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Published on: 2/10/2026

Colon Cancer Poop: 5 Signs Women 65+ Should Never Ignore

Women 65 and older should not ignore five colon cancer stool signs: any blood in the stool, persistent thin or pencil like stools, ongoing diarrhea or constipation, frequent mucus or a constant urge to go, and unexplained anemia or fatigue that may reflect hidden bleeding. These are about patterns that last more than 2 to 3 weeks and should prompt a call to your doctor and up to date screening, since colon cancer is highly treatable when found early. There are several factors and next steps to consider, including when to seek care, what tests to ask about, and how to describe symptoms, so see the complete guidance below.

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Explanation

Colon Cancer Poop: 5 Signs Women 65+ Should Never Ignore

Changes in bowel habits can be uncomfortable to talk about, but for women age 65 and older, paying attention to what's happening in the bathroom can be lifesaving. Colon cancer often develops slowly, and one of the earliest places it shows up is in your stool.

This article explains five colon cancer poop signs that women 65+ should never ignore. The goal is not to alarm you, but to help you recognize when something may need medical attention—especially because colon cancer is highly treatable when caught early.


Why Stool Changes Matter More After 65

As we age, digestion naturally slows, and occasional constipation or diarrhea can be normal. However, colon cancer risk increases significantly after age 50, and women over 65 are at especially high risk due to:

  • Age-related changes in the colon
  • Long-term inflammation or polyps
  • Family history of colorectal cancer
  • Lower screening rates after retirement years

Because symptoms can be subtle, poop changes are often the first warning sign.


1. Blood in the Stool (Even Small Amounts)

One of the most important colon cancer poop signs is blood in or on the stool.

This may appear as:

  • Bright red blood on toilet paper
  • Dark red streaks mixed in stool
  • Black, tar-like stools (a sign of older bleeding)

While hemorrhoids and fissures can also cause bleeding, colon cancer bleeding is often painless and may come and go.

Why this matters

Tumors in the colon can bleed slowly over time. Even small amounts of blood can signal something serious—especially if it keeps happening.

Do not assume bleeding is "just hemorrhoids," particularly after age 65.


2. Persistent Change in Stool Shape (Thin or Pencil-Like Poop)

If your stool suddenly becomes:

  • Narrow
  • Flat
  • Pencil-thin
    and stays that way for weeks, it's worth attention.

What this can mean

A growing tumor inside the colon can partially block the passage of stool, changing its shape. This is a classic but often overlooked colon cancer poop sign.

Occasional thin stools can happen with constipation. The concern is persistent change without a clear reason.


3. Ongoing Diarrhea or Constipation That Doesn't Improve

Many women experience bowel changes from diet, stress, or medications. But colon cancer may cause:

  • Diarrhea lasting more than a few weeks
  • Constipation that keeps worsening
  • Alternating diarrhea and constipation with no clear cause

Why this is important

A tumor can disrupt normal bowel movement by:

  • Irritating the colon lining
  • Narrowing the bowel
  • Interfering with muscle contractions

If bowel changes do not improve with diet or hydration, it's time to check in with a healthcare professional.


4. Mucus in Stool or a Constant Urge to Go

Seeing mucus (a jelly-like substance) in your stool occasionally isn't always harmful. But frequent mucus—especially when combined with other symptoms—can be a warning sign.

You may also notice:

  • Feeling like you still need to go after a bowel movement
  • Incomplete emptying
  • Rectal pressure

What's happening

Colon tumors can irritate the bowel wall, leading to excess mucus production and altered nerve signals.

This symptom is often dismissed as irritable bowel issues, but new or worsening mucus in stool after age 65 should be evaluated.


5. Unexplained Anemia or Fatigue Linked to Stool Changes

Some women never see visible blood—but still lose blood slowly through their stool.

Signs may include:

  • Fatigue
  • Weakness
  • Shortness of breath
  • Pale skin

Doctors often discover this through iron-deficiency anemia on routine blood work.

Why stool matters here

Chronic bleeding from colon cancer can happen quietly. If anemia appears without another explanation, stool testing and colon evaluation are often needed.


When to Take Action (Without Panic)

Not every bowel change means cancer. But colon cancer poop signs are about patterns, not one-off events.

Consider speaking to a doctor if you notice:

  • Any stool change lasting more than 2–3 weeks
  • Blood in stool at any time
  • Multiple symptoms occurring together
  • Symptoms that are new after age 65

If you're experiencing any of these symptoms and want to understand what they might mean before your doctor's appointment, try using a free Colon Cancer symptom checker to help you prepare the right questions and decide how urgently you need to seek care.


Screening Still Matters—Even Without Symptoms

Many women believe colon cancer screening is unnecessary if they feel "fine." Unfortunately, early colon cancer often has no noticeable symptoms.

Doctors may recommend:

  • Colonoscopy
  • Stool-based tests
  • Follow-up imaging if needed

Screening guidelines are based on large-scale research from respected medical organizations and have been proven to reduce colon cancer deaths.


How to Talk to Your Doctor About Poop Changes

It can feel awkward—but doctors discuss bowel habits every day. Consider saying:

  • "I've noticed a change in my stool that hasn't gone away."
  • "I've had blood in my stool, even though it's not painful."
  • "My bowel habits are different than they used to be."

Being clear and honest helps your doctor decide what tests are appropriate.


A Calm but Serious Reminder

Colon cancer is not something to ignore, but it is also not something to fear in silence. Many women diagnosed early go on to live full, healthy lives.

The key is awareness.

If something about your stool feels different, persistent, or concerning—speak to a doctor promptly, especially if symptoms could be life-threatening or serious. Trust your body, ask questions, and don't delay care out of embarrassment or fear.

Your health—and your peace of mind—are worth it.

(References)

  • * Nielsen, H. N., Murchie, P., & Campbell, N. C. (2018). Colorectal Cancer Symptoms in Older Adults: A Systematic Review. *Journal of Geriatric Oncology*, *9*(4), 387–395. https://pubmed.ncbi.nlm.nih.gov/29961688/

  • * Brenner, H., & Hoffmeister, M. (2016). Symptomatology of Colorectal Cancer in Older Adults: A Population-Based Study. *Journal of the American Geriatrics Society*, *64*(1), 164–169. https://pubmed.ncbi.nlm.nih.gov/26687483/

  • * Siegel, R. L., Miller, K. D., Wagle, N., & Jemal, A. (2023). Cancer statistics, 2023. *CA: A Cancer Journal for Clinicians*, *73*(1), 17-48. https://pubmed.ncbi.nlm.nih.gov/36633252/

  • * Douaiher, J., Dhuli, K., & Kordahi, M. (2021). Colorectal Cancer: Current Perspectives on Risk Factors, Pathogenesis, Diagnosis, and Management. *Current Oncology Reports*, *23*(11), 127. https://pubmed.ncbi.nlm.nih.gov/34687000/

  • * Barth, H., von Wirth, K., & Steigleder, T. (2016). The incidence of colorectal cancer symptoms in a general practice population aged 50-79 years. *Zeitschrift für Gastroenterologie*, *54*(7), 659–665. https://pubmed.ncbi.nlm.nih.gov/27448347/

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