Is it possible to have colorectal cancer?
Hello Doctor: I have been experiencing irregular bowel movements; sometimes I go more than three times a day, and other times I have difficulty passing stool.
When I do, it is usually in a soft, cylindrical shape but not hard.
Recently, I noticed some mucus and a faint trace of blood when wiping, and on November 23, I had black watery stools.
My weight was 61.2 kg on November 19, but it dropped to 59.7 kg on November 23, despite not fasting and having a good appetite.
I don't understand why my weight has decreased; I am 170 cm tall.
In high school, I frequently visited the restroom, which led me to see a gastroenterologist who diagnosed me with irritable bowel syndrome (IBS).
In February of this year, during my senior year, my weight was 54 kg, and it was 62 kg during my freshman year.
Although I have been exercising regularly, I don't understand why I have lost so much weight.
Additionally, I often feel dizzy when I wake up or after sleeping too long.
My meal schedule is irregular due to work, and I tend to get hungry easily, which is why I enjoy late-night snacks.
However, I don't have picky eating habits; I often eat vegetables but don't particularly like sweets.
After researching online, I found that many sources suggest the possibility of colon cancer.
Is this really the case? I am so scared; I am only 19 and am hesitating about getting a colonoscopy because I am afraid of the pain.
I also have a bad habit of smoking.
Do you have any good advice for me, Doctor?
Ting, 10~19 year old female. Ask Date: 2022/11/23
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It may not necessarily be colorectal cancer; it's important to maintain a regular diet and lifestyle.
If you notice any abnormalities in your stool, it is advisable to first test for fecal occult blood.
The likelihood of gastric ulcers is certainly higher than that of colorectal cancer.
You may want to consult a gastroenterologist for further examination.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.
Reply Date: 2022/11/23
More Info
It's understandable to be concerned about your symptoms, especially when you come across information suggesting a serious condition like colon cancer. However, it's important to approach this situation with a clear understanding of the symptoms, potential causes, and the appropriate steps to take.
Firstly, let's address your symptoms. You mentioned experiencing irregular bowel movements, including instances of diarrhea, mucus in your stool, and even some blood. The presence of black, watery stools can be particularly concerning, as it may indicate bleeding in the upper gastrointestinal tract. However, it’s crucial to note that many factors can contribute to changes in bowel habits, including dietary choices, stress, and gastrointestinal disorders such as irritable bowel syndrome (IBS), which you were diagnosed with in the past.
At 19 years old, the likelihood of developing colon cancer is relatively low, especially if there is no family history of the disease or other risk factors. Colon cancer is more commonly diagnosed in individuals over the age of 50. However, that does not mean that your symptoms should be ignored. The combination of weight loss, changes in bowel habits, and the presence of blood or mucus in your stool warrants further investigation.
Your weight loss of approximately 1.5 kg (about 3.3 lbs) in a short period, especially without any intentional dietary changes, is also a red flag. It’s essential to consider that significant weight loss can be a sign of various health issues, including gastrointestinal problems, metabolic disorders, or even malignancies.
Given your symptoms, it would be prudent to consult a healthcare professional, preferably a gastroenterologist, who can perform a thorough evaluation. This may include a physical examination, a review of your medical history, and possibly diagnostic tests such as a colonoscopy. While the thought of a colonoscopy may be intimidating, it is a valuable tool for diagnosing gastrointestinal issues and can provide peace of mind.
In the meantime, consider the following recommendations:
1. Dietary Adjustments: Focus on a balanced diet rich in fiber, which can help regulate bowel movements. Incorporate fruits, vegetables, whole grains, and plenty of fluids. Avoid excessive consumption of processed foods, caffeine, and alcohol, which can exacerbate gastrointestinal symptoms.
2. Monitor Symptoms: Keep a detailed record of your symptoms, including the frequency and consistency of your bowel movements, any pain or discomfort, and any other changes in your health. This information will be helpful for your healthcare provider.
3. Lifestyle Changes: If you smoke, consider quitting, as smoking can negatively impact your gastrointestinal health and overall well-being. Regular physical activity can also help improve digestion and maintain a healthy weight.
4. Stress Management: Since you mentioned that your symptoms may be related to stress, consider incorporating stress-reducing techniques such as mindfulness, yoga, or other relaxation practices into your routine.
5. Seek Professional Help: Don’t hesitate to reach out to a healthcare provider. They can help determine the underlying cause of your symptoms and recommend appropriate treatment options.
In conclusion, while your symptoms may be concerning, they do not necessarily indicate colon cancer, especially at your age. However, it is essential to take them seriously and seek medical advice to rule out any serious conditions and to receive appropriate care. Remember, early detection and intervention are key to managing any health issues effectively.
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