Early symptoms of rectal cancer

Written by Deng Heng
Colorectal Surgery
Updated on April 20, 2025
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The early symptoms of rectal cancer generally include five main signs:

The first early symptom is bloody stool, which is the earliest and most common symptom of rectal cancer.

The second symptom is mucous bloody stool. Large cauliflower-like tumor masses generally secrete a large amount of mucus, which can cause mucous bloody stool.

The third is a change in bowel habits. What does a change in bowel habits mean? It means that sometimes there can be diarrhea, sometimes constipation, or an alternation of constipation and diarrhea, indicating a change in bowel habits. There can even be changes in the shape of the stool, which is the third symptom.

The fourth symptom is a feeling of heaviness or fullness in the perineum or anus.

The fifth symptom can cause abdominal pain. It can cause pain in the lower abdomen, a sensation of a foreign body in the intestine, and even bloating. For instance, constipation can lead to difficulty in passing stool, which in turn can cause bloating and abdominal pain. These are primarily the five early symptoms.

Other Voices

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What causes rectal cancer?

The occurrence of rectal cancer is a process involving multiple factors and multiple steps, and it is the result of the interaction between environmental factors and genetic factors of the body. To date, its causes are not completely understood, but there are some factors that are considered high-risk. First, dietary factors are generally believed to be high in animal protein, high fat, and low fiber, which are significant factors in the high incidence of rectal cancer. Second, lifestyle factors such as prolonged sitting, smoking, drinking, being overweight, and obesity may increase the incidence of rectal cancer. Third, having a history of medical surgeries. Fourth, environmental factors, such as asbestos workers. Fifth, genetic factors.

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Written by Liu Liang
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What are the symptoms of rectal cancer?

Symptoms of rectal cancer include changes in bowel habits, such as a feeling of heaviness around the anus, a constant need to defecate, or diarrhea. Some patients may experience constipation, or alternating episodes of diarrhea and constipation. Another common symptom is a change in the shape of the stool, with the stool becoming narrower. Additionally, abdominal pain and rectal bleeding are also common symptoms. Some patients with rectal cancer may exhibit clinical signs of intestinal obstruction, which includes constipation, inability to pass stool or gas, which means no flatulence. This is accompanied by nausea and vomiting. Other common symptoms include significant abdominal pain and bloating.

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Written by Yan Chun
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What are the early symptoms of rectal cancer in women?

The early symptoms of female rectal cancer are primarily localized to the rectum. Most patients exhibit symptoms such as bloody stools, recurrent constipation, or alternating occurrences of diarrhea and constipation. Some patients may experience a change in stool characteristics, an increase in the frequency of daily bowel movements, and narrower stools. Additionally, some early-stage patients may exhibit symptoms similar to bacterial dysentery, such as the discharge of mucus and bloody pus in stools, and a feeling of incomplete evacuation after a bowel movement. Some female rectal cancer patients may mistake bloody stools for hemorrhoids and consequently avoid seeking medical attention. Early symptoms are not distinctive, and many patients may overlook them, leading to a delay in the early detection of rectal cancer.

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What is good to eat after rectal cancer surgery?

Patients who have undergone surgery for rectal cancer should pay attention to the following points regarding their diet: First, consume a moderate amount of foods containing monounsaturated fatty acids, such as olive oil and tuna. Second, avoid overheating animal products and vegetable oils during cooking. Third, eat more foods rich in dietary fiber, such as konjac, soy and its products, fresh vegetables and fruits, and algae. Fourth, intake vitamins and trace elements by eating fresh vegetables and fruits to supplement carotene and vitamin C, and consume appropriate amounts of walnuts, peanut milk, products, and seafood to supplement vitamin E. Pay attention to the intake of foods rich in the trace element selenium, such as malt, fish, and mushrooms.

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What should I do if rectal cancer causes jet-like bleeding?

Rectal cancer patients often experience bleeding, which is a common clinical manifestation. When patients exhibit spurting bleeding, we can adopt the following treatment strategies: Firstly, patients should refrain from eating, as food stimulation can exacerbate the bleeding; Secondly, patients should be administered some medications for hemostasis. When the effect of medical hemostasis is insufficient, we can employ interventional methods, or vascular embolization techniques for hemostasis; Thirdly, when the patient's bleeding volume is large, blood transfusions should be given to improve the patient's anemia; If the patient experiences shock due to bleeding, in addition to blood transfusion treatment, it is also necessary to provide fluid supplementation to ensure the overall volume status of the patient; Fifthly, when the effect of medical hemostasis is poor, surgical intervention is required to carry out hemostasis.