Bloody Stools Due To Hemorrhoids Or Colon Cancer? Know The Difference

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Bloody Stools Due To Hemorrhoids Or Colon Cancer? Know The Difference

It can be scary to see blood in the toilet or while cleaning the rectum after a bowel movement. This condition can be a sign of bleeding in the digestive tract.

Although the most common cause of rectal bleeding is hemorrhoids, bloody stools need to be watched out for and treated, as they can also be caused by cancer or precancerous conditions, where precancerous polyps are near the end of the large intestine and can mimic bleeding from hemorrhoids.

Here’s the difference between Hemorrhoids and Colon Cancer

Based on WHO data in 2020, colon cancer is the 4th most common cancer in Indonesia, after breast, cervical and lung cancer.

“Colon cancer is generally asymptomatic in its early stages, so patients often come already at an advanced stage. That is why early detection of colon cancer is very important, especially if you have risk factors,” said Prof. Dr. Abdul Aziz Rani, Sp.PD-KGEH – Internal Medicine Specialist Consultant Gastroenterology-Hepatology, Mayapada Hospital South Jakarta

Colon Cancer (Colorectal Cancer) Early Detection

“Early detection of colon cancer in individuals without complaints can be started at the age of 50 years and over if there is no family history of colon cancer, whereas if there is a family history of colon cancer, early detection can be started at the age of 40 years and over,” said Dr. Hendra Nurjadin, Sp.PD, KGEH – Internal Medicine Specialist Consultant Gastroenterology and Hepatology, Mayapada Hospital Tangerang.

More dr. Hendra added “Currently there is what is called a Capsule Endoscopy, which is a procedure to take pictures of the digestive tract by swallowing a small wireless camera that is inside a capsule the size of a vitamin that is usually taken.”

“As the capsule travels through the digestive tract, a camera takes thousands of images which are transmitted to a recorder worn on a belt. The capsule endoscope helps doctors see the inside of the digestive tract from the esophagus, stomach, small intestine to the large intestine, including areas that are not easily accessible. with conventional endoscopic procedures,” he explained.

Colonoscopy is an examination of the large intestine with an endoscope shaped like a tube with a camera at the end that is inserted into the large intestine through the rectum.

This examination is most sensitive to detect abnormalities, such as polyps or small lumps in the large intestine.

“Colonoscopy is the gold standard for colon cancer screening because of its ability to view the entire colon and detect and remove polyps during the same procedure. This is the most suitable test for individuals who have risk factors such as family history or close relatives who have suffered from colon cancer,” said dr. Kaka Renaldi, Sp.PD, KGEH – Consultant Gastroenterology-Hepatology Specialist Doctor, Mayapada Hospital Brass.

So who have risk factors for colon cancer need to do early detection?

The following are those who have risk factors and need to carry out early detection and regular monitoring:

1. Having parents, siblings, or close relatives with a history of colon cancer (genetic factors), having been diagnosed with polyps in the colon, having undergone radiation therapy to the abdomen or pelvis

2. Unhealthy lifestyle such as smoking, unhealthy diet, lack of exercise, and excessive alcohol consumption

3. Diabetes

4. Obesity

Colorectal Cancer Treatment

These polyps are generally present in the colon for years before becoming colorectal cancer. Colorectal cancer or colon-rectal cancer is sometimes diagnosed in people who have ignored bleeding for years because they assume it is from hemorrhoids.

“This is why if you experience rectal bleeding, you must immediately consult a doctor to determine the cause. If polyps are found, they can be removed from the colon, thereby preventing the development of cancer. And if colorectal cancer is diagnosed early, it can often be treated,” said dr. Sjaiful Bachri, SpB-KBD – Consultant Surgeon Digestive Surgery, Mayapada Hospital Bogor.

“If colorectal cancer has been diagnosed early instead of hemorrhoids, then colon cancer can be treated with colorectal surgery either open surgery (laparotomy) or minimally invasive laparoscopic surgery tailored to the location and stage of colon cancer,” said Dr. Taufik Budi Satrio, Sp.B (K)BD Consultant Surgeon Digestive Surgeon, Mayapada Hospital Tangerang.

Determining the type of treatment course of action is adjusted to the stage of the cancer, whether there has been spread, and looking at the patient’s overall condition.

“If it is still in the early stages, curative measures (treatment) can still be carried out, either with bowel surgery to remove cancer, chemotherapy, radiotherapy, or a combination of these therapies. With the early detection and discovery of colon cancer in an early stage, it will increase the chances of success for a cure,” emphasized dr. Aditomo Widarso, Sp.B-KBD – Consultant Surgeon Digestive Surgeon, Mayapada Hospital South Jakarta.

Gastrohepatology Center Mayapada Hospital is a comprehensive service for adult and pediatric patients for digestive disorders ranging from the esophagus, stomach, small intestine and large intestine, as well as cases involving disorders of the pancreas, liver and gallbladder.

Services ranging from early detection, diagnosis, and surgery supported by the latest equipment, complete supporting facilities and a team of sub-specialist doctors who are experts and competent in their fields, including Internal Medicine Specialist Consultant Gastroenterohepatology, Consultant Surgeon Digestive Surgery, Pediatrician Gastrohepatology Consultant, and Pediatric Surgeon.

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