionally, reducing the intake of high-fat and highly processed foods may lessen gastrointestinal discomfort.

In summary, while your symptoms could be indicative of various conditions, including benign issues like hemorrhoids or functional gastrointestinal disorders, it is essential to seek medical advice to rule out serious conditions such as colon cancer. Early detection and intervention are key in managing any potential health issues effectively. Don’t hesitate to reach out to a healthcare professional who can provide personalized guidance based on a comprehensive assessment of your symptoms and medical history.

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