Blood in Stool: Is It a Sign of Colon Cancer? - Surgery

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Bowel issues?


Hello, doctor.
I have noticed blood on the toilet paper after having a bowel movement in the past two weeks.
Additionally, my bowel movements have been either diarrhea or thinner stools, and sometimes I experience abdominal pain but only pass a small amount.
Could this be a sign of colorectal cancer?

Patrick, 20~29 year old female. Ask Date: 2023/08/25

Dr. Ke Fangxu reply Surgery


The likelihood of developing colorectal cancer at the age of 20 is not zero, but generally, it is very, very low.
Based on your description, it seems more like hemorrhoidal bleeding.
It is advisable to start with a light diet and maintain a good lifestyle.
Spicy, irritating, and greasy foods should be avoided.
Increasing dietary fiber intake can also be helpful.
If symptoms persist without improvement, you may consult a physician for medication or consider undergoing a colonoscopy.

Reply Date: 2023/08/25

More Info


Experiencing blood in your stool can understandably cause concern, especially when considering the potential for serious conditions such as colon cancer. However, it is important to approach this situation with a clear understanding of the possible causes and the appropriate steps to take.

Firstly, blood in the stool can arise from various sources, and not all of them are indicative of colon cancer. Common causes include hemorrhoids, anal fissures, diverticular disease, and inflammatory bowel diseases such as Crohn's disease or ulcerative colitis. Hemorrhoids, for instance, are swollen blood vessels in the rectum or anus that can bleed during bowel movements, often leading to bright red blood on the toilet paper or in the stool. Anal fissures, which are small tears in the lining of the anus, can also cause similar symptoms.

In your case, the presence of blood on the toilet paper, along with changes in your bowel habits—such as diarrhea or thinner stools—could suggest a few possibilities. If the blood is bright red, it typically indicates that the source of bleeding is lower in the gastrointestinal tract, such as the rectum or anus. This is often associated with conditions like hemorrhoids or fissures. On the other hand, darker blood or black stools may indicate bleeding from higher up in the digestive tract.

The fact that you are experiencing changes in your bowel habits, such as diarrhea or the passage of thinner stools, is also noteworthy. These symptoms can be associated with a variety of gastrointestinal issues, including infections, dietary changes, or even stress. However, persistent changes in bowel habits, especially when accompanied by blood, warrant further investigation.

Given your family history of colon cancer, it is prudent to be vigilant about any gastrointestinal symptoms. While your symptoms may not necessarily indicate cancer, they do raise the need for a thorough evaluation. A colonoscopy is often recommended for individuals with concerning symptoms, especially those with a family history of colorectal cancer. This procedure allows for direct visualization of the colon and rectum and can help identify any abnormalities, such as polyps or tumors, that may require further action.

In summary, while blood in the stool can be alarming and is a symptom that should not be ignored, it does not automatically mean that you have colon cancer. The presence of hemorrhoids or anal fissures is a more common cause, particularly if the blood is bright red. However, given your symptoms and family history, it is essential to consult with a healthcare provider for a comprehensive evaluation. They may recommend a colonoscopy or other diagnostic tests to determine the cause of your symptoms and to rule out any serious conditions. Remember, early detection and intervention are key in managing any potential health issues effectively.

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