Could These Symptoms Indicate Colon Cancer? A Gastroenterology Concern - Gastroenterology and Hepatology

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Could you please help me determine if these are symptoms of colorectal cancer?


1.
Recently, I noticed a small amount of light blood in my stool, which seemed to come from a wound.
2.
I have been experiencing sudden abdominal pain, and when I try to have a bowel movement, I only pass 1 to 2 small pieces of stool and then feel no further urge.
The stool appears to be in a diarrhea-like form, and after wiping, it looks somewhat jelly-like, possibly due to mucus.
I have been a picky eater since childhood and do not consume vegetables.
Now at 38 years old, I am concerned whether these symptoms could be indicative of colorectal cancer.

Ha Lin, 30~39 year old female. Ask Date: 2013/01/15

Dr. Chen Qifeng reply Gastroenterology and Hepatology


Hello: It is recommended to consult a colorectal surgeon for further evaluation and treatment, as it may only be hemorrhoids and rectal dysfunction.
Best wishes, Dr.
Chi-Feng Chen, Taoyuan General Hospital, Department of Health.

Reply Date: 2013/01/15

More Info


The symptoms you are experiencing can indeed be concerning, and it's understandable to worry about the possibility of colon cancer, especially given your age and dietary habits. However, it's important to remember that many gastrointestinal issues can present with similar symptoms, and not all of them indicate cancer.
1. Blood in Stool: The presence of blood in your stool, even if it is light and appears to be from a wound, should not be ignored. While this can be a sign of hemorrhoids or anal fissures, it can also indicate more serious conditions, including colorectal cancer. The key is to determine the source of the bleeding, which can only be done through proper medical evaluation.

2. Changes in Bowel Habits: You mentioned experiencing abdominal pain and changes in your bowel movements, such as having only 1-2 small stools that resemble diarrhea. This could indicate a variety of conditions, including irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), or even an obstruction. The fact that your stools appear jelly-like and may contain mucus is also noteworthy. Mucus in stool can be a sign of inflammation in the intestines, which warrants further investigation.

3. Dietary Factors: Your history of a poor diet, particularly one low in fiber and vegetables, can contribute to gastrointestinal issues. A diet lacking in fiber can lead to constipation, which can cause straining during bowel movements and potentially lead to hemorrhoids or fissures, both of which can cause bleeding. Additionally, a low-fiber diet can also affect the consistency and frequency of your stools.

4. Age and Risk Factors: At 38 years old, you are within the age range where colorectal cancer screening is recommended, especially if you have risk factors such as a family history of colorectal cancer or personal history of polyps. The American Cancer Society recommends that individuals at average risk begin screening at age 45, but those with a family history may need to start earlier.

5. Next Steps: Given your symptoms, it is crucial to consult a gastroenterologist. They may recommend a colonoscopy, which is the gold standard for diagnosing colorectal cancer and other gastrointestinal disorders. A colonoscopy allows for direct visualization of the colon and rectum and the opportunity to take biopsies of any suspicious areas.

6. Other Symptoms to Monitor: In addition to the symptoms you’ve described, be aware of other potential warning signs of colorectal cancer, such as unexplained weight loss, persistent abdominal discomfort, changes in appetite, or fatigue. If you experience any of these, it is even more imperative to seek medical attention.

In conclusion, while your symptoms could indicate a range of gastrointestinal issues, including the possibility of colon cancer, it is essential to undergo a thorough evaluation by a healthcare professional. Early detection is key in managing any potential health issues effectively. Please do not delay in seeking medical advice, as timely intervention can significantly improve outcomes.

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