Abdominal Pain and Bowel Changes: Is It Colon Cancer?

Q: Abdominal Pain and Bowel Changes: Is It Colon Cancer?

Hello： The situation you described seems more like a phenomenon caused by retained stool or constipation. <br>Although there are cases of colon cancer in individuals in their twenties, the probability is extremely low, so there is no need to worry excessively. <br>It is important

Bowel-related issues. Abdominal pain?

Hello Doctor, I have recently experienced sudden sharp pain in my left abdomen while standing or sitting, along with tenderness when pressing on that area of my abdominal muscles.
Additionally, I sometimes feel discomfort during lunch or dinner.
Lately, my bowel movements have varied; sometimes they are pellet-like, other times they are thin (but not very thin), and occasionally they are large and bulky (though they come out flat).
Sometimes, I also feel discomfort around my anus (a warm sensation), as if there is stool near the anal area.
I would like to know if these symptoms could possibly indicate colon cancer.
Last year, I underwent an upper endoscopy, and the doctor mentioned that I had a lot of stomach acid and mild gastroesophageal reflux.
I tend to overthink things and have severe health anxiety.
Yesterday, I read news articles about young people in their twenties being diagnosed with colon or stomach cancer, which has made me very anxious and scared.
The only test I haven't done yet is a colonoscopy.
Do you think it is necessary for me to have one? Last year, I had an abdominal ultrasound, upper endoscopy, anal examination, and digital rectal exam.
I'm wondering if this could be a manifestation of my health anxiety again.

Niming, 20~29 year old female. Ask Date: 2022/03/09

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: The situation you described seems more like a phenomenon caused by retained stool or constipation.
Although there are cases of colon cancer in individuals in their twenties, the probability is extremely low, so there is no need to worry excessively.
It is important to maintain a balanced diet, ensure adequate hydration, and engage in moderate exercise.
If you still have concerns, you can consult a gastroenterologist to evaluate whether a colonoscopy is necessary.
If the physician determines that it is not needed and you are still worried, you may consider seeking a private advanced health check-up to address your concerns.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun

Reply Date: 2022/03/09

More Info

When considering the symptoms you've described, it's understandable to feel anxious, especially given the prevalence of health information available online and the rising awareness of conditions like colon cancer. However, it's essential to approach this situation with a clear understanding of the symptoms and their potential implications.

Your symptoms, including sudden stabbing pain in the left abdomen, discomfort during meals, and changes in bowel habits (such as varying stool shapes and sizes), can be indicative of several gastrointestinal issues. While colon cancer is a concern, especially with a family history or persistent symptoms, many other conditions can present similarly.

1. Bowel Changes: The variations in your stool, from small pellets to flat shapes, can suggest a few things. These changes may indicate a functional bowel disorder, such as irritable bowel syndrome (IBS), which is characterized by abdominal pain and altered bowel habits. Stress and anxiety can exacerbate IBS symptoms, leading to changes in bowel movements and discomfort.

2. Abdominal Pain: The stabbing pain you experience could be related to muscle strain, gastrointestinal spasms, or even referred pain from other areas. If the pain worsens with pressure, it may suggest localized inflammation or irritation rather than a systemic issue like cancer.

3. Anxiety and Health Concerns: Your mention of health anxiety is crucial. It's not uncommon for individuals to become hyper-aware of their bodies, especially when exposed to alarming health news. This anxiety can amplify physical sensations and lead to a cycle of worry and discomfort.

4. Family History: While a family history of colon cancer does increase your risk, it’s important to note that many people with similar histories do not develop the disease. Regular screenings, such as colonoscopies, are recommended, especially if you have risk factors. Given your age and the nature of your symptoms, discussing the need for a colonoscopy with your healthcare provider is advisable.

5. When to Seek Help: If your symptoms persist, worsen, or are accompanied by other concerning signs (such as significant weight loss, persistent blood in stool, or severe abdominal pain), it’s crucial to seek medical evaluation. A colonoscopy may be warranted to rule out any serious conditions, including polyps or cancer, especially since you have not had one yet.

In conclusion, while your symptoms warrant attention, they do not automatically indicate colon cancer. Many gastrointestinal issues can cause similar symptoms, and anxiety can play a significant role in how we perceive our health. It is essential to consult with a healthcare provider who can perform a thorough evaluation, possibly including a colonoscopy, to provide peace of mind and appropriate care. Regular monitoring and open communication with your healthcare provider will help you manage your symptoms and address any health concerns effectively.

Similar Q&A

Understanding Abdominal Pain and Changes in Bowel Habits: What to Know

Hello, doctor. About a month ago, I suddenly experienced severe pain in my lower abdomen, which comes in waves. Whenever I have these cramps, I feel the urge to have a bowel movement. I went to a nearby clinic for treatment and also visited a hospital, but they diagnosed it as a ...

Dr. Chen Qifeng reply Gastroenterology and Hepatology
It is likely gastroenteritis. It is recommended to see a gastroenterologist.

Understanding Bowel Issues: Could It Be Colon Cancer?

I previously visited a gastroenterologist due to upper abdominal pain, and the doctor diagnosed me with chronic gastritis. Later, I experienced occasional dull abdominal pain and irregular bowel movements, which improved slightly with increased fruit and vegetable intake. However...

Dr. Ke Fangxu reply Surgery
It is difficult to determine if one has colorectal cancer solely based on presenting symptoms. If you are truly concerned, you should ask your physician to arrange a colonoscopy. Your symptoms appear to be related to gastrointestinal function issues. It is advisable to pay attent...

Understanding Your Digestive Discomfort: Is It IBS or Colon Cancer?

Hello, my condition has been feeling strange in my abdomen since last year. I have undergone a colonoscopy, which indicated some minor internal hemorrhoids, but I still feel a persistent bloating and discomfort in my stomach. I also experience frequent flatulence, and my bowel mo...

Dr. Yuan Hongdao reply Gastroenterology and Hepatology
Hello: Your symptoms are more indicative of Irritable Bowel Syndrome (IBS). At 21 years old, if there is no family history of colorectal cancer, the likelihood of developing colorectal cancer is very low. Additionally, since you have undergone a colonoscopy and no polyps or tumor...

Could Abdominal Bloating Be a Sign of Colon Cancer?

Hello, doctor! I have been experiencing abdominal bloating for the past few days, but there is no pain. I would like to ask if this could possibly be colon cancer?

Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Bloating is one of the non-specific symptoms of colorectal cancer, so there is no need to worry too much. It is recommended to maintain a light diet and have daily bowel movements. If you still have concerns, you can consult a gastroenterologist. Changhua Hospital cares ab...