A member asked:

I'm 39. i had dark red blood (maroon) in my stool. i have a history of hemorrhoids. my mother died this year of colon cancer. my doctor, then gastro-entologist recommended a colonoscopy. a colonoscopy is rather pricey - should i have one?

21 doctors weighed in across 10 answers
Dr. Katharine Cox answered

Specializes in Pediatric Emergency Medicine

Yes: Hemorrhoid blood is usually bright red in colour. With your positive family history, it would be a wise investment. Have your doctor confirm that it truly is blood. All the best.

Answered 7/8/2017

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Dr. Anuj Sonawala answered

Specializes in Pathology

Yes : Yes, you should get a colonoscopy. Your dark red blood in stool (hematochezia) is a concerning sign and due to your family history of colon cancer, a colonoscopy should be performed. Although it is expensive, in your situation with your family history and symptoms, the benefits (potentially early detection/treatment of colon polyps) outweigh the negatives (high cost). Follow up with GI doc.

Answered 5/30/2016

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Dr. Andrew Seibert answered

Specializes in Gastroenterology

Definitely!!: if your mother developed colon cancer, you are at much higher risk of developing it yourself. The best way to tell what the source of your bleeding was is a colonoscopy. If colon cancer is detected early enough, it is usually curable, but not if it is detected later. Do not take your chances. Have your colonoscopy ASAP. It may save your life. Good luck.

Answered 5/12/2016

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Yes.: You should follow your doctor's advice. It is a good one. Although most likely cause of your bloody stool is hemorrhoids, you are at risk of colo rectal cancer. Other possibilities include ulcerative colitis, Crohn's disease, and diverticulosis, all of which can be accurately diagnosed with colonoscopy. Also, if you bleed in large amounts, it can cause anemia or even shock.

Answered 7/8/2017

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Colon Cancer.: its important to have evaluation for colon cancer, with you strong family history of colon cancer in a first degree relative. This will also further evaluate your hemorhoids. It's way less expensive to detect and treat a colon cancer in the early stages than wait till its advance.

Answered 4/4/2018

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Yes: I'm sorry it's pricey. You need to do this.

Answered 3/14/2016

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Dr. Herman Hammerstead answered

Specializes in Trauma Surgery

YES: cheaper than a funeral

Answered 2/28/2019

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Dr. Mark Dickson answered

Specializes in General Surgery

Yes: Your chance of having a colon cancer is higher since your mother had it. The cost of dealing with a colon cancer is much more expensive if it is caught late than if it is caught early, easily justifying the cost of a colonoscopy now.

Answered 5/12/2016

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Dr. Eric Kaplan answered

Specializes in Colon and Rectal Surgery

ABSOLUTELY!!: Hemorrhoidal bleeding usually is not dark maroon and with your family history you need to get one. Do Not delay in getting in to see a gastroenterologist or colon and rectal surgeon!! Price may seem high but the cost of undiagnosed advanced colon cancer is even higher and may involve your life significantly

Answered 5/11/2016

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Rectal, proctoscopy: Maroon stool suggestive of internal hemorrhoid or fissure. Can arise from low lying lesion but that could be defined by digital exam or proctoscopy. If no pathology found and bleeding continues then colonoscopy which deines pathology over entire length of colon may be requires.

Answered 5/12/2016

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