Internal hemorrhoids bleed alot?

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AppleTree
Posts: 224
Joined: Fri Mar 18, 2016 8:16 am

Internal hemorrhoids bleed alot?

Postby AppleTree » Mon Jan 08, 2018 1:24 pm

I saw my GI DR in November for slight rectal bleeding along the side of my stool. I had just had a CT scan a few days earlier, he did not examine me based on the CT and to call him if there were any changes.

This weekend I had a lot of bleeding after bowel movement. Not streaks, but actual bright red streaks pouring out of me.

I called the GI DR 1st thing this morning. His secretary called back and said, based on my Nov CT he does not want to examine me but is calling in a hemorrhoid cream. I insisted on booking a follow up appointment and got the end of the month, so at least that is in place.

I see my oncologist on Friday and my primary DR next week, so I will bring it up with them. Not sure why GI DR is so reluctant to do a sig scope?

Anyone else have similar experience or thoughts?
Diag Feb 5, 2016 Age 45
3 cm tumor 5 cm from verge
Radiation + Xeloda pills - 3000mg 5x week
3/14 - 4/16 - 25 sessions
Shrank just over 50% L nodes 0/13
Remove rectum with temp Ileo 6/17
Reversal 7/20 due to infection
Acute hepatitis August. Chemo cancelled
June to September 2016 - 58 days in hospital

2017
6/16, MRI shadow in lung
Pet - 6.6mm Met in Upper right lobe
7/30 VAT surgery Mass General/Boston
8/24 port
8/30 - 4/28 Folfox. 12 rounds
2018
June CT shows new lung Mets.
July PET...CLEAR!

User avatar
chrisca
Posts: 233
Joined: Wed Dec 07, 2011 10:35 pm
Location: Portland, Oregon

Re: Internal hemorrhoids bleed alot?

Postby chrisca » Mon Jan 08, 2018 3:01 pm

Rectal bleeding can happen after rectal resection, but lots of bright red blood is concerning. If hemorrhoid cream resolves it and symptoms don't return, that could be all it is. It shouldn't be much risk to try it and see if things resolve in a couple of weeks. But if they don't, get an exam, pronto. Those were my symptoms exactly. Don't go down my path. Ask for a colonoscopy, and find an endoscopist with a high "Adenoma Detection Rate." It could just be a hemorrhoid, but also could be a recurrence. Between 6 and 15% of colonoscopies are false negative, so if nothing is found but symptoms continue, ask for a repeat scope with a different doctor to get another set of eyes. My rectal tumor evaded detection the first time. It was much larger the second time and was found, but it was three years later. You've been through the wringer once, so if this is a tumor get it early to protect your quality of life.
Male, false negative colonoscopy age 48
DX: 12/2010 rectal cancer age 51
Stage T3N0M0 2 cm from anal verge
neoadjuvant rad/chemo Xeloda
Rectal resection (open surgery) straight anastomosis
Xeloda round 2
ileostomy reversal 11/2011
Successful adhesion X-lap 8/2013
Ongoing LAR syndrome but NED 6 years


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