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Are my problems related to liver, spleen or colon cancer?

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

Medically reviewed by

iCliniq medical review team

Published At May 2, 2018
Reviewed AtJuly 24, 2023

Patient's Query

Hi doctor,

I am a 26-year-old male. My weight is 244 lbs and height is 5 feet 10 inches tall. I have anxiety for almost three years now. I read almost everyday about cancer and my symptoms. I had a blood test six months back and everything came back good besides the white blood cells which were 11.3 and they told me that it is not something to be of concern. I do have diarrhea sometimes. I have a hemorrhoid problem too. I am feeling fatigue but mostly when I have stress or when I think about cancers. My pee in the morning only is kind of orange color. I am having little pain on left side under the rib. I read that it can be spleen cancer. Also, I have little bit pain on right side under rib which they say it can be liver cancer. So, my concern is I might have colon cancer or prostate cancer or spleen or liver cancer. I do not know why I am feeling this way. I still can eat good and drink, it did not effect me.

Please try to answer my question in the best way possible.

Hi,

Welcome to icliniq.com.

I understand your concerns. I will explain some facts. Most cancers are painless and cause gradually progressive symptoms like for example:

  1. Jaundice and liver function failure in case of liver cancer.
  2. Enlarged spleen with anemia and low platelet and low white cells count in case of spleen cancer (which is very rare).
  3. Weight loss, painless bleeding per rectum, significant anemia and progressive constipation in case of colon cancer.

Your symptoms are less likely to be due to cancer. The dark orange urine in the morning is common due to dehydration over the night. You should drink plenty of fluids. The pain in the left side could be muscle spasms or other causes like a kidney stone or colon spasms require further assessment. Can you describe the pain? Is it colicky or wake you up in the middle of the night? The pain on the right side could be muscle spasms or gallbladder stone or kidney stone (require further assessment).

Finally, as there are no suggestive symptoms of cancer and you do not have a strong family history of cancer, so you should not worry about this issue. In case you have anxiety that you cannot control, I can suggest you some medications.

I hope this helps.

Patient's Query

Thank you doctor,

My pain in left and right side are very mild and it does not happen all the time. Sometimes, during the day it comes and goes. I had a liver test ALT five months ago and it came back good.

Please share your opinion.

Hi,

Welcome back to icliniq.com.

It is a good news that your liver enzymes are good. The pain in the right and left side is more likely due to muscular spasms. A local painkiller will resolve this pain and you should not worry about that. Also, I think you have irritable bowel syndrome that causes some constipation that leads to piles. Irritable bowel syndrome causes colicky pain in both sides of the tummy which could be the cause of your bilateral pain. So, please tell me if you have these features in order to confirm the IBS (irritable bowel syndrome) diagnosis:

  1. Colicky pain that is relieved by defecation.
  2. Pain does not wake you up in the middle of the night.
  3. Diarrhea or constipation or both.
  4. Symptoms worsen with anxiety and stress.

Can you tell me the grade of the piles, whether it is mild (small) or severe (large and does not go back, always protruded)?

I hope this helps.

Kindly follow up with the details.

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

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim

Internal Medicine

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