Your Concerns About Colon Cancer: Expert Advice - Gastroenterology and Hepatology

Colorectal cancer concerns?

Hello Doctor, in recent years I have been having bowel movements about 2 to 3 times a day, usually concentrated in the morning after waking up or around dinner time.
Often, after having a bowel movement in the morning, I will have a second one about an hour later, but both are relatively smooth.
I have been diagnosed with hemorrhoids in the past, which usually do not cause pain, although occasionally I notice bright red blood during bowel movements, which is also painless.
A year ago, I had a fecal occult blood test that came back normal, and a colonoscopy performed at the clinic was also normal with no polyps found.
I do not have any other discomforting symptoms, my weight has been stable, and there is no family history of colorectal cancer.
I am a bit worried about the possibility of colorectal cancer and feel somewhat resistant to undergoing lower gastrointestinal imaging.
What do you recommend, Doctor? Happy New Year!

Mu Zai, 40~49 year old female. Ask Date: 2011/01/27

Dr. Lin Minghui reply Gastroenterology and Hepatology

Hello, having more frequent bowel movements is noted.
A colonoscopy has shown normal results, but it is advised to pay attention if there is blood in the stool.
It is recommended to increase fiber intake to help form well-structured stools.
If there is blood in the stool, an anoscopy or sigmoidoscopy may be performed.
Wishing you good health.
Dr.
Lin Ming-Hui, Taoyuan Hospital, Department of Health.

Reply Date: 2011/01/27

More Info

Hello! Thank you for reaching out with your concerns regarding colon cancer. It's understandable to feel anxious about your bowel habits and the potential for serious conditions like colon cancer, especially given your family history and personal experiences. Let's break down your situation and address your concerns.

From what you've described, your bowel habits appear to be relatively normal. Having two to three bowel movements a day can be typical for some individuals, especially if you have a diet rich in fiber. The presence of hemorrhoids, which you mentioned, can often lead to minor bleeding during bowel movements, particularly if there is straining involved. This bleeding is usually not a cause for alarm, especially if it is minimal and not accompanied by pain.

You noted that you had a fecal occult blood test a year ago that returned normal results, and your colonoscopy also showed no polyps or abnormalities. These are both positive indicators. Colonoscopy is one of the most effective screening tools for colon cancer, as it allows for direct visualization of the colon and the opportunity to remove any polyps before they can develop into cancer. The fact that you have had normal results from these tests significantly lowers your risk for colon cancer at this time.

Regarding your concerns about colon cancer, it’s important to remember that the risk factors for colon cancer include age, family history, certain genetic conditions, and lifestyle factors such as diet and exercise. Since you mentioned that there is no family history of colon cancer and your previous screenings have been normal, your risk appears to be lower. However, it is always wise to remain vigilant about any changes in your bowel habits or overall health.

If you are feeling apprehensive about undergoing further imaging or tests, it might be helpful to discuss these feelings with your healthcare provider. They can provide reassurance and explain the necessity of such tests in the context of your overall health. If you are experiencing any new symptoms, such as significant changes in bowel habits, unexplained weight loss, or persistent abdominal pain, these should be discussed with your doctor as they could warrant further investigation.

In terms of lifestyle, maintaining a balanced diet rich in fruits, vegetables, and whole grains can help support digestive health. Regular physical activity is also beneficial. Staying hydrated and managing stress can contribute positively to your overall well-being.

If you are still concerned about your risk for colon cancer, you might consider discussing with your doctor the possibility of genetic counseling, especially if there are any other risk factors present. They can help you understand your risk and whether additional screening might be appropriate.

In summary, based on your current health status and history, it seems that you are at a lower risk for colon cancer. However, staying proactive about your health by maintaining regular check-ups and being aware of any changes in your body is crucial. If you have any further questions or concerns, don’t hesitate to reach out to your healthcare provider. Wishing you a happy and healthy New Year!

Similar Q&A

Am I at High Risk for Colon Cancer? Understanding Family History and Symptoms

Dear Dr. Chen, My older brother was recently diagnosed with colon cancer (malignant tumor measuring three centimeters) at Linkou Chang Gung Memorial Hospital, but fortunately, it has not spread yet! My father also underwent surgery to remove colon polyps two years ago. Am I cons...

Dr. Chen Shidian reply Gastroenterology and Hepatology
Hello, sir: It is indeed related to stress-induced abnormal colonic motility (not related to colorectal cancer). You can learn relaxation techniques in your daily life, and if necessary (during critical moments), you may take medication for control. Additionally, due to your fami...

Understanding Blood in Stool: Should You Worry About Colon Cancer?

Hello, doctor! Today, after having a bowel movement, I noticed some bleeding, dark red in color and not much in quantity. I have never had hemorrhoids before, and I experienced this situation a long time ago as well; today is the second time. My diet is generally normal, I drink ...

Dr. Ke Fangxu reply Surgery
This situation likely indicates a higher possibility of hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a concern. It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements. Warm sitz baths may als...

Understanding Colorectal Cancer Risks and Screening Concerns

Hello Doctor, I am a student living away from home. Recently, I have been browsing various articles on this website and have greatly benefited from them. However, I still have some questions I would like to ask you. My direct relatives on my father's side are considered a hi...

Dr. Ke Fangxu reply Surgery
First, let's clarify a concept: having a family member with colorectal cancer is different from hereditary colorectal cancer. In the former case, an individual's risk of developing colorectal cancer increases by twofold, from 0.03% to 0.06%, so no special preventive mea...

Understanding Your Gastrointestinal Health: Risks and Follow-Up Care

First of all, thank you very much for your response, Doctor. I still have some concerns regarding my previous question that I would like to clarify. You mentioned that my colonoscopy and gastroscopy results were normal, which is good news, and that there is no cancer risk in the ...

Dr. Chen Shidian reply Gastroenterology and Hepatology
It has been calculated since the last examination date. Additionally, further weight loss can also reduce the risk of cancer.