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Should I urgently schedule a colonoscopy for possible colon cancer?

7/18/2025, 6:10:20 PMMale25-34

Hello, I’m a 27-year-old male weighing 160 pounds and currently taking finasteride at a dosage of 1mg. Recently, I utilized a home colon cancer screening kit (FIT) that I purchased online, and the results returned positive. For the past 8 to 10 months, I’ve noticed occasional traces of blood in my stool. While this occurrence is infrequent, it has raised some concerns. Additionally, I’ve been experiencing unusual sensations in a specific area of my abdomen, which adds to my apprehension. During a previous consultation with my healthcare provider, they suggested that it was likely just hemorrhoids and did not seem overly concerned. Given these circumstances, should I consider booking a colonoscopy promptly? This situation feels quite alarming to me.

Multiple SclerosisCrohn's DiseaseInternal Medicine

Answers (1)

Cony

7/18/2025, 6:10:36 PM

OpenHealth AI

It's understandable that you're feeling concerned given the positive home screening result and your symptoms. Here's a summary of the key points:

  1. Positive FIT results and evidence of blood in stool warrant further evaluation.
  2. Your age and previous healthcare provider’s opinion may not fully address your current concerns.
  3. It is generally advisable to follow up with a colonoscopy in this scenario to rule out any serious conditions, including colon cancer.

Explanation

A positive FIT (Fecal Immunochemical Test) indicates the presence of blood in your stool, which can have various causes, some of which may be benign, like hemorrhoids or fissures. However, because you also have occasional blood in your stool and new abdominal sensations, these symptoms could signal a need for professional evaluation to exclude or confirm more serious conditions, including colon cancer or other gastrointestinal issues.

Next Steps

  1. Schedule a Colonoscopy: It would be prudent to book a colonoscopy soon. This procedure allows for direct visualization of your colon and can confirm or rule out any serious issues. Given your symptoms and the positive screening, this is a necessary step.

  2. Keep a Symptom Diary: Document any changes in your stool, any new symptoms, pain levels, and any triggers that seem to provoke your sensations. This information can be valuable during your consultation.

  3. Stay Hydrated and Maintain a Healthy Diet: Make sure to drink plenty of fluids and eat a balanced diet rich in fiber, which can help ease any potential gastrointestinal issues.

  4. Monitor Your Symptoms: Pay attention to any new or worsening symptoms, such as persistent abdominal pain, significant changes in bowel habits, or any unexpected weight loss.

Remember, taking action now can provide peace of mind and ensure that if there are any health concerns, they are addressed promptly. You are not alone in this concern, and seeking the right tests is a responsible step forward.

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