HomeAnswersCardiologyblood in stoolsI see blood in my stool. Do I have colon cancer?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At May 10, 2024
Reviewed AtMay 10, 2024

Patient's Query

Hello Doctor,

I am a 26-year-old male and is 229 pounds and 5 feet 9 inches tall. I have blood in my stools whenever I have spicy food. I have diarrhea that increases when I am stressed. I have been feeling dizzy for the last week now but I do not know if this is because of the stress and anxiety I have been going through for one month. Whenever I eat well, I do not have any stress and my stool is normal. I went to the ER last night, and they did a blood test. My results were normal. Please go through my results. I do not have a family history of colon cancer. However, I am scared I might have colon cancer since I have stomach upset and diarrhea whenever I eat spicy food. What do you think about my condition?

Kindly help.

Thank you.

Hello,

Welcome to iCliniq.com,

I read your query and understand your concern.

After a careful review of your health query, I want to add that many different possibilities are to be ruled out and for that further probing is mandatory here.

If this is due to stomach ulcers (open sores that develop on the lining of the stomach), the color of the blood should have been dark or black. If there is a lesion (may not necessarily be colon cancer) of the colon or rectum, the color of the blood should be fresh red. It can also be due to piles or hemorrhoids (swollen veins in the lowest part of your rectum and anus). Other possibilities can be Inflammatory bowel disease- chronic inflammatory conditions that primarily affect the digestive tract (that can be Crohn's disease or Ulcerative colitis).

I suggest consulting your local gastroenterologist for proper evaluation and management of the case. They might require camera-assisted studies of the digestive system, especially the colon and rectum. It will clear up the doubts. Hopefully, things will settle down after a thorough evaluation as we will be in a better position to treat the disease.

Investigations to be done:

The investigations you attached here (attachments removed to protect patient identity) can be interpreted as follows:

Troponin I is normal and is required in a healthy person. Your hemoglobin is well in the normal range which means there is no evidence of a major bleed that can be dangerous. So there is no need to worry much about bleeding that seems to be scanty. It shows there is some ongoing infection in the body that can be colonic infection too. Other blood works like D-Dimer (a substance in the blood that is produced when a blood clot breaks down in the body) and bleeding or clotting tests are well in the normal range with no worries.

Hope it helps. Please feel free to ask for more elaborations if there are further queries left over.

I would be happy to assist.

Regards.

Investigations to be done

Investigations you attached here can be interpreted as follows:Troponin I is normal and is what we need in a healthy person. Your hemoglobin is well in the normal range and means there is no evidence of a major bleed that can be dangerous. So no need to worry much about bleeding that seems to be scanty. It shows there is some ongoing infection in the body that can be colonic infection too. Other blood work like D-Dimer and bleeding/clotting tests are well in the normal range with no worries.

Regarding follow up

Hope it helps. Please feel free to ask for more elaborations if there are further queries leftover. I would be happy to assist. Regards!

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammad Majid Hanif
Dr. Muhammad Majid Hanif

Cardiology

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