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Many times, people are not aware they have colon polyps because there are no symptoms. Larger growths can bleed, causing blood in the stool. Sometimes bleeding polyps can cause fatigue and other symptoms of anemia (low levels of red blood cells). On rare occasions, a large polyp can cause diarrhea or secretion of large amounts of potassium. This can cause marked fatigue and muscle weakness.
Although most colorectal polyps do not become cancer, virtually all colon and rectal cancers start from these growths. People may inherit diseases in which the risk of colon polyps and cancer is very high. Colorectal cancer may also develop from areas of abnormal cells in the lining of the colon or rectum. This area of abnormal cells is called dysplasia and is more commonly seen in people with certain inflammatory diseases of the bowel such as Crohn's disease or ulcerative colitis.