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Since diarrheal states are much more common than CRC, in the absence of authentic symptomatology of CRC, such as rectal bleeding, change in the bowel habit, tenesmus, left-sided abdominal cramps, anemia, etc., the referral of these patients for colonoscopy based solely on decreased stool caliber is unwarranted. Our own everyday experience shows that low caliber stool is noticed whenever we have loose stool. Nevertheless, this misconception somehow permeated the standard textbooks of medicine and even the newer editions of text-books of gastroenterology. In the absence of reliable data to support this concept, the authors of gastroenterology textbooks in the mid-twentieth century practically dismissed the concept. presence of tumor results in narrowing of the colon, which in turn decreases the caliber of the stoolwas conceived late in the nineteenth century. A review of the literature reveals that this rather lay misconceptioni.e. Most textbooks of internal medicine and gastroenterology consider small caliber stool as one of the presenting signs of colorectal cancer (CRC). Received: 19 October 2007 / Accepted: 3 June 2008 / Published online: 6 August 2008 Springer Science+Business Media, LLC 2008Ībstract Over the past several years, primary care providers have been referring a large number of their patients to gastroenterologists for colonoscopy because of low caliber stool or pencil thin stool. Low Caliber Stool and Pencil Thin Stool are Not Signs of Colorectal Cancer The files available in this collection consist primarily of PC demos, freeware. Find working on computer pointing gun Stock Photos & Images at agefotostock, one of the best stock photography sites. The concept of unity, cooperation, teamwork and charity. Woman hands praying for blessing from god on sunset background. On The Wings Of Freedom - Birds Flying And Broken Chains. 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