Symptoms of Colon Cancer: What You Need to Know - Gastroenterology and Hepatology

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Fear of colorectal cancer?


A few days ago, I noticed blood in my stool, and the color was very red.
Sometimes there was so much blood that it stained the toilet paper, but I was still able to pass stool.
I had previously experienced hemorrhoids, but after treatment, my bowel movements returned to normal.
However, in the past few days, I've noticed that my stools have been large and hard, and when I wipe, it appears to be a light yellow, watery substance.
The day before yesterday, I noticed that my stool seemed to be narrower (though it was still bulky and sank).
Yesterday, I had two large bowel movements after eating kimchi hot pot, and about 30 minutes later, I took a shower.
After showering, I quickly ate watermelon, and then I had to go to the bathroom again (this time it was watery).
My stomach felt a bit painful, and when I lay on my side in bed, I could hear my intestines moving.
Today, I haven't eaten much, and I had a small bowel movement, but it was just a little bit (and then I didn't feel the urge to go again).
I just weighed myself, and I've dropped from 83.5 kg to 81.5 kg in just a week or two.
I've been exercising regularly (playing basketball, billiards, river tracing, and bowling).
I was planning to go to the hospital for a check-up next week, but I'm still worried, so I wanted to ask.
I'm only 22 years old, and I've only started exercising in the past two weeks! My stomach doesn't hurt, though!

Xiao Li, 20~29 year old female. Ask Date: 2014/10/08

Dr. Chen Qifeng reply Gastroenterology and Hepatology


Hello: Based on the symptoms, the likelihood of hemorrhoids is the highest.
Please visit a colorectal specialist.
Wishing you safety and health.
Dr.
Chi-Feng Chen, Gastroenterology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2014/10/08

More Info


Understanding the symptoms of colon cancer is crucial, especially when experiencing unusual changes in bowel habits or rectal bleeding. Your description of bright red blood in your stool, changes in stool consistency, and weight loss are concerning and warrant further evaluation. While it is understandable to feel anxious about these symptoms, it is essential to approach the situation with a clear understanding of what these signs may indicate.

Firstly, the presence of bright red blood in the stool can be attributed to several causes, ranging from benign conditions such as hemorrhoids or anal fissures to more serious issues like colorectal cancer. Hemorrhoids, which are swollen blood vessels in the rectal area, can cause bleeding, especially during bowel movements. Similarly, anal fissures, which are small tears in the lining of the anus, can also lead to pain and bleeding. However, the fact that you have experienced changes in your stool size and consistency, such as narrower stools, can be a red flag. Narrow stools can sometimes indicate a blockage or mass in the colon, which could be due to a tumor.

The changes in your bowel habits, including alternating between normal and watery stools, along with abdominal discomfort, could suggest an underlying gastrointestinal issue. While stress and dietary changes can contribute to gastrointestinal disturbances, persistent symptoms should not be ignored. The weight loss you mentioned, dropping from 83.5 kg to 81.5 kg in a short period, is also a significant concern. Unintentional weight loss can be a symptom of various health issues, including cancer.

At the age of 22, while the risk of developing colon cancer is lower compared to older adults, it is not impossible. Factors such as family history, genetic predispositions, and lifestyle choices can influence your risk. Given your symptoms, it is prudent to follow through with your plan to visit a healthcare provider for a thorough evaluation. A healthcare professional may recommend a colonoscopy, which is a procedure that allows for direct visualization of the colon and rectum, and can help identify any abnormalities or lesions.

In addition to a colonoscopy, your doctor may also suggest other diagnostic tests, such as imaging studies or blood tests, to assess your overall health and rule out other potential causes of your symptoms. It is essential to communicate all your symptoms clearly to your healthcare provider, including the frequency and nature of your bowel movements, any pain or discomfort, and your recent weight loss.

While it is natural to feel anxious about the possibility of a serious condition, it is important to remember that many gastrointestinal issues can be managed effectively with appropriate medical care. Early detection and intervention are key in managing any potential health issues, including colon cancer. Therefore, seeking medical advice promptly is the best course of action.

In summary, while your symptoms may be indicative of a benign condition, they could also signal something more serious. It is crucial to consult with a healthcare professional who can provide a comprehensive evaluation and guide you through the necessary steps for diagnosis and treatment. Remember, taking proactive steps regarding your health is always the best approach.

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