Gastrointestinal Symptoms: When to Worry About Your Health - Gastroenterology and Hepatology

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My liver, gallbladder, and gastrointestinal system?


Doctor, may I ask why sometimes my stool appears to have dark streaks? Sometimes I experience pain in my anus when I have a bowel movement but can't fully pass stool.
Other times, I have diarrhea and experience anal pain, going to the bathroom 2 to 3 times a day.
Occasionally, I feel pain in my anus even when I'm not having a bowel movement.
Am I at risk for rectal cancer? My father passed away from a similar condition.
If I do have it, is it too early for me? Will it make the news as one of the youngest cases of colon cancer? Could this also be the reason I have trouble gaining weight? What kind of tests would I need? Is it done through the anus? My father had that kind of examination.
Are there any new testing methods available? Additionally, I've been staying up late for the past 2 to 3 months, not going to bed until 2 or 3 AM, and I eat instant noodles every three days because I'm too hungry.
I feel like this puts a lot of strain on my liver.
Are there any methods to help detoxify the liver, such as specific teas or foods? I apologize for my many questions, and I appreciate your help! Thank you!

SickCat, 10~19 year old female. Ask Date: 2004/09/05

Dr. Chen Zhiping reply Gastroenterology and Hepatology


Hello, your father has been diagnosed with colorectal cancer, which places you at high risk for colorectal cancer as well.
If you are experiencing irregular bowel movements, it is advisable to visit a gastroenterology clinic for a colon and rectal examination.
Both colonoscopy and barium enema require access through the anus for examination.
Currently, there are no new diagnostic tools for the colon that are clinically applicable.
Regarding your second question, there are no foods or medications that can detoxify the liver.
Therefore, you should be aware that staying up late and frequently consuming instant noodles is detrimental to your health.
It is important to adjust your lifestyle and dietary habits instead of overburdening your liver while simultaneously taking medications to protect it.
Sincerely, Dr.
Chen Zhiping.
Thank you!

Reply Date: 2004/09/05

More Info


When it comes to gastrointestinal symptoms, it is essential to understand the potential implications of various signs and when it might be necessary to seek medical attention. Your concerns about experiencing black stools, anal pain, and changes in bowel habits are valid and warrant careful consideration.

Firstly, the presence of black stools, known as melena, can indicate bleeding in the upper gastrointestinal tract, such as from the stomach or duodenum. This could be due to several reasons, including peptic ulcers, gastritis, or even more serious conditions like tumors. Given your family history of colorectal cancer, it is crucial to take these symptoms seriously. While not all cases of black stools are indicative of cancer, they should prompt further investigation.

Anal pain during bowel movements can be caused by several factors, including hemorrhoids, anal fissures, or even infections. If the pain persists, especially when not associated with bowel movements, it could suggest an underlying issue that needs to be evaluated by a healthcare professional.

Regarding your concerns about colorectal cancer, it is important to note that while family history is a significant risk factor, many other factors contribute to the development of this disease. Symptoms like changes in bowel habits, persistent abdominal pain, and rectal bleeding should lead to a consultation with a gastroenterologist for a thorough evaluation.

In terms of diagnostic procedures, a colonoscopy is the standard method for examining the colon and rectum. During this procedure, a flexible tube with a camera is inserted through the rectum to visualize the lining of the colon. This allows for the detection of abnormalities, such as polyps or tumors, and enables biopsies to be taken if necessary. While the thought of this procedure may be daunting, it is a critical tool in early detection and prevention of colorectal cancer. There are also non-invasive tests, such as stool tests for blood or DNA, but they are not a substitute for a colonoscopy if symptoms are present.

As for your lifestyle concerns, including late-night eating and reliance on instant noodles, these habits can indeed impact your overall health, including liver function. The liver plays a crucial role in detoxification, and maintaining a healthy diet is vital for its optimal function. Incorporating foods rich in antioxidants, such as fruits and vegetables, can support liver health. Herbal teas like dandelion or milk thistle are often touted for their liver-supportive properties, but it's essential to approach these with caution and consult a healthcare provider before starting any new supplements.

In summary, your symptoms should not be ignored, especially given your family history. It is advisable to schedule an appointment with a healthcare provider who can perform the necessary evaluations, including a physical examination and possibly a colonoscopy, to rule out any serious conditions. Additionally, adopting healthier eating habits and managing stress can significantly benefit your overall well-being. Remember, early detection and intervention are key in managing gastrointestinal health effectively.

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