Bowel Issues: When to Worry About Symptoms at 18 - Surgery

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Bowel issues


I've been experiencing abdominal pain for the past few days, followed by diarrhea.
However, today the pain is particularly severe, and the stool is in long, thick pieces, slightly thicker than my index finger, with some transparent substance on top.
I'm almost 18...
Could this be colon cancer?

Yun, 10~19 year old female. Ask Date: 2015/09/20

Dr. Ke Fangxu reply Surgery


It is likely not colorectal cancer.
The abdominal pain for several days may be due to irritable bowel syndrome or gastroenteritis, both of which can increase mucus secretion in the intestines, which is what you are seeing as the "clear substance." It is recommended to follow a light diet for a few days.
If the abdominal pain alleviates and you no longer see mucus, there is no need for concern.
However, if the symptoms persist, you should see a doctor.

Reply Date: 2015/09/20

More Info


When it comes to bowel issues, especially at a young age like 18, it's understandable to feel concerned about symptoms such as abdominal pain and changes in stool consistency. Your description of experiencing abdominal pain followed by diarrhea, along with the appearance of your stool, raises some important points to consider.

Firstly, it's essential to recognize that many gastrointestinal issues, particularly in younger individuals, are often related to functional disorders rather than serious conditions like cancer. One common condition that could explain your symptoms is Irritable Bowel Syndrome (IBS), which is characterized by abdominal pain and changes in bowel habits without any identifiable structural abnormalities. IBS can be triggered by various factors, including stress, dietary choices, and lifestyle changes.

The presence of transparent mucus in your stool can also be associated with IBS or other benign conditions. Mucus is a normal component of stool, and its increased presence can indicate irritation in the intestines. However, if you are experiencing significant pain, especially if it is severe or persistent, it is crucial to seek medical attention.

While the concern about colorectal cancer is valid, especially with symptoms like changes in bowel habits and abdominal pain, it is important to note that colorectal cancer is relatively rare in individuals under 50. Symptoms of colorectal cancer typically include blood in the stool, significant weight loss, and changes in bowel habits that persist over time. Since you mentioned that your stool is shaped and has a consistency that is not typical for diarrhea, it is less likely to be indicative of cancer.

Given your age and the nature of your symptoms, it is advisable to consider the following steps:
1. Dietary Review: Assess your diet for any potential irritants. High-fat foods, dairy, and certain carbohydrates can exacerbate gastrointestinal symptoms. Keeping a food diary may help identify triggers.

2. Hydration: Ensure you are drinking enough fluids, especially if you are experiencing diarrhea, as dehydration can worsen abdominal pain and discomfort.

3. Stress Management: Since stress can significantly impact gut health, consider incorporating stress-reducing activities into your routine, such as exercise, meditation, or hobbies that you enjoy.

4. Medical Consultation: If your symptoms persist, worsen, or if you experience additional concerning symptoms (such as blood in your stool, severe weight loss, or persistent vomiting), it is crucial to consult a healthcare professional. They may recommend tests such as blood work, stool analysis, or imaging studies to rule out any serious conditions.

5. Follow-Up: If you have already seen a doctor and received a diagnosis, follow their recommendations closely. If your symptoms do not improve with initial treatment or lifestyle changes, a follow-up appointment may be necessary to reassess your condition.

In summary, while your symptoms may be concerning, they are more likely related to a functional gastrointestinal disorder rather than a serious condition like colorectal cancer. However, it is always best to err on the side of caution and consult with a healthcare provider to ensure proper evaluation and management of your symptoms. Your health is important, and addressing these issues early can lead to better outcomes.

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