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

Is this colorectal cancer?

Hello, doctor: I have a history of nasal allergies, a hunched back, a normal weight, a balanced diet, and I rarely exercise.
My bones often make sounds, and I experience bone pain (which resolves within a day, starting from seventh grade).
Since I started seventh grade (now in eighth grade), I have had difficulty burping, feeling as if there is gas trapped in my chest.
Regarding bowel movements, I often feel incomplete after defecating; I want to go but cannot, and when I do, the stool is either thin or loose.
Sometimes I experience diarrhea, while at other times I have hard stools, usually occurring during the same bowel movement, but there is no blood in my stool.
Compared to before, I have been passing gas more frequently and experiencing dry mouth.
Occasionally, I feel pain in the upper right side of my abdomen.
Recently, I noticed a soft lump near my anus, which is not painful.
It does not hurt when I exert pressure, but it seems to be gradually increasing in size.
I have checked a self-assessment for colorectal cancer and found that most of the criteria apply, except for the absence of blood in my stool.
My parents say it's due to stress and do not believe I could have colorectal cancer.
However, whether I am traveling or on vacation, I still experience incomplete bowel movements and alternating constipation and diarrhea, and this has been ongoing for nearly two years.
Is this cancer? How many more years can I live? I am really worried!

H, 10~19 year old female. Ask Date: 2024/02/27

Dr. Yang Zhichao reply Gastroenterology and Hepatology

Hello Ms.
H, this is likely not colorectal cancer; it may be internal hemorrhoids or external hemorrhoids.
I recommend that you consult a doctor for an examination.
Thank you for your question.

Reply Date: 2024/02/27

More Info

It's understandable to feel anxious about your symptoms, especially when they align with concerns about serious conditions like colon cancer. However, it's essential to approach this situation with a clear understanding of the symptoms, potential diagnoses, and the importance of professional medical evaluation.

Firstly, let's address your symptoms. You mentioned experiencing irregular bowel habits, including constipation and diarrhea, along with a sensation of incomplete evacuation. These symptoms can be indicative of several gastrointestinal issues, including irritable bowel syndrome (IBS), which is common among adolescents and can be exacerbated by stress. The presence of a soft lump near the anus could be a hemorrhoid or a skin tag, which are generally benign but should be evaluated by a healthcare provider.

Regarding your concerns about colon cancer, it's important to note that while some symptoms can overlap, colon cancer is relatively rare in younger individuals, particularly those under 40 without a family history of the disease. The absence of blood in your stool is also a reassuring sign, as rectal bleeding is a more common symptom associated with colon cancer. However, any persistent changes in bowel habits, especially those lasting for more than a few weeks, warrant further investigation.

The fact that you have been experiencing these symptoms for nearly two years is significant. While stress and anxiety can contribute to gastrointestinal symptoms, it is crucial to rule out any underlying conditions. I recommend that you consult with a gastroenterologist who can perform a thorough evaluation, which may include a physical examination, possibly a colonoscopy, and other diagnostic tests to assess your gastrointestinal health.

In terms of your overall health and longevity, it's difficult to predict outcomes without a proper diagnosis. Many gastrointestinal issues are manageable and can significantly improve with lifestyle changes, dietary adjustments, and stress management techniques. Regular exercise, a balanced diet rich in fiber, and adequate hydration can help alleviate some of your symptoms.

It's also worth noting that mental health plays a crucial role in physical health. If you are experiencing significant anxiety about your health, consider speaking with a mental health professional. They can help you develop coping strategies to manage your stress and anxiety, which may, in turn, improve your physical symptoms.

In summary, while your symptoms are concerning, they do not automatically indicate colon cancer, especially given your age and the absence of blood in your stool. A thorough evaluation by a healthcare professional is essential to determine the cause of your symptoms and to develop an appropriate treatment plan. Remember, early intervention and proper management can lead to positive outcomes, so seeking medical advice is a crucial step.

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