
Hello Doctor! I Am Writing Because I Am Very Frightened


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Detailed Answer:
Hello again, I'm Dr. Branch, thanks for using Ask a Doctor. The symptoms that you describe sound to me to be more likely due to hemorrhoids or an anal fissure. While the bleeding and the pain that you describe could describe cancer as well, hemorrhoids and anal fissure are much more common, especially at younger ages. If you were older than the age of 50 or 60, I might be more concerned about possible cancer. Also, if you had symptoms such as weight loss, abdominal pain, or fever, I would be more concerned about a more serious diagnosis such as cancer or inflammation/infection. And again, while with cancer your blood test may be normal, you would be more likely to have some abnormality such as anemia with cancer. But given your history that you have had similar symptoms in the past, this would make it more likely that you have a benign cause for your symptoms.
As much as you can I would try not to worry until you see your doctor in the next few days. At that time they can do an examination and confirm that this is either hemorrhoids or an anal fissure.
I hope that helps, please let me know if you have any other questions about that and I would be glad to discuss it with you further. If you think of it and you are able to let me know how the visit to the doctor goes and what they find on exam, I would be interested to hear it.

See below
Detailed Answer:
Hello again, I'm Dr. Branch, thanks for using Ask a Doctor. The symptoms that you describe sound to me to be more likely due to hemorrhoids or an anal fissure. While the bleeding and the pain that you describe could describe cancer as well, hemorrhoids and anal fissure are much more common, especially at younger ages. If you were older than the age of 50 or 60, I might be more concerned about possible cancer. Also, if you had symptoms such as weight loss, abdominal pain, or fever, I would be more concerned about a more serious diagnosis such as cancer or inflammation/infection. And again, while with cancer your blood test may be normal, you would be more likely to have some abnormality such as anemia with cancer. But given your history that you have had similar symptoms in the past, this would make it more likely that you have a benign cause for your symptoms.
As much as you can I would try not to worry until you see your doctor in the next few days. At that time they can do an examination and confirm that this is either hemorrhoids or an anal fissure.
I hope that helps, please let me know if you have any other questions about that and I would be glad to discuss it with you further. If you think of it and you are able to let me know how the visit to the doctor goes and what they find on exam, I would be interested to hear it.



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Detailed Answer:
Hello and you are very welcome. I think they should be able to diagnose you with examination and maybe a small scope called an anoscope that would just look at your anal canal and rectum. As long as you are under the age of 40 and they see the source of the bleeding on exam, you should not need a colonoscopy.
Please let me know if you have any other questions, I would be happy to answer them. Whenever you're satisfied, please don't forget to rate me, and if you need anything in the future, you are welcome to request me personally and I will answer you as soon as possible. Thank you for your question and take care.

See below
Detailed Answer:
Hello and you are very welcome. I think they should be able to diagnose you with examination and maybe a small scope called an anoscope that would just look at your anal canal and rectum. As long as you are under the age of 40 and they see the source of the bleeding on exam, you should not need a colonoscopy.
Please let me know if you have any other questions, I would be happy to answer them. Whenever you're satisfied, please don't forget to rate me, and if you need anything in the future, you are welcome to request me personally and I will answer you as soon as possible. Thank you for your question and take care.



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Detailed Answer:
I agree with your doctor and I would recommend that you try the treatment and see if that heals you. While an exam would have been nice just to confirm there was nothing there to worry about, I agree with your doctor that cancer is not realistic with your symptoms and age. Again, if you try the treatment and that gets better, I would say that confirms you do not have cancer, and if not, then you can be evaluated again and if they consider surgery they will have to examine you at that time.
So I would not worry about cancer and try to find a way of dealing with this anxiety. If the GI specialist is not concerned, and I am also not concerned, you should take that as reassuring that you do not have cancer and you can relax too.
I hope that helps, if you have any other questions please let me know and I would be glad to help any way I can.

See below
Detailed Answer:
I agree with your doctor and I would recommend that you try the treatment and see if that heals you. While an exam would have been nice just to confirm there was nothing there to worry about, I agree with your doctor that cancer is not realistic with your symptoms and age. Again, if you try the treatment and that gets better, I would say that confirms you do not have cancer, and if not, then you can be evaluated again and if they consider surgery they will have to examine you at that time.
So I would not worry about cancer and try to find a way of dealing with this anxiety. If the GI specialist is not concerned, and I am also not concerned, you should take that as reassuring that you do not have cancer and you can relax too.
I hope that helps, if you have any other questions please let me know and I would be glad to help any way I can.

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