The colon and rectum (2024)

The intestine is part of the digestive system. It is made up of the small intestine and the large intestine. The colon and rectum are parts of the large intestine. The colon is a U-shaped tube made of muscle, found below the stomach. The rectum is a shorter tube connected to the colon. Together, the colon and rectum are about 2 metres (6.5 feet) long. They are surrounded by other organs including the spleen, liver, pancreas, bladder and reproductive organs.

The colon and rectum (1)

Parts of the large intestine @(Model.HeadingTag)>

The large intestine is made up of the cecum, colon, rectum and anus. The colon and rectum are held in the abdomen by folds of tissue called mesenteries.

Cecum @(Model.HeadingTag)>

The cecum is a pouch-like passage that connects the colon to the ileum (the last part of the small intestine). If cancer develops in the cecum, it is treated like colon cancer.

Colon @(Model.HeadingTag)>

The colon is the longest part of the large intestine. It receives almost completely digested food from the cecum, absorbs water and nutrients, and passes waste (stool or feces) to the rectum. The colon is divided into 4 parts:

  • The ascending colon is the start of the colon. It is on the right side of the abdomen. It continues upward to a bend in the colon called the hepatic flexure.
  • The transverse colon follows the ascending colon and hepatic flexure. It lies across the upper part of the abdomen. It ends with a bend in the colon called the splenic flexure.
  • The descending colon follows the transverse colon and splenic flexure. It is on the left side of the abdomen.
  • The sigmoid colon is the last part of the colon and connects to the rectum.

The proximal colon is the ascending colon and the transverse colon together. The distal colon is the descending colon and the sigmoid colon together.

Rectum @(Model.HeadingTag)>

The rectum is the lower part of the large intestine that connects to the sigmoid colon. It is about 15 cm (6 in) long. It receives waste from the colon and stores it until it passes out of the body through the anus.

Anus @(Model.HeadingTag)>

The anus is the opening at the lower end of the rectum through which stool is passed from the body. Cancer in the anal canal or anus is treated differently from colorectal cancer. Find out more about anal cancer.

The colon and rectum (2)

Mesentery @(Model.HeadingTag)>

Mesentery is made of fatty connective tissue that contains blood vessels, nerves, lymph nodes and lymph vessels. The mesocolon is a mesentery that attaches the colon to the wall of the abdomen. The rectum is surrounded by a mesentery called the mesorectum.

When part of the colon or rectum is removed to treat cancer, nearby mesentery is also removed. The lymph nodes within the mesentery are examined to see if they contain cancer cells.

Layers of the colon and rectum @(Model.HeadingTag)>

The colon and rectum are made up of the following layers of tissues.

Mucosa @(Model.HeadingTag)>

The mucosa is the inner lining of the colon and rectum. It is made up of:

  • a thin layer of epithelial cells (called the epithelium)
  • a layer of connective tissue (called the lamina propria)
  • a thin layer of muscle (called the muscularis mucosa)

Submucosa @(Model.HeadingTag)>

The submucosa is a layer of connective tissue that surrounds the mucosa. It contains mucous glands, blood vessels, lymph vessels and nerves.

Muscularis propria @(Model.HeadingTag)>

The muscularis propria lies outside the submucosa. It is a thick layer of muscle. It has an inner ring of circular muscle fibres and an outer ring of long muscle fibres that surround the wall of the colon and rectum.

Serosa @(Model.HeadingTag)>

The serosa is the outer layer of the colon. It is not found on most of the rectum.

The colon and rectum (3)

Function @(Model.HeadingTag)>

The colon and rectum:

  • absorb water and some nutrients from what we eat and drink
  • form and store stool
  • move waste out of the body

Partly broken down or digested food moves from the small intestine into the colon. Sections of the colon tighten and relax to move the food through the colon and rectum. This movement is called peristalsis.

In the colon, bacteria break down food into smaller pieces. The inner layer of the mucosa (called the epithelium) absorbs, or takes up, water and some nutrients. The liquid waste remaining in the colon is formed into semi-solid stool.

The mucosa also makes mucus that helps stool move easily through the colon and rectum. As stool moves through the colon, more water is absorbed from it and it becomes more solid.

Stool leaves the colon and moves into the rectum. The rectum is a holding area for the stool. When the rectum is full, it pushes the stool out of the body through the anus.

Expert review and references

The colon and rectum (2024)

FAQs

Where is colon cancer pain felt? ›

Many cases of colon cancer have no symptoms. If there are symptoms, the following may indicate colon cancer: Abdominal pain and tenderness in the lower abdomen.

What is the main function of the rectum? ›

The primary function of the rectum is to collect and hold your poop until it's time to release it. Your rectum relaxes and stretches to accommodate the waste as it gradually comes in from your colon. While holding it, your rectum absorbs the remaining water and electrolytes and further solidifies the waste.

What is the function of the colon? ›

The colon removes water and some nutrients and electrolytes from partially digested food. The remaining material, solid waste called stool, moves through the colon, is stored in the rectum, and leaves the body through the anus. The colon is part of the digestive system.

What side is your colon on female? ›

Ascending colon – runs up the right side of the abdomen. It is connected to the small intestine by a section of bowel called the caecum. Transverse colon – runs across the body from right to left, under the stomach. Descending colon – runs down the left side of the abdomen.

What does stage 1 colon cancer poop look like? ›

Pencil-thin stool is unusually long and thin, which can indicate there is a narrowing of the colon due to a cancerous tumor. Flat stool. Abnormally flattened or ribbon-like feces characterize flat stool. Tumors that change the shape of the colon or rectum can create this type of stool.

What does stage 1 colon cancer feel like? ›

A change in bowel habits, such as more frequent diarrhea or constipation. Rectal bleeding or blood in the stool. Ongoing discomfort in the belly area, such as cramps, gas or pain. A feeling that the bowel doesn't empty all the way during a bowel movement.

Where is poop stored when constipated? ›

What is fecal impaction? Fecal impaction is the result of severe constipation, when you're unable to regularly pass poop (stool or feces) and it backs up inside your large intestine (colon). Fecal impaction can also be defined by your inability to sense and respond to the presence of stool in your rectum.

Why is there blood when I wipe after pooping? ›

Common benign (non-serious) causes — If you see a small amount of bright red blood on the toilet paper after wiping, on the outside of your stool, or in the toilet, this may be caused by hemorrhoids or an anal fissure. Both of these conditions are benign, and there are treatments that can help.

Where do you feel sigmoid colon pain? ›

It's connected to your rectum, and it's the part of your body where fecal matter stays until you go to the bathroom. If you have a sigmoid problem, you're likely to feel pain in your lower abdomen. You may also have other symptoms like blood in your stool, loss of appetite, anemia, abdominal bloating, or fatigue.

How to cleanse your bowels? ›

The healthiest way to flush your colon is to drink more water, increase your fiber intake, and make regular time for physical exercise. Try to have three or more bowel movements a week. Talk with a doctor about other ways to prevent constipation and avoid the overuse of laxatives.

How to make a colon strong? ›

How do you keep your colon healthy?
  1. Drink plenty of water to keep stool hydrated. Dehydration is a major cause of constipation.
  2. Consume a diet that is high in fiber. Fiber helps to retain water and stimulates the growth of healthy bacteria in the colon.
  3. Consume a diet that is low in red and processed meats.
Mar 15, 2023

What causes problems with colon? ›

Eating the typical western diet rich in fats and sugar and low in fiber adds to inflammation, constipation, and pain that can trigger uncomfortable bowel diseases.

What does it feel like when something is wrong with your colon? ›

Constipation, diarrhea, and abdominal pain can all be symptoms of colorectal cancer. But they can also be signs of other conditions, including Crohn's disease, irritable bowel syndrome and even a stomach virus.

How do I know if my colon is OK? ›

Regular bowel movements are the top indicator of a healthy digestive tract. While every person is different, having a bowel movement daily or several times a week is typical. Abnormal bowel habits may indicate an underlying health condition.

How to loosen a bowel blockage at home? ›

Bowel Obstruction Home Remedies
  1. Drink enough liquids to keep yourself well-hydrated.
  2. Eat several mini-meals throughout the day instead of fewer but larger meals.
  3. Always chew your food thoroughly.
  4. Avoid high-fiber foods, raw fruits and veggies, and fiber supplements.
  5. Get regular exercise.
Apr 9, 2024

How do you know if it's colon pain? ›

Colon pain can feel like gas, bloating, or stomach pain. You may also feel tired, constipated, or have diarrhea. Various gastrointestinal disorders can cause colon pain. The colon is part of the large intestine, which is part of the digestive tract.

What is the biggest symptom of colon cancer? ›

The 3 main symptoms of bowel cancer are blood in the stools (faeces), a change in bowel habit, such as more frequent, looser stools, and abdominal (tummy) pain. However, these symptoms are very common.

What side is colon cancer usually on? ›

Gastrointestinal medical oncologist Kanwal Raghav, M.D., estimates that about 70% of colorectal cancers are diagnosed on the left side. “It's unclear why colon cancer starts in a particular location, although some explanations exist,” says Raghav.

Where does colon pain radiate to? ›

The colon's winding path through the abdomen can mean that a person feels pain throughout this area of the body if they experience colon disruptions. However, it is also possible to feel pain only in a specific spot. Some people may also feel pain in the rectum, just above the anus.

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