- You
are seeing a 55 year old male patient in your office who has a known
diagnosis of hemorrhoids and constipation as well as a family history of
colorectal cancer. Your patient states that he has seen a steady increase
of rectal bleeding and has had a consistent feeling of abdominal fullness
recently. What are three questions about his history would you want to
note before moving any further to rule out colorectal cancer?
·
A change in bowel habits, such as diarrhea,
constipation, or narrowing of the stool that lasts for more than a few days
.
·
Feeling that you need to have a bowel movement that
is not relieved by doing so.
·
Weakness and fatigue.
- After
discussing the patient’s health history (question 1), what is your next
step in determining whether this patient is experiencing colorectal cancer
as opposed to irregular bowel patterns?
·
Colorectal cancer can cause bleeding
while sometime blood can be seen in the stool or make it look darker, often the
stool looks normal. The blood loss can lead to low blood cells in the body and
this is tests the presence of low blood cells .Colorectal cancer in its early
stages does not shows signs and symptoms because there is a lot of room in the
abdomen where a tumor can grow. Symptoms appears when the tumor is obstructed
or causes sores in the colon or rectum.
·
Irregular bowel pattern is unclear but
it’s a functional disorder meaning it impairs intestinal functions even though
the body appears normal in test. The predominant symptoms are cramping and abdominal
pain, bloating, gas and trouble with bowel movement which vary between people.
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