Rectal Discomfort: Hemorrhoids vs. Colon Cancer Concerns

Q: Rectal Discomfort: Hemorrhoids vs. Colon Cancer Concerns

Hello： 1. At the age of 17, the likelihood of developing colorectal cancer is low. 2. You can consult a gastroenterologist or a proctologist for evaluation. A colonoscopy, sigmoidoscopy, or anoscopy may be performed. Changhua Hospital cares about your health.

Bowel issues

Hello Doctor, I would like to ask about a recent feeling of heaviness in my anus.
I have a history of hemorrhoids, and with the upcoming exams, I've been staying up late frequently.
I also have a habit of using my phone while having a bowel movement.
My stools feel obstructed and require straining to pass, and they vary in size, sometimes thin and sometimes thick.
I am 186 cm tall and weigh 88 kg, which is slightly overweight, but I enjoy exercising and do not smoke.
My HbA1c levels are between 5 and 6, and my doctor says my blood sugar is well controlled.

1.
There is a family history of colorectal cancer, and I also have diabetes.
Given this context, do my symptoms seem more indicative of hemorrhoids or colorectal cancer? I have read online and am somewhat concerned about colorectal cancer.

2.
I have tried warm baths, and while my urge to have a bowel movement is manageable in the morning, it becomes more severe in the evening.

3.
Although many people say that early-stage colorectal cancer has no symptoms, do my symptoms at my age lean more towards colorectal cancer or hemorrhoids? Should I consider getting a colonoscopy? Please help clarify this for me.
Thank you.

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

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: 1.
At the age of 17, the likelihood of developing colorectal cancer is low.
2.
You can consult a gastroenterologist or a proctologist for evaluation.
A colonoscopy, sigmoidoscopy, or anoscopy may be performed.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2022/12/07

More Info

Understanding rectal discomfort can be quite concerning, especially with a family history of colon cancer and personal health issues such as diabetes. Based on your symptoms and history, let's break down the potential causes and necessary steps for evaluation.

1. Differentiating Between Hemorrhoids and Colon Cancer:
The symptoms you describe, such as a feeling of fullness or pressure in the anal area, difficulty passing stool, and variations in stool thickness, can indeed be associated with both hemorrhoids and more serious conditions like colon cancer. Hemorrhoids are swollen blood vessels in the rectal area that can cause discomfort, itching, and sometimes bleeding, especially during bowel movements. They are often exacerbated by straining during defecation, which can occur if you are experiencing constipation or irregular bowel habits.

On the other hand, colon cancer can present with similar symptoms, particularly if there is a blockage or mass in the colon that affects stool passage. The presence of blood in the stool, significant changes in bowel habits, or unexplained weight loss are more concerning signs that warrant further investigation.

2. Family History and Risk Factors:
Given your family history of colon cancer, it is prudent to be more vigilant about any gastrointestinal symptoms. While your current symptoms may be more indicative of hemorrhoids, the risk factors associated with colon cancer, including age, family history, and personal health conditions like diabetes, necessitate a thorough evaluation.
3. When to Seek Further Evaluation:
Since you have experienced discomfort and changes in bowel habits, it is advisable to consult a healthcare professional for a comprehensive evaluation. A colonoscopy is often recommended for individuals with a family history of colon cancer, especially if you are experiencing symptoms. This procedure allows for direct visualization of the colon and rectum and can help identify any abnormalities, including polyps or tumors.

4. Lifestyle Considerations:
Maintaining a healthy lifestyle is crucial, especially with your current weight and diabetes management. Regular exercise, a high-fiber diet, and adequate hydration can help prevent constipation and reduce the risk of hemorrhoids. Avoiding prolonged sitting on the toilet and managing stress, particularly during exam periods, can also alleviate symptoms.

5. Monitoring Symptoms:
Keep track of your symptoms, including any changes in bowel habits, the presence of blood, or any new symptoms that arise. If your symptoms worsen or if you experience significant pain, it is essential to seek medical attention promptly.

In summary, while your symptoms may be more indicative of hemorrhoids, the presence of a family history of colon cancer and your current health status warrant a thorough evaluation. A colonoscopy would be a prudent step to rule out any serious conditions and provide peace of mind. Remember, early detection is key in managing any potential issues effectively.

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