Is Lower Back Pain A Sign Of Colon Cancer? 8 Factors To Look At

Understanding back pain as a symptom of colon cancer

Are you experiencing persistent lower back pain and wondering, “Is lower back pain a sign of colorectal or colon cancer?” Although it might feel disconcerting, understanding the potential signs of colon cancer, including lower back discomfort, is crucial. But does colon cancer cause back pain in all cases? Or, more specifically, does colon cancer cause lower back pain frequently?

Breaking down the understanding of colorectal cancer, often referred to as colon cancer, it can exhibit itself in seemingly unconnected ways. Lower back pain is a frequent issue among adults and, while it’s commonly associated with age or lifestyle factors, it can occasionally signal severe health conditions, including bowel cancer.

Changes in your bowel habits, such as constipation, diarrhoea, or variations in the consistency of your stool, can be markers of bowel health and potential signs of colon cancer. For instance, persistent lower back pain might lead you to wonder if it’s an indicator of a more significant concern, like bowel cancer. It’s crucial to pay attention to these symptoms, heed the signals your body is sending, and seek advice from a colorectal specialist if these changes persist.

 

Unpacking Colon Cancer And Its Symptoms

It is, however, essential to note that severe back pain should not be ignored. While it may often be due to less extreme conditions, persistent and severe back pain could be a sign of cancer, specifically colon adenocarcinoma, a common colorectal cancer among various cancers. This form of cancer can present many symptoms beyond just back pain. Recognising signs of cancer early on is critical to successful treatment. These signs can include:

  • Changes in bowel habits, such as constipation
  • Unexplained weight loss
  • Persistent fatigue
  • Blood in the stool

Symptoms might not be as pronounced in the early stages of the disease, and thus, regular screenings are crucial. Colon cancer pain can be varied, not limited to the abdominal area. It can manifest as discomfort in the lower back or pelvic region due to the growth of the tumour pressing against nerves or organs.

As the cancer spreads, the pain might become more intense and constant. Therefore, any persistent or severe pain mustn’t be ignored and should prompt a visit to a healthcare professional for a thorough evaluation.

Lower Back Pain And Colon Cancer – What’s The Connection

While not all back pain is a sign of cancer, persistent and unexplained discomfort could be an early-stage symptom. If other signs of colorectal cancer accompany lower back pain, it is advisable to seek medical advice promptly.

Such signs of cancer can be changes in bowel habits like constipation, which is not usually linked with back pain but is commonly associated with colon cancer.

Similarly, blood in the stool, another symptom frequently found in colorectal cancer cases, should be taken seriously, especially if seen in conjunction with persistent lower back pain. To provide a comprehensive understanding of the connection between lower back pain and colon cancer, let’s detail a list of associated elements, each of which may contribute to the symptomatology:

1. Higher Risk

Specific individuals are at risk of developing colon cancer. This includes those with a family history of the Particular lifestyle choices that can also increase an individual’s susceptibility to colon cancer. This includes a diet that’s low in fibre and high in fat or calories, lack of regular physical activity, tobacco use, and excessive alcohol consumption. For instance, the regular consumption of processed meats and red meat has been linked to an increased risk of colorectal cancer.

Obesity

Obesity also has a strong correlation with an increased risk of colon cancer, and obese individuals are more likely to die from colon cancer than people considered to have a normal weight. Lastly, individuals with type 2 diabetes have an increased chance of developing colon cancer, as both conditions share some common features, such as insulin resistance.

Age

Furthermore, age is an important factor in colon cancer, with the majority of people diagnosed with the condition being over 50. However, it can happen at any age, and rates of colon cancer in people under 50 have been increasing. Therefore, even if you’re younger, you shouldn’t disregard potential signs of colon cancer, especially if you have other risk factors.

Paying attention to persistent pain and changes in bowel habits is essential, as these symptoms should prompt immediate medical consultation. Remember, early detection is critical to effective treatment, so regular check-ups and screening are invaluable, particularly for those in high-risk groups.

2. Cancer Symptoms

Although lower back pain can be associated with numerous conditions, it becomes a concern when it persists alongside other symptoms such as alterations in bowel habits, unexplained weight loss, or persistent fatigue. These symptoms, when occurring together, could indicate a potential issue with your colon health.

It’s therefore vital not to dismiss such signs as merely a part of ageing or lifestyle habits. Instead, it would be advisable to consult with a colorectal specialist or your healthcare provider. They can steer you towards appropriate diagnostic tests and if required, discuss potential treatment strategies for bowel cancer.

How Colon Cancer Starts

Colon cancer usually starts as small, non-threatening clusters of cells called polyps. Over time, without adequate preventative measures, these can evolve into cancerous cells. One could question if such a condition confined to the bowel could trigger lower back pain. While it might not be the most common symptom, it is indeed a possibility. This is particularly true in the more advanced stages of colon cancer, when the growth of the tumour might press against nerves, tissues, or organs, leading to discomfort or even severe pain in the lower back.

The presence of unexplained, persistent lower back pain, especially if it doesn’t improve with rest or standard pain-relieving measures, is something that you should bring up with your doctor. Although many cases of lower back pain are not due to cancer, it’s always better to err on the side of caution. 

Colon Cancer Can Be Mistakenly Confused With Just Back Pain

In some cases, colon cancer can manifest itself in unusual ways. For example, persistent scapular pain, or discomfort in the shoulder blade area, can sometimes be a symptom of this disease. Although a less common symptom, it underscores the importance of thorough physical examinations when unexplained pain or discomfort is present. In conclusion, any persistent or unexplained symptoms should be discussed with a healthcare professional, even if they don’t seem directly related to the colon.

3. Bowel Problems

Fluctuations in bowel function should never be overlooked, as they can indicate several digestive system health conditions, colon cancer being one of them. Pain during bowel movements or a sensation of incomplete evacuation could also signal potential problems.

However, it’s important to remember that these symptoms don’t conclusively point to cancer. They could result from numerous other health issues, including irritable bowel syndrome, inflammatory bowel disease, or even simply a shift in your diet. Yet, if these symptoms persist or worsen over time, it’s essential to consult a healthcare professional.

Presence Of Blood In Stool

A consistent presence of blood in your stool is another critical symptom that must not be dismissed. The blood can appear as bright red streaks or could give your stool a dark black appearance. Although this can often be a sign of less severe conditions such as haemorrhoids, it can also be an early warning sign of colon cancer. Similarly, persistent cramping or abdominal pain should prompt a medical consultation. 

Lower back pain can be a symptom of colon cancer, often experienced alongside other signs like abdominal discomfort.

This brings us back to the topic of persistent lower back pain, which can indeed be related to colon cancer, particularly when paired with the aforementioned symptoms.

When a tumour grows in the colon, it can place pressure on adjacent nerves and tissues, leading to back pain. This is more likely to happen in the advanced stages of colon cancer, hence why it’s not as common a symptom as changes in bowel habits or blood in the stool.

4. Nerve Transmissions

As colon cancer progresses, it can interfere with nerve transmissions, resulting in lower back pain. The mechanism behind this involves the growth and spread of cancer cells. When a tumour develops in or near the colon, it can expand and start pressing against surrounding tissues, including nerves. This pressure can disrupt the normal function of these nerves, leading to pain.

In some cases, the pain occurs because the cancer has spread beyond the colon, leading to spinal tumours. When a tumour develops on or near the spinal cord, it can cause intense back pain. Spinal tumours can be a complication of various cancers, including colon cancer.

Additionally, this back pain can sometimes be associated with other symptoms of colon cancer. While these symptoms can indicate other conditions, the presence of back pain concurrently should prompt immediate medical attention to rule out or confirm a diagnosis of colon cancer. Remember, early diagnosis is critical in effectively treating and managing the disease.

5. Bowel Movements

Fluctuations in bowel function should never be overlooked, as they can indicate several digestive system health conditions, colon cancer being one of them. Pain during bowel movements or a sensation of incomplete evacuation could also signal potential problems.

 

6. Rectal Bleeding

Rectal bleeding can manifest as bright red blood on your toilet paper or in the toilet bowl after a bowel movement. In some cases, the blood may not be visible to the naked eye and is only detectable through a faecal occult blood test, which is a routine screening test for colon cancer.

This bleeding is caused by the damage inflicted on the lining of the colon or rectum by the growing cancer cells. It’s an alarming symptom that should never be dismissed or overlooked, even if the bleeding is minor or infrequent.

It’s also important to note that while rectal bleeding is often associated with colon cancer, it can also be a sign of other conditions, such as haemorrhoids, anal fissures, or inflammatory bowel disease. These conditions, while not as serious as colon cancer, still require medical attention and treatment.

While this bleeding can occur due to other less severe conditions, such as haemorrhoids or anal fissures, it’s important not to dismiss this symptom, mainly if it is persistent or accompanied by another symptom, such as changes in bowel habits. These could be signs of colon cancer, one of the most common cancer types worldwide and a leading cause of death.

If you’re experiencing rectal pain or pressure along with back pain, a medical checkup for colon cancer is advised.

7. Chest Pain

While not as common, chest pain can sometimes be associated with advanced stages of colon cancer, mainly if it has spread or metastasised to the lungs. This process, known as metastasis, involves cancer cells breaking away from the original tumour, travelling through the blood or lymph system, and forming new tumours in other body parts, such as the lungs. These different tumours can then cause damage to lung tissue, potentially causing pain.

If the colon cancer has indeed metastasised to the lungs, treatment options can include chemotherapy, which kills cancer cells throughout the body. However, plans can vary greatly depending on various factors, including the patient’s overall health and the stage and extent of the disease. Always consult a healthcare professional to understand your situation’s best course of action.

8. Spinal Tumour

In rare instances, lower back pain can result from a spinal tumour caused by colon cancer that has spread or metastasised to the spine. This is a severe condition that needs consultation or medical advice. Spinal tumours form when cancer cells from other parts of the body, such as the colon, spread to the spine, resulting in what is known as spinal cancer. These cells can affect the spinal cord, nerve roots, bones of the spine, or even the blood vessels, resulting in varying degrees of pain and discomfort.

The back pain experienced in spinal tumours can range from dull aches to sharp, stabbing pain, depending on the size and location of the tumour. This pain may persist, worsen over time, and often intensify at night or with physical activity. In addition to back pain, other symptoms may also appear, such as weakness or numbness in the arms or legs, difficulty walking, or loss of bladder or bowel control. Some patients may also notice unexplained fatigue.

 

Does Colon Cancer Cause Back Pain?

While not the most common symptom, back pain can be associated with colon cancer, particularly in the later stages of the disease. This is primarily due to the growth of the tumour, which can cause pressure on surrounding nerves, tissues, or organs, resulting in discomfort or pain. However, it’s important to note that back pain is a common ailment caused by various conditions, many of which are not linked to cancer. Thus, experiencing back pain alone does not necessarily mean colon cancer.

Colon Cancer Can Metastasize And Cause Symptoms On Other Parts Of The Body

When colon cancer advances to metastasis, it signifies that the cancer cells have moved from the initial site, the colon, to other areas of the body, causing additional complications and symptoms.

One such area is the spine. Here, the presence of a spinal tumour can apply constant pressure on the spinal cord or nerves, resulting in severe, long-lasting back pain. Unlike the occasional aches or pains that one might attribute to fatigue or strain, this type of pain is persistent and can intensify at night or during certain physical activities.

Moreover, the metastasis of colon cancer to other regions, like the lungs, can manifest symptoms not typically associated with colon cancer. This can include chest pain or difficulty breathing. Unfortunately, the presence of these symptoms often indicates an advanced stage of the disease.

Ultimately, if you experience severe back pain, chest discomfort, or difficulty breathing, especially in conjunction with other symptoms like changes in bowel habits or rectal bleeding, immediate medical consultation is essential.

Conclusion: Is Lower Back Pain A Sign Of Colon Cancer?

We’ve thoroughly explored the potential link between persistent lower back pain and colon cancer, even though this correlation often presents in less common scenarios. We must remember, however, that back pain is a widespread condition with numerous potential causes. Nonetheless, if such pain persists and is coupled with other warning signs, such as changes in bowel habits or blood in the stool, it warrants immediate medical attention.

Early diagnosis drastically increases the success rates of treating colon cancer and other cancers like breast and lung cancer. This emphasises the importance of being attentive to your body and seeking professional healthcare advice when something seems off. Routine checks such as blood tests and physical examinations can often be the first step towards early detection.

If you find yourself grappling with concerns or seeking additional clarity on the connection between lower back pain and colon cancer, do not hesitate to reach out to Dr. Leong.

With years of experience in the field and a deep understanding of the nuances of colorectal conditions, he is uniquely positioned to guide you through this potentially challenging journey. His commitment extends beyond providing medical advice; he aims to ensure you feel understood, informed, and comfortable during every interaction.

Don’t allow uncertainty to take a toll on your well-being. Schedule a consultation today, and let a colorectal specialist in Singapore like Dr. Leong provide you with honest, casual, and medically informed advice tailored to your individual needs.

Frequently Asked Questions About Lower Back Pain And Colon Cancer

Can Colon Cancer Cause Lower Back Pain In The Early Stage?

While lower back pain can be a symptom of colon cancer, it’s less likely to be a symptom in the early stages. The pain is typically associated with more advanced stages of colon cancer when the tumour has grown large enough to press against nerves or other organs. However, suppose you’re experiencing persistent lower back pain and other symptoms such as changes in bowel habits or blood in the stool. In that case, it’s essential to consult with a healthcare professional.

How Can I Tell If My Back Pain Is Due To Colon Cancer Or Something Else?

It can be challenging to distinguish back pain caused by colon cancer from back pain due to other conditions. While it’s important to remember that back pain is a common condition and is often not linked to cancer, a healthcare professional should evaluate persistent lower back pain accompanied by other potential symptoms of colon cancer (like changes in bowel habits or bleeding in the rectal). Your doctor may perform various tests, such as a colonoscopy screening or a CT scan, to diagnose the cause of your symptoms.

Can Pain From Colon Cancer Be Confused With Kidney Pain?

Yes, the pain from colon cancer can sometimes be confused with kidney pain because both can cause discomfort in the lower back. However, pain usually has distinct characteristics. Kidney pain is often sharp and sudden if it’s due to kidney stones or dull and chronic if it’s due to kidney disease. Colon cancer pain, on the other hand, is usually more constant and may be associated with other symptoms, such as changes in bowel habits and blood in the stool. A healthcare professional should evaluate any persistent pain.

What Other Symptoms Should I Watch Out For If I Have Persistent Lower Back Pain And Am Worried About Colon Cancer?

If you’re concerned about colon cancer, watch for signs like changes in bowel habits (diarrhoea, constipation, or alternation between the two), persistent fatigue, blood in the stool, abdominal discomfort, and feeling like your bowel doesn’t empty. Consult a healthcare professional if you’re experiencing any of these symptoms and back pain.

Can Lifestyle Changes Help Reduce The Risk Of Colon Cancer If I’m Experiencing Persistent Lower Back Pain?

While lower back pain isn’t typically a symptom of early-stage colon cancer, leading a healthy lifestyle can help reduce the overall risk of developing colon cancer. This includes maintaining a healthy lifestyle, such as eating a diet rich in fruits, vegetables, and whole grains, limiting red meat and processed foods, exercising regularly, limiting alcohol, and avoiding tobacco.

IBS Vs Colon Cancer: 10 Symptoms To Be Aware Of

IBS and colon cancer differences

The task can be daunting and potentially stressful when discerning between IBS and colon cancer. It’s crucial to remember that these two conditions are fundamentally distinct while having some symptomatic overlap. When comparing IBS vs colon cancer, one will notice that the latter is a life-threatening condition characterised by uncontrolled cell growth in the colon or rectum. In contrast, the former is a chronic disorder that affects the large intestine.

The realm of health can be pretty intricate, especially when conditions present overlapping symptoms, as with colon cancer and IBS. This overlap can lead to confusion and anxiety, particularly for individuals who attempt to self-diagnose.

It is crucial to reiterate the importance of consulting with a healthcare professional. They possess the knowledge and experience to accurately distinguish between different conditions, setting you on the right path towards understanding and managing your health.

Taking a closer look at IBS, we see that its symptomatology often includes factors like abdominal pain, bloating, and a fluctuating pattern of diarrhoea and constipation. These symptoms can come and go, varying in severity and duration.

This chronic condition can cause discomfort and impact a person’s quality of life, but it doesn’t pose the same risks as colon cancer. However, without professional assessment, the commonality of these symptoms with other conditions can often lead to misconceptions and misdiagnoses.

In contrast, colon cancer, a potentially life-threatening disease, presents with more alarming signs. Symptoms of colon cancer usually include unintentional weight loss, persistent and unexplained abdominal discomfort, and rectal bleeding.

These signs should never be dismissed; immediate medical consultation is urged when such symptoms are encountered. By integrating professional medical guidance and careful symptom assessment, we can ensure a precise understanding and appropriate management of these health conditions.

Now, let’s delve deeper into understanding these conditions and discerning the distinct variations in their symptoms.

Unravelling The Confusion: IBS And Colon Cancer

In the technologically driven era, the deluge of health-related information available can often lead to more ambiguity than understanding. This is particularly apparent when distinguishing between health conditions with similar symptoms, such as IBS (Irritable Bowel Syndrome) and colorectal cancer. Even though both conditions can lead to abdominal discomfort and altered bowel habits, they are fundamentally different.

IBS, a chronic disease prevalent across a considerable population, primarily affects the large bowel. The manifestation of this condition can be pretty varied, with symptoms including abdominal cramping, a feeling of bloating, and a fluctuating pattern of diarrhoea and constipation.

The disease can cause significant discomfort and impact daily activities, making a clear understanding of the condition vital.

Shifting our focus to colorectal cancer, a stark contrast becomes apparent. This condition is a malignant disease which ensues when abnormal cells in the rectum or colon divide uncontrollably, forming tumours.

The symptoms associated with colorectal cancer can be far more severe and concerning. Individuals with this disease often experience significant weight loss, an overarching feeling of exhaustion, and, sometimes, an alarming presence of bloody stools. These symptoms should be treated with immediate concern, emphasising the need for a comprehensive understanding of this disease. As we dive into these differences, it becomes clear that understanding the varying risk factors associated with each condition is crucial.

This knowledge not only aids in fostering a more transparent comprehension of each state but also plays a significant role in guiding health choices and actions.

What Is Irritable Bowel Syndrome (IBS)?

Irritable Bowel Syndrome (IBS) is a common disorder that impacts the large intestine, leading to various symptoms that can significantly affect an individual’s quality of life. IBS is typically characterised by recurrent abdominal pain accompanied by changes in bowel movements.

These changes may manifest as diarrhoea (IBS-D), constipation (IBS-C), or a combination of both (IBS-M). The exact cause of IBS remains unknown; however, several factors, such as food intolerance, stress, hormonal changes, and certain medications, are thought to trigger symptoms.

While IBS can cause significant discomfort and distress, it’s essential to remember that it does not lead to severe diseases like cancer, nor does it cause changes in bowel tissue or increase your risk of gastrointestinal bleeding, which are hallmarks of more severe conditions like colon cancer.

Managing IBS often involves a multipronged approach, including dietary changes, stress management, and medication. Some individuals may find relief by avoiding certain trigger foods, whilst others may benefit from medications to control the specific symptoms they experience. Stress management is also crucial, as there’s a strong link between mental health and IBS symptoms

In conclusion, IBS is a common yet often misunderstood condition. Individuals with IBS can lead a healthy and fulfilling life through proper management and understanding.

What Is Colorectal Cancer?

Colorectal cancer, sometimes called bowel or rectal cancer, is a prevalent health concern that starts its journey in the cells lining the colon, the large intestine, or the rectum, the concluding segment of the colon.

Recognised globally as one of the most frequently diagnosed forms of cancer, it commands our attention and understanding. Indeed, to better manage our health and potential risks, it is paramount to comprehend the nature of this disease and its potential influence on our well-being.

At the core of colorectal cancer lies a cellular anomaly: the uncontrolled and unregulated multiplication of cells in the colon or rectum. These abnormal cells, driven by genetic mutations accumulate, eventually forming precancerous growths commonly called polyps.

Notably, while not all polyps develop into cancer, certain types, particularly adenomatous polyps, carry a higher risk. Over time, some of these polyps may transition into malignant or cancerous tumours, marking the onset of colorectal cancer.

The symptoms of colorectal cancer are as diverse as they are concerning. As the disease progresses, patients may experience enduring changes in bowel habits, such as:

  • Persistent diarrhoea
  • Constipation
  • Alterations in the consistency of the stool
  • Ongoing abdominal discomfort (cramps, bloating)
  • Unexplained weight loss can indicate the body’s battle against cancerous cells
  • Blood in the stool

Nonetheless, in its nascent stages, colorectal cancer often shows no signs. This underscores the crucial role of regular colorectal cancer screening, especially colonoscopy screening, for individuals with risk factors such as a family history of the disease or specific genetic syndromes.

By doing so, the chances to detect and treat colon cancer early, preventing it from advancing further along the digestive tract, are significantly increased.

Distinguishing Between IBS And Colon Cancer: A Look At 10 Common Symptoms

The process of identifying and understanding the symptoms of various health conditions is pivotal for timely diagnosis and successful treatment strategies. This holds especially true in the realm of digestive health, where conditions like Irritable Bowel Syndrome (IBS) and Colon Cancer often intertwine due to commonalities in symptoms.

Recognising the shared symptoms like abdominal pain, however, should not blur the fundamental differences between these two conditions, as they present unique health challenges.

At one end of the spectrum, we have IBS, a chronic but manageable disorder affecting a large portion of the global population. On the other end, we have colon cancer, a potentially life-threatening disease that demands early detection and aggressive treatment.

Although sharing certain symptoms, these two conditions present distinct healthcare landscapes that require a nuanced understanding of their nature and impact on a person’s wellbeing.

A Closer Look at 10 Key Symptoms Of IBS

Irritable Bowel Syndrome (IBS), a prevalent disorder, primarily impacts the large intestine and presents a unique array of symptoms. These symptoms can often oscillate in intensity and persist for varying durations, significantly influencing the daily life and overall well being of those affected.

The condition, while common, requires careful management and a detailed understanding of the signs that characterise it. This understanding becomes even more crucial when considering the overlap of symptoms with more severe health conditions, such as colon cancer.

Here are the 10 key symptoms of IBS:

  1. Pain or cramping in the abdomen: Often, this discomfort can subside following a bowel movement.
  2. Altered bowel movements could encompass diarrhoea, constipation, or a cyclical pattern between both.
  3. Bloating and excess gas: A prevalent complaint among IBS patients is a feeling of bloatedness or excess gas.
  4. Mucus in the stool: Though it can occasionally occur in a healthy digestive system, it’s more common among individuals with IBS.
  5. Intolerance to specific foods: Certain foods might instigate symptoms in IBS patients.
  6. Chronic fatigue and disturbed sleep: IBS may disrupt a restful night’s sleep, leading to constant tiredness.
  7. An urgent need for a bowel movement: This sudden urgency is a familiar symptom among IBS patients.
  8. Incomplete bowel movements: This feeling can persist, even after passing stools.
  9. Depression or anxiety: Due to the disorder’s impact on daily life, these mental health conditions are often linked with IBS.
  10. Dyspepsia: Some IBS patients experience symptoms associated with the upper gastrointestinal tract, such as heartburn or indigestion.

It’s crucial to note that experiencing these symptoms does not definitively indicate IBS, as they could also be a sign of other conditions. Therefore, it’s always recommended to consult a healthcare provider for an accurate diagnosis and suitable treatment plan.

10 Warning Signs You Shouldn’t Ignore About Colon Cancer

Colon cancer, a grave ailment affecting the colon or large intestine, frequently remains under the radar in its initial stages due to its often-unnoticeable symptoms. However, specific indicators tend to become more conspicuous as the disease advances.

Identifying these symptoms promptly can lead to a faster diagnosis, consequently enhancing the likelihood of successful treatment. Here, we provide an overview of 10 warning signs of colon cancer that shouldn’t be overlooked:

  1. Alterations in bowel habits: Persistent constipation or diarrhoea and changes in stool consistency suggest colon cancer.
  2. The presence of blood in the stool or rectal bleeding: Signs of colon cancer may include bright red or very dark blood in the stool.
  3. Constant abdominal discomfort can appear in forms like cramps, gas, or pain related to colon cancer.
  4. The sensation of an incomplete bowel evacuation: Even after a bowel movement, you may still experience a need to go.
  5. Feelings of weakness or fatigue can transpire as your body combats the cancer cells.
  6. Unaccounted-for weight loss: Losing weight unintentionally can be a sign of several types of cancer, including colon cancer.
  7. Iron deficiency anaemia: Slow bleeding in the colon, which can occur over time, may lead to iron deficiency.
  8. Thin or ribbon-like stools: A significant narrowing of the stool, which can vary among individuals, might indicate a blockage in the colon.
  9. Bloating or feeling fullness in the abdomen: A tumour obstructing the colon could cause this symptom.
  10. Nausea or vomiting: The following symptoms can surface if a tumour induces a bowel obstruction.

Should you notice any of these symptoms, it is crucial to consult a healthcare professional promptly. Although other conditions can also cause these symptoms, your doctor can help ascertain the root cause and advise on the most effective course of action. Notably, having colon cancer diagnosed and treated early can vastly improve outcomes.

Conclusion On IBS Vs Colon Cancer

Understanding the nuanced differences between Irritable Bowel Syndrome (IBS) and colon cancer is a significant step towards safeguarding your health. Both conditions may present with abdominal pain and altered bowel habits, underscoring the reality that gastrointestinal disorders frequently overlap.

Yet, symptoms like rectal bleeding could point more towards a grave condition like colon cancer. Even the slightest discrepancies in symptoms can offer a wealth of information. If you’re faced with persistent symptoms or unexplained changes, it’s crucial to seek professional medical advice immediately.

Whilst IBS can lead to discomfort and significantly impact your day-to-day life, it’s an ailment that can be managed effectively. Conversely, developing colon cancer can carry profound, potentially life-threatening implications.

As such, it’s vitally important not to dismiss any potential signs, especially if you have risk factors making you more susceptible to developing colon cancer. Regular screenings can significantly assist in early detection, often crucial to effective treatment and a more favourable prognosis.

Maintaining a candid dialogue with your healthcare provider and making well-informed decisions about your health can make all the difference. No one knows your body better than you do, so heed the signals it’s giving you and take proactive measures towards maintaining your health.

Rest assured, Dr Leong is here to provide the support you need throughout your health journey. If you have any concerns or queries about your digestive health, don’t hesitate to contact him. Remember, at Advanced Colorectal and General Surgery, we’re always ready to help you navigate your health concerns with genuine care and professionalism.

Frequently Asked Questions About IBS and Colon Cancer Symptoms

How Are IBS And Colon Cancer Diagnosed?

IBS is typically diagnosed based on symptoms and ruling out other conditions. A doctor may perform a physical exam and other tests such as stool sample testing, blood tests, and imaging tests. On the other hand, colon cancer is often diagnosed through a colonoscopy, where a tiny camera is used to examine the entire rectum and colon and potentially remove polyps for biopsy.

What Lifestyle Changes Can Help Manage IBS Symptoms?

Changes in lifestyle can play a role in managing IBS symptoms. These may include dietary adjustments like increasing fibre intake or avoiding trigger foods, regular exercise, ensuring adequate sleep, and stress management techniques like meditation or mindfulness.

How Often Should I Be Screened For Colon Cancer?

Screening recommendations can vary based on age, personal medical history, and family medical history. Regular screening for colon cancer is recommended starting at the age of 50 for individuals at average risk. However, if you have a high risk due to factors like a family history of the said cancer, you may need to start screening earlier. Always consult your healthcare provider to determine the best screening schedule.

Can Lifestyle Changes Or Medications Reduce The Risk Of Developing Colon Cancer?

Certain lifestyle modifications are associated with a decreased risk of colon cancer. These include maintaining a healthy weight, regular physical activity, a diet rich in fruits, vegetables, and whole grains, limiting alcohol consumption, and not smoking. Some studies suggest that standard nonsteroidal anti-inflammatory drugs (NSAIDs), like aspirin, may also reduce colon cancer risk. However, this is a complex decision that requires a discussion with your doctor, as these medications can have side effects.

Can The Symptoms Of IBS Mimic Other Gastrointestinal Disorders?

Yes, the symptoms of IBS can mimic other gastrointestinal disorders. For instance, conditions such as lactose intolerance, coeliac disease, and inflammatory bowel diseases (like ulcerative colitis and Crohn’s disease) can all present symptoms similar to IBS. Therefore, seeking medical advice is essential if you’re experiencing ongoing gastrointestinal symptoms. Proper diagnosis can ensure that you receive the most effective treatment.

What To Eat After A Colonoscopy? Eat This, Not That!

What To Eat After A Colonoscopy

A colonoscopy, a medical procedure that allows doctors to inspect the large intestine for signs of colorectal cancer and other conditions, can be a life-saving diagnostic tool. While this procedure is essential for many, understanding its impact on your digestive system and how your diet should adapt in the aftermath is equally important. This article will delve into what to eat after a colonoscopy, shedding light on the importance of specific dietary choices and how they can promote a healthy colon and support recovery.

 

How A Colonoscopy Procedure Affects Your Digestive System

 

A colonoscopy can temporarily disrupt the normal functioning of your digestive system. To enable a clear view of the colon and rectal areas, patients are usually placed on a clear liquid diet before the procedure. This diet, coupled with laxatives, effectively empties the colon but can leave the digestive system somewhat ‘unsettled’. It is, therefore, essential to gradually reintroduce foods following a colonoscopy to allow your digestive tract to regain its normal function.

After colonoscopy, managing your diet is key to preventing stomach pain.

 

Recommended Foods To Eat After A Colonoscopy

After the procedure, the goal is to eat soft foods on the digestive system. Nutritionists often recommend starting with a low-residue diet. This diet includes foods that are easy to digest and less likely to cause discomfort. Examples of these include:

  1. Soup: Broth-based soups are gentle on the stomach and can help with rehydration.
  2. Yoghurt: This is a soft food that is easy on the digestive system and contains probiotics that can aid in restoring gut health.
  3. White Bread and Mashed Potatoes: These are examples of easily digestible, low-fibre foods. While whole-grain bread and other high-fibre foods are usually recommended for a healthy diet, they may be too rough on the digestive system immediately after a colonoscopy.
  4. Scrambled Eggs: Eggs are an excellent protein source that can be gently reintroduced into the diet.
  5. Water: Hydration is crucial after a colonoscopy. Drinking plenty of water aids in rehydration and helps the digestive system return to normal functioning.
  6. Drinks with Electrolytes: Sports drinks containing electrolytes can assist in replenishing those lost during the procedure, making them a suitable choice after a colonoscopy.
  7. Vegetable or Fruit Juice: These can be a good source of hydration and nutrients, but it’s advisable to opt for low-fibre choices.
  8. Herbal Tea: Often containing ingredients that can soothe the digestive tract, herbal tea can gently rehydrate after a colonoscopy.
  9. Popsicles: These contain both sugar and liquid, which can help increase energy levels post-procedure.
  10. Crackers: Easy-to-digest options like Saltines and graham crackers can be consumed following a colonoscopy.
  11. Smooth Nut Butter: Nut butters are generally easy to digest. Choose smooth varieties over chunky ones to avoid irritating the digestive system.
  12. Applesauce: This is an excellent choice as it contains easily digestible fibre and can help restore energy levels.
  13. Gelatin or Pudding: These options are recommended after a colonoscopy due to their soft texture and easy digestibility.
  14. Canned or Jarred Fruit: Soft, peeled fruits like peaches or pineapples are a good choice. Avoid fruit with the skin.
  15. White Toast: Like white bread, white toast is a bland food that can be safely consumed for a few days following a colonoscopy.
  16. Cooked Vegetables: Well-steamed, baked, or sautéed vegetables cooked until tender are a suitable choice following a colonoscopy. However, fibrous vegetables should be avoided.
  17. Chicken: Lean proteins like chicken can be reintroduced into the diet following a colonoscopy.
  18. Rice: Cooked white rice is gentle on the stomach and can be a part of the diet following a colonoscopy.
  19. Pasta: Like rice, pasta is easy to digest and can be consumed after the procedure.
  20. Fish: Fish, especially white fish, is typically soft and digestible, making it an appropriate choice after a colonoscopy. It’s advisable to avoid bony or fatty fish.
In some cases, symptoms like stomach pain after a colonoscopy may indicate other issues like gastric polyps.

Consulting With Your Doctor Or Dietitian

While this guide provides general advice about dietary choices post-colonoscopy, discussing your dietary plan with your doctor or dietician is essential, especially if you’re on a restricted diet or have certain health conditions like Crohn’s disease. Everyone is unique, and the most suitable dietary choices often depend on your health history and any specific dietary needs or restrictions.

 

Conclusion On What To Eat After A Colonoscopy

Your digestive system requires time to recover following a colonoscopy screening. Careful dietary choices are paramount, focusing on foods that are easy on the stomach whilst avoiding those that could lead to discomfort or complicate recovery. Remember, whilst this guide offers general advice, it’s always wise to consult with your doctor or dietician, particularly if you have specific health concerns or dietary restrictions.

 

Frequently Asked Questions On Foods To Eat After A Colonoscopy

Can I Eat Greasy Foods Post-Colonoscopy?

It’s best to avoid greasy and fried foods immediately after a colonoscopy as they can be harder to digest and cause discomfort. Once your digestive system is back to normal, you can gradually reintroduce such foods as tolerated.

What Helps Stomach Pain After Colonoscopy?

Drinking plenty of water, eating soft and easily digestible foods, and avoiding high-fibre, spicy, and fatty foods can help alleviate stomach pain after a colonoscopy. If the pain is excruciating or persists, consult a colorectal surgeon.

Can Certain Foods Cause Colorectal Cancer?

While no single food can cause colorectal cancer, a long-term diet high in processed meats and low in fruits, leafy greens, and whole grains can increase the risk. A balanced diet is vital for colon health.

Is Eating Rice Okay After A Colonoscopy?

Yes, eating rice, mainly white rice, is okay after a colonoscopy. It’s gentle on the digestive system and can be part of your post-procedure diet.

How Many Days Of Rest Should I Get After A Colonoscopy?

You need one day of rest after your colonoscopy, but some may need more time. However, your doctor will advise that it’s generally fine to resume your usual activities the following day. Always follow your doctor’s instructions.

Are Raw Fruits And Vegetables Okay After A Colonoscopy?

Directly following a colonoscopy, your doctor may recommend avoiding raw fruits and vegetables as they are high in fibre and can be difficult to digest.

What Should I Eat After A Colonoscopy With Polyps Removal?

If you’ve had polyps removed during your colonoscopy, it’s advisable to follow a gentle diet similar to a standard post-colonoscopy diet. This includes easy-to-digest foods like broth-based soups, white bread, scrambled eggs, and mashed potatoes. As your digestive system recovers, you can progressively include more diverse foods, but always follow the guidance of your healthcare professional.

 

How Long Is A Colonoscopy Procedure From Start To Finish?

How Long Is A Colonoscopy Procedure From Start To Finish

A colonoscopy, which serves as an essential method for colon cancer screening, can be an intimidating prospect for many. A question you may ask is, “How long is a colonoscopy procedure from start to finish?”

This comprehensive guide breaks down the length of the colonoscopy procedure, detailing what you can expect before, during, and after your appointment. We’ll also touch on crucial topics such as colon cancer, colorectal cancer, and the importance of tissue samples in diagnosis.

 

1. How Long Does A Colonoscopy Take?

  How Long Is A Colonoscopy Procedure From Start To Finish

Most colonoscopies take between 30 minutes to an hour. However, this time frame strictly pertains to the procedure itself and does not account for the preparation and recovery time. When you factor in these stages, the entire process can take 2-3 days.

 

2. What Happens During A Colonoscopy?

During a colonoscopy, a colorectal surgeon or a qualified colorectal doctor uses a flexible tube with a tiny video camera attached to its end, known as a colonoscope, to view the inside of the large intestine. The procedure starts with the doctor gently inserting the colonoscope into the rectum and manoeuvring it through the colon.

The tiny video camera on the colonoscope provides a live feed of the colon’s interior, allowing the doctor to identify any abnormalities, such as polyps, which are growths that could develop into colon cancer if left untreated. If the doctor discovers polyps, they can use tools passed through the colonoscope to remove them during the procedure.

The doctor may also procure tissue samples for in-depth examination to rule out colorectal cancer. If the colonoscopy is purely for screening purposes, it can be quicker. However, the procedure may take longer if the doctor needs to remove polyps or take tissue samples.

The procedure usually involves light sedation or, in some cases, general anaesthesia to ensure patient comfort.

 

3. Colonoscopy Preparation: Before The Procedure

An essential part of the colonoscopy screening procedure is the colonoscopy prep, which typically starts a few days before the actual procedure. The colon must be completely clean to ensure the doctor gets a good view. A clear liquid diet is usually recommended 24 hours before the procedure, coupled with a bowel preparation regimen prescribed by your doctor.

Patients must also arrange for a companion to take them home after the procedure due to the effects of the sedation or anaesthesia.

 

4. Additional Steps To Take During A Colonoscopy Prep

Know Your Family History

If you have a family history of colon or colorectal cancer or other risk factors, your doctor may recommend regular screenings starting at an earlier age.

Understand The Signs And Symptoms

While colonoscopies are preventive, it’s crucial to understand the signs and symptoms of colon cancer and seek medical attention if needed. These can include severe abdominal pain, rectal bleeding, or unexplained changes in bowel habits.

Consult Your Doctor About Your Medications

Suppose you’re on any long-term medications, especially for conditions like diabetes, heart disease, or hypertension. In such cases, it’s vital to consult your doctor about managing these medications during your colonoscopy prep. Some medications need to be adjusted or temporarily halted.

Discuss Allergies And Medical Conditions

Inform your doctor about any allergies, especially to medications. If you are plagued with other medical conditions, like lung or kidney disease, ensure that your doctor is aware, as these may affect how your body responds to the sedation used during the procedure.

Stay Hydrated

During your colonoscopy prep, you’ll be on a clear liquid diet and taking bowel-cleansing laxatives. This could lead to dehydration, so maintaining hydration is essential by drinking plenty of clear fluids like water, clear broths, or sports drinks with electrolytes.

Set Aside Time For Rest And Relaxation

The bowel preparation for a colonoscopy can be physically demanding. Ensure you have enough time to rest and are near a bathroom, as you will have frequent bowel movements. It might also be helpful to have comforting items nearby, such as books, magazines, or movies, to help pass the time.

Understand The Risks And Benefits

Colonoscopy, like any medical procedure, comes with its own set of risks and benefits. Understanding these can help you decide and mentally prepare for the process. The main advantages of a colonoscopy, such as early detection of colon and colorectal cancer and the removal of polyps, typically outweigh the risks. However, potential risks can include:

  • Adverse reactions to sedation.
  • Bleeding after polyp removal, or in rare cases.
  • A perforation (tear) in the colon.

Discuss any concerns you have with your doctor. Remember, a colonoscopy is a key tool for preventing and detecting colon cancer. Despite the time and effort involved in the preparation and recovery, its benefits are significant in terms of peace of mind and health outcomes.

 

5. What You Should Do After A Colonoscopy Procedure

After the procedure, you might feel bloated or have mild abdominal pain due to air introduced into the colon. These symptoms usually subside with time. Contact your doctor immediately if there is severe abdominal pain, heavy rectal bleeding, or other concerning symptoms.

Post-procedure, you will need someone to drive you home due to the sedation or anaesthesia’s residual effects.Pain medication is often prescribed to manage any discomfort.

 

6. Importance Of Early Detection

A colonoscopy serves as a preventative measure for colon cancer. The survival rate for colorectal cancer is significantly higher when detected early. Regular screenings can help identify and remove polyps before they develop into cancer.

 

Conclusion On How Long Is A Colonoscopy Procedure

A colonoscopy procedure, from start to finish, involves several steps, each contributing to the overall duration of 2-3 days. From initial bowel preparation to the procedure itself, and finally, the recovery, every stage is crucial for the success of the colonoscopy. Remember, while the prospect of undergoing your first colonoscopy may be daunting, it’s essential to the early detection and prevention of colorectal cancer.

If you’re aged 50 and above, have a family history of colon cancer, or have experienced recent changes in bowel habits, it’s time to consider scheduling a colonoscopy. A colonoscopy can dramatically increase the effectiveness of treatment and the potential for a full recovery.

Dr Leong is a highly skilled colorectal surgeon in Singapore who can guide you through this process with utmost professionalism and care. Schedule a consultation today.

 

Frequently Asked Questions On How Long Does A Colonoscopy Procedure Take

Are There Alternative Colon Cancer Screening Tests?

Yes, alternatives to colonoscopies include stool tests, flexible sigmoidoscopy, and a virtual colonoscopy using CT scans. However, a colonoscopy remains the gold standard due to its ability to view the entire colon and remove polyps during the procedure.

What Are Abnormal Results From A Colonoscopy?

Abnormal results from a colonoscopy might include the discovery of polyps, inflammation, ulcers, or tumours. If tissue samples or polyps were removed, an abnormal result could also indicate the presence of cancer cells.

Is It Painful To Have A Colonoscopy?

Most patients do not find a colonoscopy painful due to the sedation or anaesthesia used. However, they might experience discomfort or bloating due to the air pumped into the colon during the procedure.

Does A Colonoscopy Take A Whole Day?

The colonoscopy procedure itself generally takes 30 minutes to an hour. However, when accounting for preparation and recovery time, the entire process might occupy a significant portion of your day.

How Long Is Recovery After Colonoscopy?

Typically, recovery after a colonoscopy takes a few hours to a day, depending on the individual’s response to sedation. However, it is generally recommended to rest and refrain from driving or operating machinery for 24 hours post-procedure.

Will I Be Okay A Day After A Colonoscopy?

Most patients feel fine a day after a colonoscopy. Some residual bloating or gas may persist, but severe abdominal pain or heavy rectal bleeding should be reported to your doctor immediately.

Can Haemorrhoids Be Removed During A Colonoscopy?

While a colonoscopy primarily focuses on detecting polyps and signs of cancer, some doctors may choose to remove or treat haemorrhoids during the procedure if necessary. However, this is not a standard part of the procedure.

Gastroscopy Cost And Fees In Singapore

Gastroscopy Cost Singapore

When you’re experiencing persistent upper abdominal pain or unexplained weight loss, a gastroscopy might be necessary to diagnose your stomach problems.

A gastroscopy procedure is a common yet highly technical process that requires the doctor to insert a flexible tube called an endoscope into the patient’s upper digestive tract. This medical service is available at numerous surgical clinics and public hospitals.

However, the fees and cost of a gastroscopy in Singapore may vary depending on different factors. This article provides a detailed guide to help you understand these costs and navigate the process.

 

How Much Does A Gastroscopy Cost In Singapore?

Gastroscopy Cost Singapore

The cost of a gastroscopy in Singapore varies, predominantly depending on the surgical clinic or medical institution where the procedure is performed. On average, the gastroscopy cost in Singapore ranges from $150 to $2,500 (SGD). This estimated cost typically covers the consultation fee, endoscope usage, sedation, and recovery room charges.

However, it’s crucial to remember that other fees may apply. Additional costs may be necessary if your doctor finds abnormal findings during the examination. For instance, if biopsies are required for tissue samples, polyp removal or other interventions are required, these will likely incur additional costs.

 

Insurance Provider And Cashless Eligibility

In Singapore, many insurance providers offer coverage for gastroscopy procedures. This can be part of a comprehensive health insurance plan or an additional coverage option. Before scheduling your gastroscopy procedure, you must check your insurance details thoroughly. This includes verifying the coverage details for your gastroscopy procedure and confirming your cashless eligibility.

Cashless eligibility is a service where patients undergo the gastroscopy procedure without making any upfront payments. Instead, the insurance provider directly settles the bill with the medical institution. This service can significantly reduce the financial burden for patients, making the process hassle-free and more manageable.

 

Integrated Shield Plan

Singapore’s Ministry of Health (MOH) encourages residents to have an Integrated Shield Plan (IP). This plan is an additional private insurance that complements the basic MediShield Life coverage, ensuring more extensive protection. IPs often cover the cost of a gastroscopy procedure, apart from other selected inpatient and outpatient treatments.

The extent of coverage provided by IPs depends on the plan’s specific features, such as the type of ward, the annual claim limit, and the choice of medical institutions. Some IPs may even cover other fees associated with the procedure. Therefore, verifying the details of your Integrated Shield Plan is crucial to ensure that your gastroscopy costs are adequately covered.

 

Why Do You Need A Gastroscopy?

A gastroscopy is a diagnostic procedure performed to examine the upper digestive tract, including the oesophagus (food pipe), stomach, and the first portion of the small intestine. This process is usually recommended to investigate symptoms such as upper abdominal pain, unexplained weight loss, persistent discomfort, and symptoms suggestive of colon cancer or Crohn’s disease.

The procedure involves a general surgeon inserting a flexible tube called an endoscope through the patient’s mouth to push it down the digestive tract carefully. This tube helps in visualising the stomach and the small intestine. If necessary, the doctor can take tissue samples to diagnose conditions such as ulcers, abnormalities or even remove a foreign body if present.

 

What To Expect From A Gastroscopy Procedure

Before

Once you’ve decided to undergo a gastroscopy at a surgical clinic or a hospital, there are a few things you need to prepare for:

  • Fasting: You will be asked to fast for at least 6 hours before the procedure to ensure your stomach is empty.
  • Medical History: Your doctor needs to know your medical history, including any medication you take, especially blood thinners.
  • Estimated Cost and Insurance Details: Discuss the estimated cost of the procedure with your doctor and check the insurance details, including whether the procedure is cashless eligibility or if your Integrated Shield Plan covers it.

During

A gastroscopy is a day surgery procedure, so an overnight stay is not typically required. The standard diagnostic gastroscopy process includes the following:

  • Sedation: You will be sedated to help minimise discomfort during the procedure.
  • Endoscopy: The doctor inserts a flexible tube called an endoscope into your oesophagus, stomach, and the first portion of the small intestine.
  • Examination: The surgeon will carefully examine the lining of your upper gastrointestinal tract. The procedure may include taking tissue samples for further testing or removing polyps if found.

After

After the gastroscopy or post-procedure, you will be moved to a recovery area. Here’s what to expect post-procedure:

  • Recovery Time: Most patients recover from the sedative effects within an hour. However, you must arrange for someone to drive you home as the sedative can impair your reflexes for a day.
  • Results: If the doctor found abnormal findings, further examination, such as biopsy testing, may be required. The doctor will explain any discovered ulcers, inflammation, or other digestive system conditions.

 

Enquire Now About The Cost Of A Gastroscopy In Singapore 

Inquire about a detailed cost breakdown of a gastroscopy procedure with Dr Leong. He is a colorectal surgeon in Singapore, specialising in colonoscopy screening, diagnosing colorectal cancers, and performing other gastrointestinal and colorectal-related procedures.

Schedule a consultation today or visit his clinic at the following address:

820 Thomson Road, Mount Alvernia Hospital

Medical Centre A #01-06, Singapore 574623.

 

Frequently Asked Questions About The Cost Of A Gastroscopy In Singapore

 

How Long Is A Gastroscopy?

A gastroscopy procedure typically takes about 15 to 30 minutes, although this can vary depending on individual circumstances and if any additional interventions are necessary.

 

What’s The Difference Between A Gastroscopy And Endoscopy?

An endoscopy is a broad term referring to procedures involving an endoscope to examine the interior of a hollow organ or cavity. Gastroscopy is a specific type of endoscopy that inspects the upper digestive tract, including the oesophagus, stomach, and duodenum.

Is A Gastroscopy Painful?

While a gastroscopy may cause minor discomfort, it’s not usually painful. Patients are often sedated, which helps minimise discomfort during the procedure.

 

How Long Is Recovery After A Gastroscopy?

Recovery after a gastroscopy is typically quick, with most patients able to resume normal activities within 24 hours. However, patients should refrain from driving or operating heavy machinery for at least 24 hours due to the sedative effects.

 

What Are The Risks Of A Gastroscopy?

Although gastroscopy is generally safe, it carries small risks like all procedures. These may include minor bleeding, especially if a biopsy is taken, and rare instances of perforation or reaction to the sedation.

 

Is A Gastroscopy Subsidised In Singapore?

Yes. For Singapore Citizens and Permanent Residents, they can opt to pay for their gastroscopy procedure via Medisave. Personal insurance can also shoulder the costs. Before getting insurance, enquire with the provider on whether or not the plan covers in-patient/out-patient gastroscopy in your preferred hospital. 

 

What Is Gastroscopy? 4 Key Facts About Gastroscopy Procedure [2023]

What Is Gastroscopy? 4 Key Facts About Gastroscopy Procedure

Gastroscopy, or upper gastrointestinal endoscopy or upper GI endoscopy, is a widely-used diagnostic procedure to examine the upper part of the gastrointestinal (GI) tract.

We’ll discuss the gastroscopy procedure, its applications, and how to prepare for it.

1. What Can A Gastroscopy Detect?

A gastroscopy can detect various issues within the upper GI tract, including the oesophagus (food pipe), stomach, and the first part of the small intestine (duodenum). Common medical conditions that can be diagnosed through this procedure include:

Gastritis

Gastritis is an inflammation of the stomach caused by various factors. Gastroscopy allows for direct visualisation of the stomach lining.

The doctor can identify signs of inflammation or irritation like redness, swelling, or erosions during the procedure. In some cases, they may also observe changes in the stomach’s mucosal pattern or the presence of ulcers.

Gastric Cancer

Gastroscopy is vital in diagnosing gastric cancer in its early stages, as it allows doctors to inspect the stomach wall and obtain tissue samples for biopsy.

Gastroesophageal Reflux Disease (GERD)

Gastroscopy helps determine the extent of damage caused by stomach acid reflux, a key contributor to GERD.

Peptic Ulcers

These painful sores can develop in the stomach or small intestine due to excessive stomach acid production or bacterial infection. Gastroscopy is crucial in identifying their presence and severity.

Celiac Disease

A gastroscopy can confirm or rule out this autoimmune disorder by examining the small bowel and collecting tissue samples.

Strictures Or Narrowing Of The Food Pipe

Gastroscopy can detect strictures, which may cause difficulty swallowing, and help identify the underlying cause.

Inflammation Or Swelling In The Upper GI Tract

Gastroscopy effectively diagnoses conditions like esophagitis, gastritis, and duodenitis, which involve inflammation of the oesophagus, stomach, or duodenum, respectively.

2. What To Expect During A Gastroscopy Procedure?

What To Expect During A Gastroscopy Procedure?

A gastroscopy is typically performed as an outpatient procedure, which means patients can return home the same day. The process involves several steps to ensure patient comfort and accurate diagnosis.

Here’s what to expect during a gastroscopy procedure:

Step 1: Consultation

Before the gastroscopy, the doctor will review the patient’s medical history, discuss any ongoing medical conditions, and address any concerns or questions the patient might have. This is also the time to inform the doctor about any allergies or medications the patient is taking.

Step 2: Sedation And Anaesthesia

To ensure patient comfort during the procedure, a sedative is usually administered intravenously to help them relax. Some patients may also receive a local anaesthetic spray to numb the throat, minimising the gag reflex and making it easier to insert the endoscope.

Patients may feel drowsy or have difficulty breathing due to the sedation, but this is generally well-controlled by the medical staff.

The sedation will wear off gradually after the procedure, but patients should still avoid operating heavy machinery or making important decisions for at least 24 hours.

Step 3: Insertion Of The Endoscope

Once the patient is relaxed and their throat is numbed, the doctor will gently insert a thin, flexible tube called an endoscope through the patient’s mouth and down the food pipe (oesophagus). 

The endoscope has a light and a camera at its tip, enabling the doctor to examine the upper GI tract in detail.

Step 4: Inspection And Tissue Samples

The endoscope transmits real-time images to a monitor, allowing the doctor to closely inspect the oesophagus, stomach, and the first part of the small intestine (duodenum).

The doctor will look for abnormalities like inflammation, ulcers, or strictures. The doctor may take tissue samples using small instruments passed through the endoscope for further analysis if needed. These samples can help diagnose gastritis, celiac disease, or gastric cancer.

Step 5: Additional Procedures

Sometimes, the doctor may perform additional procedures during the gastroscopy to address specific issues. This can include removing polyps, dilating strictures, treating bleeding ulcers, or placing stents to open a narrowed area.

Step 6: Removal Of The Endoscope

Once the examination is complete, the doctor will carefully remove the endoscope, ensuring the patient’s comfort throughout the process.

Step 7: Recovery

After the procedure, patients are monitored in a recovery area until the sedative wears off. Depending on the patient’s reaction to the sedative, this can take anywhere from 30 minutes to a few hours.

They may experience a mild sore throat or bloating, which typically subsides within a few hours.

Having someone accompany the patient to drive them home is essential, as they may still feel tired from the sedative.

Step 8: Post-Procedure Care And Follow-Up

The doctor will discuss the results of the gastroscopy with the patient and provide any necessary recommendations for further tests, treatment, or lifestyle changes.

Patients may experience some mild discomfort like sore throat or bloating, but these usually resolve on their own after a few hours or a day.

If the doctor took tissue samples, the results may take a few days to be processed, and the doctor will schedule a follow-up appointment to discuss the findings.

3. How To Prepare For Gastroscopy

How To Prepare For Gastroscopy

Proper preparation is essential for a successful gastroscopy. Here’s how patients can get ready for the procedure:

Fasting

To ensure a successful gastroscopy, patients must have an empty stomach. This allows the doctor to have a clear view of the upper GI tract and minimises the risk of complications, such as aspiration of stomach contents into the lungs.

Patients should follow a low-residue diet or refrain from eating or drinking for at least 6-8 hours before the procedure. This means no solid foods, liquids, or even gum.

Water may be allowed in small amounts up to two hours before the procedure, but patients should follow their doctor’s instructions.

Adjust Your Medication

Patients should provide their doctor with a complete list of medications they are taking, including prescription drugs, over-the-counter medicines, vitamins, and supplements.

Some medications, such as blood thinners or nonsteroidal anti-inflammatory drugs (NSAIDs), may need to be adjusted or stopped temporarily before the gastroscopy.

This is because they can increase the risk of bleeding, especially if the doctor needs to take a biopsy or perform a therapeutic intervention during the procedure.

Patients should follow their doctor’s instructions regarding medication adjustments.

Don’t Engage In Strenuous Activities

On the day of the gastroscopy, patients should avoid engaging in strenuous activities or anything that may cause discomfort or stress.

They should arrange for a close friend or family member to accompany them to the procedure and drive them home afterwards, as they may feel tired and unable to drive safely due to the sedation administered during the procedure.

4. Is A Gastroscopy Safe?

Gastroscopy is typically a very safe procedure and is valuable in diagnosing gastrointestinal issues like stomach ulcers, inflammation, or tumours.

However, as with any medical procedure, there is a small risk of complications, such as bleeding, infection, or perforation of the gastrointestinal tract. 

Patients should be aware of these risks and discuss them with their doctor to make an informed decision about undergoing the procedure.

Conclusion On What Is Gastroscopy

A gastroscopy or gastrointestinal endoscopy is an essential diagnostic tool for examining the upper gastrointestinal tract. Proper preparation, including fasting and medication adjustments, can help minimise the risk of serious complications and ensure a successful procedure.

If you are experiencing gastrointestinal issues or require colorectal surgery, schedule a consultation with Dr QM Leong. 

As a specialist in colorectal surgery in Singapore, he is highly experienced in diagnosing and treating a wide range of colorectal and gastrointestinal cancers.

His other areas of expertise include cyst removal, gallstone removal, hernia surgery, colonoscopy, and more.

You may also visit his clinic at the following address:

820 Thomson Road, Mount Alvernia Hospital Medical Centre A 
#01-06, Singapore 574623

Frequently Asked Questions About What Is Gastroscopy

Is Gastroscopy Painful?

No, gastroscopy is generally not painful, as patients are typically sedated or given local anaesthesia to minimise discomfort during the procedure. They may feel a slight gagging sensation or pressure when the endoscope is inserted, but the sedation helps to keep them relaxed.

Endoscopy is a broad term to describe a range of procedures that involve inserting a flexible tube with a light and camera into the body to examine internal organs. Gastroscopy is a type of endoscopy specifically focused on examining the upper gastrointestinal tract, including the oesophagus, stomach, and the first part of the small intestine (duodenum).

Side effects of gastroscopy are generally mild and temporary. These may include a sore throat, bloating, or mild abdominal discomfort. More serious complications, such as bleeding, infection, or perforation of the gastrointestinal tract, are rare but can occur.

Preliminary gastroscopy results are often available immediately after the procedure, as the doctor can observe the upper gastrointestinal tract directly during the examination. However, if a biopsy is taken, it may take several days to a week for the results to be analysed and returned.

Patients should avoid alcohol, caffeine, and spicy or acidic foods until they have fully recovered and feel comfortable eating them.

Gastroscopy is used to examine the upper GI tract, including:

  • Oesophagus
  • Stomach
  • Duodenum (first part of the small intestine)

A gastroscopy examines the upper gastrointestinal tract (oesophagus, stomach, and duodenum), while a colonoscopy focuses on the lower gastrointestinal tract, specifically the colon and rectum. Both procedures involve inserting a flexible tube with a light and camera into the body, but the gastroscopy uses the mouth as the entry point, while the colonoscopy uses the rectum.

Stages Of Appendicitis: What You Need To Know

Stages Of Appendicitis: What You Need To Know

Appendicitis is when the appendix, a small pouch attached to the large intestine, becomes inflamed and infected.

The condition is characterised by acute abdominal pain, which can be severe and localised in the right lower quadrant of the abdomen.

There are usually various stages of appendicitis, depending on how severe the inflammation is and the presence of complications.

What Are The Stages Of Appendicitis?

Appendicitis is usually classified into four stages: normal, uncomplicated appendicitis, acute appendicitis, and perforated appendicitis:

Normal Appendix

Located in the lower right side of the abdomen, the appendix is a small, tubular structure resembling a finger attached to the first part of the large intestine. It is filled with lymph, a clear fluid that contains white blood cells that help fight infections and is supplied with its own blood and nerve supply.

Traditionally, the appendix is considered a vestigial organ with no critical role in the body. However, recent studies suggest that the appendix supports the immune system. 

The appendix is believed to be a safe house for beneficial gut bacteria during gastrointestinal infections, allowing them to repopulate the gut after the illness has passed.

Uncomplicated Appendicitis

This is the earliest stage of appendicitis and occurs when the inflammation affects only the appendix. The symptoms at this stage are often mild, and individuals may experience a dull, achy pain around their navel that gradually moves towards the right lower quadrant of their abdomen.

Other symptoms may include nausea, vomiting, and loss of appetite. With early diagnosis and prompt treatment, appendicitis in this stage can often be managed successfully with antibiotics alone.

Acute Appendicitis

As the inflammation progresses, the condition enters the acute appendix stage, in which the inflammation spreads beyond the appendix to adjacent tissues.

This is also known as the complicated appendicitis stage, at which point the pain becomes more severe and affects the right lower quadrant of the abdomen.

Other symptoms may include fever, chills, and an elevated white blood cell count. An abscess may sometimes form, leading to complications such as sepsis or bowel obstruction. Treatment at this stage typically involves surgery to remove the appendix.

Perforated Appendicitis

The final stage of appendicitis occurs when the inflamed appendix ruptures, allowing its contents to spill into the abdominal cavity. This can cause severe pain and life-threatening complications such as peritonitis, sepsis, or abscess formation.

Treatment at this stage usually involves surgical removal of the appendix and antibiotic therapy to manage any associated infections. Recovery may take longer than in earlier stages, and patients may need to stay in the hospital longer.

The stages of appendicitis are similar to those of an ovarian cyst, often causing confusion in diagnosis.

What Are The Early Signs And Symptoms Of Appendicitis?

What Are The Early Signs And Symptoms Of Appendicitis?

If left untreated, appendicitis can lead to severe complications, making early detection and prompt treatment essential. Watch out for these symptoms of appendicitis:

Abdominal Pain

The most common symptom of appendicitis is abdominal pain. This pain typically starts around the navel and then moves to the right lower quadrant of the abdomen. Movements such as coughing or sneezing may worsen the pain.

Lack Of Appetite

A reduced appetite is another early sign of appendicitis. Patients may feel full or bloated, even after consuming only small amounts of food. 

Vomiting And Nausea

Nausea and vomiting may occur in the early stages of appendicitis. Patients may experience mild to severe nausea, which can lead to vomiting. Vomiting may also be due to an inflamed and irritated bowel.

Fever And Chills

Patients with appendicitis may develop a low-grade fever, which can be accompanied by chills. Fever and chills are signs that the body is fighting off an infection.

Swollen Lymph Nodes

Sometimes, the individual may develop swollen lymph nodes in the groin area. This can occur due to the spread of infection from the inflamed appendix.

Rebound Tenderness

Pressing on the abdomen and quickly releasing it may cause pain in individuals with appendicitis. This is known as rebound tenderness, a common sign of inflammation in the abdomen.

Diarrhoea Or Constipation

Changes in bowel movements, such as diarrhoea or constipation, can indicate appendicitis. This occurs due to the inflammation in the bowel that is caused by the inflamed appendix.

Urinary Symptoms

Individuals with appendicitis may sometimes experience urinary symptoms such as painful urination, frequent urination, or urgency. This occurs due to bladder inflammation that happens during advanced appendicitis.

Rectal Pain

Inflammation of the appendix can cause pain in the rectum, which can be a significant source of discomfort for some individuals.

Severe Constipation/Difficulty Passing Gas And Stool

Severe constipation and difficulty passing gas and stool are not typical symptoms of appendicitis. 

However, in rare cases, a severely inflamed appendix may compress the bowel and cause these symptoms.

General Feeling Of Unwellness

Feeling generally unwell or fatigued is common in individuals with appendicitis. This can be due to the body’s response to the infection.

Understanding the symptoms of appendicitis can help recognize symptoms early.

What Are The Causes Of Appendicitis?

The exact cause of appendicitis is not always clear, but it is believed to occur when the appendix becomes blocked by a stool or a foreign object. This blockage can lead to the buildup of mucus and bacteria in the appendix, which can cause inflammation and infection. Other factors that may contribute to the development of appendicitis include:

  • Enlarged Lymph Tissue: In some cases, the appendix can become inflamed due to enlarged lymph tissue in the wall of the appendix. This can be caused by infections or inflammatory bowel disease.
  • Trauma: Trauma to the abdomen may also lead to inflammation of the appendix in rare cases.
  • Age and Gender: Appendicitis is most common in individuals between the ages of 10 and 30 and is slightly more common in males than females.
  • Genetics: Studies indicate that individuals with a family history of appendicitis are likely to develop the condition. Additionally, certain genetic variations have been identified that may increase an individual’s risk of developing appendicitis.

How Is Appendicitis Diagnosed?

Image of a doctor in a Singapore clinic discussing the stages of appendicitis to a patient.

Diagnosing appendicitis can be challenging, as its symptoms overlap with other conditions. However, early detection and prompt treatment are essential to prevent serious appendicitis complications.

Here’s what you need to know about how appendicitis is diagnosed:

Medical History

The doctor will begin by taking a thorough medical history, which may include questions about the patient’s symptoms, medical conditions, and family history of appendicitis. This can help the doctor determine whether the patient is at increased risk of developing the condition.

Physical Examination

The doctor will then perform a physical exam to assess the abdomen for tenderness, swelling, or a palpable mass in the right lower quadrant. This can help the doctor determine whether suspected appendicitis is the most likely cause of the patient’s symptoms.

Imaging Tests

Imaging tests, such as ultrasound or CT scan, may be used to visualise the appendix and surrounding structures. These tests can confirm the diagnosis of appendicitis and rule out other conditions.

In cases of chronic appendicitis, which may present with more subtle symptoms, imaging tests can be instrumental in making an accurate diagnosis.

Blood Tests

Blood tests are also commonly used in diagnosing appendicitis. Elevated white blood cell count and C-reactive protein levels are expected in cases of suspected appendicitis, indicating that the body is mounting an immune response to an infection or inflammation in the body.

Blood tests can also help rule out other potential causes of abdominal pain and other symptoms.

How Is Appendicitis Treated?

How Is Appendicitis Treated?

The treatment of appendicitis typically involves surgical removal of the appendix, known as an appendectomy.

Prompt surgical intervention is essential to prevent serious appendicitis complications, such as a ruptured appendix, peritonitis, abscess formation, and sepsis.

The appendix can be surgically removed through an open incision or minimally invasive laparoscopic surgery.

Laparoscopic surgery is associated with a faster recovery time and less postoperative pain than open surgery, making it the preferred approach in many cases.

Surgical removal of the appendix is often recommended in cases of recurrent appendicitis, where the patient experiences multiple episodes of appendicitis.

Recurrent appendicitis can be challenging to diagnose, as the symptoms may be similar to conditions like gastroenteritis, Crohn’s disease, pelvic infection, etc.

However, a clinical diagnosis of appendicitis based on a combination of symptoms, physical exam findings, and imaging tests can guide appropriate treatment.

What Happens During An Appendectomy?

If your surgeon has advised you to undergo an appendectomy, knowing what to expect can help give you peace of mind before your scheduled surgery:

  1. Anaesthesia: The patient is given anaesthesia to ensure they are unconscious and pain-free during the surgery.
  2. Incision: In open surgery, the surgeon makes a small incision in the lower right abdomen to access the appendix. In laparoscopic surgery, several small incisions are made, and a camera and instruments are inserted to visualise and remove the appendix.
  3. Removal of the appendix: The surgeon then identifies and carefully removes the appendix from the surrounding tissues. Sometimes, the appendix may have ruptured, and the surgeon must clean the area to prevent infection.
  4. Closure: The incision or incisions are closed using sutures or staples. In laparoscopic surgery, the incisions are often so small that they do not require sutures or staples.
  5. Recovery: After the surgery, the patient is taken to a recovery room, where they will be monitored briefly before discharge. A doctor may prescribe pain medication to help manage discomfort, and the patient will receive postoperative care instructions.

What You Can Do To Prevent Appendicitis

Appendicitis is not always preventable, but there are some steps you can take to reduce your risk of developing the condition:

  • Eat a healthy diet: Eating a diet that is high in fibre and low in processed foods may help prevent the development of appendicitis. Fibre helps keep the digestive system functioning correctly, preventing blockages that can lead to inflammation of the appendix.
  • Maintain good hygiene: Washing your hands regularly and maintaining good hygiene practices can help prevent the spread of infections that can lead to appendicitis.
  • Seek prompt medical treatment for digestive issues: If you experience symptoms such as abdominal pain, nausea, or vomiting, seek medical attention promptly. Delayed treatment can lead to more severe clinical outcomes.
  • Get standard treatment for appendicitis: If you are diagnosed with appendicitis, it is crucial to get the standard treatment or an appendectomy. Delaying treatment can increase the risk of serious complications, such as a ruptured appendix.

Conclusion About The Stages Of Appendicitis

Recognising the stages of appendicitis is crucial to ensure prompt medical attention and avoid severe and potentially life-threatening complications.

Uncomplicated appendicitis is the first stage, followed by acute (complicated) appendicitis and a perforated appendix. Symptoms such as abdominal pain, nausea, vomiting, and fever can indicate appendicitis and early diagnosis and treatment are essential.

If you suspect you have appendicitis, seek immediate medical attention and consult with a qualified colorectal surgeon. Early intervention can prevent the progression of appendicitis and reduce complications.

Frequently Asked Questions About The Stages Of Appendicitis

What Is The Difference Between Uncomplicated And Complicated Appendicitis?

Uncomplicated appendicitis is characterised by inflammation confined to the appendix, while complicated appendicitis occurs when inflammation spreads to adjacent tissues. Complicated appendicitis is associated with a higher risk of serious complications, such as abscess formation and peritonitis.

Complicated appendicitis is typically treated with surgical removal of the appendix and antibiotics to prevent or treat the infection. In some cases, drainage of abscesses may also be necessary.

Chronic appendicitis is a condition characterised by recurrent episodes of mild inflammation of the appendix. Symptoms may be less severe than acute appendicitis but can still include abdominal pain, nausea, and vomiting. Treatment typically involves an appendectomy.

Yes, a person can get appendicitis multiple times. Recurrent appendicitis is when a person experiences multiple episodes of appendicitis.

The risk of recurrent appendicitis depends on several factors, including the severity of the initial episode and whether the appendix was removed. Occasionally, recurrent appendicitis may indicate underlying medical conditions, such as inflammatory bowel disease.

Yes, appendicitis can cause long-term complications, such as bowel obstruction, infertility, and chronic abdominal pain.

Yes, Appendicitis can cause abscesses, which are pockets of pus that can form in the abdominal cavity. These will need to be drained in addition to antibiotic treatment.

Suspected acute appendicitis is a term used to describe cases where a person presents with symptoms that suggest appendicitis, but a definitive diagnosis has not yet been made.

Can Appendicitis Pain Come And Go?

Can Appendicitis Pain Come And Go?

Usually, appendicitis starts with a pain in the middle of your stomach that comes and goes. Within hours, the pain moves to your lower right side abdomen, where your appendix is, stays there, and gets worse.

Appendicitis is a painful swelling of the appendix. The appendix is 5 to 10 cm (2 to 4 inches) length. It’s a tiny and thin pouch attached to the large intestine.

How Long Does It Take For An Appendix To Burst?

Appendicitis causes the appendix to become inflamed and swollen. Without treatment, the pressure will eventually cause the appendix to burst, which can occur within 48 to 72 hours of the onset of symptoms.

Symptoms Of Appendicitis

Symptoms Of Appendicitis

Abscesses loaded with pus may form around the appendix. Scar tissue and other abdominal structures will “wall off” the abscessed appendix and the drainage, preventing the spread of infection.

A ruptured appendix can be a life-threatening emergency, prompting the patient to seek immediate medical assistance.

Symptoms:

  • Acute abdominal pain may originate in the upper or middle abdomen but settles typically in the lower right abdomen.
  • Abdominal pain worsens when you walk, stand, jump, cough, or sneeze.
  • A bloated or swollen belly tenderness when you press on your abdomen, which may worsen when you stop pressing it.
  • Incapacity to pass gas
  • Sudden abdominal pain when sleeping.

Other symptoms include:

  • Fever
  • Nausea
  • Vomiting
  • Loss of Appetite
  • Constipation
  • Diarrhoea

Diagnosis

Diagnosis

To aid in diagnosing appendicitis, your doctor will likely take your medical history and examine your abdomen.
The following tests and procedures help in diagnosing appendicitis:

  • Physical examination to evaluate your pain. Your physician might apply light pressure to the uncomfortable spot. Appendicitis discomfort typically worsens when the pressure is suddenly lifted, indicating that the neighbouring peritoneum is irritated.
  • In addition, your physician may check for abdominal tightness and a tendency to tense abdominal muscles in reaction to pressure over the inflamed appendix (guarding).
  • Your physician may insert a gloved, lubricated finger to inspect your lower rectum (digital rectal exam). Women of childbearing age may undergo a pelvic examination to check for gynaecological issues that could be causing the pain.
  • Blood test. Enables your physician to examine your white blood cell count, which may suggest an infection.
  • Urine test. Your doctor may request a urinalysis to rule out a urinary tract infection or kidney stone as the source of your pain.
  • Imaging testing. Your physician may also order an abdominal X-ray, an abdominal ultrasound, a computed tomography (CT) scan, or magnetic resonance imaging (MRI) to confirm appendicitis or identify alternative reasons for discomfort.

Complications Of A Ruptured Appendix

If appendicitis is left untreated, the appendix can rupture and lead to potentially fatal infections and serious complications, and you should have immediate medical care. Below are other complications resulting from a ruptured appendix:

Peritonitis

  • If your appendix ruptures, bacteria will infect the lining of your abdomen (peritoneum). It is known as peritonitis.
  • It can potentially cause internal organ damage.
    Peritonitis symptoms can include:
    • Persistent severe abdomen pain
    • Exhibiting symptoms of illness or a high temperature
    • A fast heart rate, shortness of breath with rapid breathing, and abdominal puffiness.
  • Peritonitis may be fatal if not treated immediately; it can create long-term complications.
  • Peritonitis is treated with antibiotics and appendix removal surgery.

Abscess

When there is an infection in the abdomen, surrounding tissues may attempt to separate the infection from the remainder of the abdomen. The wall develops an abscess — a sealed collection of pus and bacteria.

Abscess symptoms are identical to those of appendicitis except for the following:

  • The pain may be localised to one place (although not necessarily the lower right abdomen) or spread over the entire abdomen.
  • The pain may be a mild aching or acute and stabbing.
  • While taking antibiotics, the fever does not subside.
    You may also experience chills and weakness.

Sepsis

When left untreated, bacteria from a ruptured appendix can enter the circulation and cause sepsis, a life-threatening illness. Sepsis is an inflammation of the entire body.

Symptoms of sepsis include:

  • A high or low temperature
  • Rapid heartbeat and shivering breathing
  • Weakened mental state and low blood pressure

Appendicitis Can Be Confused With

Appendicitis can be confused with the following disorders:

  • Gastroenteritis – a stomach bug that causes diarrhoea and vomiting.
  • Severe irritable bowel syndrome (IBS) – common disorder that affects gastrointestinal tract.
  • Constipation – faeces passes too slowly through the digestive system or cannot be adequately removed from the rectum.
  • Bladder or urinary tract infections – infection of the urinary tract that occurs frequently when bacteria enter the urethra.
  • Crohn’s disease – causes inflammation of the digestive tract tissues, which can result in stomach pain, severe diarrhoea, exhaustion, and weight loss.
  • Pelvic infection – infection of the reproductive organs of women frequently caused by sexually transmitted disease (STD).

In women, appendicitis-like symptoms may have a gynaecological origin, such as:

  • Ectopic pregnancy
  • Menstrual pain
  • Pelvic inflammatory disease (PID)

Treating Appendicitis

If you have appendicitis, your appendix must be removed immediately. This surgical removal procedure is referred to as an appendectomy.

If there is a possibility that you have appendicitis, but it has not been possible to make a definitive diagnosis, surgery is indicated.

Here are other ways your doctor may treat appendicitis:

Laparoscopy

Laparoscopy is a surgical treatment that enables the surgeon to examine the interior of the abdomen (tummy) and pelvis using a laparoscope and without making extensive skin incisions. A laparoscope is a tiny tube with a light source and a camera that transmits images of the abdomen’s interior to a monitor.

This method is also referred to as keyhole surgery or minimally invasive surgery. Small surgical instruments are used for appendectomy. After the appendix has been removed, the incisions are often healed with stitches that dissolve over time.

Additionally, regular stitches may be used, which must be removed 7 to 10 days later at your doctor’s office.

Open Surgery

In certain situations, open surgery is preferred to keyhole surgery. Open appendectomy is recommended when the appendix has already ruptured and developed a lump known as an appendix mass.

In these instances, the appendix is removed by a single, bigger incision on the lower right side of the abdomen.

When peritonitis, an infection of the inner lining of the abdomen, is widespread, a laparotomy may be required. This involves making a long incision along the middle of the belly.

Like keyhole surgery, the wound is closed with either dissolvable or normal stitches that must be removed afterwards.

After both methods of appendectomy, the excised appendix is typically sent to a laboratory for cancer detection.

Conclusion On Can Appendicitis Symptoms Pain Come And Go

Appendix pain can come and go, but when the pain worsens, it’s best to see a colorectal specialist.

Schedule a consultation with Dr. QM Leong and learn more about appendicitis. He specialises in gallstone removal, anal fissures, hernia surgery, colorectal cancer, peptic ulcers, and treating other changes in bowel habits.

Frequently Asked Questions On Can Appendicitis Pain Come And Go

Should I Be Concerned About Pain On The Right Side?

Suppose you have significant abdominal discomfort, particularly on the right side. You should see a doctor to rule out causes that require emergency medical attention, such as appendicitis, an ectopic pregnancy, an ulcer, or kidney stones.

Before surgery, antibiotics are administered to patients suspected of having appendicitis. Some mild cases of appendicitis are treatable solely with antibiotics in undeveloped countries.

However, in a developed country like Singapore where modern medical facilities and surgeons and anaesthetists are available, treating appendicitis with antibiotics is not recommended. This is because appendicitis treated with antibiotics often recur and hence the definitive treatment should always be surgery.

Yes. You may feel discomfort in the middle of the belly that may come and go when you have appendicitis. Within hours, the pain spreads to your lower right side, where the appendix is, and intensifies. Pressing the region, coughing, or walking may aggravate the pain.

Yes, It’s possible that the initial symptoms of appendicitis are similar to those of a bad case of gas pains. However, appendicitis typically worsens and causes more discomfort over time.

Symptoms including a high temperature, bowel changes (such diarrhoea or constipation), or vomiting may also present themselves.

Yes, it’s possible. The body’s inflammatory response is triggered when your digestive tract is overworked by spicy food. When this inflammation combines with other health issues, it can cause the appendix to burst, causing a great deal of discomfort and even death.

Can Stress Cause Appendicitis? 6 Things You Should Know

Can Stress Cause Appendicitis? 6 Things You Should Know

Can stress cause appendicitis? Stress is known to affect the digest tract. Many gastrointestinal diseases, like Irritable Bowel Syndrome (IBS) and dyspepsia, are caused by mental factors like stress. If you’re constantly stressed out, read more.

1. When Does Appendicitis Become Chronic?

When Does Appendicitis Become Chronic?

The appendix is a very small tube that connects the small and large intestines. It is located in the lower right region of the stomach (abdomen). Inflammation of the appendix happens when the organ becomes obstructed and causes pain. If not immediately removed, the ruptured appendix indicates a medical emergency.

Appendicitis is an acute condition for which appendectomy is the treatment. Acute appendicitis is an inflammation of the appendix that occurs suddenly. In contrast, chronic appendicitis is an inflammation of the appendix that lasts for weeks, months, or even years.

Inflammation is the cause of chronic appendicitis, which is not fully understood. The pain occasionally occurs intermittently for several months before being diagnosed as appendicitis. As the pain is frequently less severe than acute appendicitis, individuals do not always seek medical attention because the symptoms tend to come and go.

2. What Causes Appendicitis?

Appendicitis may have multiple causes. In many instances, the cause is obscure, but possible causes include:

  • Hardened stool or growths that obstruct the opening of the appendix
  • Swollen tissue in the appendix wall is caused by an infection in the digestive tract or other parts of the body
  • Inflammatory bowel disease
Stress may also lead to symptoms similar to those of gastric polyps, making diagnosis challenging.

3. What Are The Symptoms Of Appendicitis?

According to an article by NIH: National Institute of Diabetes and Digestive and Kidney Diseases (NDDK), the most common symptom of appendicitis is abdominal or gut discomfort.

If you have appendicitis, you may experience intense abdominal pain:

  • Beginning close to your belly button, moving toward your lower right abdomen
  • Sudden abdominal pain that wakes you if you’re sleeping and get worse when you move.
  • You may feel pain as you cough, sneeze, or take a deep breath

Other symptoms of appendicitis may include:

  • Loss of appetite
  • Nausea or vomiting
  • Fever
  • Swelling in your lower right abdomen

Appendicitis can occasionally be accompanied by digestive complications, such as:

  • Diarrhoea
  • Constipation
  • Inability to pass gas
Stress may not directly cause appendicitis, but it can exacerbate symptoms.

4. How Is Appendicitis Diagnosed?

How Is Appendicitis Diagnosed

Your healthcare professional will conduct a physical exam and ask about your medical history. Additionally, he or she may need you to take one or more of the following examinations:

  • Computed Tomography (CT) scan can produce high-resolution images of virtually any region of the body, including the organs, bones, muscles, and fat.
  • Magnetic Resonance Imaging (MRI) is sometimes used to diagnose appendicitis, especially in pregnant women.
  • Blood tests will search for evidence of infection, while a urine test will help rule out other illnesses, such as bladder and kidney disease, and other digestive conditions..

5. Treatment For Appendicitis

Appendicitis requires an urgent medical emergency. The appendix will likely rupture and produce a fatal infection without immediate treatment. Your healthcare professional will, therefore, recommend appendix removal surgery or appendectomy:

  • Open (traditional) surgical procedure: You will be administered an anaesthetic. The surgeon locates the appendix and removes it by incision. If the appendix has ruptured, a tiny tube (shunt) may be inserted to drain the abdomen of pus and other fluids. The shunt will be removed a few days after your surgeon determines that the infection has subsided.
  • Laparoscopic technique: You’re administered an anaesthetic. Several small incisions and a camera (laparoscope) are used in laparoscopy to examine the abdomen. The surgical instruments are inserted via a few tiny incisions. The laparoscope is inserted via a second incision. laparoscopy can be performed even if the appendix has ruptured.

6. Complications Of Appendicitis

Untreated chronic appendicitis can have a negative influence on the quality of life. Frequently, it develops into an acute episode, at which point appendicitis is diagnosed.

Chronic appendicitis presents the risk of appendix rupture, which can result in a severe infection. Unfortunately, because chronic appendicitis has not been thoroughly researched, it is unclear how frequently complications arise.

If your appendix has not ruptured, you will only need a few days to recover from an appendectomy. If your appendix has ruptured, your healing period will be lengthened, and you will require antibiotics.
Normal life is possible without an appendix. Changes to diet or exercise are typically unnecessary.

Conclusion About Can Stress Cause Appendicitis

There is no direct correlation between stress and appendicitis. However, the long-term consequences of stress on gastrointestinal health and immunity may contribute to appendicitis. More study is required in this field.

Appendix pain worsens when it bursts and may cause a serious infection. There’s no known cause for appendicitis, but if you’re feeling frequent pain, it’s best to see a colorectal specialist.

Schedule a consultation with Dr. QM Leong. He specialises in gallstone removal, anal fissures, hernia surgery, colorectal cancer, peptic ulcers, and treating other changes in bowel habits.

Frequently Asked Questions On Can Stress Cause Appendicitis

How Does Stress Affect Digestive Health?

Your gut contains billions of nerve cells that regulate your digestion independently of the brain. This extensive network of nerve cells within the digestive tract is known as the enteric nervous system.

The enteric and central nervous systems influence and interact with one another. Through its effect on the brain-gut axis, chronic stress significantly impacts the digestive system.

The digestive system contains the longest list of stress-related disorders, including:

  • Irritable bowel disease
  • Dyspepsia
  • Diarrhoea
  • Abdominal bloating and stomach pain

In addition, continuous stress can damage your digestive system’s immunity. Chronic stress can affect the habitat of microorganisms (the gut microbiome). If your gut immunity is compromised, your digestive tract will be more susceptible to inflammatory disorders (such as inflammatory bowel diseases) and infection.

Though there is no direct link between stress and appendicitis. But appendicitis may be caused by the long-term effects of stress on the health of the gut and the immune system.

No scientific data demonstrate a direct correlation between emotional stress and appendix rupture. Infection, blockage, and pressure buildup within the inflamed appendix are the most common causes of an appendix rupture.

However, stress can harm your general health and immunity. Theoretically, stress can exacerbate appendicitis-related inflammation and its consequences (such as perforation). However, there is no solid, well-designed research testing this notion.

There is no proven method to prevent appendicitis at this time.

Symptoms of appendicitis may continue between 36 and 72 hours before the appendix ruptures. Symptoms of appendicitis occur rapidly after the commencement of the ailment. Early symptoms include abdominal pain, appetite loss, nausea and vomiting, and a mild fever. After 24 hours, abdominal pain typically shifts to the lower right side of the abdomen.

How Common Is Colorectal Cancer? 5 Things To Know

How common is colorectal cancer

Colorectal cancer is the most commonly diagnosed cancer and can be found in the colon or rectum. The colon is the largest part of the large intestine, and the rectum connects the colon to the anus. Polyps, or growths on the colon and rectum’s inner walls, are common and are precancerous. .

Here are what you need to know about colorectal cancer:

1. What Are The Causes Of Colorectal Cancer?

The internal lining of the large intestine can occasionally develop polyps. A simple surgical procedure can be used to remove these lesions if they are detected early. They could potentially develop into colorectal cancer if left untreated. Doctors are conducting research to determine why these colorectal polyps develop in some individuals but not in others.

In other instances, colorectal cancer develops seemingly without cause, likely due to a family history of the disease.

Your colorectal surgeon can perform a screening to detect polyps and cancerous cells.

2. What Are The Symptoms Of Colorectal Cancer?

Colon cancer develops in the colon (large intestine) or rectum (the lower part of your large intestine, which stores stool).

Examples of colon cancer symptoms include:

  • Constipation
  • Diarrhoea
  • Alterations in stool colour or form
  • Blood in the faeces
  • Recto-rectal bleeding
  • Abdominal pain (Ulcerative colitis)
  • Weakness and exhaustion
  • Unexplained weight loss

In the early stages, many individuals do not exhibit any symptoms. Some symptoms may be attributable to irritable bowel syndrome or Crohn’s disease. Avoid postponing a trip to the doctor  if you are concerned.  Proper diagnosis requires a checkup.

3. Who Is At Risk Of Colorectal Cancer?

Who Is At Risk Of Colorectal Cancer

There are numerous causes for the increasing prevalence of developing colorectal cancer in Singapore and globally.

Here are the reasons why colorectal cancer is common in Singapore:

  • Family history of colorectal cancer or polyps in the colon
  • Inflammatory Bowel Disease
  • Age Group of 45 and above
  • Patients with type 2 Diabetes
  • Consumes High-fat diet
  • Smokers
  • Alcoholics

4. How To Know If You Have Colorectal Cancer?

How To Know If You Have Colorectal Cancer

Regular screening makes colorectal cancer one of the most preventable and treatable cancers. Early-stage colorectal cancer cells are confined to the large intestine and, if detected and removed, can substantially reduce the risk of developing cancer.

There are several types of colorectal cancer screening tests:

  • The Faecal Immunochemical Test (FIT) – is an easy and convenient test that can be performed in the comfort of your home. It detects the presence of blood in faeces, which may be unnoticeable to the naked eye. The test is risk-free and should be administered annually.
  • Colonoscopy – involves the examination of the colon and rectum with a flexible fibre-optic instrument inserted into the anus. This procedure is performed by a specialist in a clinic under sedation and is advised to be performed every ten years.
  • Flexible Sigmoidoscopy – examines the lining of the large intestine’s lower portion. A short, flexible tube is inserted into the rectum and guided slowly into the sigmoid colon, which is the final segment of the colon before the rectum. This examination is suggested to be performed every five years.

5. How Can We Treat Colorectal Cancer?

Treatment depends on the stage of colon cancer. To determine the stage of cancer, doctors look at how deeply cancer has invaded the intestinal walls and if it has spread to lymph nodes and other organs. Based on the cancer stage, doctors will offer treatment options.

  • Colorectal surgery – The intestinal tumour and any cancerous lymph nodes around it are surgically removed. To repair the colon and rectum, it is usually necessary to sew the two ends of the colon together. A gastric bag may be necessary for some patients. However, as surgical methods advance, colostomies may become less necessary.
  • Radiation therapy – To ensure that no cancer cells have survived near the tumour site after surgery, radiotherapy is the next line of defence. It can reduce the size of a colorectal tumour before surgery when combined with chemotherapy. However, it is typically performed after surgery to eliminate any remaining cancer cells and prevent a recurrence.
  • Chemotherapy – If cancer has spread to other organs, like the liver or lungs, chemotherapy may be used to treat the patient. In some cases, it is used after cancer surgery to further reduce the likelihood of recurrence.

Colorectal cancer treatment is most effective in its early stages. If cancer is diagnosed at stage one, the survival rates for men and women are approximately 84% and 86%, respectively. However, if cancer reaches stage four, survival rates plummet to just 10 per cent for men and 11 percent for women.

Conclusion About How Common Is Colorectal Cancer

Colorectal cancer can be prevented and can be treated if detected early. Get a colonoscopy screening with Dr Q.M. Leong.

Dr. Q.M Leong is a colorectal surgeon in Singapore with decades of experience in his field. He specialises in treating haemorrhoids, gallbladder diseases, hernia, gastritis and many other GI diseases.

Frequently Asked Questions About
How Commonly Is Colorectal Cancer

How To Prevent Colorectal Cancer?

There are a few ways to prevent colorectal cancer:

  • Regular screening
  • Having healthy eating habits
  • Exercise
  • Reducing alcohol intake

Here are the most common cancers affecting men in Singapore:

  • Colon cancer & Rectal Cancer – 6,436
  • Prostate cancer – 5,875
  • Lung cancer – 5,218

Here are the most common cancers affecting women in Singapore:

  • Breast cancer – 11,805 cases
  • Colon Cancer & Rectal cancer – 5,253 cases
  • Lung cancer – 3,074 cases

Colon polyps are small growths of cells that form on the colon’s lining. Colon polyps rarely cause any symptoms. Some polyps, however, can potentially progress into colon cancer, which can be fatal if detected at a late stage.

A recent report by the Singapore Cancer Registry revealed that, regardless of gender or ethnicity, colorectal cancer is one of the top three cancers diagnosed in Singapore.

In fact, approximately 1 in 20 Singaporeans have a lifetime risk of colorectal cancer.