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Prostate Cancer  (Expert Forum)
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side effects of radiation therapy in advanced prostate cancer
Answered by
Ash Tewari, MD, M.Ch. - Prostate Cancer, Robotic Prostatectomy, Urology, Oncology, Surgery
Weill Medical College of Cornell University New York - NY
This forum is for questions about: Advanced or Metastatic Prostate Cancer, Biopsy, Bone Scan, Blood in Urine or Semen, Benign Prostatic Hyperplasia (BPH), CT Scan, Cystoscopy, Erectile Dysfunction, Hormone Therapy, Incontinence, Pain (abdomen, low back or hip), PSA Test, Prostatitis , Radiation Therapy, Rectal Exam, Recurrent Cancer, Risk Factors, Screening, Staging (Tumor size; Metastasis), Surgery, Transrectal Ultrasound, Urinary Difficulty or Burning, Urinary Urgency (Leaking), Watchful Waiting.

side effects of radiation therapy in advanced prostate cancer

by bondita, Sep 21, 2009 02:54AM
My father went through radiation therapy for advanced staged prostate cancer one and half year ago.Now for last five months blood came along with his stool.There is no pain any where in his stomach.What is the reason for it?Is it due to ulcer or something?What treatment he should take?Doctors of India says he is fine but when this will stop?He feels week due to this.Please suggest what to do.

by Ash Tewari, MD, M.Ch., Oct 04, 2009 03:52PM
To: bondita
Rectal bleeding following external beam radiation treatment for prostate cancer is a known side effect. The published literature suggests that anywhere between 5-20% of men who have external beam radiation will experience acute or chronic radiation proctitis (inflammation).

Patients should get a sigmoidoscopy or colonoscopy if they have rectal bleeding or heme-positive DRE findings at presentation after radiation therapy for prostate cancer to avoid missing coexistent disease. Furthermore, rectal bleeding has been reported up to 3-years after radiotherapy.

Thank you for your question and good luck.

Sincerely,

Ashutosh (Ash) K. Tewari, MD
www.cornellroboticprostate.org

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