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HomeAnswersInternal Medicineulcerative colitisAre bloody stool and abdominal pain suggestive of colon cancer?

What is the recommended treatment for blood in the stools, abdominal pain, fatigue, and weight loss?

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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.

Answered by

Dr. Prathap

Medically reviewed by

iCliniq medical review team

Published At June 28, 2023
Reviewed AtMarch 1, 2024

Patient's Query

Hello doctor,

I am a 28-year-old female who is awaiting a colonoscopy. I was diagnosed with GI bleeding after having a history of blood in my stools. I had abdominal pain, diarrhea, loose ribbon-like stools, fatigue, and an unusual weight loss of around 23 pounds in two months. I am also experiencing ringing in my ears, pressure in my head, and rapid heartbeats. My liver enzyme levels and EKG appeared to be slightly abnormal after undergoing blood and laboratory work. During the examination, my GI doctor informed me that the bleeding was not caused by a GI problem and that it could have been caused by my colon from my associated symptoms. I also noticed a larger, painless swelling above my right clavicle, which was later diagnosed as a lipoma.

I am a recently recovered alcoholic, but I used to have a habit of drinking excessively, which I gradually reduced but continued until I noticed GI bleeding. All of the doctors I have seen so far believe my drinking is held accountable for my symptoms.

My pain episodes have increased and worsened over time, and I now have them every day. I feel ill and spend most of my time in the toilet. I can see how the symptoms are similar to both colitis and colon cancer, and I would appreciate your advice given my situation.

Answered by Dr. Prathap

Hi,

Welcome to icliniq.com.

I read your query and understand your concern.

I also appreciate your thorough explanation of symptoms.

To begin with, as you are only 28 years old, your chances of developing cancer are extremely low.

Your symptoms appear to be ulcerative colitis, which can only be confirmed with a colonoscopy and biopsy.

I would also recommend that you get a stool examination for fecal fat and blood, as well as a blood test for protein, to help with further diagnosis.

A definite conclusion regarding the swelling near the clavicle cannot be given without a proper physical examination.

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

Dr. Prathap
Dr. Prathap

Internal Medicine

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