Chronic Gastritis, IBS, and Colorectal Cancer Symptoms

Q: Chronic Gastritis, IBS, and Colorectal Cancer Symptoms

Hello： In terms of age, the likelihood of you developing colorectal cancer is quite low. <br>My suggestion is to adjust your lifestyle, manage stress, and improve your dietary habits, along with engaging in regular exercise. <br>However, if you experience significant weight loss

Gastritis, irritable bowel syndrome (IBS), colorectal cancer?

Hello Doctor: I have a long-standing condition of chronic gastritis, and you have previously suspected the possibility of irritable bowel syndrome.
Symptoms such as belching and burping have persisted for quite some time.
I used to experience periods of constipation, followed by diarrhea or a return to normal.
The shape of my stool varies; sometimes it is normal, and other times it is thin.
I also feel the urge to use the restroom quite frequently.
For the past few weeks, my stool has consistently been thin, but there has been no blood or red discoloration, with the color mostly being brown.
Occasionally, it is accompanied by diarrhea.
About two months ago, I underwent a fecal occult blood test, and the results were normal.
Currently, I am going to the restroom very often, and the symptoms of burping and belching continue.
I feel a slight pain below the right upper sternum (though not significant), which alleviates after I exhale or use the restroom, but after a while, I start to feel gas accumulating in the same area, and I experience a mild, dull ache.
Recently, I occasionally feel dizzy and lethargic, but I am unsure if it is due to the heavy coursework of the new semester, reduced sleep, or sometimes not being able to eat, leading to poor physical condition.
I am seeking medical advice because, although I have had these issues for a long time, the thin stool symptom has not persisted this long, and I don't usually feel lightheaded or dizzy.
I am currently studying abroad, and it is very inconvenient to see a doctor.
I have gathered a lot of information online and am unsure if these symptoms are more aligned with colorectal cancer, gastritis, or irritable bowel syndrome.
Since I will be returning to Taiwan in about six months, I would like to know if it is necessary to seek medical attention immediately.
P.S.
There is no family history of colorectal cancer; only my mother has had colorectal polyps.
Thank you very much, Doctor!

Xingxing, 20~29 year old female. Ask Date: 2016/01/18

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: In terms of age, the likelihood of you developing colorectal cancer is quite low.
My suggestion is to adjust your lifestyle, manage stress, and improve your dietary habits, along with engaging in regular exercise.
However, if you experience significant weight loss or rectal bleeding, you should be more vigilant and seek medical attention.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun

Reply Date: 2016/01/18

More Info

Understanding chronic gastritis, irritable bowel syndrome (IBS), and colorectal cancer symptoms can be quite complex, especially when symptoms overlap. Based on the information you've provided, let's break down your concerns and symptoms.

Chronic Gastritis
Chronic gastritis is a condition characterized by inflammation of the stomach lining. Symptoms often include abdominal discomfort, bloating, nausea, and sometimes vomiting. The presence of air (belching) and gas can also be common. Since you have a history of chronic gastritis, it’s important to manage your diet and avoid irritants such as spicy foods, alcohol, and caffeine, which can exacerbate symptoms.

Irritable Bowel Syndrome (IBS)
IBS is a functional gastrointestinal disorder that can cause a variety of symptoms, including abdominal pain, bloating, gas, diarrhea, and constipation. The symptoms you describe—alternating between constipation and diarrhea, frequent urges to use the bathroom, and changes in stool consistency—are consistent with IBS. Stress and dietary factors often play a significant role in IBS, and it seems that your academic pressures may be contributing to your symptoms.

Colorectal Cancer Concerns
While your symptoms may raise concerns about colorectal cancer, especially with the change in stool shape (thin stools), it’s important to note that many benign conditions can cause similar symptoms. The fact that you have had a normal fecal occult blood test is reassuring, as this test is designed to detect hidden blood in the stool, which can be a sign of cancer. Additionally, the absence of blood in your stool and the normal color (brown) are positive indicators.

Symptom Analysis
1. Stool Consistency and Shape: The occasional presence of thin stools can be concerning, but it is not definitive for cancer. Factors like diet, hydration, and stress can significantly affect stool shape and consistency.

2. Frequent Bowel Movements: This can be a symptom of IBS, especially if accompanied by urgency and the sensation of incomplete evacuation.

3. Abdominal Pain: The pain you feel under your sternum may be related to your gastritis or could be a symptom of gas buildup, which is common in IBS.

4. Dizziness and Fatigue: These symptoms can stem from a variety of causes, including stress, poor nutrition, or dehydration, especially if you are not eating well due to academic pressures.

Recommendations
Given your symptoms and history, here are some recommendations:
- Dietary Adjustments: Focus on a balanced diet rich in fiber, fruits, and vegetables. Avoid processed foods and high-fat meals that can aggravate gastritis and IBS.

- Hydration: Ensure you are drinking enough water, especially if you are experiencing diarrhea.

- Stress Management: Engage in stress-reducing activities such as exercise, meditation, or yoga, which can help alleviate IBS symptoms.

- Monitor Symptoms: Keep a diary of your symptoms, noting what you eat and how it affects your digestion. This can help identify triggers.

- Seek Medical Attention: If your symptoms persist or worsen, or if you experience significant changes in your health (like unexplained weight loss, severe pain, or blood in your stool), it is crucial to seek medical attention. Since you are studying abroad, consider finding a local healthcare provider who can evaluate your symptoms.

Conclusion
While your symptoms may be concerning, they are more likely related to chronic gastritis or IBS rather than colorectal cancer, especially given your negative screening for blood in the stool and the absence of a family history of colorectal cancer. However, it is always best to err on the side of caution and consult a healthcare professional if you have any doubts or if your symptoms change.

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