Is It Hemorrhoids or Colon Cancer? Your Symptoms at 20

Is it hemorrhoids or colon cancer? I'm very scared!!!

I have developed a small, soft growth around my anus (could it be hemorrhoids?).
Throughout my life, I have had regular bowel movements, usually two to three times a day, and my digestion is good! Regardless of what I eat or drink, I can usually have a bowel movement within one to two hours.
However, sometimes if I don't drink enough water, my stool can become a bit hard, which stretches my anus and causes bleeding.

In the past year, I have been sitting for long periods, and sometimes I don't clean myself thoroughly after a bowel movement, which can leave residue at the anal opening.
Could this lead to hemorrhoids? The small growth I feel doesn't hurt and doesn't bleed (unless I haven't been drinking water for a few days, which causes hard stools that lead to bleeding).

Can you tell me if this is hemorrhoids or colon cancer? Which one is more unlikely? I'm really scared because I don't experience pain during bowel movements (as long as I drink water).
If I go a few days without drinking water, my stool becomes hard and causes bleeding.
This past year, since starting college and living in a dorm, my sleep schedule has been later; could that be related?
As for colon cancer symptoms, I haven't experienced weight loss or loss of appetite, which are two key indicators.
I only have this small growth and occasionally hard stools that lead to anal fissures.
Is this hemorrhoids? The soft growth around my anus doesn't hurt; will I need surgery? I'm only 20 years old; could this be colon cancer?

A Gui, 20~29 year old female. Ask Date: 2012/03/04

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, Miss A-Gui.

1.
That should be anal polyps and external warts.

2.
The bleeding is caused by constipation and internal warts.

3.
The tendency for loose stools is due to irritable bowel syndrome (rapid peristalsis).

4.
You can visit a gastroenterologist for medication management and adjust your diet to regular timing and portion sizes.
Increase your water intake and consume more fruits and vegetables.
Relax and take care of your health.

Dr.
Chen Shidian, Changhua Hospital.

Reply Date: 2012/03/04

More Info

At the age of 20, the likelihood of developing colon cancer is relatively low, especially in the absence of significant risk factors such as a family history of colorectal cancer or specific genetic conditions. However, it is important to be vigilant about any symptoms that may arise, as early detection can be crucial for effective treatment.

From your description, it seems that you are experiencing symptoms that are more consistent with hemorrhoids rather than colon cancer. Hemorrhoids, or piles, are swollen veins in the lower rectum and anus that can cause discomfort, bleeding, and the formation of soft tissue around the anal area. The fact that you mentioned the soft tissue around your anus does not cause pain and only bleeds when your stool is hard suggests that this is likely a hemorrhoid. Hard stools can lead to straining during bowel movements, which can exacerbate hemorrhoids and cause anal fissures, leading to bleeding.

Your bowel habits, as you described, appear to be normal, with regular daily bowel movements. This is a positive sign, as significant changes in bowel habits, such as persistent diarrhea or constipation, can be warning signs for more serious conditions, including colon cancer. Additionally, the absence of other concerning symptoms such as weight loss, decreased appetite, or abdominal pain further reduces the likelihood of a serious condition.

It's also worth noting that lifestyle factors, such as prolonged sitting and inadequate hydration, can contribute to the development of hemorrhoids and constipation. Since you mentioned that you have been sitting for long periods and sometimes do not drink enough water, these habits can lead to harder stools, which in turn can cause straining and bleeding. Maintaining proper hydration and a diet rich in fiber can help prevent these issues.
If you are concerned about the soft tissue growth around your anus, it is advisable to consult a healthcare professional for a proper evaluation. They can confirm whether it is indeed hemorrhoids and discuss potential treatment options. In many cases, lifestyle changes, such as increasing fiber intake, drinking more water, and avoiding prolonged sitting, can help alleviate symptoms. If the hemorrhoids are causing significant discomfort or do not improve with conservative measures, medical treatments or procedures may be necessary.

In summary, while your symptoms are concerning, they are more indicative of hemorrhoids rather than colon cancer, especially given your age and the absence of alarming symptoms. However, it is always best to seek medical advice for a definitive diagnosis and to discuss any necessary lifestyle adjustments or treatments. Regular check-ups and being attentive to your body are key in maintaining good health.

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