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Old 04-12-2007, 03:05 PM   #1
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blood and mucus in stool, please help!!

Hi,

My brother has been experiencing the following sympthons for almost the past month, he is seeing mucus and blood on loose stool, and mostly on the toilet tissue. he is 41, no real pains just urgency to go out, and going more than often to toilet, and nothing much goes out but this mucus and blood,
no weight lost (just 1 or 2 kgs after he was on diet) and his weight is stable, no weakness, and no other sympthons

the whole thing started as in the following:

1. He was taking strong antibiotic prior to the sympthons.

2. then he had fever and he threw up.

3. After that he started noticing bright blood drops on stools, and the stools became yellowish, with more urgency to go to toilet, no real pains, just feeling uncomfortable guts.

4. Family doctor thought it is Amebic Dysentery and he suggested a diet and treatment by a complete course metronidazole (Flagyl) (treatement for 10 days, then stop for a week, then re-take the course for another 7 days), once he started he felt much better and the sympthons were almost gone. so he stopped the course (he stopped after the 1st stage of treatment, didnt continue)
5. After he stopped the treatment and diet the sympthons are back!
6. After that he made 2 stool tests with the following result

1st normal stool test: results are :
--------------------
white blood cells: +
Red blood cells: +
all other values are negaitve

2nd stool and FOBT test: results are:
------------------------
Fungi: ++
Fecal Occult Blood: Negative
all other values were negative as well

7. until now there is yellowish loose stools with mucus and blood strikes on it (though the FOBT is negative!!) no real weight lose (only 1 kgs or so because of diet) appetite is good, no weakness.

8. two days ago my bro went to the doctor .. he checked on him and the stool tests, and performed echography on him, the doctor say he doesnt think there is something serious but he appointed him for colonscopy in 2 days.

my brother is 41 years old,

Now we are waiting the colonscopy to know, yet we are all so worried, do you think it is cancer? and how come FOBT result is negaive yet there is bleeding?

please help i would like to hear your opinion!!

Thanks all,

 
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Old 04-12-2007, 04:32 PM   #2
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Re: blood and mucus in stool, please help!!

Your brother needs to see a Gastro doctor right away. It sounds like it could possibly be Colitis or Clostridium difficile(C. diff). I had C. diff, so I know the symptoms and treatment. They usually will treat it with Flagyl or oral Vancomycin for two weeks. There is also a treatment that is still experimental here, but done quite often in Europe, called a Fecal Transfer. I would mention this to the doctor.

If you need any additional information, please post and I'll do my best to help you.
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Old 04-12-2007, 04:56 PM   #3
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Re: blood and mucus in stool, please help!!

Hi Director,

Thanks for the quick reply, as for the Colitis, i don't think it is the case, because it is usually Sexually Transmitted Disease (STD),which is not the case with my brother, but as for the Clostridium difficile (C. diff) sounds to be the reason especially that my bro took strong antibiotics just before the sympthons started, my questions are:

- why the bacteria was not caught on the stool Examinations my bro performed?
- can this case be accurately diagnosed by colonscopy?
- is it a dangerous disease? would u please share with me your experince with this disease?
- according to my original post, do you think cancer is a far possibility (which i really hope)?
- can echography tell if there is tumors in the colon (cancer)?

Thanks alot in advance,

Last edited by ay_tech; 04-12-2007 at 05:00 PM.

 
Old 04-13-2007, 11:05 AM   #4
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Re: blood and mucus in stool, please help!!

I had written a much longer, detailed post to you yesterday and then lost it somehow just prior to posting it. Hopefully, today I will be able to give you some answers.

I still stand by my two possibilites I told you about yesterday. Clostridium difficile and Colitis. You need to do some research on Colitis, as it's not a STD and the the symptoms are diarrhea, rectal bleeding, urgency to have a bowel movement, a feeling to have a BM, although you just had one, mucous in the stool, crampy abdominal pain and several others including fatigue and loss of appetite. There are several types of Colitis, and the one I just listed is for ulcerative Colitis. Like I said, there are many types, including what my wife of 14 years, had last year, which is called microscopic Colitis. It was discovered during a colonoscopy, but not verified until the speciman could be looked at through a microscope. Treatment for this is steroids. They started her on IV Prednisone in the hospital and then oral Prednisone when she was released. Later they had her on Entocort.

The other possibility is the C. diff I told you about. They tried me on four courses of Vancomycin to get rid of it at $1,200 each. Like I said before, I'm very glad we have good insurance. The Fecal Transfer is where you take a donor's feces (in my case it was my wife) and put in a cone like filter and run normal saline over it. You catch the liquid in a container, and this includes "good bacteria" from the donor. That is then insert in the patient during a colonoscopy at about every 10 cm and the result is the good bacteria will be back in the patient and proliferate and grow. I do take probiotics to help with the good flora and make sure the bad flora doesn't over take the good ones. This is available in drink form (liquid) or capsules like I take, called Florastor.

You asked why the condition was not caught in the stool sample. It can sometimes take at least two samples, like mine taken during a colonoscopy to determine a positive. Both conditions I have mentioned are dangerous, left untreated. That's why it is very important he see a GI doctor and have a colonoscopy as soon as he can. I doubt it is cancer, but of course there is no way I could definitely say, besides the fact I am not a doctor. Yes, the echo test should show a possible tumor, but the best way is through the colonoscopy. You need to make sure the doctor performing it takes stool samples from the colon and tissue samples of anything that looks "suspecious".

I hope I have helped a little and your brother is able to get some help very soon. Please feel free to post any other things that you might think of and need some answers to and I'll do my best to help you out.
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Old 04-16-2007, 06:51 AM   #5
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Re: blood and mucus in stool, please help!!

hi, I have just been told that I have ulcerative Colitis they gave me canasa, it is not helping, I keep telling the doctors that I am bleeding really bad, a lot and it is starting to hurt really bad (sometimes) they are doing nothing for me, what bad can happen to me if it doesnt get treated? (this is for director)

Last edited by carmela81; 04-16-2007 at 06:52 AM. Reason: forgot name

 
Old 04-16-2007, 09:58 AM   #6
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Re: blood and mucus in stool, please help!!

Carmela...There's a ton of information on the web that you can research, but I do know a little about it. You can get weaker and weaker from dehydration. Are you having bad diarrhea (several times a day) and/or are you throwing up? This is what happens sometimes and you need medical attention and saline IV to hydrate you.

If you aren't getting any help, I'd start trying to get into see someone else. Are you see a GI doctor or an Internist? You definitely need a Gastro doc, someone who know how to treat you.

I wish I had more information to help you with, but I don't. Look it up on ******. Just enter Ulcerative Colitis.
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Old 04-16-2007, 02:23 PM   #7
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Re: blood and mucus in stool, please help!!

Hi

I am writing this as I am very sad and very broken

my bro was diagnosted colorectal cancer.. one tumer (not big one arround 3 Cms polypious shape) in the rectum about is almost 4cms far from anus (according to colonscopy)

the pathology report is: "invasive moderately differentiated adenocarcinoma, grade II out of III"

the doctor said according to the tumer photo taken during colonscopy and the pathology report that it seems a new tumer and found early, he thinks there is no danger on life, however he was worried more on how to do surgrey without harming the anus. but still he is waiting the CT Scan to give us his final evaluation.

my questions are:
- do you think the case is life -threatening?
- do you think there is danger he'd lose his anus ?
- do you think cheomtherpy prior to the surgrey will improve the success chance? and could save the anus?

I am really very worried .. please help

thank u

ayman

 
Old 04-16-2007, 03:02 PM   #8
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Re: blood and mucus in stool, please help!!

Ayman...First of all, please know how sorry I am to hear the news about your brother. In my somewhat limited knowledge, I really thought the chance of cancer was remote. I am very sorry to hear I was wrong.

The questions you are asking are really pushing the limit of my knowledge, but I will answer what I can. Please remember, I am not a physician, but I will do what I can in the way of answers.


As far as being life threatening, there is always that chance when dealing with cancer. The fact they found it early (as far as indications they know now) lends to the fact his chances of full recovery would seem to be fairly good. As far as Chemotharaphy and/or radiation treatments, they are sometimes done prior to surgery to shrink the tumor and that makes it smaller and more easily removed. Also, any surrounding tissue that could possibly be cancerous too.

As far as losing is anus, I'm really not sure. I would guess there is always that possibility, but if it would save his life, then it would certainly be worthwell. Wearing a Coloscopy Bag is not the end of the world. I have a friend who is in her 70's and has had one for over 30 years and you would never know it. It becomes part of your life and you adapt and learn to live with it. The important thing to remember, is you still have your life and that's better than the other option and having your life end at 41.

I wish your brother well and I hope things turn out positive for both of you. Please let us know how things are going and what the doctors find from the CT scan. Have they mentioned doing an MRI?
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Old 04-18-2007, 02:36 AM   #9
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Re: blood and mucus in stool, please help!!

Hi Director,
thank you very much for the warm feelings, and your answers as well..you really made me feel better,

Yesterday we got the CT Scan result, I am not good in medical expressions in english, but i will try.

It said "
- no indictators of any tumers or enlargements in the lymphatic nodes in all organs (Liver, Kidneys, ...etc.)
- There is no spread in the lymphatic nodes in the nearby area,
- Thickness in the rectal colon wall (in the same area of the tumer), and the lymphatic nodes in its rectal space are enlarged."

the Doctor said it is very good report, that means it is still localized (not spread), he made some physican tests and he found out that there is more distance from the anus (more than 7cms) than what the coloscopy report said (4cms).
the treatment plan will be prior to surgrey chemotherpy to make the tumer smaller and gain more distance from the anus, and to enable the surgeon to be able to remove the tumer more easily, and to make sure the tumer will not return.
the Doctor seemed very optimistic, i hope we are in the safe side.
Today we'll make appointment with the tumer specialist to put the chemotherapy treatment protocols. and get started, praying To God that he will bless him with complete cure.
About the MRI, the surgeon said hedoesnt need it, and tha CT scan is enough, however the tumor's specialist said It would be better to have MRI to be more sure about everything.

I feel a lil bit better today after that good news from doctors
still I am anxious ..
- do you think according to the updates I listed above the chance of complete cureness are good?
- is MRI important ? What are the benifits we gain over the CT Scan?

Thank you
hope you keep us in your prayers.

Last edited by ay_tech; 04-18-2007 at 03:38 AM.

 
Old 04-18-2007, 01:29 PM   #10
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Re: blood and mucus in stool, please help!!

Ayman...You're welcome and be assured you and your brother will be in my thoughts and prayers.

I think the news you received after the CT Scan was good and being farther from the anus is a very positive sign. It does however, sound like the doctors may need to remove some Lynph Nodes in the immdiate area to the tumor. Have the Chemo to shrink the tumor will be a very positive move on their part and I think the prognoses for your brother is good.

As far as having an MRI done in addition to the CT Scan, the doctors seem to be split on their opinions. I honestly don't know if it is really needed or they got enough information just from the CT Scan. You would certainly be able to know more about what you would be dealing with in surgery. I guess all you can do is see if you can get the doctors together in their opinions. They are expensive though, so that might figure into it. If you're able to afford it or have good insurance that will pay it, I always like the information as possible before the procedure. Which is saying I prefer the safe side, but the surgeon doesn't seem to think your brother doesn't need it and he has enough information from the CT Scan. The MRI will show all soft tissue, so maybe you need to have a conference with both the doctors and arrive at a conclusion.

Please let us know what is found out and how things are going. Rest assured, your in my thoughts and prayers.
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