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Dr. Andrew Rynne

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female, age 66, first time in life today saw in

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Dr. Anders Mark Christensen

General Surgeon

Practicing since :2016

Answered : 1077 Questions

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Posted on Mon, 24 Dec 2018 in Digestion and Bowels
Question: female, age 66, first time in life today saw in a normal looking bowel movement three drops of red blood right on the three separate stools. Have IBS. Had gray stool two times in one day a month ago and now normal. No pain. Been eating a lot of strawberries and celery for more fiber. I am only 4'11" and 124 pounds. Fecal test and blood test normal 6 months ago. Had mild soreness in area of gallbladder and liver and pancreas for two years off and on so changed diet. I went two more times right after that today but no blood. Is it cancer?
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Follow up: Dr. Anders Mark Christensen 0 minute later
female, age 66, first time in life today saw in a normal looking bowel movement three drops of red blood right on the three separate stools. Have IBS. Had gray stool two times in one day a month ago and now normal. No pain. Been eating a lot of strawberries and celery for more fiber. I am only 4'11" and 124 pounds. Fecal test and blood test normal 6 months ago. Had mild soreness in area of gallbladder and liver and pancreas for two years off and on so changed diet. I went two more times right after that today but no blood. Is it cancer?
doctor
Answered by Dr. Anders Mark Christensen 24 minutes later
Brief Answer:
It sounds like hemorrhoids

Detailed Answer:
Hi Liptchr,

What you describe sounds like hemorrhoids, especially since the fecal blood test not so long ago was normal. I do however suggest you have a sigmoidoscopy to assess the left part of your colon. Hemorrhoids are completely benign, but may bleed and cause perianal irritation.

Hope this helps.
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by Dr. Anders Mark Christensen 0 minute later
Brief Answer:
It sounds like hemorrhoids

Detailed Answer:
Hi Liptchr,

What you describe sounds like hemorrhoids, especially since the fecal blood test not so long ago was normal. I do however suggest you have a sigmoidoscopy to assess the left part of your colon. Hemorrhoids are completely benign, but may bleed and cause perianal irritation.

Hope this helps.
Above answer was peer-reviewed by : Dr. Yogesh D
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Follow up: Dr. Anders Mark Christensen 1 minute later
I forgot to tell you I have hemorrhoids for many years that can go a long time without bleeding, but I have never seen blood right into or on the stool. If it is my hemorrhoids bothering me, it is always floating in the toilet water or on the toilet paper so I've never seen a blood dot right into the stool. What is it? Is it cancer, colitis, perio something???
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Follow up: Dr. Anders Mark Christensen 0 minute later
I forgot to tell you I have hemorrhoids for many years that can go a long time without bleeding, but I have never seen blood right into or on the stool. If it is my hemorrhoids bothering me, it is always floating in the toilet water or on the toilet paper so I've never seen a blood dot right into the stool. What is it? Is it cancer, colitis, perio something???
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Follow up: Dr. Anders Mark Christensen 30 minutes later
Thank you for responding so quickly. I was a nervous wreck. I don't take or need meds for anything yet. My family genes are good. Why would the left side of colon need to be checked? Is that for cancer or polyps? Is a sigmoidoscopy the same as a colonoscopy? The colonoscopy is the only test I never wanted to do in my life because of the horror stories of unnecessary testing and ripped livers, etc. They'd have to drag me in for that one!
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Follow up: Dr. Anders Mark Christensen 0 minute later
Thank you for responding so quickly. I was a nervous wreck. I don't take or need meds for anything yet. My family genes are good. Why would the left side of colon need to be checked? Is that for cancer or polyps? Is a sigmoidoscopy the same as a colonoscopy? The colonoscopy is the only test I never wanted to do in my life because of the horror stories of unnecessary testing and ripped livers, etc. They'd have to drag me in for that one!
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Follow up: Dr. Anders Mark Christensen 2 hours later
How long does it take to get another answer?
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Follow up: Dr. Anders Mark Christensen 0 minute later
How long does it take to get another answer?
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Answered by Dr. Anders Mark Christensen 1 hour later
Brief Answer:
It is to rule out cancer

Detailed Answer:
Hi again Liptchr,

The sigmoidoscopy is a less severe examination than a colonoscopy. It is used to rule out cancer and diagnose a possible source of fresh red bleeding.

Hope this helps.
Above answer was peer-reviewed by : Dr. Prasad
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Answered by Dr. Anders Mark Christensen 0 minute later
Brief Answer:
It is to rule out cancer

Detailed Answer:
Hi again Liptchr,

The sigmoidoscopy is a less severe examination than a colonoscopy. It is used to rule out cancer and diagnose a possible source of fresh red bleeding.

Hope this helps.
Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Anders Mark Christensen 4 hours later
I am curious as to how often or how many times I would see blood on the stool itself if it is cancer. I went to the bathroom 4 times today because I was so nervous about my dental surgery this afternoon, and only saw the blood at one bowel movement today, the first one in the morning. You think it is hemorrhoids you said, but I never had the blood stick onto the stool. It always just floats in the water when it's my hemorrhoids. Can it really be hemorrhoids like your first answer was??? I would be happy with that of course, but I never heard of it so I wanted to clarify. Thank you.
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Follow up: Dr. Anders Mark Christensen 0 minute later
I am curious as to how often or how many times I would see blood on the stool itself if it is cancer. I went to the bathroom 4 times today because I was so nervous about my dental surgery this afternoon, and only saw the blood at one bowel movement today, the first one in the morning. You think it is hemorrhoids you said, but I never had the blood stick onto the stool. It always just floats in the water when it's my hemorrhoids. Can it really be hemorrhoids like your first answer was??? I would be happy with that of course, but I never heard of it so I wanted to clarify. Thank you.
doctor
Answered by Dr. Anders Mark Christensen 2 hours later
Brief Answer:
It can easily be haemorrhoids

Detailed Answer:
Hi again,

It can easily be haemorrhoids, and a sigmoidoscopy is necessary to distinguish between this and polyps/cancer.

Hope this helps. If it is any consolation, cancer is very unlikely.

Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by Dr. Anders Mark Christensen 0 minute later
Brief Answer:
It can easily be haemorrhoids

Detailed Answer:
Hi again,

It can easily be haemorrhoids, and a sigmoidoscopy is necessary to distinguish between this and polyps/cancer.

Hope this helps. If it is any consolation, cancer is very unlikely.

Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Follow up: Dr. Anders Mark Christensen 33 hours later
A question I just thought of. Why did you mention to only check out the left side of the colon? I thought the colon is all around the front of the body in a circular shape. Does the sigmoidoscopy check all sides of the colon or only the colonoscopy does that, and you think I don't need that invasive procedure with my symptoms? Thank you. I never knew a general surgeon knew these answers. I thought I needed a gastroenterologist to respond to me but the website assigned you.
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Follow up: Dr. Anders Mark Christensen 0 minute later
A question I just thought of. Why did you mention to only check out the left side of the colon? I thought the colon is all around the front of the body in a circular shape. Does the sigmoidoscopy check all sides of the colon or only the colonoscopy does that, and you think I don't need that invasive procedure with my symptoms? Thank you. I never knew a general surgeon knew these answers. I thought I needed a gastroenterologist to respond to me but the website assigned you.
doctor
Answered by Dr. Anders Mark Christensen 2 hours later
Brief Answer:
Sigmoidoscopy is usually enough

Detailed Answer:
Hi again Liptchr,

I know it because surgical gastroenterology is a specific interest of mine. Because you have seen fresh blood, it is most likely that the bleeding source is from the left colon, so a sigmoidoscopy will suffice. This procedure requires less bowel cleansing and is less painful. If no pathology is found, a full colonoscopy would be the next step. But if you are up for it, a full colonoscopy to begin with would also make sense.

Hope this helps.
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by Dr. Anders Mark Christensen 0 minute later
Brief Answer:
Sigmoidoscopy is usually enough

Detailed Answer:
Hi again Liptchr,

I know it because surgical gastroenterology is a specific interest of mine. Because you have seen fresh blood, it is most likely that the bleeding source is from the left colon, so a sigmoidoscopy will suffice. This procedure requires less bowel cleansing and is less painful. If no pathology is found, a full colonoscopy would be the next step. But if you are up for it, a full colonoscopy to begin with would also make sense.

Hope this helps.
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Follow up: Dr. Anders Mark Christensen 1 hour later
Source is from the left colon? You said it was hemorrhoids. So which is it? Colon or hemorrhoids?
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Follow up: Dr. Anders Mark Christensen 0 minute later
Source is from the left colon? You said it was hemorrhoids. So which is it? Colon or hemorrhoids?
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Answered by Dr. Anders Mark Christensen 12 minutes later
Brief Answer:
Same thing

Detailed Answer:
In clinical terms, when it comes to bleeding, left colon and rectum is indistinguishable. Could be hemorrhoids, diverticulitis bleeding, angiodysplasia, polyps.
Above answer was peer-reviewed by : Dr. Nagamani Ng
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doctor
Answered by Dr. Anders Mark Christensen 0 minute later
Brief Answer:
Same thing

Detailed Answer:
In clinical terms, when it comes to bleeding, left colon and rectum is indistinguishable. Could be hemorrhoids, diverticulitis bleeding, angiodysplasia, polyps.
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Follow up: Dr. Anders Mark Christensen 1 hour later
What about my other suggestion of another fecal test, and if that is normal like my other one 6 mos ago, don't bother with a sigmoid, but if it is not normal, then the sigmoid? Thanks.
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Follow up: Dr. Anders Mark Christensen 0 minute later
What about my other suggestion of another fecal test, and if that is normal like my other one 6 mos ago, don't bother with a sigmoid, but if it is not normal, then the sigmoid? Thanks.
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Follow up: Dr. Anders Mark Christensen 6 minutes later
I thought diverticulitis is a very painful condition. I don't have any pain.
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Follow up: Dr. Anders Mark Christensen 0 minute later
I thought diverticulitis is a very painful condition. I don't have any pain.
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Answered by Dr. Anders Mark Christensen 3 hours later
Brief Answer:
You can do that

Detailed Answer:
Hi again,

You can certainly go with the choice of a new faecal test. However, please note that there may be false negative results, meaning that there could potentially be a polyp or theoretically malignancy, that the test does not pick up.

Diverticulitis is usually associated with some discomfort. Diverticula (i.e., the mere presence of these pouch-like protrusions) may be asymptomatic until they bleed.

Best wishes.




Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by Dr. Anders Mark Christensen 0 minute later
Brief Answer:
You can do that

Detailed Answer:
Hi again,

You can certainly go with the choice of a new faecal test. However, please note that there may be false negative results, meaning that there could potentially be a polyp or theoretically malignancy, that the test does not pick up.

Diverticulitis is usually associated with some discomfort. Diverticula (i.e., the mere presence of these pouch-like protrusions) may be asymptomatic until they bleed.

Best wishes.




Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Anders Mark Christensen 54 minutes later
Since I have zero discomfort then, and at least not yet, and only a tiny bit of blood once, I assume it is not Diverticulitis. That's why I was surprised you mentioned that after saying it was hemorrhoids. Those fecal tests also give false positives too. They are 60% accurate, though I am told. I figure that is good enough for me. If I keep seeing blood on the stool rather then the toilet for my hemorrhoids, I will get the sigmoidoscopy done. I hope I can find a gastroenterologist here that is willing to do that test first. So many of those type of specialists want you to do a colonoscopy every 7-10 years, even without any symptoms, because they make more money and put you through hell you most of the time don't need to deal with! I am going for an ultrasound tomorrow for a complete abdominal just to see if there are any gallstones or cysts or something in the gallbladder, liver or pancreas because of the soreness I had when I ate certain foods. Do you think the blood could be related to something on that part of the body?
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Follow up: Dr. Anders Mark Christensen 0 minute later
Since I have zero discomfort then, and at least not yet, and only a tiny bit of blood once, I assume it is not Diverticulitis. That's why I was surprised you mentioned that after saying it was hemorrhoids. Those fecal tests also give false positives too. They are 60% accurate, though I am told. I figure that is good enough for me. If I keep seeing blood on the stool rather then the toilet for my hemorrhoids, I will get the sigmoidoscopy done. I hope I can find a gastroenterologist here that is willing to do that test first. So many of those type of specialists want you to do a colonoscopy every 7-10 years, even without any symptoms, because they make more money and put you through hell you most of the time don't need to deal with! I am going for an ultrasound tomorrow for a complete abdominal just to see if there are any gallstones or cysts or something in the gallbladder, liver or pancreas because of the soreness I had when I ate certain foods. Do you think the blood could be related to something on that part of the body?
doctor
Answered by Dr. Anders Mark Christensen 5 minutes later
Brief Answer:
Your plan sounds good

Detailed Answer:
Hi again,

The blood is not related to the gallbladder or pancreas. I agree that colonoscopies every 7-10 years is of no benefit to you. Only if you have symptoms it should be performed.

Wishing you all the best.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by Dr. Anders Mark Christensen 0 minute later
Brief Answer:
Your plan sounds good

Detailed Answer:
Hi again,

The blood is not related to the gallbladder or pancreas. I agree that colonoscopies every 7-10 years is of no benefit to you. Only if you have symptoms it should be performed.

Wishing you all the best.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Anders Mark Christensen 16 minutes later
Also, how come you said since my fecal test 6 months ago was normal, I probably don't have anything, and it's probably hemorrhoids, and now you are saying those tests can be inaccurate and doing another fecal test can give me false results??? I am confused.
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Follow up: Dr. Anders Mark Christensen 0 minute later
Also, how come you said since my fecal test 6 months ago was normal, I probably don't have anything, and it's probably hemorrhoids, and now you are saying those tests can be inaccurate and doing another fecal test can give me false results??? I am confused.
doctor
Answered by Dr. Anders Mark Christensen 6 minutes later
Brief Answer:
Please read below

Detailed Answer:
A negative result usually means that you do not have polyps or cancer. It does not change the fact that you have blood in your stools and therefore are not strictly "asymptomatic", so general screening tests do not apply in this scenario.

So, no matter how you look at it, the risk of cancer is very low, regardless of the positivity of the faecal test.

Hope this is clear now.

Regards



Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by Dr. Anders Mark Christensen 0 minute later
Brief Answer:
Please read below

Detailed Answer:
A negative result usually means that you do not have polyps or cancer. It does not change the fact that you have blood in your stools and therefore are not strictly "asymptomatic", so general screening tests do not apply in this scenario.

So, no matter how you look at it, the risk of cancer is very low, regardless of the positivity of the faecal test.

Hope this is clear now.

Regards



Above answer was peer-reviewed by : Dr. Arnab Banerjee
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