Is Your Recurring Abdominal Discomfort a Sign of Colon Cancer? - Gastroenterology and Hepatology

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Could the intermittent sensation of urgency and heaviness in the abdomen be a sign of colon cancer?


I had been experiencing a feeling of urgency and incomplete evacuation for a while, which made me worry about the possibility of colon cancer.
However, after a few days, the symptoms became less noticeable, and I gradually felt more at ease.
Recently, the symptoms have returned, and I'm starting to worry again.
But since it has been intermittent, could it really be colon cancer?

benson, 10~19 year old female. Ask Date: 2022/08/01

Dr. Chen Shidian reply Gastroenterology and Hepatology


Fecal occult blood test reference.

Reply Date: 2022/08/01

More Info


Recurring abdominal discomfort can indeed be concerning, especially when it involves symptoms like urgency and a feeling of incomplete evacuation, which are often associated with gastrointestinal issues. However, it is important to understand that while these symptoms can be indicative of conditions such as colon cancer, they are not definitive on their own.
Colon cancer, or colorectal cancer, typically presents with a range of symptoms that may include changes in bowel habits (such as diarrhea or constipation), blood in the stool, unexplained weight loss, fatigue, and abdominal discomfort. The symptoms you describe—intermittent urgency and discomfort—can be caused by a variety of factors, including benign conditions such as irritable bowel syndrome (IBS), infections, or inflammatory bowel diseases like Crohn's disease or ulcerative colitis.

The fact that your symptoms have been intermittent and have improved over time is somewhat reassuring. Colon cancer tends to present with more persistent symptoms that do not resolve on their own. However, it is crucial to remain vigilant. If you are experiencing recurring symptoms, it is advisable to consult a healthcare professional for a thorough evaluation. They may recommend diagnostic tests such as a colonoscopy, which is the gold standard for detecting colorectal cancer and other abnormalities in the colon.

In terms of risk factors, certain demographics and lifestyle choices can increase the likelihood of developing colon cancer. These include age (most cases occur in individuals over 50), family history of colorectal cancer, personal history of polyps, inflammatory bowel disease, a diet high in red or processed meats, and a sedentary lifestyle. If you have any of these risk factors, it becomes even more important to seek medical advice.

Regarding your concern about whether the recurring nature of your symptoms could indicate colon cancer, it is essential to remember that while cancer can present with fluctuating symptoms, many other non-cancerous conditions can also cause similar issues. The key is to monitor your symptoms closely and seek medical attention if they persist or worsen.

In summary, while your recurring abdominal discomfort could potentially be a sign of colon cancer, it is more likely to be related to other gastrointestinal issues, especially given the intermittent nature of your symptoms. Nonetheless, it is crucial to consult with a healthcare provider to rule out any serious conditions and to receive appropriate care. Early detection and intervention are vital in managing any potential health issues effectively.

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