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Having occasional abdominal pain, loose stools with mucus, foul smelling gas. History of anal fissures. Colonoscopy required?

Have had for a few years symptoms of occasional abdominal pain (worse with stress and relieved by gas or stool), loose stools sometimes with mucus, foul gas. No weight loss or crippling pain, no fevers, appetite remains the same. Went to GI doctor for recurring anal fissure . Normal CBC and mild elevated crp of 12.2 (0.1 - 8.2) and sed rate of 18 (0-10). Why did they recommend a colonoscopy?
Asked On : Fri, 22 Mar 2013
Answers:  2 Views:  92
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General Surgeon 's  Response

Thank you for the query.

If you are 50 or older, such symptoms should always be checked with colonocsopy because with age of 50 colon cancer risk rises significantly. And the main intention of colonoscopy is to rule the cancer out.
Cancer usually does not give any pain in early stages and gives hardly any symptoms. Usually when the symptoms appear, it is quite advanced.

If you are young person, inflammatory bowels disease can be the reason of your symptoms (Crohns disease) and this can usually be verified with colonoscopy. Symptoms can be just like yours.

Moreover, your symptoms do last for years and does not seem to get better. So the colonoscopy decision is very reasonable.

Hope this will help.
Answered: Sat, 23 Mar 2013
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Internal Medicine Specialist Dr. Mayank Bhargava's  Response
Jan 2013
Thanks for posting your query.
With the available described symptoms, there could be possibility of irritable bowel syndrome predominant diarrhea type or viral gastroenteritis.
Presence of frequent loose motions with excessive flatulence suggest the diagnosis.
You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up.
You should also go for complete blood count, thyroid profile, blood sugar and serum calcium.
You should also go for colonoscopy and UGI endoscopy with biopsy of duodenum.
You should maintain your hydration with potassium rich solution.
You should avoid milk and all milk related products.
Treatment depends on the diagnosed disease.
Take care,
Dr. Mayank Bhargava
Answered: Fri, 22 Mar 2013
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