Could My Fatigue and Constipation Indicate Cancer? - Gastroenterology and Hepatology

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Am I suffering from cancer?


Hello, doctor.
I would like to ask you, I am a high school sophomore, 178 cm tall and weigh 67 kg.
One day, I was under a lot of study pressure, and the next day I woke up feeling constantly fatigued, no matter how long I sleep.
Recently, the fatigue has worsened, and I also have constipation (which I didn't have before, and I've never had blood in my stool).
Is this related to cancer, or is it purely due to stress?

Yumi, 10~19 year old female. Ask Date: 2016/03/12

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: The probability of developing cancer is low at a younger age.
Timely exercise, physical training, and moderate rest and leisure activities can help reduce stress.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2016/03/12

More Info


Fatigue and constipation can be concerning symptoms, especially for a high school student like yourself who is experiencing significant stress. While these symptoms can be related to various conditions, including stress, lifestyle changes, or dietary habits, it is important to consider the possibility of underlying health issues, including cancer, particularly given your family history of cancer.

Firstly, let's address fatigue. Persistent fatigue that does not improve with rest can be a sign of several health issues. In younger individuals, it is often related to lifestyle factors such as inadequate sleep, poor nutrition, or high levels of stress. Stress, particularly from academic pressures, can lead to mental and physical exhaustion, which may manifest as fatigue. However, if fatigue is severe and accompanied by other symptoms, it may warrant further investigation.

Constipation, on the other hand, is often related to dietary habits, hydration levels, and physical activity. Stress can also contribute to gastrointestinal issues, including constipation. However, if constipation is new for you and persists despite changes in diet or lifestyle, it is worth discussing with a healthcare professional.

In terms of cancer, while fatigue and constipation can be symptoms of certain types of cancer (such as colon cancer), they are not specific indicators. Many benign conditions can cause these symptoms. For example, constipation can result from a lack of fiber in the diet, dehydration, or changes in routine, while fatigue can stem from stress, anxiety, or even viral infections.

Given your family history of cancer, it is understandable to be concerned about your symptoms. Family history can increase the risk of certain cancers, but it does not guarantee that you will develop them. The risk factors for cancer are complex and include genetic predisposition, environmental factors, lifestyle choices, and more.

It is crucial to approach this situation with a balanced perspective. Here are some steps you can take:
1. Monitor Your Symptoms: Keep track of your fatigue and constipation. Note any changes, such as the duration and severity of symptoms, and whether they improve or worsen over time.

2. Evaluate Your Lifestyle: Consider your diet, hydration, sleep patterns, and stress levels. Are you eating a balanced diet rich in fruits, vegetables, and whole grains? Are you drinking enough water? Are you getting regular exercise? These factors can significantly impact your energy levels and digestive health.

3. Seek Medical Advice: If your fatigue and constipation persist, or if you develop additional symptoms (such as weight loss, changes in appetite, or abdominal pain), it is important to consult a healthcare professional. They can perform a thorough evaluation, which may include a physical examination, blood tests, or imaging studies if necessary.

4. Manage Stress: Since you mentioned that stress may be a contributing factor, consider incorporating stress management techniques into your routine. This could include mindfulness practices, physical activity, or talking to someone about your feelings.

In conclusion, while fatigue and constipation can be concerning, they are not definitive indicators of cancer, especially in a young individual. However, given your family history, it is wise to remain vigilant and consult a healthcare provider to rule out any serious conditions. Early intervention and a proactive approach to your health can make a significant difference.

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