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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Sporadic Rectal Bleeding?

I was diagnosed with aggressive prostate cancer two years ago, and have undergone 38 radiation treatments each treatment targeting 6 locations in my lower abdomen.Also i will complete hormone injection therapy August 22nd 2014. I have rectal bleeding that is sporadic and appears to be from my hemorrhoids
Fri, 21 Nov 2014
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Pulmonologist,  's  Response
Thanks for your question on HCM.
In my opinion you should consult surgeon and get done local examination of anus.
If haemorrhoids are present than bleeding is mostly from it only. So start its treatment.
But if haemorrhoids are absent than you need to get done Colonoscopy to rule out internal problem.
Radiotherapy can cause ischaemic ulcers in bowel lumen. And these ulcers can cause sporadic bleeding.
Recurrence of tumour in gut lumen is also possible. For this too, Colonoscopy is needed.
So better to get done Colonoscopy first.
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What Causes Sporadic Rectal Bleeding?

Thanks for your question on HCM. In my opinion you should consult surgeon and get done local examination of anus. If haemorrhoids are present than bleeding is mostly from it only. So start its treatment. But if haemorrhoids are absent than you need to get done Colonoscopy to rule out internal problem. Radiotherapy can cause ischaemic ulcers in bowel lumen. And these ulcers can cause sporadic bleeding. Recurrence of tumour in gut lumen is also possible. For this too, Colonoscopy is needed. So better to get done Colonoscopy first.