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STDs (Expert Forum)
Had colonoscopy and doctor found something
Answered by
University of Washington
Seattle - WA
Welcome to the STD Forum, which is intended only for questions and support pertaining to sexually transmitted diseases other than HIV/AIDS, including chlamydia, gonorrhea, syphilis, human papillomavirus, genital warts, trichomonas, other vaginal infections, nongonoccal urethritis (NGU), cervicitis, molluscum contagiosum, chancroid, and pelvic inflammatory disease (PID). All questions will be answered by H. Hunter Handsfield, M.D. or Edward W Hook, MD.
Had colonoscopy and doctor found something
by gettogether, Jun 22, 2006 12:00AM
I having been having stomach problems for awhile so I had a colonoscopy and an endoscopy and my diagnosis is IBS, gastritis, esophagitis, and acid reflux as well as the H.Pylori bacteria in my stomach. They put me on the PREVPAC to clear up the reflux and bacteria.
My GI doctor called and advised me that he found something peculiar in my anal cavity and asked me if I had anal sex. I haven't in years, so I didn't know why that would be an issue. He said they found something like a lump that could be associated with HPV and it might be cancerous. He referred me to another doctor in which my appointment isn't for another month but they will do an analscope. I received the paperwork from my doctor and the pre-diagnosis is condylomata. I looked it up on the internet and it says that is anal warts. I read on here that condylomata isn't synonomis sp) with warts, so how could I have gotten this since I haven't had that type of sex in years (and only rarely back then)? This is really scaring me because It is hard enough to find someone to spend time with, and now I will have this hanging over my head everytime I meet someone that I could have a relationship with. How long does this last? Is it permanent?
Also, it has been stated on here that some places do not remove internal warts (I do not have any external ones)so what would be the point in having the analscope done? Thanks for anything advice that you good give me...
My GI doctor called and advised me that he found something peculiar in my anal cavity and asked me if I had anal sex. I haven't in years, so I didn't know why that would be an issue. He said they found something like a lump that could be associated with HPV and it might be cancerous. He referred me to another doctor in which my appointment isn't for another month but they will do an analscope. I received the paperwork from my doctor and the pre-diagnosis is condylomata. I looked it up on the internet and it says that is anal warts. I read on here that condylomata isn't synonomis sp) with warts, so how could I have gotten this since I haven't had that type of sex in years (and only rarely back then)? This is really scaring me because It is hard enough to find someone to spend time with, and now I will have this hanging over my head everytime I meet someone that I could have a relationship with. How long does this last? Is it permanent?
Also, it has been stated on here that some places do not remove internal warts (I do not have any external ones)so what would be the point in having the analscope done? Thanks for anything advice that you good give me...
Doctor's Answer
by H. Hunter Handsfield, M.D., Jun 22, 2006 12:00AM
, Jun 22, 2006 12:00AM
Anal and rectal warts occur in people who have never had anal sex (including heterosexual men)--not as commonly as in people who have, but your lesion might well have nothing at all to do with your distant past sexual practices.
You are right that removing rectal warts is difficult, simply because typically there are more than one lesion and it is difficult to identify them all--so recurrence is a common problem. Since most warts eventually resolve spontaneously, some argue there is no point in trying to treat them. All this also is partly influenced by the removal method, however. Surgery is a pretty big deal, but laser cautery (for example) may not be a big deal in an expert provider's hands. And of course not treating is appropriate only if it is certain there is no cancer or pre-cancerous changes in the lesion.
Personally, I have no experience in managing internal rectal warts; like almost all STD clinics, ours always referred such persons to proctologists. That's my only other advice: be sure your provider is very experienced in this area. Some general surgeons are, but not all; if in doubt, getting a second opinion from a proctologist (rectum specialist) would be a good idea.
Good luck-- HHH, MD
You are right that removing rectal warts is difficult, simply because typically there are more than one lesion and it is difficult to identify them all--so recurrence is a common problem. Since most warts eventually resolve spontaneously, some argue there is no point in trying to treat them. All this also is partly influenced by the removal method, however. Surgery is a pretty big deal, but laser cautery (for example) may not be a big deal in an expert provider's hands. And of course not treating is appropriate only if it is certain there is no cancer or pre-cancerous changes in the lesion.
Personally, I have no experience in managing internal rectal warts; like almost all STD clinics, ours always referred such persons to proctologists. That's my only other advice: be sure your provider is very experienced in this area. Some general surgeons are, but not all; if in doubt, getting a second opinion from a proctologist (rectum specialist) would be a good idea.
Good luck-- HHH, MD
Member Comments (2)
by gettogether, Jun 22, 2006 12:00AM
Thank you for responding so quickly and for your advice. My appointment in a month is a referral from my GI doctor to a Colon and Rectal Surgery center. I am assuming they will do a biospy first to determine if cancer is involved. I am a 35 year old male and this is starting to wear me down so I really appreciate your help.
