Could My Symptoms Indicate Colon Cancer or Polyps? - Oncology

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Do I have cancer?


Hello, I would like to explain my previous health condition: I usually experience constipation and am prone to diarrhea, which I attribute to irritable bowel syndrome.
Sometimes, I notice bleeding during constipation, which I believe is due to hemorrhoids.
Recently, I have observed brown discharge (which I have experienced before), and after bowel movements, it seems that there are streaks of blood mixed with brown mucus when I wipe with toilet paper.
There is no pain during the bowel movement (so it may not be hemorrhoids?).
I would like to know if this could be colorectal cancer or polyps.
Thank you.
>_<

Qingqing, 10~19 year old female. Ask Date: 2015/10/23

Dr. Lai Yicheng reply Oncology


Dear Ms.
Ching-Ching,
Regarding your inquiry, you may visit the gastroenterology outpatient clinic for a specialist evaluation to determine whether a colonoscopy is necessary and to assess the appropriate type.
Changhua Hospital cares about your well-being.

Sincerely,
Director Lai, Department of Radiation Oncology

Reply Date: 2015/10/23

More Info


Your symptoms certainly warrant attention, but they do not definitively indicate colon cancer or polyps. It's important to understand that while certain symptoms can be associated with more serious conditions, they can also arise from less severe issues.
Based on your description, you have a history of alternating constipation and diarrhea, which is often associated with irritable bowel syndrome (IBS). IBS is a functional gastrointestinal disorder characterized by symptoms like abdominal pain, bloating, and changes in bowel habits. The presence of blood or brownish mucus in your stool can be concerning, but it is essential to consider the context and other accompanying symptoms.

The fact that you experience blood during bowel movements, especially if it is bright red, could suggest hemorrhoids, particularly if you have a history of constipation. Hemorrhoids can cause bleeding, especially when straining during bowel movements. However, the presence of brown mucus and blood streaks could also indicate other conditions, such as anal fissures or even infections.

While colon cancer is a possibility, especially if you have a family history of gastrointestinal cancers, it is relatively rare in younger individuals. The symptoms of colon cancer can include changes in bowel habits, blood in the stool, unexplained weight loss, and persistent abdominal discomfort. However, many of these symptoms overlap with benign conditions, making it crucial to undergo appropriate diagnostic evaluations.

Given your symptoms, it would be wise to consult a gastroenterologist. They may recommend a colonoscopy, which is the gold standard for diagnosing conditions like polyps or cancer. A colonoscopy allows for direct visualization of the colon and rectum, and any suspicious lesions can be biopsied for further analysis.

In the meantime, consider keeping a symptom diary. Note the frequency and consistency of your bowel movements, any dietary changes, and the presence of any additional symptoms like weight loss or fatigue. This information can be invaluable for your healthcare provider in determining the next steps.

Additionally, lifestyle modifications can help manage your symptoms. Increasing your fiber intake through fruits, vegetables, and whole grains can help regulate bowel movements. Staying hydrated is also crucial, as it can prevent constipation and promote overall digestive health. If you suspect that certain foods exacerbate your symptoms, consider an elimination diet to identify potential triggers.

In summary, while your symptoms could be concerning, they are not definitive indicators of colon cancer or polyps. A thorough evaluation by a healthcare professional is essential to rule out serious conditions and to provide you with peace of mind. Remember, early detection and intervention are key to managing any health concerns effectively.

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