Post-Colonoscopy Complications: When to Seek Further Medical Attention

Q: Post-Colonoscopy Complications: When to Seek Further Medical Attention

Hello： If it is confirmed that no large polyps have been removed, this situation is mostly due to irritation of the intestines, leading to excessive peristalsis and even intestinal spasms. <br>It is recommended to start eating and replenish fluids. <br>If discomfort persists, it

Post-colonoscopy issues?

I previously had issues with gastric ulcers.
This time, I underwent an endoscopy and my first colonoscopy, which I completed yesterday on March 29.
There were no significant problems found, but I experienced severe pain in the evening that made it difficult to sit or stand.
My diet was very light that day.
The next morning, I woke up with abdominal pain and the urge to use the restroom, but only passed a very small amount of stool.
I noticed that I was continuously passing mucus-like blood, and both my anus and abdomen were very painful.
This continued throughout the day, with the blood becoming more pronounced as time went on.
I returned to the clinic for a follow-up, and the doctor informed me that both the endoscopy and colonoscopy showed mild ulcers with no significant issues.
I was prescribed antibiotics, medication for bloating, and medication for gastric ulcers, but I was not informed about the cause of my ongoing abdominal pain, nor why I was passing thick, bloody mucus despite having little stool.
This situation had never occurred before my colonoscopy.
I would like to inquire whether I should seek further evaluation at another hospital immediately.

Lin Jiaqi, 20~29 year old female. Ask Date: 2017/03/30

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: If it is confirmed that no large polyps have been removed, this situation is mostly due to irritation of the intestines, leading to excessive peristalsis and even intestinal spasms.
It is recommended to start eating and replenish fluids.
If discomfort persists, it is advisable to consult a gastroenterologist or visit the emergency department.
However, further endoscopy is not recommended; fasting to allow the intestines to rest is sufficient.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2017/03/30

More Info

After undergoing a colonoscopy, it is not uncommon to experience some discomfort or changes in bowel habits. However, the symptoms you are describing—persistent abdominal pain, mucus-like blood in your stool, and difficulty passing stool—are concerning and warrant further medical evaluation.

Understanding Post-Colonoscopy Symptoms
1. Normal Post-Procedure Effects: After a colonoscopy, patients may experience mild cramping, bloating, or gas due to the air introduced into the colon during the procedure. These symptoms typically resolve within a few hours to a day.

2. Potential Complications: While serious complications from a colonoscopy are rare, they can occur. These include:
- Perforation: A tear in the wall of the colon, which can lead to severe abdominal pain and requires immediate surgical intervention.

- Bleeding: This can occur, especially if polyps were removed or biopsies taken. If bleeding is significant or persistent, it should be evaluated promptly.

- Infection: Symptoms such as fever, chills, or worsening abdominal pain may indicate an infection.

3. Your Symptoms: The fact that you are experiencing significant abdominal pain, along with the presence of mucus and blood in your stool, is concerning. These symptoms could indicate:
- Post-Polypectomy Syndrome: If polyps were removed, some patients experience abdominal pain and changes in bowel habits.

- Colitis: Inflammation of the colon, which can occur after a procedure.

- Other Gastrointestinal Issues: Such as an exacerbation of pre-existing conditions like ulcers or gastritis.

When to Seek Further Medical Attention
Given your symptoms, it is advisable to seek further medical attention immediately. Here are some specific indicators that warrant urgent evaluation:
- Severe or Worsening Abdominal Pain: If the pain is intense and does not improve with over-the-counter pain relief.

- Significant Blood in Stool: If you notice a substantial amount of blood or if the blood is bright red, this could indicate bleeding that needs to be addressed.

- Changes in Bowel Habits: Persistent diarrhea, especially if accompanied by blood or mucus, should be evaluated.

- Signs of Infection: Fever, chills, or any systemic symptoms should prompt immediate medical evaluation.

Next Steps
1. Return to Your Healthcare Provider: Given that you have already been evaluated post-procedure, returning to the same provider may be beneficial as they are familiar with your recent history. However, if you feel that your concerns are not being adequately addressed, seeking a second opinion at another facility is entirely appropriate.

2. Diagnostic Tests: Further evaluation may include imaging studies (like a CT scan) or repeat endoscopy to assess for complications such as perforation or significant inflammation.

3. Management of Symptoms: In the meantime, it may be helpful to maintain hydration, avoid solid foods until your symptoms improve, and keep a record of your symptoms to discuss with your healthcare provider.

Conclusion
In summary, while some discomfort can be expected after a colonoscopy, the symptoms you are experiencing are concerning and should not be ignored. It is crucial to seek further medical evaluation to rule out any serious complications and to receive appropriate treatment. Your health and well-being are paramount, and timely intervention can make a significant difference in your recovery.

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