Concerns About Colorectal Cancer at 22
At the age of 22, I find myself anxious about the possibility of having colorectal cancer. My journey began about a year or so ago when I was diagnosed with irritable bowel syndrome (IBS). The symptoms that were plaguing me included intense abdominal pain, persistent constipation, and instances of blood appearing in my stool. During that period, I was grappling with severe anxiety and an eating disorder, which led me to brush off my symptoms, thinking they might not be serious. Presently, my anxiety has significantly improved, and I’m better managing my eating disorder. However, the troubling symptoms remain. While I no longer notice blood in my stool, I continue to struggle with chronic constipation. The only remedy that alleviates it is taking Miralax daily, but this often results in abdominal pain so intense that it occasionally hinders my ability to walk. Given the alarming increase in colorectal cancer cases among young adults, I can't help but feel anxious. I tend to overthink these things, and it’s unsettling. Am I being overly dramatic about my situation? How can I approach a doctor to request a colonoscopy for further investigation? For reference, I am a female, standing at 5'5" and weighing 140 pounds. I do not smoke or consume alcohol, and I take IBguard each day along with a reduced dose of Miralax.
Answers (1)
3/17/2025, 10:50:39 AM
OpenHealth AI
It's completely understandable to feel anxious about your symptoms and the possibility of colorectal cancer, especially given your history with IBS and previous concerns about blood in your stool. Since you're now managing your anxiety and eating habits better, it's a good time to focus on addressing your current health issues effectively.
Explanation:
Colorectal cancer is relatively rare in individuals as young as 22, but your symptoms warrant proper investigation, especially since you have experienced significant abdominal pain and chronic constipation. While conditions like IBS can explain many gastrointestinal symptoms, persistent changes and new symptoms should be evaluated to rule out any underlying conditions.
Next Steps:
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Document Your Symptoms: Begin keeping a detailed diary of your symptoms, including when they occur, their intensity, and what alleviates them. This journal can provide valuable information when discussing your situation with a healthcare provider.
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Increase Dietary Fiber: Gradually incorporate more fiber into your diet (through fruits, vegetables, whole grains, and legumes) to help ease constipation. Stay hydrated by drinking plenty of water, as this can also aid digestion.
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Manage Miralax Use: Since taking Miralax daily is causing abdominal pain, evaluate its use and consider discussing alternative treatments for constipation with a doctor. Fiber supplements or probiotic options might also be beneficial.
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Prepare for Referring Your Concerns: When you approach a healthcare provider, be clear and honest about your symptoms and history. Emphasize your abdominal pain, chronic constipation, and previous concerns about blood in your stool. Mentioning your anxiety and that IBS has not fully addressed your issues can help contextualize your situation.
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Seek Evaluative Tests: Request a thorough evaluation, including possibly discussing the need for a colonoscopy. Mention your family history (if any) and current symptoms, providing your healthcare provider with a complete picture for assessment.
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Follow-Up Care: If you have difficulties getting the examinations you feel you need, consider seeking a second opinion or asking for referrals to a gastroenterologist.
Being proactive in your health is key, and addressing these concerns with a medical professional is a significant and necessary step. If you experience worsening symptoms, such as severe pain, unexpected weight loss, or additional changes in your bowel habits, it’s essential to reach out for help sooner. You are taking important steps for your health, and it’s okay to seek clarity and reassurance.
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