Increased bleeding after Chemoradiation?!!

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SilverWedding
Posts: 71
Joined: Sat May 18, 2019 5:54 am
Facebook Username: Cynthia Harding Marshall

Increased bleeding after Chemoradiation?!!

Postby SilverWedding » Wed Aug 07, 2019 6:47 am

Dear Friends,

At the end of the six-week neo-adjuvant chemorad, my husband’s typical bleeding stopped. Now, on the first free week, blood is in every stool and present regularly. Has anyone else experienced this or would you be alarmed?

Thank you - pretty concerned.
DH, 56, Sigmoid & rectum
Adenocarcinoma 2cm
 G2: Moderately differentiated
T3N2aM0
Stage IIIb
LN 6/22
5/19 Baseline CEA value - 18.9
Lymphovascular invasion (LVI): present
Perineural invasion (PNI): not identified
Surgical margins: proximal -negative; distal - negative 1.5cm; circumferential - negative 1mm)
MSI status: Waiting‬
Lynch status: ?
KRAS/BRAF: ?
Open Restorative Proctectomy, J-Pouch Coloanal Anastomosis, Loop Ileo w/Appendectomy
Neo-adjuvant Xeloda/radiation
Adjuvant Chemo: to begin 11/19

Rock_Robster
Posts: 397
Joined: Thu Oct 25, 2018 5:27 am
Location: Melbourne, Australia

Re: Increased bleeding after Chemoradiation?!!

Postby Rock_Robster » Wed Aug 07, 2019 7:19 am

Hi SilverWedding,

Whilst I don’t know the specifics for your husband, my first thought would not be to be alarmed. Providing the bleeding isn’t excessive, my radiation oncologist told me he’d be surprised if I wasn’t bleeding, and that virtually everything that comes out of your butt during/after radiation is ‘normal’. I did have intermittent bleeding after radiation, pretty much up until I had surgery.

Of course if it’s a worrying/increasing quantity of blood, or accompanied by any increased pain, I’d be stepping up the response a bit.

Best of luck,
Rob
Male 37; Melbourne, Australia
10/2018 Dx 3.5cm RC adenocarcinoma, 12cm from AV
Mod diff, EMVI+ LVI+ PNI-
3 LN; 4 liver mets
pT3pN1aM1a; Stage IVa. MSS, NRAS (G13R)
CEA: Oct-18= 12; Nov-18= 14, Mar-19= 2.4, Aug-19 <2.0
11/18 - FOLFOX x 6
3/19 - Liver resection
4-5/19 - 25 x pelvic radiation; complete met. response
07/19 - ULAR (robot), temp ileo, 1/27 LN
08/19 - Missed liver spot
08-11/19 - FOLFOX x 1, FOLFOXIRI x 1, FOLFIRI x 5
12/19 - Planned liver resection #2 & (01/20) stoma reversal

User avatar
SilverWedding
Posts: 71
Joined: Sat May 18, 2019 5:54 am
Facebook Username: Cynthia Harding Marshall

Re: Increased bleeding after Chemoradiation?!!

Postby SilverWedding » Wed Aug 07, 2019 7:31 am

Rock_Robster wrote:Hi SilverWedding,

Whilst I don’t know the specifics for your husband, my first thought would not be to be alarmed. Providing the bleeding isn’t excessive, my radiation oncologist told me he’d be surprised if I wasn’t bleeding, and that virtually everything that comes out of your butt during/after radiation is ‘normal’. I did have intermittent bleeding after radiation, pretty much up until I had surgery.

Of course if it’s a worrying/increasing quantity of blood, or accompanied by any increased pain, I’d be stepping up the response a bit.

Best of luck,
Rob


Thank you, Rob! Seems so odd how it all stopped during last week of Chemoradiation. Nurse says that perhaps anti-diarrheal medicine or steroid will help. Wondering.

Helpful to know it might be normal though!

Cynthia
DH, 56, Sigmoid & rectum
Adenocarcinoma 2cm
 G2: Moderately differentiated
T3N2aM0
Stage IIIb
LN 6/22
5/19 Baseline CEA value - 18.9
Lymphovascular invasion (LVI): present
Perineural invasion (PNI): not identified
Surgical margins: proximal -negative; distal - negative 1.5cm; circumferential - negative 1mm)
MSI status: Waiting‬
Lynch status: ?
KRAS/BRAF: ?
Open Restorative Proctectomy, J-Pouch Coloanal Anastomosis, Loop Ileo w/Appendectomy
Neo-adjuvant Xeloda/radiation
Adjuvant Chemo: to begin 11/19


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