I'm not sure if I should even be posting, but its the only topic close to my concerns.
Short history: 44y/o male, smoker (1pk day for way too long), father dies of cancer. About 3 weeks ago I started to become pretty constipated. I was taking Hydrocodone for back and shoulder problems. As a result, I became very constipated. I had great difficulty passing a bowel. It was large, and ranked about 2 on the Bristol scale. To ease the passing, I used a little Vaseline to make the passing a bit easier. None the less, I passed it. I did not notice anything strange other than the size, the dryness and what appeared to be a white mass toward the bottom end. I presumed this was residual lube.
The following day, I had another BW, no where near as large. I was shocked to see blood "on" the out side. It too was ranged about a 2 on the Bristol scale, although no were near as large in volume. This had even more "white stuff", which I can only presume to be mucus on it considering I did not use any lube to pass it.
I had passed blood once before, but only for one day back in 02. I had a sigmoideoscopy which was pretty much negative with the exception of a small polyp which was removed and checked, which was negative. I think they also said something about hemorrhoids but did not recall.
When I recently passed blood, I was shocked, but then associated that to the possible 'roids. Unfortunately, I am still passing blood and mucus
I have contacted the GP/PCP last Thursday and they suggested I increase water and fiber, possibly a laxative to clean out. I was then scheduled for a visit this last Monday and I went in. He did an anal scope and confirmed the 'roid issue, but also said that I was rather inflamed and he thought the bleeding might be coming from higher up. He also did a blood workup, which I received today in the mail and all is w/in "normal range", although RBC is borderline low (4.54) and my BUN is slightly below average at 6.
Since the then, by BM are very inconsistent in mass and volume. I have been experiencing gas both at both end. Over the last few day, I have noticed an increase in what I believe is overactive intestinal activity (gnawing and churning), lower back and abdominal pains and a loss of appetite.
Amidst all of this is still the blood (what appears to be) on the stool but now I seem to be passing gas along w/ blood and only mucus. Any bowel that does pass is light in volume and loose.
I was thinking if this is a fissure or 'roids, that it would have healed (maybe I'm wrong) within a couple weeks so I'm more than a bit concerned.
I'm scheduled for a sigmoid this coming Friday, but this anxiety this is really getting to me....
Any thought or experiences would be greatly appreciated... the sooned the better...
Last edited by Linux64; 01-27-2007 at 02:14 AM.
Reason: included medical / age background
I would agree with Cats. If the bleeding is coming from higher up the colonoscopy is going to be the best tool. Are you still taking the painkillers? If so, I would stop until after your problem has been cleared up. Painkillers tend to add to constipation. I would not jump to any problem such as cancer, yet. It could be after effects of the constipation plus the hemorrhoids. Talk to your GP and get a referral if needed to a gastroenterologist. When problems like these arise I find it best to talk to a specialist who deals with these sorts of procedures everyday. Good luck and try to relax.
I <snip> . . . Are you still taking the painkillers?
Thank you for your replies. I stopped taking *all* meds when I realized I was locked up. I had increased my water, fiber, etc. I also mis-stated the test I was scheduled for. I indicated it was a simoidoscopy when in fact is is a full cononoscopy. So based on everything, I'm headed down the right avenue, but the waiting and anxiety is nerver racking.
Considering I was scoped in 02 (and it was negative), and it now being 07, what is the possibility that something serious could develop in 5 years? I realize there are many possible reasons (UC, 'roids, fissue, parasite, infection, etc), but it seems to me that there would be some healing over two weeks if it was something less than the worst, or am I just mis-informed?
As the bowel movements were so difficult to pass it's possible that you have torn inside and have a fissure.These can take a lot longer than 2 weeks to clear up.
It's wise to have it all checked out though and it's good that you are having a colonoscopy - that way you will find out for sure what the problem is. I know how worrying it is just waiting for tests and results. You imagination runs riot but you just have to try and stay calm and think positively, easier said than done I know.
I understand the aggravation and worry. I started having my symptoms of bleeding, pain when using the restroom back in September. It took me a month to even get the courage to go to the doctor. After a bad experience with a doctor with no bedside manner and CT scan, I decided to wait and see if the bleeding would go away. Before they had seen I had a fissure as well as a small lump in my rectum. Well the pain has gotten so bad now I went back to another doctor this time. She seems to think it might be the same fissure. She says it takes them so long to heal because they keep opening everytime you use the restroom. I can understand wanting to get the colonoscopy out of the way. My doctor said she wanted to go ahead and do one just to rule anything bad out. I like that she did not take for granted that I was 35 but instead wanted go ahead and do it. My colonoscopy is not until February 16th. That is a long time to wait but I am confident that if there is anything else wrong she will find it.
Considering I was scoped in 02 (and it was negative), and it now being 07, what is the possibility that something serious could develop in 5 years?
Anything is possible when it comes to unknowns. However, most polyps take 5 to 7 years to form and about that much in time to turn to cancer. There are genetic conditions that undo these time frames. Such abnormalities cause 1000's of polyps to form and in short amounts of time. But, I would say that would not be your diagnosis if your last colonoscopy was clean. These conditions are usually found by the age of 25.
I realize there are many possible reasons (UC, 'roids, fissue, parasite, infection, etc), but it seems to me that there would be some healing over two weeks if it was something less than the worst, or am I just mis-informed?
As another poster said, yes fissures and any tear in the actual colon could take a significant amount of time to heal. Hemorrhoids never actually heal so to speak, their swelling just decreases and can flare up at anytime. If it is infection or a parasite, those types of conditions will not get better without treatment and in most cases will likely get worse.
Repeat Colonoscopy Feb. 9th
I was scheduled for a c-scope Friday. I had warned the doc's office when the prescribed the GoLytely stuff, "It its anything like the Colaces stuff, I'm not going to keep it down", They assured me it was not as bad. Damn liars! It is just as foul tasting. Since the first c-scope in '02, I can no longer even stand the taste of Lemon Lime Gatoraide because of the initial prep.
None the less, when I could not get past the second glass (came back up), I gave up and called to get the c-scope rescheduled.
I've not been eating much because of back-aches, abdominal cramping, and axiety over not wanting to bleed. This has resulted in weight loss (just another thing to wear on my mind).
Without consuming many solids, the BMs have changed to a bloody-gel mess. The blood does not diffuse int he water, which I'm not sure if its good or bad....
Hopefully, I can get past the Fleets stuff..
Never the less, I'm rescheduled for Wednesday (tomorrow). I'll update when I have more
I wish the best for you and do not feel alone on the GoLytely or Halflyte solutions. I cannot tolerate them either. I do one bottle of Fleets and I can stomach that one time. I hope all goes well for you and that you truly come out with no worries and a bill of health. Please let us know how you are doing!
Good luck w/the prep tonight. I found the Fleet stuff MUCH easier, as there is not as much to drink. Do quick shots w/white grape juice chasers. YOU CAN DO IT! You NEED this test!! "Bloody gel stuff" NEEDS to be investigated!
Well... no news is good news so far I guess.... let me explain... please excuse the lengthy reply, but I suspect for those that will (despite the warning) try to read these posts and self diagnose, my wordiness will help them . . .
As for my results . . . .I was able to choke down the Fleet prep. Although just as foul tasting, it was no where near the volume the unpleasantness did not last as long. Also someone suggestion (either on this board, or another) of chasing it w/ Jell-O got me thinking maybe 7up chasers might not be a bad idea, which sure enough, made it barely tolerable. Boy I miss drinking Lemon-lime Gator-Aide... thanks to the companies that produce these foul preps...never the less...
I did choke it down Thursday night, but Friday AM, I almost was not as successful. I made it to the appointment, and talked w/ the doc prior to. He could see the fear on my face. We talked about the possible caused and I told him about how much worrying and reading I had been doing. He asked me what I had been reading and I told him everything from open forums such as these to clinical documents, trial results, etc. I mentioned a variety of possibilities such as UC, bacterial/viral infection, fissure, 'roids, etc... Despite him being sympathetic, he was vary straight and interjected the word "tumor", which, just there gasoline on the fear fire. I could feel my face go flush and my eyes bulging. That must have been very obvious, because he immediately tried to ease my nerves by asking ".. You had this done in '02, right? Did they find anything?Ē I explained they found 1 polyp, but the biopsy was negative, He then asked "So, any idea how long it takes for polyps to dev...". I knew where it was headed so I headed him off saying "Yeah... 10+10... 10 years to develop, and 10 years or so to become cancerous". He smiled and said "You have been reading... so you do the math... this is 2007 and you had it done in '02?"... and he just smiled... Although it did alleviate some concern, it did not answer the questions as to why the bleeding. I know that although the math doesn't work out, in the back of my mind, there has always been that concern.
At this point I was tired of worrying, so I told him, ". . . I want to be under as far under as possible, and letís just get this over with...Ē So they stabbed the IV w/ the sedative, and I was out.
As was in '02, I did not recall the actual procedure, but I recall coming to only to hear the docs say "well, there is something going on in there.. you're really inflamed and were in a lot of discomfort was we were unable to complete as much as we wanted . . . ". I recall him saying something about hemorrhoids, but I'm not sure in what context (if there was or not). He did say that because they were not able to see as much as they wanted, he wanted to be thorough and see if there was something they could see from the outside so he ordered a CT, while I was there.
So I had the luxury of a thick, pasty, most part odorless, but yet odd tasting "shake" which was difficult to get down (wonderful contrast crap). I'm glad I was still partially out of it because it had it tolerable. I think I dozed off at some point again while in transit to the CT lab. Once there, they were kind enough to ask me if I was thirsty and after that shake, I was like "hell yeah".. So they tell me "Good, we have something for you...." and hand me another glass of this pasty stuff, but this was semi-cherry flavor and pink. The cherry flavor didn't help much.. as a matter of fact, it seemed to make it worse...
Anywho, they did the abdominal CT and sent me how with a pocket full of pills, that being Asacol (pharmaceutical developers have an odd sense of humor.. AS(s)acol, GoLytly... please), Metronidazole, and Cipro.
The discharge paper indicated to call my doc in 5 days for the result from the CT scan.
So where do I stand now? Well at the risk of being too informative, I did manage to have one BM yesterday that was not an overtly blood covered gelatinous fuzzy mass which I guess is good, although today it seems to be have regressed. I still have INTENSE urges and these periodical abdominal cramps and annoying intestinal constrictions that I can feel deep inside and the cramps seem worse when I first wake up.
So looking at this objectively after all the reading, the release paper, the GI doctor's lack of urgency to keep me, his casual demeanor after the exam, radiology's desire to not keep me or asking me to "rescan", and most importantly to me, the hospital not calling me, it seems like I developed some type of infectious colitis, but that is not definitive right now.
With any luck, this is all it is . . . a temporary bout of infectious colitis, but Iíll know for sure early next week. If it is something other than that, then Iíll cross that bridge when I get there.
Now, I do want to thank everyone for their advice, attempts to curb my racing mind.and sympathy. It has helped.
Once againÖ thank you allÖ.
Iíll be sure to update everyone once I have more information . . .
I had my follow-up w/ my GI, and it seems that what I have devloped (had lying in wait) is Ulcerative Colitis (UC). When I did the c-scope, as indicated, they could not complete it due to discomfort, although I never knew I was uncomfortable.. I for all purposes was out cold. None the less, we did do a lower GI CT and it did not reveal anyting of huge concern to them. So basically this is where it stands... Seems odd that something of this sort would come on out of the blue.. usually there are some sypmptoms for may other illnesses/disceases, so I'm just trying to think if there is anything that might have tiggered it... maybe it was lying in wait and a compound set of issues tirggered it.... Maybe I'm just trying to justify why this took place when there is no justification other that I happen to have the genetics for it.. which is odd, becase no one in my immediate or extended family has ever had this. Maybe it it was tiggered by some microscopic paracite/infection, etc...
I just wanted to take the time and update everyone.. afterall, that is the least I could do for a bunch of people who showed compassion and concern when I was doing the freak :-).
Once again, that you all that talked me of th edge...
I'll still be lurking here periodically, but most likely spending my time on the UC boards now...