rectal bleeding at 18 years old...

hi so im not sure if this is the right place to post this but a month ago i started seeing blood when i wipe after a bowel movemnt, the blood would be bright red but in my faeces there would be not blood, sometimes thered be a lot of blood to the point where the toilet bowel would be red, it happened for a few days then for two weeks the bleeding stopped, around last friday the bleeding started again for a few more days and today i had a bowel movment today and there was no blood, the thing is ive had constipation for a while now to the point of severe constipation for about a couple of years , i dont hydrate myself a lot since im so busy with school/uni and the food i eat definitely doesnt have a lot of fiber in it, so i assume that the bleeding is caused by maybe a. fissue due to the constipation. im so reluctant to go to the doctors because of age and that theyd just dismiss me , people my age dont experience things like this so i find it hard to talk to other my age about this (also its embarrassing lol) could it be cancer? even at my age? i just wanted to know what u guys think it is

  • You probably should call the doctor. The odds are it's nothing serious and they will be able to reassure you. They won't dismiss you. They might tell you there's nothing to worry about and recommend a cream, but that would be good news. 

    It could be a whole load of things, the most likely are probably hemorrhoids or a fissure, because of the constipation, but it's worth getting checked out because it could be a lot of other things too, such as ulcerative colitis or Crohn's disease or even something like divercular disease or a polyp (though I'd say the latter two would be unlikely at your age).

    Cancer would be very uncommon at your age. I had rectal bleeding (not as much as that) combined with some other symptoms over the summer, at the age of 40, and the consultant said that he'd be worried about cancer if my mother came in with those symptoms, but at my age, it was possible but highly unlikely and I would be "the most unlucky person in the world" if it turned out to be that. Which it didn't. It was hemorrhoids. At your age, it would probably be even less likely, especially as it sounds like you don't have any other red flag symptoms (like weight loss, abdominal pain, change in bowel habits...), but it is still worth finding out what it is. On the off-chance it is anything serious (Crohn's, ulcerative colitis, a polyp...), the sooner you get treated the better and if it's not, then the sooner you know for sure, the better.

    People your age can definitely experience things like that. Yeah, cancer, polyps and divercular disease (which I can't spell) aren't common at your age, but ulcerative colitis, Crohn's, hemorrhoids, fissures, infections, gastritis, can all happen at young ages. And that's just what I know of. I'm no expert.

    I don't think you should be too worried, but maybe call the doctor and ask their advice and maybe try and change your diet a little (though I'm a hypocrite for suggesting that since I am not even following the diet that was suggested by the consultant after hemorrhoids were confirmed).

  • Hello there

    This forum is unable to tell people what the matter is I'm afraid and if you have symptoms that are ongoing it is always best to see your doctor about them. They are in the best position to assess you and arrange more tests if needed.

    If truth be told then any type of cancer at your age would be extremely rare but even more so with bowel cancer that usually occurs much later in life.

    Fresh blood surrounding the stools as you say is more likely to be caused by piles (haemorrhoids) or a fissure through constipation and straining. Do try and increase the amount of water you drink and fibre you eat to soften and make it easier to pass a bowel movement. 

    As I say if this continues then do speak to your GP and see what they have to say. There can be other bowel conditions other than cancer that can also cause changes to bowel habits, tummy pain and blood and mucus like irritable bowel syndrome, crohns and ulcerative colitis but again your doctor can arrange further tests if needed to find out more, so do talk this through if you are worried.

    Take care

    Naomi