Doctor insights on:
External Rectal Polyps
You cant.: It has to be examined by md preferably a surgeon and by looking inside with scope it can be determined. ...Read more
About 10%: It was felt that malignancies of bowel i.e. rectal polyps accumulate mutations to go from adenomatous polyps to malignant polyps to cancer it now appears that about 10% of such lesions will progress to cancer. In bowel adjacent to malignancy, most normal appearing mucosal cells produce cancer protein having undergone genotypic changes. These cells eventually lead to new Ca's. in bowel. ...Read more
Had a colonoscopy yesterday, removed four polyps, one of which had to be clip, how long dose the clip stay in? Also not feeling 100% lot of rectal press.
Clip will pass: The clip on the stalk of a polyp will fall off after a few weeks. It will likely pass without you knowing about it. The rectal pressure after colonoscopy is due to irritation of the rectal canal from manipulating the colonoscope during the procedure. It should resolve within a day or two after the procedure. ...Read more
Clarify: Adenocarcinoma is not precancerous, it is cancer. 5 mm is pretty small, which makes it sound like a polyp (not adenocarcinoma). If that was the case (maybe called a tubular adenoma?), there should be nothing to worry about. Adenocarcinoma in the colon/rectum implies invasion deeper into the colon. Please clarify the results of your biopsy with your doctor. ...Read more
Which tests are considered "routine" when trying to diagnose rectal and anal problems? I have had a colonoscopy, I had a few polyps and inter. Hemmorh
Colonoscopy is it!: For common rectal or anal problems such as rectal bleeding or pain, a full colonoscopy is commonly "routine" at age 53. Depending upon the symptoms, a simple anoscopy or rigid or flexible sigmoidoscopy might be recommended. Importantly' rectal bleeding should never be attributed to hemorrhoids without an endoscopic exam to document hemorrhoids or, more importantly, rule out a malignancy. ...Read more
My sister is 5 yrs older than me. Last year she had to have rectal polyps removed. What are the chances I should have this done as well. I am experiencing the same issues she was having at the time. She has since been diagnosed with IBS. I get horrib
Colon polyps.: If your sister's colon polyps were the precancerous type, called adenomatous polyps, then you should have a colonoscopy now rather than waiting until age 50. They do run in families, and removing them before they can become cancer can be life-saving. I would see a gastroenterologist immediately. Do not delay. Good luck. ...Read more
Polyps: Polyps are not frequently found during a rectal exam because they are higher up in the colon and/or rectum and not able to be felt with the examiner's finger. ...Read more
Most do.: Most colorectal cancers arise in adenomatous polyps, which are the type of polyps that are examined for and removed in colonoscopy. Data now shows that removal of colorectal polyps decreases coloretcal cancers as well as the risk of dying from a colorectal cancer. Less frequently, colorectal cancers can be founs that do not arise from polyps. This most often happens in inflammatory bowel disease. ...Read more
Heavy rectal bleeding for almost 3 weeks 3-4 x a day. Colonoscopy 10/28/13 no polyps etc. Any idea? I'm beyond worried
You are young: It is hard to imagine what could be bleeding in your colon, at your age and not seen by colonoscopy. The only thing I could think of is av malformation since they can't be seen once decompressed from bleeding. You have to discuss it further with your doctor and your gastroenterologist as to what it could be. Good luck. ...Read more
Sessile tubulovillous High dysphasia rectal polyp 2.6 cm was removed during a colonoscopy. What does that mean? Do I have cancer?
Rectal Bleed on/off for month @ end of stool. Had clnscpy 2 yrs ago. Non-C type polyps & int hem. Should I worry or have another clnscpy? What is it?
Internal hemorrhoids are common and may bleed occasionally, especially if one is constipated or strains with bowel movements. The usual treatment is to use a stool softener and increase fiber in the diet.
If you have rectal bleeding it's best to discuss with your physician before assuming it's "just from hemorrhoids".
Your physician will decide if you need a colonoscopy or flexible sigmoidoscopy ...Read more
My pathology reports sated I have a. 4 CM rectal polyp, tubular adenoma, with no high-grade dysplasia or malignancy. When should a follow up be done?
How was your prep?: "guidelines" are one thing but other considerations come into play when planning your next colonoscopy: 1) what was the method of polyp removal (could the technique used have left polyp material behind?); 2) what was the quality of your prep (if poor, your doc will want you back sooner to complete the exam so other polyps aren't missed); 3) risk of a polyposis syndrome brings you back sooner too. ...Read more
I had a colonoscopy 2 months ago. They removed a benign polyp but the last 3 weeks I have had a lot of rectal bleeding. Could this be from the surgery?
What happens to the packing a surgeon inserts after rectal polyps are removed? Should I the patient remove it a day or two after surgery
Ask your surgeon: I assume you had drainage of an abscess with packing. This shouldn't stay in more than a day or two as it interferes with drainage. Some surgeons pack to stop bleeding and this should only be needed overnight. Some surgeons don't pack at all and just put a dressing over the surface (this is less painful). Again, ask your surgeon as he/she knows why it was placed. ...Read more
If there's history of colon/rectal cancer (lowercolon andrectumremoved) and 7 large polyps were found from an colonoscopy how often should a person go?
Depends: Discuss with GI re: how thorough scope eval was. Ask if biopsied areas marked. Type of polyp (tubular, villous, sessile etc important predictors. May consider 6 month f/u scope, possibly 12 mo. Then annual until all negative then space every 2-3 yrs cautiously. Family history, genetic testing, upper scope should be considered. ...Read more
Can a doctor tell the difference between a polyp and an internal hemorrhoid during a digital rectal exam?
Yes and no: It all depends on the anatomy.Get a more detailed answer ›
I'm 19 and they found 2 inflammatory polyps, . 59 cm hyperplastic polyp, and rectal juvenile polyp in my colon. What's the risk of future colon cancer?
Genetics consult: 19 yo woman PMH sig for iron deficiency anemia with colonic polyps found on virtual colonoscopy. You need a referral for a standard colonoscopy where the polyps will be removed and examined pathologically. With your history, you may have Inflammatory Bowel Disease and or some type of familial polyposis which may give you a higher risk in future but your expert GI doc will always watch out for you ...Read more
Hi Doc please help, I was diagnose with gastric erosion, h-pylorie, hemorhoids and rectal polyp remove. Prescrbe with pantrpzole 40mg, claritromycin and ammoxicilin for 14days. Then continues another pantrpazole 40mg for 12days and reduce to 20mg. However
Be followed timely..: Apparently, you have worked well with your doc so you have received the care as described. Hence, it would be most logical and beneficial to revisit her/him for follow-up so to decide further modification of care is needed or not. How to get the things for adequate healthcare done correctly? Follow instructions in http://formefirst. Com/eNewsletter06.html. Best wish to health... ...Read more
What can cause Diverticulitis, liver hepatic adenoma, rectal polyps and ovarian hemmoragic cysts.
Separate problems: There is no particular cause for any of these, and certainly no single thing that causes them all. These are separate problems, which I assume were detected by some sort of abdominal imaging, probably a CT scan or MRI. Speak with the doctor who ordered the test and take it from there. ...Read more
If someone had colon cancer a year ago how often should he get a colonoscopy and do all colon and rectal cancers starts from a polyp?
Is combo therapy of 10 mg crestor (rosuvastatin) & 54 mg fenofibrate a possible cause of rectal bleeding or could result in bleeding if polyps already preseent?
My colonscopy shows that I have sessile polyp (neck less) in my rectum and rectal ulcer am on pentasa (mesalamine) what to do else?
What is wrong? Rectal bleed began 8mos ago. Colonoscopy - 50mm tubulovillous polyp s/p 6wks. New ab. Pain, more r.Bleeding. Ct - ov. Cyst, p.Duod hernia.
Repeat colonoscopy: You have a villus polyp removed for lower GI bleed. It has been 6 weeks and still bleeding. Talk to your GI doctor. This could be a hemorrhoid but it could be another lesion or polyp. It can also be an arterial-venous malformation. Best to have a doctor evaluate. They will also look for anemia. Hope this helps. ...Read more
My husband had polyps in his rectum and sigmoid colon. They were taken out by using a snare and were biospied showing to be malignant. He then had another rectal exam and biopsy of the cell walls this showed that the it did not spread into the lymph nodes
Team approach: It would be a good idea to see a multidisciplinary team of doctors (surgeon, radiation oncologist and medical oncologist) before finalizing a treatment plan. ...Read more
Suffer from rectal ulcer with sessile polyp, I have continuos bloody mucous bleeding with constipation, am on pentasa (mesalamine) what to do else?
Rectal Ulcer: You are on Mesalamine for uc? Of course, the bleeding and mucus is likely associated with active ulcerative colitis. A large sessile polyp, if it is a true polyp and not a uc pseudo polyp, can secrete mucus itself. It sounds to me that your ulcerative colitis is still not under control. Having said that, the rectal ulcer is likely associated also with your active disease. Get a 2nd opinion. ...Read more
Polyp removed in upper rectum and solitary rectal ulcer sowed in flexible sigmoidoscopy. Still start tip of stool is hard and red blood on stool help!
Start simple, but...: Docusate (per PDR) helps moisten & soften hard, dry stools. It is not a true laxative, but facilitates natural defecation, usually within 12 to 72 hours. This is safe &available for anyone over 2, &a assumes normal GI anatomy without inflammation, stenosis, extrinsic or instrinsic obstruction. Change in bowels is a "red flag", like weight loss or blood in stool, that needs evaluation if persistent ...Read more
Vaginal bleeding (not rectal) after bowel movement, why could this be? Had cervical polyp removed 3 years ago if this is relevant?
Should get an exam: A cervical polyp could bleed after a bowel movement, so that's one possibility. Cervical polyps are common and they often recur. I'd recommend getting an exam and if there's no polyp visible, and no other concerns (infection, inflammation, or abnormal Pap smear) then I'd recommend a pelvic ultrasound to look deeper. ...Read more