Is It Colon Cancer? Symptoms and Concerns - Gastroenterology and Hepatology

Q: Is It Colon Cancer? Symptoms and Concerns

Hello, Hannah： If you are feeling unwell and are concerned, it is advisable to see a physician for evaluation or examination. <br>Director Cai Jin-ji of the Gastroenterology and Hepatology Department at Nantou Hospital.

Is this colorectal cancer?

Hello Doctor: Since I started seventh grade, I have often experienced incomplete bowel movements, or I feel the urge to go but cannot.
Sometimes, I also have diarrhea.
Recently, I noticed a soft lump near my anus, but it is not painful.
However, I do feel pain when I strain during bowel movements.
I have checked a self-assessment for colorectal cancer and found that most of the criteria apply to me, although some sources suggest it could be due to stress.
My parents say the same.
But I am really worried!

Hannah, 10~19 year old female. Ask Date: 2023/10/26

Dr. Cai Jinji reply Gastroenterology and Hepatology

Hello, Hannah: If you are feeling unwell and are concerned, it is advisable to see a physician for evaluation or examination.
Director Cai Jin-ji of the Gastroenterology and Hepatology Department at Nantou Hospital.

Reply Date: 2023/10/26

More Info

It's understandable to feel concerned about your symptoms, especially when they align with potential indicators of colon cancer. Let's break down your situation and address your worries.

Firstly, the symptoms you've described—irregular bowel movements, feelings of incomplete evacuation, and occasional diarrhea—can be associated with various gastrointestinal issues, not just colon cancer. Conditions like irritable bowel syndrome (IBS), hemorrhoids, or even dietary factors can contribute to these symptoms. However, the presence of a soft lump near the anus that causes pain when straining is something that should be evaluated by a healthcare professional.

Colon cancer typically presents with a range of symptoms, including:
1. Changes in bowel habits: This can include diarrhea, constipation, or a change in the consistency of your stool.

2. Blood in stool: This can appear as bright red blood or dark, tarry stools.

3. Abdominal discomfort: This may manifest as cramps, gas, or pain.

4. Unexplained weight loss: Losing weight without trying can be a red flag.

5. Fatigue: Persistent tiredness that doesn't improve with rest.

Given that you are experiencing multiple symptoms that align with these indicators, it is crucial to consult a healthcare provider for a thorough evaluation. They may recommend diagnostic tests such as a colonoscopy, which allows for direct visualization of the colon and rectum, and can also enable biopsy of any suspicious lesions.

Regarding your concern about stress, while stress can exacerbate gastrointestinal symptoms, it is essential to rule out any serious underlying conditions. Stress can lead to functional gastrointestinal disorders, which can mimic the symptoms of more severe diseases, including colon cancer.

In terms of your age, while colon cancer is less common in younger individuals, it is not impossible. The incidence of colorectal cancer in younger populations has been rising, which is why awareness and early screening are vital. Family history, genetic predispositions, and lifestyle factors can all play a role in your risk.

The lump you mentioned near your anus could be a hemorrhoid, a perianal abscess, or another benign condition, but it is essential to have it evaluated by a healthcare professional. They can provide a proper diagnosis and treatment plan.

In summary, while your symptoms warrant attention, they do not automatically indicate colon cancer. It is crucial to seek medical advice to obtain a proper diagnosis and peace of mind. Early detection and intervention are key in managing any potential health issues effectively. Please prioritize scheduling an appointment with a healthcare provider to discuss your symptoms and concerns in detail.

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