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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Rectal Bleeding Normal In Case Of Abdominal Hysterectomy?

Hi, I'm 47 had a complete abdominal hysterectomy dec 2009. Had pelvic floor prolapse vaginal bladder sling cystecele and rectocele and several other things done in Aug 2010 had constant infections from supra public cath for 6 weeks. Started spotting again mid Oct and have continued spotting since then. er dr found a cervical polyp when i went in for rectal bleeding. that means the polyp formed very quickly. is that normal? have been trying since oct to get referal from primary. A gyno/oncologist did the previous surgeries. Couldnt a regular gyno remove the polyp? Thank you





Fri, 19 Dec 2014
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General Surgeon,  's  Response
Hi,
Thanks for your query and an elucidate history..

Rectal bleeding is not at all normal in abdominal hysterectomy:
Presence of a cervical polyp can not be explained as you had complete abdominal hysterectomy, in which the cervix is also removed.
Hence this so-called polyp is not from the cervix; this can be a large granuloma or a mass which needs a biopsy.
Since you have bleeding from here and per rectal, cancer has to be ruled out.
I would advise you the following :
First of all get a CT scan of the abdomen and pelvis done, so that we can confirm or rule out the presence of a cancer and secondaries in the abdominal lymph nodes / liver and so on.
Get an internal examination done to assess the disease manually .
Surgery has to be planned as per the reports .,
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Is Rectal Bleeding Normal In Case Of Abdominal Hysterectomy?

Hi, Thanks for your query and an elucidate history.. Rectal bleeding is not at all normal in abdominal hysterectomy: Presence of a cervical polyp can not be explained as you had complete abdominal hysterectomy, in which the cervix is also removed. Hence this so-called polyp is not from the cervix; this can be a large granuloma or a mass which needs a biopsy. Since you have bleeding from here and per rectal, cancer has to be ruled out. I would advise you the following : First of all get a CT scan of the abdomen and pelvis done, so that we can confirm or rule out the presence of a cancer and secondaries in the abdominal lymph nodes / liver and so on. Get an internal examination done to assess the disease manually . Surgery has to be planned as per the reports .,