Concerns About Bowel Issues: Are Your Symptoms a Sign of Cancer? - Gastroenterology and Hepatology

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Concerns related to bowel movements, issues with defecation, and gastrointestinal problems have raised worries about the possibility of cancer?


Hello Doctor, I previously asked you a question (link: #199164) and visited for a consultation this week.
The physician prescribed SulpiCap, Paspertase F.C Ta, Gascon, and Mgo for me, and I have completed the medication.
However, I have recently started experiencing abdominal pain and have difficulty having bowel movements; I occasionally pass gas (which is more foul-smelling than before) and have had some bowel movements that are thin, flat, and short.
Sometimes I feel like there is stool moving in my intestines, and I have had some long, thick stools.
I am a bit worried and would like to ask the doctor for advice.
Thank you for your response.

Chien, 10~19 year old female. Ask Date: 2023/08/09

Dr. Chen Shidian reply Gastroenterology and Hepatology


It is necessary to discuss further with the physician to make adjustments to the medication and diet.
A stool occult blood test can also be added.

Reply Date: 2023/08/09

More Info


When it comes to bowel issues and concerns about potential cancer symptoms, it's essential to approach the situation with a balanced perspective. Based on the symptoms you've described, including abdominal pain, changes in bowel habits, and the characteristics of your stool, it's understandable to feel anxious about the possibility of cancer. However, it's important to remember that many gastrointestinal symptoms can be attributed to non-cancerous conditions.

Firstly, the presence of abdominal pain and changes in bowel movements can be indicative of various gastrointestinal disorders, such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), or even functional dyspepsia. These conditions can cause symptoms like abdominal discomfort, altered stool consistency, and changes in bowel frequency without being related to cancer.
The fact that you mentioned experiencing thin, flat stools can be concerning, as this is sometimes associated with conditions like colorectal cancer. However, it's crucial to consider other factors, such as diet, stress levels, and overall gastrointestinal health. For instance, a diet low in fiber can lead to constipation and changes in stool shape. Additionally, stress and anxiety can exacerbate gastrointestinal symptoms, leading to a cycle of discomfort and worry.

It's also worth noting that the presence of foul-smelling gas and changes in bowel habits can be related to dietary choices. Foods that are high in certain carbohydrates can lead to increased gas production and changes in stool odor. If you've recently altered your diet or have been consuming more fiber-rich foods, this could explain some of the changes you're experiencing.

Regarding your concerns about cancer, it's essential to keep in mind that cancer typically presents with a combination of symptoms, and isolated symptoms like those you've described do not automatically indicate cancer. Common warning signs of colorectal cancer include persistent changes in bowel habits, blood in the stool, unexplained weight loss, and severe abdominal pain. If you are not experiencing these symptoms, the likelihood of cancer being the cause of your issues is lower.

That said, it is crucial to follow up with your healthcare provider regarding your symptoms. They may recommend further diagnostic tests, such as a colonoscopy, to rule out any serious conditions. Additionally, discussing your symptoms openly with your doctor can help alleviate some of your concerns and guide you toward appropriate treatment options.

In the meantime, consider focusing on lifestyle modifications that can improve your gastrointestinal health. This includes maintaining a balanced diet rich in fiber, staying hydrated, managing stress through relaxation techniques, and engaging in regular physical activity. These changes can help regulate bowel movements and alleviate some of the discomfort you're experiencing.

In summary, while it's natural to worry about cancer when experiencing gastrointestinal symptoms, many of these issues can be attributed to benign conditions. It's essential to communicate openly with your healthcare provider, follow their recommendations, and consider lifestyle changes that promote digestive health. Remember, early detection and intervention are key, so staying proactive about your health is always a good approach.

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