32YR old with GI bleeding--any advice

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32YR old with GI bleeding--any advice

Postby answer03 » Tue Apr 03, 2018 10:30 am

I am a 32YR old male that has otherwise been fairly healthy. At the start of this year I had my appendix removed due to right side pain, etc. Since that time I have had pain in both my right and left side, excess gas, stools that were thinner, etc. All of these were concerning, but I didn't make an appointment. 1 month post-op, I had a BM where there was pain and blood. I made an appointment and saw my internist, who examined but didn't find any hemorrhoids. He said that was what he thought it would be. I was referred to a general surgeon so that he could examine as well. He examined and found no evidence of hemorrhoids or anal fissure, but thought it might be anal fissure. He also mentioned he would refer me to a gastroenterologist. It took a month to get an appointment, but I am going to be seeing him on Friday. In the meantime I have done a few FOBT tests--some came back negative & others looked positive (not 100% sure as the line was very faint). I've had a lot of pain in my rear when going to the bathroom on and off the whole few months also. And lots of gas, and some pain on both right and left side around areas where the surgery took place.

So, I am trying to ask you guys what I should be asking. I am worried about colon cancer, though I have worried about many things over the years and so worrying isn't out of the ordinary for me. I am just trying to be thorough here since there has been evidence of GI bleeding. Should I (or can I) demand a colonoscopy? Do the risks associated with this procedure outweigh its necessity given lack of risk factors for me? Any advice or assistance would be helpful. Thank you all!

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O Stoma Mia
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Re: 32YR old with GI bleeding--any advice

Postby O Stoma Mia » Tue Apr 03, 2018 8:49 pm

Given your situation, I think you should ask your gastroenterologist about a colonoscopy. This, in my opinion, would be the first step to take in resolving your problem.

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Re: 32YR old with GI bleeding--any advice

Postby skb » Wed Apr 04, 2018 9:23 pm

I agree with Stoma Mia
3/21/17: Dx T3N0M0- distal rectal cancer, 4.5cm tumor, 2.5 cm from anal verge
4/18 to 5/22/17: chemoradiation - Xeloda 1800mg twice a day for 25 days, 200 Cgy per day
6/28/17: biopsy from tumor location: no invasive adenocarcinoma
8/09/17: MRI - no primary tumor left
8/11/17: starts wait and watch at Univ of Minn.
8/17/17 to 12/1/17: mop-up chemo with Folfox and oxaliplatin (IV infusion), every two weeks
1/28/18 colonoscopy - no tumor
4/4/18 MRI -- no tumor still
6/18, 12/18 Sigmoidoscopy- no tumor still

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Re: 32YR old with GI bleeding--any advice

Postby answer03 » Sun Apr 08, 2018 10:38 am

Thank you all for the advice. I met with my gastroenterologist and he seemed great. He has me scheduled for a colonoscopy this Friday.

I have to admit I am more than a little freaked out--both by the idea of the procedure and also terrified of what they might find. I can't get it out of my mind. My doctor didn't seem overly concerned and mentioned a whole host of things he thinks are more likely based on my symptoms, etc., but I have always been a worrier and am having a hard time focusing on anything else right now.

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Re: 32YR old with GI bleeding--any advice

Postby DarknessEmbraced » Mon Apr 09, 2018 7:52 am

I'm glad you're getting a colonoscopy!*hugs* The prep is the worst part. They give you medication before the colonoscopy so you feel no pain nor remember.
Diagnosed 10/28/14, age 36
Colon Resection 11/20/14, LAR (no illeo)
Stage 2a colon cancer, T3NOMO
Lymph-vascular invasion undetermined
0/22 lymph nodes
No chemo, no radiation
Clear Colonoscopy 04/29/15
NED 10/20/15
Ischemic Colitis 01/21/16
NED 11/10/16
CT Scan moved up due to high CEA 08/21/17
NED 09/25/17
NED 12/21/18

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Re: 32YR old with GI bleeding--any advice

Postby Capercrohnieileo » Wed Apr 11, 2018 12:56 pm

Good luck with your colonoscopy. Prep is yuck but the test itself is no big deal
Severe Crohn's colitis jan 2015
Developed fistulas feb 2015
Open total proctocolectomy with end ileostomy (bye bye colon and rectum hello barbie butt) because of fistulas, Crohn's and crc risk May 5, 2017
Gastroduodenal Crohn's Nov 1, 2017
Severe Gastroparesis (delayed gastric emptying) Nov 9, 2017 GES showed 70 % remaining in stomach at 4 hrs. Normal is <10%
Jejunostomy (J tube) surgery Oct 17, 2018.
Didn't go so well. Small bowel obstruction found Oct 26, 2018, day 46 of this hospitalization.

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