Gastrointestinal Symptoms: Is Colon Cancer a Concern? - Gastroenterology and Hepatology

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Gastroenterology, bowel sounds


Hello Doctor, I am 25 years old and was diagnosed with food poisoning on March 10.
Since then, I have had a persistent urge to have bowel movements, going once to three times a day, accompanied by loud bowel sounds and a continuous sensation of gastrointestinal motility, along with frequent flatulence.
Over the course of two weeks, my food intake gradually decreased, and I lost 1.5 kilograms compared to my previous weight.
However, after two weeks, my stool returned to its normal shape, and I have not experienced diarrhea or constipation since then.
Despite this, I am experiencing significant anxiety due to the weight loss, and my abdomen still produces loud bowel sounds, especially when I am feeling stressed.
Throughout this period, I have had no other gastrointestinal issues, and my stool has been consistently shaped like a banana.
I would like to know, Doctor, is there a possibility of colon cancer in this situation?

Youyou, 20~29 year old female. Ask Date: 2022/03/21

Dr. Cai Jinji reply Gastroenterology and Hepatology


Hello Miss Youyou: Based on your description, if your symptoms have resolved, the likelihood of colorectal cancer is lower.
However, if you still have concerns, it is advisable to consult your physician to determine if further examinations are necessary.
Director Cai JinjI, Department of Hepatobiliary and Gastroenterology, Nantou Hospital.

Reply Date: 2022/03/21

More Info


It's understandable to be concerned about gastrointestinal symptoms, especially when they persist or change in nature. However, based on the information you've provided, it seems that your symptoms are more likely related to functional gastrointestinal issues rather than colon cancer.

Firstly, let's address the symptoms you've experienced. After being diagnosed with food poisoning, it's common for individuals to experience gastrointestinal disturbances, including diarrhea, increased bowel sounds, and gas. These symptoms can persist for a while as your digestive system recovers. The fact that your bowel movements have returned to normal in terms of shape and consistency is a positive sign. Normal bowel movements, especially those resembling the shape of a banana, indicate that your intestines are functioning properly.

Weight loss can be concerning, but it’s important to consider the context. If your weight loss was primarily due to a decrease in food intake during your illness, it may not be indicative of a serious underlying condition. Stress and anxiety can also exacerbate gastrointestinal symptoms, leading to increased bowel sounds and gas production. The mind-gut connection is well-documented, and emotional stress can significantly impact digestive health.

Regarding your concern about colon cancer, it’s essential to note that colon cancer typically presents with more specific symptoms, such as blood in the stool, significant changes in bowel habits (like persistent diarrhea or constipation), unexplained weight loss, and abdominal pain that does not resolve. Your symptoms do not align with these warning signs. Additionally, at 25 years old, your risk for colon cancer is relatively low, especially if you do not have a family history of the disease or other risk factors.

However, if your symptoms persist, worsen, or if you develop new symptoms such as blood in your stool, severe abdominal pain, or significant changes in your bowel habits, it would be prudent to consult a healthcare professional for further evaluation. They may recommend tests such as a colonoscopy, especially if there is a family history of colorectal cancer or if you have other risk factors.

In the meantime, managing stress through relaxation techniques, maintaining a balanced diet rich in fiber, staying hydrated, and regular physical activity can help improve your gastrointestinal health. If anxiety about your symptoms continues to affect your quality of life, consider speaking with a mental health professional who can provide support and coping strategies.

In summary, while your symptoms are understandably concerning, they do not strongly indicate colon cancer. It’s crucial to monitor your health and seek medical advice if your condition changes. Taking proactive steps to manage stress and maintain a healthy lifestyle can also contribute to better gastrointestinal health.

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