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Gastroenterology (Expert Forum)
Blood in Stool
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
Blood in Stool
by hmpm1536, Nov 02, 2006 12:00AM
Hello,
I am a 35 year old male, no family history of colon cancer, 6'2", 185 lbs, active, healthy eater (relatively). For the past few months, I have suffered from itching, swelling, and irritation in and around my rectal area. On a couple of occasions, I have noticed streaks of bright red blood on the toilet tissue following a bowel movement, which disappear after a day or two. Topical over-the-counter cream seemed to allay the symptoms.
With the past few weeks, I have felt a bit constipated, though fiber supplements and increased H20 (and on one occasion, an ex-lax tablet), always seem to get me moving in the right direction.
Earlier this week, after a bowel movement, I thought I saw a small amount blood in the "crevices" of my feces. I have now diagnosed myself with colon cancer and am experiencing a lot of angst and worry. Again, the amount of blood was small, and did not color the water in the bowl.
I have made an appointment with my family doctor, but I'm wondering if you can tell me the "odds" of colon cancer based on my description of the symptoms. At the very least, I'd like to go into the doctor's office without trembling in fear and expecting the absolute worst.
Thanks very much,
HMPM1536
I am a 35 year old male, no family history of colon cancer, 6'2", 185 lbs, active, healthy eater (relatively). For the past few months, I have suffered from itching, swelling, and irritation in and around my rectal area. On a couple of occasions, I have noticed streaks of bright red blood on the toilet tissue following a bowel movement, which disappear after a day or two. Topical over-the-counter cream seemed to allay the symptoms.
With the past few weeks, I have felt a bit constipated, though fiber supplements and increased H20 (and on one occasion, an ex-lax tablet), always seem to get me moving in the right direction.
Earlier this week, after a bowel movement, I thought I saw a small amount blood in the "crevices" of my feces. I have now diagnosed myself with colon cancer and am experiencing a lot of angst and worry. Again, the amount of blood was small, and did not color the water in the bowl.
I have made an appointment with my family doctor, but I'm wondering if you can tell me the "odds" of colon cancer based on my description of the symptoms. At the very least, I'd like to go into the doctor's office without trembling in fear and expecting the absolute worst.
Thanks very much,
HMPM1536
Doctor's Answer
by Kevin Pho, MD, Nov 03, 2006 12:00AM
, Nov 03, 2006 12:00AM
Hemorrhoids, anal fissure, diverticulosis, infection, polyps or cancer are all possible. The chances of colon cancer are less likely in someone your age.
Nonetheless, I would suggest a lower endoscopy to further evaluate the bleeding. This can include either a flexible sigmoidscopy or colonoscopy.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
Nonetheless, I would suggest a lower endoscopy to further evaluate the bleeding. This can include either a flexible sigmoidscopy or colonoscopy.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
self-diagnosis and worry. Only worry when you have the facts. Speculation itself can cause an ulcer :) I wish you the best, please post when you know! Good luck.