
What Causes Passing Of Small Pieces Of Tissue With Blood After Colonoscopy?

Question: I had a colonoscopy, and a few hours later, passed a few small pieces of tissue with blood. Have some pain in lower left quadrant, but he took 4 small polyps (6-8 mm) in sigmoid and there was congested mucosa in that area as well. The pain is improving, and I have no fever anymore (had one yesterday, but I am also sick, so I really think it was from that...my husband had a fever when he had this cold). My doctor is on vacation until next week and the on-call PA is recommending a CT. They won't consider MRI or X-ray. I am trying to avoid CT imaging, if at all possible because I've had 3 CTs in the past 6 months due to pelvic surgeries (hysterectomy, sling, and sling removal due to complications). My pelvis was inflamed following the colonoscopy too, but I'm sure that was the pelvic floor acting up again after the poking and prodding from the scope. The pain is very localized to one spot in the sigmoid colon (probably where the polyps were removed). I also had c-diff after all of the antibiotics for the pelvic problems, so am still on the course of vanco (although symptoms have improved and no colitis wa found during colonoscopy), so really want to avoid contrast agent due to nephrotoxic risks. Do you think I need to proceed with CT right away, or could I wait a few days to see if pain continues to imrove? They are leaving it up to me, and I'd like some input.
Brief Answer:
CT is not necessary.
Detailed Answer:
Hello!
Thank you for the query.
I do not know what this CT should be done for?
Colonoscopy and polypectomy is quite safe procedure. However in less than few percent it can cause intestine perforation. This is the only thing you should be afraid of after colonoscopy. To diagnose perforation, simple abdominal X-ray (where the dosage of rays is really small) is enough.
To diagnose any inflammation, blood work and CRP levels are sufficient. So no need to do CT at all.
So I suggest you to have an X-ray as soon as possible to rule out perforation. If no perforation, CT is pointless.
Hope this will help. Feel free to ask further questions.
Regards.
CT is not necessary.
Detailed Answer:
Hello!
Thank you for the query.
I do not know what this CT should be done for?
Colonoscopy and polypectomy is quite safe procedure. However in less than few percent it can cause intestine perforation. This is the only thing you should be afraid of after colonoscopy. To diagnose perforation, simple abdominal X-ray (where the dosage of rays is really small) is enough.
To diagnose any inflammation, blood work and CRP levels are sufficient. So no need to do CT at all.
So I suggest you to have an X-ray as soon as possible to rule out perforation. If no perforation, CT is pointless.
Hope this will help. Feel free to ask further questions.
Regards.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar

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