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Around 85 per cent of people with bowel cancer are not treated till the cancer has gone through the bowel wall or scatter to lymph nodes or other side. Treatment is somewhat still not impossible. The most common symptom is often characterized as bleeding from the back passage. The other symptoms are loss of the normal build of bowel motions many times followed by diarrhea.

Constipation can also happen. If the development begins to clog the bowel then colicky lower abdominal pain can emerge and if the bowel completely obstructs, then serious abdominal pain and vomiting happens which is followed by the constipation. This obstacle is a surgical emergency that need instant visit to hospital.

In the proximal colon, the lumen is bigger and less possibly to be clogged. Cancers of this area of the colon, containing the caecum, incline to reveal themselves very delicately as iron-deficiency anaemia, because of the lack of blood for a long period of time.

The first symptoms of colon cancer are normally unclear such as weight loss and tiredness. Local (bowel) symptoms are not often until and unless the tumor has developed to a big size. Symptoms and signs are separated into local, constitutional and metastatic.

Local symptoms

• Change in bowel habits
• Change in frequency (constipation or diarrhea),
• Feeling of inadequate defecation (tenesmus) and diminish in diameter of stool, both characteristic of rectal cancer,
• Change in the appearance of stools :

1. Bloody stools or rectal bleeding
2. Stools with mucus
3. Black, tar-like stool (melena), more possibly linked to upper gastrointestinal eg stomach or duodenal disease

• Bowel obstruction causing bowel pain, bloating and vomiting of stool-like material.
• A tumor in the abdomen, felt by patients or their doctors.
• Symptoms linked to attack by the cancer of the bladder causing hematuria (blood in the urine) or pneumaturia (air in the urine).

Constitutional (systemic) symptoms

• Unexplained weight loss, perhaps the most common symptom, caused by loss of appetite
• Anemia, causing dizziness, fatigue and palpitations. Clinically, there will be pallor and blood tests will verify the low hemoglobin level.

Metastatic symptoms

Liver metastases, causing:

1. Jaundice.
2. Pain in the abdomen, more often the upper part of epigastrium or right side of the abdomen
3. Liver enlargement

Blood clots in the veins and arteries, a paraneoplastic syndrome linked to hypercoagulability of the blood.

Tags: abdominal pain, bowel cancer symptoms, constitutional bowel cancer symptoms, metastatic bowel cancer symptoms



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