Frequent Bowel Movements: Could It Be Colon Cancer? - Surgery

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Bowel-related issues?


Hello Doctor, I would like to ask about my recent condition.
I have been having bowel movements two to three times a day, often feeling discomfort in my abdomen after meals, which prompts me to use the restroom.
My stools are mostly loose or thin, about the size of a thumb or flat.
Even when they are formed, they tend to break apart easily when flushed.
I do not experience constipation, there is no blood in my stool, and I have not lost weight, but I often have abdominal pain.
When the pain occurs, I feel the urge to go to the bathroom, and I feel better afterward, although there is always a lingering sensation of incomplete evacuation.
I would like to know if this condition could be a symptom of colorectal cancer.
Thank you, Doctor!

Nìmíng, 40~49 year old female. Ask Date: 2021/09/20

Dr. Ke Fangxu reply Surgery


At the age of 41, the likelihood of developing colorectal cancer is relatively 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 can also be beneficial.
If symptoms persist without improvement, you may consult a physician for medication or to undergo a colonoscopy.

Reply Date: 2021/09/20

More Info


Frequent bowel movements can certainly be concerning, especially when accompanied by discomfort or changes in stool consistency. However, it is essential to understand that not all changes in bowel habits indicate a serious condition such as colon cancer. Based on your description, several factors need to be considered to evaluate your symptoms properly.

Firstly, the frequency of bowel movements can vary significantly from person to person. While having two to three bowel movements a day can be normal for some individuals, it may be considered excessive for others. The consistency of your stool, being loose or thin, can also be influenced by various factors, including diet, stress, and gastrointestinal health. For instance, a diet high in fiber can lead to more frequent and softer stools, while stress can exacerbate gastrointestinal symptoms.

The absence of blood in your stool and the lack of significant weight loss are positive signs. Blood in the stool, especially if it is bright red or dark and tarry, can be a red flag for conditions such as hemorrhoids, diverticulitis, or even colorectal cancer. Similarly, unexplained weight loss is often a concerning symptom that warrants further investigation.

Your experience of abdominal pain that prompts a bowel movement can be indicative of several conditions, including irritable bowel syndrome (IBS), which is characterized by abdominal discomfort and changes in bowel habits. IBS is a functional gastrointestinal disorder that can cause symptoms such as cramping, bloating, and altered bowel habits without any underlying structural abnormalities. Stress and dietary choices often play significant roles in IBS, and managing these factors can lead to symptom improvement.

Regarding your concern about colon cancer, it is important to note that while changes in bowel habits can be a symptom, they are not definitive indicators of cancer, especially in the absence of other alarming symptoms such as blood in the stool, significant weight loss, or a family history of colorectal cancer. Colon cancer typically presents with more severe symptoms, and at your age, the risk of developing colon cancer is relatively low.

However, if your symptoms persist or worsen, it is advisable to seek medical attention. A healthcare provider may recommend diagnostic tests such as a colonoscopy or imaging studies to rule out any serious conditions. Additionally, they may suggest dietary modifications, stress management techniques, or medications to help alleviate your symptoms.

In summary, while your symptoms warrant attention, they do not necessarily indicate colon cancer, especially given the absence of blood and weight loss. It is crucial to monitor your symptoms and consult with a healthcare professional for a thorough evaluation and appropriate management. Regular check-ups and screenings, especially if you have a family history of gastrointestinal issues, can help ensure early detection of any potential problems.

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