Changes in Stool: When to Worry About Rectal Cancer - Surgery

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Fecal-related issues - Correction


Hello Doctor, I am #177400.
I apologize for the inconvenience caused by my previous unsuccessful upload of the image file, so I am uploading it again.
I would like to ask you about the issue of stool becoming thinner due to rectal cancer.
I came across the article below and felt a bit anxious.
If rectal cancer were causing the stool to become thinner, it should be a continuous change, becoming progressively thinner, rather than alternating between thick and thin, correct? It is normal for stool to sometimes be thicker or softer, especially if I have been eating fewer fruits and vegetables or if I am having more frequent bowel movements, right? Here are the reference images.
I have no family history, my stool occult blood test was normal, I haven't experienced significant weight loss, abdominal pain, or blood in my stool, and I have no bad habits.
However, I am feeling a bit worried after reading that article.
I would appreciate your response to help ease my concerns.
Thank you, Doctor.
🙏

Wei Chu, 20~29 year old female. Ask Date: 2022/01/08

Dr. Zhang Shuhao reply Surgery


It appears to be normal, but changes in bowel habits are also an indication for a colonoscopy.
If you are still concerned, you can ask your doctor to arrange for a colonoscopy to definitively rule out any issues related to colorectal tumors.

Reply Date: 2022/01/08

More Info


Understanding changes in stool can indeed be a source of concern, especially when it comes to serious conditions like rectal cancer. It’s important to differentiate between normal variations in stool consistency and color versus changes that may indicate a more serious underlying issue.

When discussing the characteristics of stool, it is essential to note that the shape, size, and consistency can vary significantly based on diet, hydration, and overall health. For instance, a diet low in fiber can lead to harder, bulkier stools, while a diet rich in fruits and vegetables typically results in softer, bulkier stools. Additionally, factors such as stress, hydration levels, and physical activity can also influence bowel movements.

Regarding your specific concern about stool becoming thinner or pencil-like, it is true that persistent changes in stool shape can be a warning sign. If the stool consistently appears thinner over time, especially if this change is accompanied by other symptoms such as unexplained weight loss, abdominal pain, or changes in bowel habits, it is advisable to seek medical attention. In the context of rectal cancer, a narrowing of the stool can occur due to a mass obstructing the rectum, leading to a change in the shape of the stool.

However, it’s important to emphasize that occasional variations in stool size and shape are common and often not indicative of a serious condition. For example, if you notice that your stool is sometimes thin and sometimes normal, this could be related to dietary changes or other benign factors. The key is consistency; if the change is persistent and progressive, that is when it becomes a concern.

In your case, since you have mentioned that you have no family history of colorectal cancer, normal stool tests, no significant weight loss, abdominal pain, or blood in the stool, these are all reassuring signs. It is also worth noting that many people experience fluctuations in their bowel habits without any underlying pathology.
If you are still feeling anxious about these changes, it may be beneficial to consult with a healthcare professional who can provide a thorough evaluation. They may recommend further investigations, such as a colonoscopy, to rule out any potential issues, especially if you have ongoing concerns.

In summary, while changes in stool can sometimes indicate a serious condition like rectal cancer, occasional variations are often normal and can be attributed to dietary and lifestyle factors. It’s crucial to monitor the situation and consult with a healthcare provider if you notice persistent changes or if other concerning symptoms develop. Taking proactive steps in your health management is always a wise approach.

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