Post-Colonoscopy Concerns: Adenomatous Polyps and Digestive Issues

Q: Post-Colonoscopy Concerns: Adenomatous Polyps and Digestive Issues

Hello： 1. <br>Adenomatous polyps are not cancerous; once removed, there is no need for concern, but follow-up is necessary. <br>2. <br>Constipation and blood in the stool (bright red blood?) are not closely related to the stomach; dietary management can help, and it's important t

Some concerns after a colonoscopy?

Hello, doctor.
A while ago, I underwent a colonoscopy due to some gastrointestinal symptoms, and the results showed that I had a 0.8 cm benign adenomatous polyp, which has been removed.
I would like to know if an adenomatous polyp is considered cancer.
If it has already been removed, should I be concerned? Additionally, I am still experiencing constipation and suspected blood in my stool, but since I have already had the colonoscopy, I am unsure how to improve this.
Could it possibly be a stomach issue? Thank you, doctor.

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

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: 1.
Adenomatous polyps are not cancerous; once removed, there is no need for concern, but follow-up is necessary.
2.
Constipation and blood in the stool (bright red blood?) are not closely related to the stomach; dietary management can help, and it's important to increase fluid and fruit/vegetable intake.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2017/03/30

More Info

After undergoing a colonoscopy, especially when adenomatous polyps are involved, it's common to have concerns about digestive issues and the implications of the findings. Let's break down your questions and concerns regarding adenomatous polyps, their relationship to cancer, and the digestive issues you are currently experiencing.

Understanding Adenomatous Polyps
Adenomatous polyps, such as the one you mentioned measuring 0.8 cm, are considered precursors to colorectal cancer. However, it's important to note that not all adenomatous polyps will progress to cancer. The risk of cancer depends on several factors, including the size of the polyp, the histological type, and the degree of dysplasia (abnormal cell growth) present. In your case, since the polyp was removed and classified as benign, you can take comfort in knowing that it is not cancerous at this time.

Post-Polypectomy Follow-Up
Following the removal of an adenomatous polyp, regular surveillance colonoscopies are crucial. The standard recommendation is to have a follow-up colonoscopy in three to five years, depending on the number and type of polyps found. This is to ensure that any new polyps are detected early, as the risk of developing additional polyps can increase over time.

Digestive Issues: Constipation and Possible Blood in Stool
Your ongoing symptoms of constipation and the presence of suspected blood in your stool warrant careful consideration. While it's possible that these issues could be related to the recent colonoscopy or the removal of the polyp, they could also stem from other gastrointestinal conditions.

1. Constipation: This can be a common issue after a colonoscopy, especially if you experienced significant bowel preparation prior to the procedure. The use of laxatives and a restricted diet can lead to temporary changes in bowel habits. To alleviate constipation, consider increasing your dietary fiber intake, staying well-hydrated, and incorporating regular physical activity. Over-the-counter laxatives may also be helpful, but it's best to consult with your healthcare provider before starting any new medication.

2. Blood in Stool: The presence of blood in your stool is concerning and should not be ignored. While it could be related to hemorrhoids or anal fissures, which are common after bowel procedures, it may also indicate other gastrointestinal issues. It's essential to report this symptom to your healthcare provider promptly. They may recommend further evaluation, such as another colonoscopy or imaging studies, to rule out any complications or new developments.

Potential Gastric Issues
You mentioned the possibility of gastric problems contributing to your symptoms. While the colonoscopy primarily evaluates the lower gastrointestinal tract, gastric issues can certainly affect overall digestive health. If you suspect that your symptoms may be related to gastric problems, such as gastritis or peptic ulcers, discussing this with your doctor is advisable. They may recommend diagnostic tests like an upper endoscopy or imaging studies to assess your stomach and upper gastrointestinal tract.

Conclusion
In summary, while adenomatous polyps are not cancerous, they require monitoring due to their potential to develop into cancer over time. Your current digestive issues, including constipation and suspected blood in your stool, should be addressed with your healthcare provider to ensure proper evaluation and management. Regular follow-up and open communication with your healthcare team are key to maintaining your gastrointestinal health. If you have any further concerns or symptoms, do not hesitate to seek medical advice.

Similar Q&A

Post-Colonoscopy Digestive Issues: Understanding Symptoms and Recovery Time

Hello, doctor. I would like to ask for your advice. After undergoing my first colonoscopy at the end of May, the doctor informed me that I have a small adenoma, and there are signs of inflammation in the sigmoid colon and rectum. As a result, I was prescribed Famotidine and Loper...

Dr. Chen Shidian reply Gastroenterology and Hepatology
It is likely not caused by the colonoscopy. Please start with a light diet and document any changes along with related factors. If symptoms persist, return for a follow-up to discuss further strategies.

Understanding Bowel Issues After Colonoscopy: What You Need to Know

I am 43 years old. Last October, I underwent my first colonoscopy, which revealed two 2 cm linear polyps. The biopsy results showed one was benign, while the other was a well-differentiated adenocarcinoma (considered carcinoma in situ). A month later, I had another colonoscopy, w...

Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: A 43-year-old female has a 2 cm well-differentiated polyp that needs to be completely excised! Close monitoring is required (every three months, six months, to one year, based on the physician's clinical assessment)! Generally, after the removal of a tubular adenoma, ...

Post-Surgery Complications: Managing Bowel Issues After Colon Resection

Hello Dr. Chen, I would like to ask about my father. Before the Lunar New Year, he underwent a major surgery to remove a small section of his colon due to an unknown polyp, as there were concerns about it becoming malignant. Fortunately, the biopsy results were benign. However,...

Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: I do not understand why a portion of the small intestine needs to be connected after the removal of polyps from the colon. If it is indeed such a major surgery, the likelihood of postoperative adhesions would not be small. If there are concerns about gastric issues, then a...

Understanding Colonoscopy Results for Irritable Bowel Syndrome: What to Know

I apologize, but initially, I experienced sharp pain in my abdomen, and later, I started having frequent trips to the bathroom after eating. The doctor at the hospital diagnosed it as irritable bowel syndrome (IBS). However, to be cautious, I was advised to undergo a colonoscopy....

Dr. Cai Jinji reply Gastroenterology and Hepatology
It is advisable to consult the original physician for clarification. If there are still concerns, you may bring the report to another physician for a second opinion.