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I Noticed Blood Red In Stools 2 Weeks Ago And Had Sigmoidoscopy What Are The Likely Findings For Biopsy ?

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Posted on Tue, 11 Apr 2023
Question: Hi, I noticed blood red in stools 2 weeks ago and had sigmoidoscopy this week.
Really stressed and worried . 52 age male no other symptoms , normally good stools once a day no diorea or constipation. Doctor found nothing on Digital rectal exam. 3 polyps found in sigmoid cessile 5mm distance 28 cm and to prdunculated at 20 and 30 cm up, sizes 10mm and 15mm. Awaiting biopsy results and full colonoscopy in two weeks.
I understand they will do a polpectomy but what are the likely findings for biopsy at these sizes. Found internal hemoriods and mild diverticula.
They will obviously check the other side of colon but what do you think about these polyps, likely benign and if not still ok to remove?
Descending colon was normal and splenic flexure normal. Occasional spots or red blood agin tonight with harder stool. Scraping on polyp as passing ?
doctor
Answered by Dr. Shinas Hussain (4 hours later)
Brief Answer:
Let’s wait for the biopsy report

Detailed Answer:
Hello,

Polyps are quite common in the large bowel (colon) and can cause bleeding per rectum. Most of the polyps are benign(non-cancerous) and doesn’t cause much harm.

We can not confirm whether they are benign or not without the biopsy. Size is not a criterion to assess the malignancy potential.

If you don’t have symptoms like weight loss and loss of appetite, most probably they are benign.

Although, if they come out to be benign it is better to remove them to avoid symptoms like bleeding and to avoid malignant transformation in the future.

Mild bleeding is common after sigmoidoscopy and it will settle in a few days.

Let us wait for the biopsy report to decide regarding the further course of management.

Wishing you good health.
Thanks
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Shinas Hussain (30 hours later)
Thank you , I hope they are benign. If not I assume they can still remove via polpectomy. Also my bold test showed creatine c reactive protein as less than 1 meaning my body does not have major infection. My ferret in levels were normal is this also a good sign nothing has gone further?
I have read much about polyps on the internet anyway so looking for a bit more info.
I can confirm I don’t have weight loss or appetite issues except this week due to the worry and stress.
doctor
Answered by Dr. Shinas Hussain (16 hours later)
Brief Answer:
Better to remove even it is benign

Detailed Answer:
Thanks for the follow up.
It has to be removed even it is benign.
Low ESR normal ferritin are definitely good signs and indirectly says it is not malignant.
Let’s wait for biopsy report and wishing you good health.
Thanks
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Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Shinas Hussain

General Surgeon

Practicing since :2015

Answered : 23672 Questions

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I Noticed Blood Red In Stools 2 Weeks Ago And Had Sigmoidoscopy What Are The Likely Findings For Biopsy ?

Brief Answer: Let’s wait for the biopsy report Detailed Answer: Hello, Polyps are quite common in the large bowel (colon) and can cause bleeding per rectum. Most of the polyps are benign(non-cancerous) and doesn’t cause much harm. We can not confirm whether they are benign or not without the biopsy. Size is not a criterion to assess the malignancy potential. If you don’t have symptoms like weight loss and loss of appetite, most probably they are benign. Although, if they come out to be benign it is better to remove them to avoid symptoms like bleeding and to avoid malignant transformation in the future. Mild bleeding is common after sigmoidoscopy and it will settle in a few days. Let us wait for the biopsy report to decide regarding the further course of management. Wishing you good health. Thanks