I Am A 49 Years Old Male. Physically Active, No
Do you think my symptoms cause for a concern?
What the odd of having colon cancer in my situation, a clean colonoscopy 9 years ago without family history?
Thank you for helping
Chances of it being colorectal CA are extremely low.
Hello and thanks for choosing "Ask a Doctor" service for your query,
Have gone through your details and I appreciate your concerns,
Very likely you are having diverticulitis.
Tenderness and pain in left iliac fossa in a patient with history of hemorrhoids could be diverticulitis.
I don't think that it could be colorectal cancer.
It is associated with sudden change in bowel habits.
Pain is severe and starts worsening with time very quickly and usually is associated with heavy bleeding and don't respond to medication or change in diet.
Stool is pencil like in shape.
1)Tenderness in left iliac fossa.
2)Having a low fiber diet from many years lacking in vegetables and fruits.
So for me chances of it being a colorectal carcinoma is less then 0.1% however a sure shot answer could be only after colonoscopy as you were on a low fiber diet from a very long time and those patients are good candidate for any G.I condition including colorectal ca.
Follow ups are welcome.
Thank you for your answer, I%E2%80%99ve on high fiber for a long time and might be over dosed and laxative because I sometimes had anal fissure due to hard stool.
I did have similar symptoms several times
before but my family Dr said it was not IBS but shorter times.
i don%E2%80%99t think the mild pain in my stomach still there but I do feel some 2-3 very small tender spots when touch right below the surface of the skin of the stonach but they mimic some very short deep pain throughout the day
Thanks for follow up.
See IBS is diagnosis of exclusion. There is no specific test for IBS.If patient has symptoms with all tests like colonoscopy fecal calprotectin etc are normal...Patient is labelled as having IBS.
Basically IBS is a functional disorder where anatomically every thing is normal but physiologically some problem is there. So no comments on IBS till colonoscopy is done.
Fiber intake should be around 35 grams a day.
Follow up with colonoscopy reports.
In case you have any question please revert back.