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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Blood In The Stool After Anal Cancer Recovery?

My hubby who is 50years old 190lbs, 5'10" tall, had anal cancer. In Sept 2009, treatments included a pic-cath for 2 96 hour treatments and 30 zaps of radiation (which severely burned him) The treatments were from Oct 2009 to Dec 2009. He seems to be doing ok but the doctors never really gave him the "all-clear" or declared him cancer free. He has been eating a lot of nuts which he knows he is not suppose to and two days ago during a bowel movement, he had what he stated " a load" of blood pass. He is believing this is from eating to nuts and his anal walls being thinner from the radiation. Can you please advise on this?
Wed, 26 Aug 2015
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Radiologist,  's  Response
Hi,
Thanks for writing in.

Any blood in the stool requires a colonoscopy to be done to make sure that it is not a serious concern. The blood might be from the wall of the large bowel but serious damage after radiation cannot be ruled out until the investigations are done.

For clearance of cancer it is important to do regular ultrasound and CT scans as a part of surveillance. Close follow up is required to know if there is any disease spread to other organs. Large bowel cancer might spread to the liver in more than half of the patients in course of treatment and this becomes very important during treatment. Please do not worry.
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What Causes Blood In The Stool After Anal Cancer Recovery?

Hi, Thanks for writing in. Any blood in the stool requires a colonoscopy to be done to make sure that it is not a serious concern. The blood might be from the wall of the large bowel but serious damage after radiation cannot be ruled out until the investigations are done. For clearance of cancer it is important to do regular ultrasound and CT scans as a part of surveillance. Close follow up is required to know if there is any disease spread to other organs. Large bowel cancer might spread to the liver in more than half of the patients in course of treatment and this becomes very important during treatment. Please do not worry.