Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I have used chewing tobacco for approximately two years now and for the majority I spit. But I also swallow chew spit. I find myself swallowing more often in the recent. I chew approximately 8-10 Grizzly Wintergreen pouches per day. I am 30 yrs old. 150 pds. 5 10 . Active. Don t drink alcohol or smoke. The last couple days while passing a bowl movement I found the water in the toilet to be blood red and also the tp to be bloody after wiping. This has happened the last 2-3 times. Bowel movements were slightly painful. It was definitely more than just a little blood. My question is, is this directly caused from chewing (swallowing) or could this be something else? Cancer? I do plan to see a doctor on Monday (in 3 days). Thank you in advance!
[|AI|]  Thanks for your question on Chat Doctor. Yes, you are right. Tobacco chewing can lead to cancer, most commonly oral cavity cancer but can cause lung, liver, stomach, bladder and intestinal cancer. And you are having blood in stool which is again seen in colon cancers. So better to consult gastroenterologist and get done 1. Stool examination2. Ultrasound examination of abdomen3. Colonoscopy these are needed to rule out malignancy as well as other causes of blood in stool like hemorrhoids, polyps, ulcers, dysentery etc.