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Last update September 2024

Colon Cancer vs Hemorrhoids

I have symptoms that could indicate either colon cancer or hemorrhoids. How can I determine which condition I might have?

Answered by

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Lisa Miller, Patient Advocate

To differentiate between symptoms of hemorrhoids and colon cancer, it’s essential to consider the nature, duration, and specific characteristics of your symptoms, as both conditions can present with overlapping signs.

Symptoms Comparison

Hemorrhoids Common Symptoms:

  • Itching or irritation around the anus
  • Bright red blood in the stool, often seen on toilet paper or in the toilet bowl
  • Pain or discomfort during bowel movements
  • Swelling or lumps near the anus
  • Symptoms typically flare up and may resolve with lifestyle changes or over-the-counter treatments.
 

Colon Cancer Common Symptoms:

  • Persistent rectal bleeding, which may be darker and more consistent than hemorrhoid-related bleeding
  • Changes in bowel habits (e.g., diarrhea, constipation, or a feeling of incomplete evacuation)
  • Abdominal pain, bloating, or cramping that is frequent and persistent
  • Unexplained weight loss
  • Fatigue and weakness.
 

Key Differences

Duration and Progression:

Hemorrhoid symptoms are often episodic and related to specific triggers (like straining during bowel movements), while colon cancer symptoms tend to persist and worsen over time.

Nature of Bleeding:

  • Hemorrhoids typically cause bright red blood that is painless, whereas colon cancer may result in darker blood that is part of a more serious condition.
 

Associated Symptoms:

  • Colon cancer may present with systemic symptoms such as significant weight loss, fatigue, and changes in appetite, which are less common with hemorrhoids.
 

When to Seek Medical Advice

If you experience any of the following, it’s crucial to consult a healthcare provider:

  • Persistent rectal bleeding
  • Significant changes in bowel habits
  • Unexplained weight loss
  • Severe abdominal pain or discomfort
 

A physician may recommend diagnostic tests such as a physical examination, colonoscopy, or imaging studies to accurately determine the cause of your symptoms.

Early diagnosis is vital for both conditions; while hemorrhoids can often be treated effectively at home, colon cancer requires prompt medical intervention.

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