Rectal bleeding(Maybe a tear or hemorrhoid)

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DarknessEmbraced
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Location: New Brunswick, Canada

Rectal bleeding(Maybe a tear or hemorrhoid)

Postby DarknessEmbraced » Sun Nov 15, 2020 12:59 pm

I don't have hemorrhoid. I may have an anal fissure but it doesn't hurt the way it dd before. For a while now I have been having some rectal bleeding. With hemorrhoids it's just some red on the paper and I can feel the hemorrhoid. With a fissure it burns. I've been having more bleeding today and there was blood on top of the paper in the toilet, blood on the paper and blood floating in the water. It's bright red blood. Not the maroon colored blood I had with my tumor. I've been having more cramping lower abdominal pain lately and coupled with my extreme weight loss I am concerned. I will let my doctor know. I am having blood tests on the 27th.
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
Clear colonoscopy 09/23/19
Clear 5 year scans 11/21/19- Considered cured! :)

Lee
Posts: 6207
Joined: Sun Apr 16, 2006 4:09 pm

Re: Rectal bleeding(Maybe a tear or hemorrhoid)

Postby Lee » Sun Nov 15, 2020 1:54 pm

Could it be your Ischemic Colitis? Especially when you say you are having more cramping. Isn't that one of symptom?

Yes do follow up with your doctor. I hope it is nothing serious & I especially hope it is not your Ischemic Colitis acting up. From some of your past bouts, it sounds painful.

Good luck,

Lee
rectal cancer - April 2004
46 yrs old at diagnoses
stage III C - 6/13 lymph positive
radiation - 6 weeks
surgery - August 2004/hernia repair 2014
permanent colostomy
chemo - FOLFOX
NED - 16 years and counting!

DarknessEmbraced
Posts: 3816
Joined: Sat Nov 01, 2014 4:54 pm
Facebook Username: Riann Fletcher
Location: New Brunswick, Canada

Re: Rectal bleeding(Maybe a tear or hemorrhoid)

Postby DarknessEmbraced » Sun Nov 15, 2020 1:59 pm

It's different than ischemic colitis because that has more severe pain and the bleeding is usually bloody diarrhea. I haven't had diarrhea. Yes, ischemic colitis is horrible! I have to wait until Monday to let my family doctor know. I can mention it to my Gi's office but it's hard to get a hold of them. My family doctor's office only checks messages for cancellations if they are left after hours. My GI's office doesn't have voice mail. The weight loss is very extreme and I'm still losing and my hair is falling out. Thanks, Lee! :)
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
Clear colonoscopy 09/23/19
Clear 5 year scans 11/21/19- Considered cured! :)

Koreysue
Posts: 258
Joined: Mon Apr 30, 2018 2:36 pm

Re: Rectal bleeding(Maybe a tear or hemorrhoid)

Postby Koreysue » Sun Nov 15, 2020 3:45 pm

It could be a really angry hemorrhoid, but I am glad you are going to let your doc know.
I’m sorry you are dealing with this
ksue
Dx: 6/2017 stage 3 CC
Sigmoid, 2 nodes
CEA at dx: 6.1
Sigmoid Colectomy/folfox (last chemo (1/31/18)
CEA 4/2018: 2.4
CEA 7/2018: 3.7
Colonoscopy 8/18 clean
PET scan 8/20/18 NED
CEA 11/2018: 3.8
CEA 2/2019: 3.2
CT NED 6/18/19 / CEA : 3.4
CEA 10/21/19: 3.2
CEA 3/9/20: 3.8
CT NED /CEA 6/17/20: 3.8
CEA 11/4/20 4.6 <——— whyyyy? (will retest in a few weeks)
CT NED 12/1/20 CEA: 3.5
CEA 5/21 4.2
CEA 10/21 3.4
colonoscopy 10/21 10mm polyp
CEA 4/22 3.7
CEA 7/22 3.8
CEA 12/22 4
CEA 1/22 3.2 and NED 5yr scan

DarknessEmbraced
Posts: 3816
Joined: Sat Nov 01, 2014 4:54 pm
Facebook Username: Riann Fletcher
Location: New Brunswick, Canada

Re: Rectal bleeding(Maybe a tear or hemorrhoid)

Postby DarknessEmbraced » Sun Nov 15, 2020 3:57 pm

Thank you Koreysue! :) It could be an internal hemorrhoid that I can't feel. None of my doctors are doing appointments in person.They are doing phone appointments only due to covid.
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
Clear colonoscopy 09/23/19
Clear 5 year scans 11/21/19- Considered cured! :)

DarknessEmbraced
Posts: 3816
Joined: Sat Nov 01, 2014 4:54 pm
Facebook Username: Riann Fletcher
Location: New Brunswick, Canada

Re: Rectal bleeding(Maybe a tear or hemorrhoid)

Postby DarknessEmbraced » Sun Nov 15, 2020 7:30 pm

I'm so very sorry that happened to you praying.*hugs* Due to covid all of my doctors are doing phone appointments only. I would only be able to see my GI if he did another colonoscopy. I could call his office and try to set up a telephone appointment with him. I would tell him about the weight loss and hair loss as well. I could keep an eye on the bleeding and call his office if it gets worse. Usually if I call for a telephone appointment it takes three or more days for the appointment. Thank you Praying. :)
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
Clear colonoscopy 09/23/19
Clear 5 year scans 11/21/19- Considered cured! :)

Lee
Posts: 6207
Joined: Sun Apr 16, 2006 4:09 pm

Re: Rectal bleeding(Maybe a tear or hemorrhoid)

Postby Lee » Sun Nov 15, 2020 8:27 pm

(((DE)))

Thinking of you. Hope you can get to the bottom of this WITHOUT major medical issues.

You are a trooper,

Lee
rectal cancer - April 2004
46 yrs old at diagnoses
stage III C - 6/13 lymph positive
radiation - 6 weeks
surgery - August 2004/hernia repair 2014
permanent colostomy
chemo - FOLFOX
NED - 16 years and counting!

Punky44
Posts: 498
Joined: Mon Oct 01, 2018 4:29 pm

Re: Rectal bleeding(Maybe a tear or hemorrhoid)

Postby Punky44 » Sun Nov 15, 2020 9:55 pm

Hoping it’s nothing! Thinking of you!
Caregiver to my amazing mom (68 at dx)
10/1/18 DX with rectal cancer; CEA 17
T3N2M0
Total neoadjuvant therapy:
8 rounds Folfox 11/5/18 - 2/11/19
Short course radiation 3/14/19 - 3/20/19
Robotically assisted laparoscopic LAR 3/21/19
Pathology report says yT2N0M0 with 0/38 nodes
6/28/19 Reversal and port out
CEA 2.1; 1.9; 2.6; 2.8; 2.3; 2.4; 3.0; 3.4; 3.1; 3.4; 3.0; 3.1; 2.6
Latest update: 8/21/23 Clear CT with CEA 2.6!

Me: 34, first colonoscopy 11/16/18—normal! Come back in 5 years.

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beach sunrise
Posts: 1033
Joined: Thu Mar 05, 2020 7:14 pm

Re: Rectal bleeding(Maybe a tear or hemorrhoid)

Postby beach sunrise » Mon Nov 16, 2020 2:11 am

Goodness, you have had your share and then some. I hope you get it resolved very soon.
I'm thinking about you.
8/19 RC CEA 82.6 T3N0M0
5FU/rad 6 wk
IVC 75g 1 1/2 wks before surgery. Continue 2x a week
Surg 1/20 -margins T4bN1a IIIC G2 MSI- 1/20 LN+ LVI+ PNI-
pre cea 24 post 5.9
FOLFOX
7 rds 6-10 CEA 11.4 No more
CEA
7/20 11.1 8.8
8/20 7.8
9/20 8.8, 9, 8.6
10/20 8.1
11/20 8s
12/20 8s-9s
ADAPT++++ chrono
CEA
10/23/22 26.x
12/23/22 22.x
2023
1/5 17.1
1/20 15.9
3/30 14.9
6/12 13.3
8/1 2.1
Nodule RML SUV 1.3 5mm
Rolles 3 of 4 lung nodules cancer
KRAS
Chem-sens test failed Not enough ca cells to test

DarknessEmbraced
Posts: 3816
Joined: Sat Nov 01, 2014 4:54 pm
Facebook Username: Riann Fletcher
Location: New Brunswick, Canada

Re: Rectal bleeding(Maybe a tear or hemorrhoid)

Postby DarknessEmbraced » Mon Nov 16, 2020 10:16 am

Thank you Lee, Punky and beach sunrise! :) I hope so too. It wasn't a huge amount of blood. It just had me a little concerned because back at the beginning of 2014 I had blood dripping into the water that wouldn't stop for a few minutes. My doctor said hemorrhoid. Then in October of that year I had the horrible pain and more rectal bleeding except the blood was maroon colored instead of bright red. If it continues I will definitely talk to my doctor. It happened once in the past but this time there was more blood.
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
Clear colonoscopy 09/23/19
Clear 5 year scans 11/21/19- Considered cured! :)

DarknessEmbraced
Posts: 3816
Joined: Sat Nov 01, 2014 4:54 pm
Facebook Username: Riann Fletcher
Location: New Brunswick, Canada

Re: Rectal bleeding(Maybe a tear or hemorrhoid)

Postby DarknessEmbraced » Tue Nov 17, 2020 1:16 pm

I called my Gi's office and his receptionist said he was in tomorrow and she would let him know. I mentioned the weight loss, hair loss, feeling full quickly, more cramping, and the rectal bleeding.
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
Clear colonoscopy 09/23/19
Clear 5 year scans 11/21/19- Considered cured! :)

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Green Tea
Posts: 451
Joined: Mon Oct 24, 2016 10:48 am

Re: Rectal bleeding(Maybe a tear or hemorrhoid)

Postby Green Tea » Tue Nov 17, 2020 2:40 pm

DarknessEmbraced wrote:I called my Gi's office and his receptionist said he was in tomorrow and she would let him know. I mentioned the weight loss, hair loss, feeling full quickly, more cramping, and the rectal bleeding.

If you are worried about weight loss, you can calculate your Body Mass Index (BMI) to see if it is in the danger zone.

In terms of weight, there is an underweight condition called "cachexia" which is also referred to as "wasting syndrome". You can check whether your weight is getting close to the cachexia boundary by calculating your body mass index (BMI).

BMI________Weight Category
Under 18.5 .Underweight
18.5- 24.9 ..Healthy Weight
25 - 29.9 ....Overweight
30 or over ..Obese


https://www.mdcalc.com/body-mass-index-bmi-body-surface-area-bsa

(Be sure to use the correct units for weight and height! Click on the green icon to change weight or height units if necessary.)

If the BMI falls below 18.5, then the weight is in the cachexia/wasting-syndrome zone, and it may be time to contact the doctor about this, because once the BMI drops too far under 18.5 it becomes very difficult for patients to re-gain weight.

DarknessEmbraced
Posts: 3816
Joined: Sat Nov 01, 2014 4:54 pm
Facebook Username: Riann Fletcher
Location: New Brunswick, Canada

Re: Rectal bleeding(Maybe a tear or hemorrhoid)

Postby DarknessEmbraced » Tue Nov 17, 2020 5:03 pm

Thank you for the information. The reason I am concerned about my weight loss is because when I look in the mirror I can easily see my rib cage front and back(I can count my ribs), I can see the bones in my back, and the bones in my shoulders. I have loose skin. I think I am continually losing weight. My family doctor told me not to lose any more weight. I read that when weight is lost too quickly it can result in hair loss due to malnutrition.
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
Clear colonoscopy 09/23/19
Clear 5 year scans 11/21/19- Considered cured! :)

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Green Tea
Posts: 451
Joined: Mon Oct 24, 2016 10:48 am

Re: Rectal bleeding(Maybe a tear or hemorrhoid)

Postby Green Tea » Wed Nov 18, 2020 9:36 am

DarknessEmbraced wrote:I called my Gi's office and his receptionist said he was in tomorrow and she would let him know. I mentioned the weight loss, hair loss, feeling full quickly, more cramping, and the rectal bleeding.

What do you expect your doctor to do when the receptionist lets him know that you called? You have mentioned 5 symptoms. Do you expect him to address all five symptoms without examining you?

On September 23, 2019, DarknessEmbraced wrote:I had a colonoscopy this morning which was clear. I'm glad it was normal but I wish I knew why my digestive symptoms have been so much worse this month...

Do you have the written report from your last colonoscopy? What does the report narrative say about the lining of your colon? Do you have any diverticulosis pockets? any ulcerative lesions? any diseased segments? any discolored segments? any hardened colon wall? any vascular problems (varicose veins, etc.)? any irregularities around the anastomosis suture site? any hemorrhoids? any tears or fissures?

Why do you mention "tear" or a "fissure"? What do you mean when you say that your colonoscopy was "clear"?

DarknessEmbraced
Posts: 3816
Joined: Sat Nov 01, 2014 4:54 pm
Facebook Username: Riann Fletcher
Location: New Brunswick, Canada

Re: Rectal bleeding(Maybe a tear or hemorrhoid)

Postby DarknessEmbraced » Wed Nov 18, 2020 11:07 am

I'm hoping that my GI will order more testing. Maybe he will want to do a colonoscopy. None of my doctors are examining me in person. I don't have the report from my colonoscopy. All I know is that my GI said it was normal. He said that everything around the anastomosis site was fine. In the past I had it strength. My colonoscopy showed no evidence of my cancer coming back. That's what my GI told me. I have quite often dealt with hemorrhoids or tears. With the tears I will have some blood on the paper when I wipe and it burns a little. I've never had some blood floating in the water nor more blood on the paper I had put in the toilet bowl. I have an anal skin tag which I think causes issues too.
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
Clear colonoscopy 09/23/19
Clear 5 year scans 11/21/19- Considered cured! :)


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