Is It Colon Cancer? Symptoms and When to Seek Help - Surgery

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Is this colorectal cancer?


In the past couple of days, I have noticed blood in my stool, but the amount is small, just a few drops.
About two to three weeks ago, I experienced sudden abdominal cramping in the middle of the night, but the pain went away when I got up.
I would like to know, if I have colon cancer, will I experience bleeding every time I have a bowel movement, or can it be intermittent? Will I frequently have abdominal cramping, or is that not certain? I looked up some information online, but the more I think about it, the more anxious I become.
Please provide a professional explanation.
Thank you.

Awei, 20~29 year old female. Ask Date: 2010/04/19

Dr. Ke Fangxu reply Surgery


Hello: In response to your question, at the age of 27, rectal bleeding is generally not first suspected to be colorectal cancer, as the likelihood of developing colorectal cancer at this age, while not zero, is extremely low.
It is usually caused by hemorrhoidal bleeding.
If there are no further episodes of bleeding, it is advisable to continue monitoring the situation.
However, if the bleeding recurs, further examination is recommended.
The same applies to abdominal pain; colorectal cancer does not have specific symptoms.
If you are truly unable to find peace of mind, you may consider undergoing a colonoscopy at a hospital, which can provide you with a definitive answer.

Reply Date: 2010/04/19

More Info


When it comes to colon cancer, understanding the symptoms and knowing when to seek medical help is crucial. Colon cancer, also known as colorectal cancer, can manifest in various ways, and not all patients will experience the same symptoms.
One of the most common symptoms of colon cancer is a change in bowel habits, which may include diarrhea, constipation, or a change in the consistency of your stool. Blood in the stool is another significant symptom; however, it does not always occur. Some patients may notice blood only occasionally, while others may experience it more frequently. The presence of blood can be bright red, indicating it may be coming from the lower part of the colon or rectum, or it can be darker, suggesting it may be from higher up in the gastrointestinal tract.
Abdominal pain can also be a symptom of colon cancer, but it is important to note that not everyone with colon cancer will experience pain. Some individuals may have intermittent abdominal discomfort or cramping, which can sometimes be mistaken for other gastrointestinal issues. The pain may not be constant and can vary in intensity. In your case, the sudden abdominal cramping you experienced could be related to various factors, including dietary changes, gastrointestinal infections, or even stress.
It is essential to understand that while these symptoms can be indicative of colon cancer, they can also be associated with other conditions, such as hemorrhoids, diverticulitis, or inflammatory bowel disease. Therefore, experiencing one or more of these symptoms does not automatically mean you have colon cancer. However, it is crucial to take these symptoms seriously and consult a healthcare professional for a thorough evaluation.

If you are experiencing blood in your stool or significant abdominal pain, it is advisable to seek medical attention promptly. A healthcare provider may recommend a colonoscopy, which is a procedure that allows for direct visualization of the colon and rectum, and can also facilitate biopsy of any suspicious lesions. Early detection is key in managing colon cancer effectively, as the prognosis is significantly better when the disease is caught in its early stages.

In summary, while symptoms such as blood in the stool and abdominal pain can be associated with colon cancer, they are not definitive indicators of the disease. The frequency and severity of these symptoms can vary widely among individuals. If you are concerned about your symptoms, it is crucial to consult a healthcare professional who can guide you through the necessary diagnostic steps and provide appropriate care. Remember, early intervention can make a significant difference in outcomes for conditions like colon cancer.

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