Weight Loss and Colon Cancer: When to Be Concerned? - Gastroenterology and Hepatology

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I would like to ask, regarding colorectal cancer, is it necessary to be concerned about weight loss only if it is significant, or should even a loss of one or two kilograms be taken seriously? Additionally, how can one determine if stool has become thinner? Thank you for your response.

123, 20~29 year old female. Ask Date: 2015/07/18

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: Significant weight loss refers to a reduction of 10% of the original body weight within 6 months, or a rapid decrease of 5% within 1 month.
A change in stool caliber, specifically thinner stools that consistently remain narrow, may indicate that a colorectal tumor is occupying space in the colon.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2015/07/18

More Info


When it comes to weight loss and its potential association with colon cancer, it is essential to understand the nuances of what constitutes significant weight loss and the accompanying symptoms that may warrant concern.
In general, a meaningful or concerning weight loss is defined as a loss of 10% of your body weight over a period of six months or a rapid loss of 5% in one month. For example, if someone weighs 70 kg, a weight loss of 7 kg over six months or 3.5 kg in one month would be considered significant and should prompt further evaluation. However, losing a couple of kilograms, especially if it is part of a deliberate weight loss plan through diet and exercise, may not be alarming.
In your case, if you have been actively trying to lose weight through healthy eating and exercise, the weight loss you are experiencing may not be a cause for concern. However, if the weight loss occurs without any intentional effort, or if it is accompanied by other symptoms such as fatigue, changes in appetite, or gastrointestinal issues, it is essential to seek medical advice.

Regarding changes in stool consistency, particularly if you notice that your stools have become thinner or pencil-like, this can be a sign of a potential obstruction in the colon, which may be caused by a mass or tumor. If you observe that your stools are consistently thinner than usual, or if this change persists, it is advisable to consult a healthcare professional for further evaluation.
In summary, while weight loss can be a symptom of colon cancer, it is crucial to consider the context in which it occurs. If you are intentionally losing weight through healthy lifestyle changes, it is likely not a cause for concern. However, if you experience significant weight loss without trying, or if you have other concerning symptoms, it is essential to consult a healthcare provider. Regular screenings, especially if you have a family history of colon cancer, are also vital in early detection and prevention.
In conclusion, if you are experiencing significant weight loss or changes in your bowel habits, it is always best to err on the side of caution and seek medical advice. Early detection can make a significant difference in outcomes for conditions like colon cancer.

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