Postoperative Issues Related to Polyps in the Sigmoid Colon
Hello Dr.
Hsu: I discovered a polyp in my sigmoid colon at the end of July, which was found to be malignant after testing.
I underwent surgery in early August to remove the affected segment of the intestine.
Post-surgery tests indicated that there was no metastasis to the lymph nodes.
The first two months after the surgery were normal, but recently I have noticed unexplained abdominal twitching, and my stool has become thinner and longer.
Could this indicate a recurrence of colorectal cancer? Or are these symptoms considered normal? Additionally, I have developed a painful lump on my face that feels movable when pressed.
Is this related to my previous colorectal cancer diagnosis? Thank you for your assistance, Dr.
Hsu.
A Bu, 40~49 year old female. Ask Date: 2016/10/19
Dr. Xu Kaixi reply Surgery
Hello: After a partial colectomy, pain may occur due to wound healing, and the surgery and anastomosis can have varying effects on gastrointestinal function, which will improve over time.
As for the growth on your face, it is unlikely to be related to colorectal cancer.
It is recommended that you visit a hospital outpatient clinic for further examination and confirmation.
Reply Date: 2016/10/19
More Info
After undergoing surgery for colon polyp removal, especially when the polyp was found to be malignant, it is understandable to have concerns about potential recurrence or complications. Your experience of abdominal twitching and changes in stool consistency, such as thinner stools, can be alarming, but it is important to approach these symptoms with a clear understanding of what might be happening.
Firstly, it is not uncommon for patients who have undergone surgery for colon issues to experience changes in bowel habits or sensations in the abdomen. The surgical procedure itself can alter the way the intestines function, leading to temporary changes in motility. Abdominal twitching could be related to post-surgical healing, nerve regeneration, or even muscle spasms. These symptoms do not necessarily indicate a recurrence of cancer, especially if your follow-up tests have shown no signs of metastasis.
Regarding the change in stool shape, thinner stools can occur for various reasons. They may be a result of dietary changes, the healing process of the intestines, or even psychological factors such as anxiety about your health. However, it is essential to monitor these changes closely. If the thinner stools persist or are accompanied by other concerning symptoms such as blood in the stool, significant abdominal pain, or weight loss, it would be prudent to consult your healthcare provider for further evaluation.
As for the lump on your face that is painful and movable, it is crucial to differentiate between various types of growths. While it is natural to worry about any new growth after a cancer diagnosis, not all lumps are cancerous. The lump could be a benign cyst, a lipoma, or even an inflamed lymph node. However, given your medical history, it is advisable to have this lump evaluated by a healthcare professional. They may recommend imaging studies or a biopsy to determine the nature of the lump and whether it is related to your previous cancer diagnosis.
In summary, while your symptoms warrant attention, they do not automatically indicate a recurrence of colon cancer. It is essential to maintain regular follow-up appointments with your oncologist or gastroenterologist, who can provide personalized advice based on your medical history and current symptoms. They may recommend imaging studies, colonoscopy, or other diagnostic tests to ensure that everything is healing properly and to rule out any potential issues.
In the meantime, focus on maintaining a healthy diet rich in fiber, staying hydrated, and managing stress, as these factors can significantly impact gastrointestinal health. If you experience any new or worsening symptoms, do not hesitate to reach out to your healthcare provider for guidance. Your health and peace of mind are paramount, and proactive communication with your medical team is key to navigating your recovery journey.
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