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I Have Another Question. My Most Recent Blood Test Came

Posted on Tue, 28 Jan 2020

Question: I have another question. My most recent blood test came back that my red blood cell count was good along with my hemoglobin levels. Does that make it more likely that any blood in the stool is from something that’s not a tumor? I know nothings a 100 percent although I was curious if that might be the case.

Answered by Dr. Ramesh Kumar (41 minutes later)

Brief Answer:
Yes any tumour causes massive bleeding and gross anemia sir.

Detailed Answer:
Hello my dear patient and thank you for choosing "Ask a Doctor" service on this forum for your query
Have gone through your details,
Firstly I would like to tell you that above 45 years of age only 10 to 12% of patients with FOBT test positive have colon cancer.
You are just 32.
Secondly severe bleeding is associated with colon cancer.
This may result in gross anemia as a result of massive blood loss in few weeks.
Thirdly apart from blood in stool there are many other symptoms which are present in patients with colon cancer.
It's not likely but almost sure shot that your case has nothing to do with colon cancer(As per presentation history and symptoms).
Yes very likely the source of bleed is some where else. It may be a hemorrhoid or fissure or any inflammation along intestine...Apart from cancer there are tens of causes of blood in stools.
Therefore tests like endoscopy and colonoscopy are there.
While endoscopy examines the upper part of gut for any ulcers tears etc ;Colonoscopy scrutinizes the lower gut for any pathology like benign polyp inflammatory bowel disease any mucosal tear fissures or hemorrhoid.
One thing I can assure you from my experience sir it's not colon cancer.
Hope this clears your query,
Feel free to follow up it would be a pleasure to reply.
Regards!

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Ramesh Kumar (14 hours later)

Okay so I shouldn’t be too worried about colon cancer? I was was cause I see it’s on the rise in younger people although I think if I had it I would have anemia, my liver function would have an issue or the x Ray would show something. I would hope/think all those being negative means I’m likely okay at least when it comes to Colon Cancer which is my biggest concern.

Answered by Dr. Ramesh Kumar (10 hours later)

Brief Answer:
Follow up.

Detailed Answer:
Hi again dear,
Rest assured its not colon cancer.
Follow ups are welcome,
Regards!

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Ramesh Kumar (14 hours later)

Thank you for your responses. Any ideas what the condition might be?

Answered by Dr. Ramesh Kumar (11 hours later)

Brief Answer:
Follow up.

Detailed Answer:
Hello and thank you for follow up,
Considering your age most probably it can be a fissure or hemorrhoid.
Thank you!

Above answer was peer-reviewed by : Dr. Yogesh D

Answered by Dr. Ramesh Kumar (29 hours later)

Brief Answer:
Follow up.

Detailed Answer:
Hello again yes,
There are tens of conditions in which blood may appear in stools like hemorrhoid fissures mucosa rupture infection diverticulitis inflammatory bowel disease etc.
Cancer is rare.
Thanks

Above answer was peer-reviewed by : Dr. Prasad