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Usual bowel movements, blood in my saliva - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2009
Answered : 595 Questions
Doctor :   hi
Doctor :  
Doctor :   how can i help you here ?
User :   hi i have had more than usual bowel movements for the past month, and two days ago i have seen blood in my saliva
Doctor :   can u mention your age, weight, height for the records ?
User :   im 37 205 pounds at 5 foot 5 male
Doctor :   Do u have watery stools ? any foul smell , lot of mucus ?
User :   sometimes watery
Doctor :   have u vomited out blood ? or coughed it out ?
Doctor :   was it frank blood ? or just a slight reddish tinge ?
User :   no but im afraid of having stage 4 colon cancer with mets to my lung
Doctor :   Are u taking any medications ?
Doctor :   Do u have any family history of cancer of colon ?
User :   no medications. sometimes red and sometimes not
Doctor :   as a matter of fact, colon cancer , presents above the age of 40 -45
User :   no history of colon cancer
User :   maybe gastric
Doctor :   unless u have genetic predisposition (family history )
User :   so what do u think that it could be
Doctor :   also presentation is with abd pain, loss of weight, constipation, malena, or bright blood per rectum
User :   i have some abdominal pain
User :   also urges to go
Doctor :   have u lost weight over the last 6 months ?
User :   no
User :   what do u think can be causing both symptoms
Doctor :   i would advice you to get a few tests done
Doctor :   1. CBC, ESR,
User :   do u think its serious
User :   what r these
Doctor :   3. STOOL EXAMINATION, to check for blood and parasites
User :   why liver function
Doctor :   the condition is not serious as the age and the symptoms are minor
User :   im scared that it could possibly me stage 4 cancer with lung metastesis do u think a colonoscopy and chest x ray r needed
Doctor :   watery stools, and abd pain can be a issue seen in hepatitis, so its better to get checked (these are minor tests), which also give the state of ur liver as well
User :   but what about the blood in saliva
Doctor :   based on your symptoms , i dont think u need advanced investigations as of now
User :   i have an appointment with a gi on dec 1
Doctor :   have u vomited out blood ? or coughed it out ?
was it frank blood ? or just a slight reddish tinge ?
User :   it happens at night only with saliva almost frank last night
User :   no vomit or cough
Doctor :   in that case, a UGI endoscopy can be done, to rule out any esophageal varices or gastritis associated ulcers
User :   so you do not think its gi cancer
Doctor :   based on the info given , it is less likely to be cancer
Doctor :   cancer is associated with long term weight loss
User :   because of my age or the fact that these symptoms
Doctor :   both indicate this situation, as not cancer
Doctor :   but get a upper GI EVALuation done
User :   can it be ibs
Doctor :   yes , it can be,
Doctor :   but IBS is a diagnosis of exclusion
User :   and it can cause bleeding in mouth
Doctor :   prior to labelling as IBS other causes have to be excluded
Doctor :   IBS - is not associated with bleeding anywhere
Doctor :   get the tests done as i had adviced earlier
User :   that is what i thought so how can the bloody saliva be attributed to ibs
Doctor :   and when u see your GI doc, he will advice a UGI endoscopy if he feels that ur symptoms match
User :   match what cancer
Doctor :   no gastritis or esophageal varices or gastric ulcers
Doctor :   as i said cancer is a not a point right now
User :   ok thank u doctor
Doctor :   u r welcome
Doctor :   thanks for consuliting me here
User :   can the upper gi find cancer
Doctor :   yes
Doctor :   please leave ur feedback as u log out
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