Digestive Issues: Should You Worry About Colon Cancer?

Q: Digestive Issues: Should You Worry About Colon Cancer?

Hello： It is recommended to start by improving dietary habits (increase hydration and intake of fruits and vegetables) and to reduce the consumption of irritating foods or beverages. <br>Your condition may also be related to mood factors causing irritable bowel syndrome symptoms;

Gastrointestinal tract and bowel movements?

Dr.
Tsai, I have been experiencing some unusual bowel movements over the past month.
My stools are formed but somewhat mushy, with brownish, string-like lines on them, or they are formed but slightly smaller or thinner (golden yellow).
Occasionally, I have banana-shaped stools.
Additionally, I wake up in the morning with burping, even though I haven't eaten anything, and it occurs about every half hour, continuing until the afternoon, with less frequency by evening.
The burping is particularly severe in the morning.
I don't have much abdominal pain, only a noticeable pain when I really need to have a bowel movement, which goes away after I do.
I have seen a gastroenterologist twice; during the first visit, an abdominal ultrasound indicated intestinal inflammation, but during the second visit, nothing was mentioned.
When I asked if I needed a colonoscopy, he said it wasn't necessary yet.
Given my family history of colon cancer (my father had it), I am particularly concerned.
Should I go directly to a major hospital for further examination? Is this a sign of potential colon or stomach cancer?

Jian, 20~29 year old female. Ask Date: 2015/12/10

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: It is recommended to start by improving dietary habits (increase hydration and intake of fruits and vegetables) and to reduce the consumption of irritating foods or beverages.
Your condition may also be related to mood factors causing irritable bowel syndrome symptoms; it is advisable to manage stress and engage in some outdoor activities to improve your mood.
If the situation does not improve, it is recommended to consult a gastroenterologist and inform them of your family history of colorectal cancer, so that the physician can determine whether an endoscopy is necessary.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2015/12/10

More Info

When it comes to digestive issues, particularly concerning the possibility of colon cancer, it's understandable to feel anxious, especially given your family history. Let's break down your symptoms and concerns to provide a clearer understanding.

Symptoms and Concerns
1. Bowel Movements: You mentioned that your stools have been somewhat irregular, with descriptions of them being formed but also appearing "mushy" or thin at times. The presence of thin, line-like formations in your stool can be concerning, as it may indicate a narrowing of the bowel, which can occur with certain conditions, including tumors. However, variations in stool shape can also be attributed to dietary changes, hydration levels, and other benign factors.

2. Gas and Bloating: The persistent belching and gas, especially upon waking, can be linked to various gastrointestinal issues, including gastritis, food intolerances, or even anxiety. While these symptoms can be uncomfortable, they are not specific indicators of cancer.

3. Pain During Bowel Movements: Experiencing pain only when you have the urge to defecate can suggest a localized issue, such as hemorrhoids or anal fissures, rather than a systemic problem like cancer.

Family History and Risk Factors
Given that your father had colon cancer, your concern is valid. Family history is a significant risk factor for developing colorectal cancer. The general recommendation is that individuals with a first-degree relative diagnosed with colorectal cancer should begin screening at an earlier age than the standard recommendation of 45 years. In your case, it may be prudent to discuss with your healthcare provider the possibility of earlier screening, such as a colonoscopy.

Diagnostic Steps
1. Consultation with a Specialist: Since you have already seen a gastroenterologist twice, it may be beneficial to seek a second opinion or request a referral to a specialist who focuses on colorectal health. They can provide a more comprehensive evaluation of your symptoms.

2. Endoscopy: While your doctor suggested that an endoscopy is not yet necessary, if your symptoms persist or worsen, it would be reasonable to advocate for this procedure. A colonoscopy can provide direct visualization of the colon and allow for biopsies of any suspicious areas.

3. Imaging Studies: The abdominal ultrasound you underwent is a good initial step, but if your symptoms continue, further imaging, such as a CT scan, may be warranted to rule out any structural abnormalities.

Conclusion
While your symptoms could be indicative of various gastrointestinal issues, including benign conditions, your family history of colon cancer necessitates a cautious approach. It is essential to communicate your concerns clearly with your healthcare provider and advocate for appropriate screening and diagnostic tests. Early detection is key in managing any potential issues, including colorectal cancer.
In summary, while your symptoms alone do not definitively indicate colon cancer, given your family history, it is advisable to pursue further evaluation. Don't hesitate to seek a second opinion or request more thorough testing if your symptoms persist. Your health and peace of mind are paramount.

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