OpenHealth Q&A

Concerns About Colon Cancer at 19

Hello, I'm a 19-year-old female, weighing 46 kg, and I have no known family history of colon cancer. Recently, I've observed bright red blood in my stool on two occasions. While the initial amount was small, the second time, it appeared to be more significant. Although I struggle with constipation, I didn’t experience any pain during bowel movements, aside from a brief burning feeling, perhaps due to a slight push. Lately, I’ve been having discomfort in my hips, which seems to worsen after using the restroom and persists throughout the day. It feels as if gas is building up or that I'm being jabbed with something sharp. It also resembles a muscle cramp. My stool’s shape isn’t excessively thin, but one end is thicker and round while the other tapers to a point. Upon researching, I came across information suggesting a connection to colon cancer, and there were mentions of bowel obstructions, which frightened me. I feel a sense of incompleteness when I try to empty my bowels; after using the bathroom, although there’s some relief, the urge quickly returns, which is bothersome. Up until 2-3 months ago, I didn’t have any of these issues, but everything escalated within the last month. I attributed these changes to heightened stress levels, but now that I’ve seen blood, my perspective has shifted. I haven’t experienced any weight loss, yet I haven't been able to gain any either. I’ve always had a slight frame and a poor appetite since I was young, but recently, I’ve been eating more frequently, including high-fiber snacks. I thought I had gained some weight since the scale indicated the same reading, but I find myself waking up every day still at 46 kg. I can’t help but worry whether this points to a serious issue. Despite not having symptoms like bloating or abdominal pain, I was diagnosed with iron deficiency anemia (IDA) last year. My doctor indicated that my iron stores were low, and even though I don’t consume much fish or many vegetables, I do include red meat in my diet. While I initially thought my deficiency was due to my menstrual cycle or erratic eating patterns, the current symptoms are making me question whether they may signal a problem like cancer. It feels as though I’m displaying nearly all the warning signs of colon cancer, which is terrifying. I recognize that self-diagnosis isn’t advisable, yet my anxiety is overwhelming. Reading stories on Reddit about young individuals without familial predispositions being diagnosed with colon cancer has heightened my concern, especially since many shared similar symptoms to mine. I have an appointment with my doctor next week, but I felt compelled to share my experiences here in hopes of connecting with others who might have faced similar issues but ultimately did not have cancer, just to bring some comfort before my visit.

Answers (1)

7/11/2025, 11:50:43 AM

OpenHealth AI

It’s understandable to feel anxious about your symptoms, especially with the presence of blood in your stool. While your concerns about colon cancer are valid, at 19 years old with no family history, the likelihood of colon cancer is low. There are many other potential causes for your symptoms such as hemorrhoids, anal fissures, or gastrointestinal conditions.

Explanation:

1. Blood in Stool: Bright red blood usually indicates bleeding from the lower gastrointestinal tract, often due to issues like hemorrhoids or fissures, especially if you’re experiencing constipation and some straining during bowel movements.

2. Constipation and Discomfort: Your struggles with constipation can lead to irritation and possibly small tears in the lining of the anus (fissures) which can cause pain and bleeding. The discomfort you're feeling in your hips and abdomen could also be related to gastrointestinal issues rather than something more serious.

3. Iron Deficiency Anemia (IDA): Your history of IDA could suggest bleeding as a cause, but it’s essential to evaluate the recent developments further.

4. Anxiety and Stress: It's common to feel heightened anxiety when dealing with health concerns, especially after researching symptoms online. It’s vital to focus on what you can control while awaiting your appointment.

Next Steps:

1. Monitor Symptoms: Keep a record of when you experience blood in your stool, along with any dietary changes, bowel habits, and any discomfort. Note the frequency and appearance of your stools to share with your doctor.

2. Dietary Adjustments: Continue to incorporate high-fiber foods to help with constipation, but if your symptoms of straining persist, consider consulting with a dietitian or look into fiber supplements.

3. Stay Hydrated: Ensure you are drinking plenty of fluids throughout the day to help improve bowel movements and potentially reduce discomfort.

4. Relaxation Techniques: Given your anxiety about the situation, practice relaxation techniques such as deep breathing or mindfulness, especially leading up to your doctor’s appointment. This can help ease your emotional stress.

5. Follow Up: Bring all your concerns, including the blood in your stool, discomfort, and any other symptoms to your doctor's attention during your upcoming appointment. They may suggest further testing or examinations as needed.

Finally, remember that many people experience similar symptoms for non-serious issues. You’re taking a positive step by seeking medical advice. Stay hopeful and focused on the next appointment to get clarity on your health.