Should You Get Another Colonoscopy for Fresh Blood in Stool?

Bright red blood in the stool?

In 2013, I had blood in my stool and underwent a colonoscopy.
Last year, I experienced bleeding again and had another colonoscopy.
This year, my stool has fresh red blood again.
Should I have another colonoscopy? The previous doctors said everything was normal.
Is it sufficient to have a colonoscopy every three years? Given that I am currently experiencing fresh red blood, should I undergo any additional tests? My mother passed away at 90, and colon cancer was discovered.
Should I have another colonoscopy? Thank you.

A Long, 50~59 year old female. Ask Date: 2015/10/09

Dr. Xu Kaixi reply Surgery

If you had a colonoscopy last year with no abnormalities, you may not need to undergo another colonoscopy for two to three years.
The bleeding from your stool is likely related to hemorrhoids.

Reply Date: 2015/10/09

More Info

If you are experiencing fresh blood in your stool, it is crucial to consult with your healthcare provider regarding the need for another colonoscopy. Given your history of gastrointestinal bleeding and the fact that you have undergone colonoscopies in the past, it is essential to take this symptom seriously. Fresh blood in the stool can indicate various conditions, ranging from benign issues like hemorrhoids or anal fissures to more serious conditions such as colorectal polyps or cancer.

The recommendation for the frequency of colonoscopies can vary based on individual risk factors, including personal and family medical history. In your case, since your mother had colorectal cancer, this may increase your risk, and your doctor may recommend more frequent screenings than the standard guideline of every ten years for average-risk individuals.
Typically, if you have had previous colonoscopies that were normal, the general guideline is to repeat the procedure every ten years. However, if you have symptoms such as fresh blood in your stool, it is advisable to undergo a colonoscopy regardless of the last screening's results. This is particularly important because the presence of blood can indicate a new or worsening condition that may not have been present during your last examination.

In addition to a colonoscopy, your doctor may suggest other diagnostic tests based on your symptoms and medical history. These could include imaging studies, stool tests for hidden blood, or other evaluations to determine the source of the bleeding.
It is also worth noting that while some people may experience bleeding due to non-serious issues, it is always better to err on the side of caution, especially with a family history of colorectal cancer. Early detection is key in managing potential colorectal issues effectively.

In summary, you should definitely discuss your current symptoms with your healthcare provider and consider scheduling another colonoscopy. Given your family history and the recurrence of symptoms, it is prudent to investigate further to rule out any serious conditions. Your health and peace of mind are paramount, and addressing these symptoms promptly is the best course of action.

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