[84M] Concerned about Colon Cancer due to positive occult blood test

What might be happening

Based on the information you've provided, a few possibilities could explain your symptoms:

• Colorectal Cancer: Given your age and the presence of occult blood in your stool, one possibility is colorectal cancer. This is a type of cancer that starts in the colon or rectum. It's important to note that many people with early-stage colorectal cancer don't have symptoms, so screening is crucial. A positive fecal occult blood test (FOBT) can be an early sign, but it's not definitive proof of cancer. Other conditions can also cause a positive FOBT.

  • The next step would typically be a colonoscopy, which can directly visualize the inside of your colon and rectum and can take biopsies if needed.

• Gastrointestinal Bleeding: This can occur anywhere along your digestive tract and can result in occult blood in your stool. This bleeding can be caused by a variety of conditions, including hemorrhoids, ulcers, diverticulosis, or angiodysplasia.

  • The treatment would depend on the underlying cause of the bleeding.

• Anemia: You mentioned that you've been anemic for 12 years. This can sometimes be related to gastrointestinal bleeding, as chronic blood loss can lead to anemia. However, anemia can also be caused by many other conditions.

  • Treatment would depend on the underlying cause of the anemia.

What you can do

Given your positive FOBT, it's important to follow up with your healthcare provider. They may recommend further testing, such as a colonoscopy, to determine the cause of the occult blood in your stool.

In the meantime, try to maintain a healthy diet rich in iron and vitamins to support your body's production of red blood cells. This can help manage your anemia.

What you should look out for

Please seek immediate medical attention if you experience:

• Severe abdominal pain
• Vomiting blood or material that looks like coffee grounds
• Stools that are black, tarry, or have visible blood
• Sudden, unexplained weight loss
• Difficulty swallowing or severe throat pain

Remember, I'm an AI and not a doctor. It's important to consult with a healthcare professional who can provide a formal diagnosis and appropriate treatment options.