Symptoms of Colon Issues: Risks and Concerns - Gastroenterology and Hepatology

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What are the symptoms if there is a growth in the colon?


1.
Is the likelihood of developing colon cancer high at the age of 29?
2.
If there is rectal bleeding due to colon cancer, is it possible for it to occur and then stop on its own, or will the bleeding progressively increase with each bowel movement?
3.
I have had gastroesophageal reflux for a long time, and I have been experiencing a dull pain in my upper abdomen for over a year.
Doctors have said it is caused by esophagitis, but I am concerned that it may not be related to the esophagus due to its duration.
I would like to ask if the dull pain in my left upper abdomen, near the lower edge of my left chest, could indicate a problem with the left colon, even though I have not experienced severe pain, my appetite is normal, and I have not lost weight—in fact, I am gaining weight.

4.
I am asking this because I have had mucus in my stool, but no blood.
A few days ago, there was some bleeding, but it was just that once and very minimal; since then, there has been no bleeding, and the shape of my stool is normal.
Could this indicate a problem with my colon? Thank you, doctor, for your professional judgment and response!

Chen Sheng, 30~39 year old female. Ask Date: 2015/10/07

Dr. Cai Jinji reply Gastroenterology and Hepatology


There are various symptoms associated with growths in the colon, which may range from asymptomatic to diarrhea, constipation, or bleeding.
1.
At 29 years old, without a family history, the likelihood of colorectal cancer is low, but there is still a possibility.
2.
All symptoms are possible, and it is advisable to consult a physician.
3.
To determine if there is an issue, it is recommended to visit a hospital for a comprehensive evaluation by a physician.

Reply Date: 2015/10/07

More Info


When it comes to understanding colon issues and the associated risks and concerns, it's essential to consider various factors, including age, symptoms, and medical history. Let's address your questions one by one.

1. Risk of Colon Cancer at Age 29: The risk of developing colon cancer at the age of 29 is relatively low compared to older age groups, as the majority of cases occur in individuals over 50. However, certain risk factors can increase the likelihood of developing colon cancer at a younger age, including a family history of colorectal cancer, certain genetic syndromes (like Lynch syndrome), inflammatory bowel diseases (such as Crohn's disease or ulcerative colitis), and lifestyle factors (like a diet high in red or processed meats and low in fiber). If you have concerns about your risk, it’s advisable to discuss them with your healthcare provider, who may recommend screening or genetic counseling based on your family history and symptoms.

2. Blood in Stool and Its Variability: If you experience blood in your stool, it can be alarming. In cases of colon cancer, bleeding may not always be consistent; some individuals may notice intermittent bleeding that can stop and start. However, it’s crucial to understand that any instance of blood in the stool should be evaluated by a healthcare professional. While some benign conditions (like hemorrhoids or anal fissures) can cause intermittent bleeding, persistent or increasing amounts of blood should prompt further investigation, such as a colonoscopy, to rule out serious conditions.

3. Upper Abdominal Pain and Its Relation to Colon Issues: Your description of persistent upper abdominal discomfort, particularly near the left upper quadrant, raises some concerns. While gastroesophageal reflux disease (GERD) can cause discomfort in this area, it’s important to consider other potential causes, including issues related to the colon, such as diverticulitis or even splenic conditions. The fact that you have not experienced significant weight loss or changes in appetite is reassuring, but it does not completely rule out gastrointestinal issues. If the pain persists or worsens, further evaluation, including imaging studies or endoscopy, may be warranted to determine the underlying cause.

4. Mucus in Stool and Its Implications: The presence of mucus in your stool can be a normal occurrence, but it can also indicate underlying gastrointestinal issues, particularly if accompanied by other symptoms like changes in bowel habits or abdominal pain. The fact that you had a one-time occurrence of blood in your stool, followed by normal bowel movements, is worth noting. However, if you continue to notice mucus or any changes in your bowel habits, it’s essential to consult with a healthcare provider for a thorough evaluation. Conditions like irritable bowel syndrome (IBS), infections, or inflammatory bowel disease can present with mucus in the stool.

In summary, while your age may lower the immediate risk of colon cancer, any symptoms such as blood in the stool, persistent abdominal pain, or changes in bowel habits warrant a thorough evaluation by a healthcare professional. Early detection and intervention are key in managing gastrointestinal issues effectively. Regular screenings and open communication with your healthcare provider about your symptoms and concerns are vital in maintaining your gastrointestinal health.

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