Rectal Issues: Hemorrhoids or Colon Cancer Concerns?

Anal or hemorrhoidal issues?

Recently, I have been staying up late due to the university entrance exam, and I have been experiencing frequent urges to defecate.
I have tried taking stool softeners and sitting in warm baths, but sometimes I feel that the urge to defecate is less severe after the bath.
I have to strain to pass stool, and there is no blood in my stool.
I previously had hemorrhoids and underwent rubber band ligation surgery, but it has been a long time since that procedure.
It feels like something is blocking my stool, which is why I have to exert myself.
The stool varies in thickness, sometimes being thick and other times thin.

1.
I would like to ask the doctor if this is hemorrhoids or colorectal cancer.
I have done some research and am worried it might be colorectal cancer because many people say that early-stage colorectal cancer has no symptoms.

2.
I am considering waiting until 3-4 days after the exam to get checked.
Will that be too late?
3.
Is it possible that staying up late and the habit of using my phone while having a bowel movement are contributing to this issue?
4.
Does taking stool softeners increase the frequency of flatulence, or is it just that my gastrointestinal motility is improving?
Please help clarify these concerns, doctor.

xavi, 10~19 year old female. Ask Date: 2022/12/07

Dr. Zhang Shuhao reply Surgery

1.
Hemorrhoids and colorectal cancer share some similar symptoms, making it difficult for individuals to distinguish between them.

2.
It's not too late, but if you're concerned, you can go directly to a clinic for an examination to alleviate your anxiety.

3.
Staying up late and spending too much time in the bathroom can exacerbate hemorrhoid symptoms.

4.
Taking stool softeners can promote intestinal motility, leading to an increased frequency of flatulence.

Reply Date: 2022/12/07

More Info

When it comes to rectal issues such as hemorrhoids and the potential concern for colon cancer, it is essential to understand the symptoms and underlying causes. Based on your description, you have experienced a variety of bowel-related symptoms, including difficulty with bowel movements, a history of internal hemorrhoids, and concerns about the possibility of colon cancer. Let’s address your questions and provide some additional context regarding these conditions.

1. Hemorrhoids vs. Colon Cancer: Hemorrhoids are swollen veins in the rectum or anus that can cause discomfort, pain, and bleeding during bowel movements. The blood from hemorrhoids is typically bright red and may appear on the toilet paper or in the toilet bowl, but it usually does not mix with the stool. On the other hand, colon cancer can present with a variety of symptoms, including changes in bowel habits, unexplained weight loss, abdominal pain, and blood in the stool, which may be darker or mixed with the stool. While early-stage colon cancer may not present noticeable symptoms, it is crucial to be vigilant about any changes in your bowel habits, especially if you have a family history of colorectal cancer or other risk factors.

2. Timing for Medical Evaluation: Waiting 3-4 weeks to see a doctor after experiencing these symptoms may not be ideal, especially if you are experiencing significant discomfort or changes in your bowel habits. It is advisable to seek medical attention sooner rather than later. A healthcare provider can perform a thorough evaluation, which may include a physical examination, digital rectal exam, and possibly a colonoscopy to rule out any serious conditions.

3. Lifestyle Factors: Your mention of staying up late and using your phone while on the toilet may contribute to your bowel issues. Stress, irregular sleep patterns, and prolonged sitting can all affect bowel function. It is essential to establish a routine that encourages regular bowel movements, including a balanced diet rich in fiber, adequate hydration, and regular physical activity.
4. Softening Agents and Gas: Using stool softeners can indeed lead to increased flatulence (gas) as they work to make bowel movements easier. This is often due to the increased water content in the stool, which can alter the gut flora and lead to gas production. If you notice an increase in gas, it may be a temporary side effect of the stool softeners. However, if it becomes bothersome, you may want to discuss alternative options with your healthcare provider.

In summary, while your symptoms may be related to hemorrhoids or other benign conditions, it is essential to consult with a healthcare professional to rule out any serious issues, including colon cancer. Early detection and intervention are key to managing any potential health concerns effectively. Remember to prioritize your health and seek medical advice promptly, especially when experiencing persistent or concerning symptoms.

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