Post-operative issues related to internal hemorrhoid ligation?
I previously had a condition of internal hemorrhoids and had undergone a ligation surgery without any issues.
However, I experienced rectal bleeding afterward.
On April 3rd, the doctor mentioned that two hemorrhoids were ligated, and one would be addressed later.
Within a month, I noticed some red spots on my stool.
Currently, the rectal bleeding occurs approximately every ten days, appearing on the surface of the stool.
Since the ligation on April 3rd, I have felt somewhat uncomfortable, with an increased frequency of gas.
After researching the symptoms of colorectal cancer, I wonder if my anxiety is contributing to occasional abdominal discomfort.
My bowel movements have changed from every 3-4 days to about every 1-1.5 days.
Occasionally, the stool varies in thickness, with the front being thicker and tapering off at the end, but it does not reach the pencil-thin consistency described in warning signs.
Given my history of hemorrhoids and internal issues, is there a high likelihood of these factors leading to colorectal cancer? Could this be a possibility?
Xiao Jie, 20~29 year old female. Ask Date: 2015/05/08
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Please seek medical treatment for the healing of the mole and ulcer wounds.
After evaluation by a physician, a colonoscopy may be arranged if necessary.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.
Reply Date: 2015/05/08
More Info
Your concerns regarding the possibility of colon cancer following your internal hemorrhoid ligation are understandable, especially given your history of hemorrhoids and the recent changes in your bowel habits. Let's break down your situation and address your worries.
Firstly, it's important to note that while you have a history of internal hemorrhoids, the presence of blood in your stool does not automatically indicate colon cancer. Hemorrhoids are a common cause of rectal bleeding, and they can lead to blood appearing on the surface of your stool or in the toilet bowl. The fact that you have had ligation for your hemorrhoids suggests that your healthcare provider is actively managing this condition, which is a positive step.
The changes in your bowel habits, such as the frequency of your bowel movements and the consistency of your stool, can be influenced by various factors, including diet, stress, and gastrointestinal health. It's not uncommon for individuals to experience fluctuations in bowel habits, especially after undergoing a procedure like hemorrhoid ligation. The increased frequency of bowel movements (from every 3-4 days to 1-1.5 days) could be a response to changes in your diet or stress levels, rather than a direct indicator of a serious condition like colon cancer.
Regarding your concerns about the appearance of your stool, while a change in shape (such as becoming thinner) can be a symptom associated with colon cancer, the description you provided does not suggest that your stool is pencil-thin, which is often cited as a concerning sign. The fact that your stool varies in thickness but does not consistently appear as pencil-thin is reassuring.
It's also worth mentioning that anxiety can exacerbate gastrointestinal symptoms. The worry about colon cancer can lead to heightened awareness of bodily sensations, which may cause you to perceive discomfort or changes that you might not have noticed otherwise. This psychological aspect can play a significant role in how we interpret our physical health.
Given your history of gastrointestinal issues, including irritable bowel syndrome (IBS) and hemorrhoids, it is advisable to maintain regular follow-ups with your healthcare provider. If you continue to experience rectal bleeding, changes in bowel habits, or any new symptoms, it would be prudent to undergo further evaluation, such as a colonoscopy. This procedure can help rule out any serious conditions, including polyps or cancer, especially since you have a family history of colorectal issues.
In summary, while your concerns are valid, the symptoms you describe are more likely related to your existing hemorrhoid condition and possibly influenced by anxiety and dietary changes. However, it is essential to keep an open line of communication with your healthcare provider and to seek further evaluation if your symptoms persist or worsen. Regular screenings and being proactive about your gastrointestinal health are key components in managing your risk for colon cancer.
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Related FAQ
Hemorrhoids
(Gastroenterology and Hepatology)
Ligated Internal Hemorrhoids(Surgery)
Colorectal Cancer(Gastroenterology and Hepatology)
Internal Hemorrhoid Bleeding(Surgery)
Colon Polyps(Gastroenterology and Hepatology)
Rectal Bleeding(Gastroenterology and Hepatology)
Hemorrhoids(Internal Medicine)
Anal Fissure(Gastroenterology and Hepatology)
Rectal Bleeding(Internal Medicine)
Blood In Stool(Gastroenterology and Hepatology)