Could Your Recent Digestive Issues Indicate Colon Cancer?

Could it be colon cancer?

I have been experiencing diarrhea recently.
After eating, I suddenly get stomach pain and have to rush to the bathroom.
When I'm not having diarrhea, my stools are very thin.
This has been going on for two to three weeks, and I'm worried it might be cancer.
I had a colonoscopy last year, and the doctor mentioned that I have diverticula in my colon and hemorrhoids.
However, the recent diarrhea and the change in stool thickness have made me very anxious.
Could this be colon cancer?

Andrew, 30~39 year old female. Ask Date: 2021/08/16

Dr. Ke Fangxu reply Surgery

Although the probability of developing colorectal cancer at the age of 32 is not zero, it is generally considered to be 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.
Increasing the intake of dietary fiber from plant sources can also be beneficial.
If symptoms persist without improvement, you may consult a physician for medication or to undergo a colonoscopy.

Reply Date: 2021/08/16

More Info

Digestive issues, such as persistent diarrhea and changes in stool consistency, can understandably cause concern about serious conditions like colon cancer. However, it is essential to approach this situation with a balanced perspective, considering both the symptoms and the context of your medical history.

Firstly, it is important to note that while changes in bowel habits can be a symptom of colon cancer, they are not definitive indicators of the disease. Colon cancer symptoms can vary widely, and many benign conditions can also lead to similar gastrointestinal symptoms. For instance, conditions like irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), or even dietary intolerances can cause diarrhea and changes in stool shape.

In your case, you mentioned experiencing diarrhea after eating and having very thin stools for the past two to three weeks. This could be related to several factors, including dietary changes, stress, or even infections. The presence of diverticula (as noted in your previous colonoscopy) can also contribute to changes in bowel habits, as diverticulitis can lead to inflammation and altered stool patterns.

It is also worth considering that your previous colonoscopy revealed diverticulosis and hemorrhoids. While these conditions are generally not cancerous, they can lead to symptoms such as abdominal pain, changes in bowel habits, and even rectal bleeding. Hemorrhoids, for example, can cause discomfort and may lead to changes in how you pass stool, potentially resulting in thinner stools if you are straining.

Given your ongoing symptoms and the fact that they have persisted for several weeks, it is crucial to consult with a healthcare professional. A gastroenterologist can provide a thorough evaluation, which may include repeating a colonoscopy or conducting imaging studies to assess for any changes in your colon since your last examination. They may also consider other diagnostic tests to rule out infections or inflammatory conditions.

In terms of your anxiety about colon cancer, it is important to remember that the risk of developing colon cancer increases with age and is often associated with specific risk factors, such as a family history of the disease, personal history of polyps, or inflammatory bowel disease. At 29 years old, your risk is generally lower, especially if there is no significant family history of colon cancer. However, your concerns are valid, and it is always better to err on the side of caution when it comes to health issues.

In summary, while your recent digestive issues could be concerning, they do not automatically indicate colon cancer. It is essential to seek medical advice to explore the underlying causes of your symptoms. A healthcare professional can help determine the appropriate next steps, which may include further testing or treatment options tailored to your specific situation. Remember, early detection and intervention are key to managing any potential health issues effectively.

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