Could It Be Colon Cancer? Symptoms and Concerns - Gastroenterology and Hepatology

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Is it colorectal cancer?


Hello Doctor: I often suffer from constipation and have a diet that consists mainly of fried meats, salty foods, and I do not eat vegetables or fruits.
Recently, I experienced constipation again, and when I finally had the urge to go, I noticed a significant amount of dark red and bright red blood on the toilet paper.
In the past, I would only see a small amount of blood, but this time it was much more.
Additionally, I have been experiencing pain in the area three fingers above my navel, along with burping, flatulence, and a feeling of nausea after eating, although my appetite remains normal.
I feel very full after eating, and now I am starting to experience constipation again.
I am also overweight.
I have looked online and most sources mention colon cancer or hemorrhoids, but I have not yet undergone any examinations.
I would like to ask if the symptoms I described could indicate colon cancer or if there might be other underlying causes.
I sincerely request your guidance, thank you!

Chen, 30~39 year old female. Ask Date: 2015/10/03

Dr. Chen Shidian reply Gastroenterology and Hepatology


Hello, Miss: It is likely that you have internal hemorrhoids and irritable bowel syndrome, but it is still recommended to visit a gastroenterology clinic for an examination and to adjust your medication to rule out any concerns.
Changhua Hospital cares about your health.
Chen Shidian

Reply Date: 2015/10/03

More Info


When considering the symptoms you've described, it's essential to approach the situation with a comprehensive understanding of gastrointestinal health and the potential implications of your symptoms. While I cannot provide a diagnosis, I can help clarify some of the concerns you may have regarding colon cancer and other gastrointestinal issues.

Firstly, your symptoms—such as persistent constipation, the presence of blood in your stool (both dark red and bright red), abdominal pain, and feelings of nausea—are indeed concerning and warrant further investigation. Blood in the stool can arise from various sources, including hemorrhoids, anal fissures, diverticular disease, or more serious conditions like colorectal cancer. The fact that you mentioned the blood quantity has increased and that you are experiencing pain in the abdominal area is particularly noteworthy.

Colon cancer, while more common in older adults, can occur in younger individuals, especially those with risk factors such as obesity, a diet high in processed foods and low in fruits and vegetables, and a sedentary lifestyle. Your dietary habits—frequent consumption of fried and salty foods while neglecting fruits and vegetables—could contribute to gastrointestinal issues, including constipation and potentially increase the risk of developing conditions like diverticulitis or even colorectal cancer over time.

The abdominal pain you are experiencing, particularly in the area above your navel, could be related to several factors. It might be a result of increased gas production, which can occur with dietary choices, or it could be indicative of an underlying gastrointestinal condition. The sensation of fullness after eating and the nausea you describe could also be linked to gastrointestinal motility issues, which are often exacerbated by poor dietary habits.

Given your symptoms, it is crucial to seek medical attention. A healthcare professional can perform a thorough evaluation, which may include a physical examination, blood tests, and possibly imaging studies or a colonoscopy. A colonoscopy is particularly important if there is a concern for colorectal cancer, as it allows for direct visualization of the colon and the opportunity to biopsy any suspicious lesions.

In the meantime, consider making some dietary changes. Increasing your intake of fiber-rich foods, such as fruits, vegetables, and whole grains, can help improve bowel regularity and overall digestive health. Staying hydrated is also essential, as it can aid in preventing constipation. Regular physical activity can further enhance gastrointestinal motility and overall well-being.

In summary, while your symptoms could be indicative of several conditions, including colon cancer, they could also be related to less severe issues such as hemorrhoids or dietary-induced gastrointestinal distress. The presence of blood in your stool, especially if it has increased, should not be taken lightly, and I strongly encourage you to consult a healthcare provider for a thorough evaluation and appropriate management. Early detection and intervention are key in addressing any potential health concerns effectively.

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