Blood in Stool: Is It Hemorrhoids or Colon Cancer?

Q: Blood in Stool: Is It Hemorrhoids or Colon Cancer?

Hello： For a 23-year-old like Xiao Jie, rectal bleeding is more commonly associated with conditions such as hemorrhoids and anal fissures, while the likelihood of colorectal cancer is relatively low. <br>Given that he has had hemorrhoids since childhood, the cause of the bleeding

Having hemorrhoids with blood in the stool?

1.
I have had hemorrhoids since childhood, and I started noticing blood in my stool around high school.
A few days ago, I even wiped away a blood clot.
Today, my stool is not hard, and there is no pain in my anus, but I still wiped away a significant amount of blood, enough to clean with about one tissue.
Is it possible that this could be colon cancer?
2.
If there is a tumor in the intestines, could it cause soreness in the left lower back and buttock area? Recently, after having a lipoma removed from that area, I still feel pain nearby after sitting for about one to two hours.

Xiao Jie, 20~29 year old female. Ask Date: 2015/05/11

Dr. Cai Xingzhi reply Surgery

Hello: For a 23-year-old like Xiao Jie, rectal bleeding is more commonly associated with conditions such as hemorrhoids and anal fissures, while the likelihood of colorectal cancer is relatively low.
Given that he has had hemorrhoids since childhood, the cause of the bleeding may be related to the hemorrhoids, or it could be due to other gastrointestinal disorders.
It is advisable to consult a gastroenterologist or a colorectal surgeon for a proper diagnosis and treatment.

Reply Date: 2015/05/11

More Info

When it comes to the presence of blood in stool, it is essential to differentiate between various potential causes, including hemorrhoids and more serious conditions like colon cancer. Your history of hemorrhoids is significant, as they are a common cause of rectal bleeding, especially if you have experienced this symptom since high school. Hemorrhoids can cause bright red blood on the surface of the stool or on toilet paper, particularly after a bowel movement. This is often due to the irritation and trauma to the delicate blood vessels in the anal area, especially if the stool is hard or if there is straining involved.

In your case, the fact that your stool is not hard and you do not experience pain during bowel movements suggests that hemorrhoids could still be the primary cause of your bleeding. However, the amount of blood you describe—enough to saturate a piece of toilet paper—should not be overlooked. While hemorrhoids can cause significant bleeding, it is crucial to monitor the situation closely. If the bleeding persists, increases, or is accompanied by other symptoms such as changes in bowel habits, weight loss, or abdominal pain, further evaluation is warranted.

Regarding your concern about colon cancer, it is important to note that while rectal bleeding can be a symptom of colon cancer, it is not the only indicator. Colon cancer may present with other symptoms such as changes in stool consistency, unexplained weight loss, abdominal discomfort, or a feeling of incomplete evacuation. Given your age and the fact that you have a history of hemorrhoids, the likelihood of colon cancer is lower, but it is not impossible, especially considering your family history of cancer.

As for your second question regarding whether a tumor in the intestines can cause pain in the lower back or buttocks, it is possible. Tumors can cause referred pain or discomfort in nearby areas, including the back. However, pain in the lower back can also arise from various other conditions unrelated to the intestines, such as musculoskeletal issues, nerve compression, or even residual discomfort from the removal of a lipoma.

In summary, while your symptoms may be consistent with hemorrhoids, the presence of blood in the stool warrants careful monitoring. It is advisable to consult with a healthcare provider, preferably a gastroenterologist, who can perform a thorough evaluation, which may include a digital rectal exam, colonoscopy, or other diagnostic tests to rule out more serious conditions, including colon cancer. Regular screenings, especially if you have a family history of colorectal cancer, are essential for early detection and prevention.

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