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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Itching In The Anus. Hemorrhoids. Family History Of Bowel Cancer. Need To Be Worried?

Hi, I m not regular & have noticed since abstinence of alcohol it has become worse. When I do go it can be painful & bleeds- this is not always the case but is often & that has be going on for years. I did have a pile years ago. My bottom itches a lot too & I think I have now made it sore. I m 41 do regular yoga . Am aware that not drinking enough water may cause irregularity & lack of fibre. Both grandparents on my fathers side had bowel cancer & I m starting to worry. I never go the docs & I have been ignoring this thing for years. Should I be worried?
Thu, 31 Jan 2013
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General Surgeon,  's  Response
Hello!

Thank you for the query.

If your grandparents has colon cancer diagnosed when older than 50, most likely this is not a hereditary cancer, but sporadic one. Typical cancer symptoms are abdominal pains, constipations and/or diarrheas, blood in stool (mixed with the stool), weight loss, tiredness, low hemoglobin level.
Pain in the anus, itching and fresh bright red blood in the surface of the stool is most likely caused by hemorrhoids. Strong pain while passing the stool is also characteristic for anal fissure.
I suggest you to try such treatment:
- avoid constipation (increase fiber rich products and mineral water intake)
- have sitz baths with Quercus Cortex
- wash your anus after every stool
- use hemorrhoids suppositories

Such treatment should give improvement in a week or so. If no improvement, colonoscopy should be done.

Hope this will help.
Regards.
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Itching In The Anus. Hemorrhoids. Family History Of Bowel Cancer. Need To Be Worried?

Hello! Thank you for the query. If your grandparents has colon cancer diagnosed when older than 50, most likely this is not a hereditary cancer, but sporadic one. Typical cancer symptoms are abdominal pains, constipations and/or diarrheas, blood in stool (mixed with the stool), weight loss, tiredness, low hemoglobin level. Pain in the anus, itching and fresh bright red blood in the surface of the stool is most likely caused by hemorrhoids. Strong pain while passing the stool is also characteristic for anal fissure. I suggest you to try such treatment: - avoid constipation (increase fiber rich products and mineral water intake) - have sitz baths with Quercus Cortex - wash your anus after every stool - use hemorrhoids suppositories Such treatment should give improvement in a week or so. If no improvement, colonoscopy should be done. Hope this will help. Regards.