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Bleeding again-sorry if I sound like a broken record

Barb5454's picture
Barb5454
Posts: 86
Joined: Feb 2013

Hi Everyone! I haven't been on in a while because I started a part time job and by the time I get home I'm exhausted. Anyway, I'm 8 months post treatment. I have had 2 CT scans and I'm still cancer free! YAY! But I'm still bleeding. Sometimes my right side hurts. I bled before I new I had cancer but never this much. When I go to the bathroom I have noticed bright red blood for the last 4 days. My rad onc said to me as long as the bleeding is bright red I'm ok. I still cannot wrap my head around this. My rad onc examined me and told me I had a lot of internal hemmrrhoids. Can radiation cause internal hemrrhoids? Anyway, can anyone relate to this?

mp327's picture
mp327
Posts: 3043
Joined: Jan 2010

Post-treatment bleeding is common, but can be concerning, nonetheless.  As long as your scans have been clear and you are getting regular follow-up exams with DRE and anoscope, I'm sure you are fine.  If you have a chance, look up "radiation proctitis."  This is probably what you are experiencing.  The radiation has thinned the walls of your intestines, making the blood vessels much closer to the surface.  When anything passes by (stool), bleeding can easily happen.  I have  bleeding off and on, even 5 years post-treatment, mostly related to a bout of constipation.  It is very important to keep stools soft and drink plenty of water.  A psyllium fiber supplement might help you, such as Metamucil. 

I hope otherwise you are doing well!  Congrats on the new job! 

Phoebesnow
Posts: 451
Joined: Apr 2011

I have been bleeding everyday a significant amount for almost 1 year.  I have had anascope, DRE, and pets can.  Doctor says I am ok and it is internal hemorroids.  The outside hurts a great deal too.  It is hard tobelieve that I am ok, but apparently I am.  It will be 3 years for me on 12/8.    I think the problem for me is the exit has shrunk and does not want to open.  I hope that it gets better for you.  

sephie's picture
sephie
Posts: 541
Joined: Apr 2009

barb,  i had lots of blood on my stool and on toilet paper..... had anoscope....all ok...radiation damage.... i am 4 years post tx..... with NED from MD Anderson.......i still hurt horribly on the left side of anus at the very opening.... it swells and hurts often.....sephie

RoseC's picture
RoseC
Posts: 505
Joined: Jun 2011

Five years out now and I still have blood now and then - bright red, like yours. My colo-rectal surgeon says it's normal stuff to deal with after biopsies and treatment. I also have a very sensitive area on the left internal side of the anus - it's where the biopsies were performed and has not yet (and may never be) healed completely after radiation. It's ok to be concerned about it. But please try not to worry.

Barb5454's picture
Barb5454
Posts: 86
Joined: Feb 2013

Thank you all so much! It's awful that we all have to experience this but it's good that we can relate! I, too, hurt on the left side along with itching. I haven't had a DRE or anascope, but I do have CT scans and sigmoidoscopy and all is good. I'm trying so hard no to worry, but it can be difficult. I have noticed if I eat raw veggies (I"m a vegetarian) I bleed more, so I make sure to cook my veggies. Thanks again you are all amazing!

Barb5454's picture
Barb5454
Posts: 86
Joined: Feb 2013

Sorry I haven't replied to all of you. I've been working a lot. Thank you all for your kind reassuring words. It really helps a lot. I do have quite a few internal hemrroids so I'm sure that's the reason. I have cancer makers done Dec 3 (blood tests) The fear of getting cancer is not as frequent but still in the back of my mind.

Marynb
Posts: 1134
Joined: Aug 2012

Hi Barb, i was not aware that anal cancer had any markers. I have never had any markers for this cancer done at all. Can you elaborate on blood markers that are effective for anal cancer?? Thanks.

Barb5454's picture
Barb5454
Posts: 86
Joined: Feb 2013

Mary I have to have blood tests every 3 months. My onc says it to check my blood levels and cancer markers. That's all I know.Maybe he's looking keeping an eye out in case another cancer were to surface.

TraceyUSA
Posts: 144
Joined: May 2013

I too have bleeding off and on - usuallyt not a lot, just a streak here and there on the t.p.  Now I am having discomfort (not really itching, it's more prickly and sensitive) on the left side (tumor was on the right side).  It scares me too because this is similar to what I experienced prior to diagnosis.  I've had a PET/CT scan, MRI, DREs, a colonoscopy and anoscope since finishing treatment in March.  All have come back clear, so I guess I have to trust that I am fine and this is the new "normal." 

 

Barb5454's picture
Barb5454
Posts: 86
Joined: Feb 2013

Thank you so much for your input. I've been having a lot of discomfort too (where the tumor was) for some reason and yes it's hard to trust but I guess we have too

K8M
Posts: 45
Joined: Jun 2013

It just fels so out of your control (the bleeding) - but I thnk you are doing the right thing in trying to give your digestive system the best chance to process your food. Wishing you continued good news! 

TraceyUSA
Posts: 144
Joined: May 2013

Thinking of you and wondering how you are doing?

lp1964's picture
lp1964
Posts: 862
Joined: Jun 2013

Not much to add to the tips above, but maybe for your next scan you should ask for a more detailed MRI or more cancer specific PET scan. 

I wish you all the best.

Laz

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