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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Rectal Cancer, Difficulty To Have Bowel Movements. Treated With Chemotherapy. Done Colonoscopy. Taken Advil. Is It Still Serious?

I have had stage II c rectal cancer removed, chemo, radiation, 2 1/2 yrs. ago, had also LAR a year 1/2 ago. So far blood tests were okay and this month am going for a CT scan but in the meantime I have difficutly with my BM, I push so hard and is painful. I have no more rectum so I feel the stool dropping down cause of the excruciating pain and have to push it out. Went to my surgeon who is now away for 2 months, said cannot do colnoscopy since I have severe hemorrhoids and to see him in 8 weeks. I am using Anusol suppositories, Solfax, and Diltiazem. So far, it is still painful when the feces drops and I push it out, took Advil which relieves the pain. My question is the next two weeks I am having an abdominal CT scan as part of cancer check-up, will it make the hemorrhoids worse?
Mon, 10 Jun 2013
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General & Family Physician,  's  Response
Hello,
I went through' your reports. Two and half years back Ano Rectal Surgery was performed followed by Chemotherapy and radiotherapy.
Your main complaints are painful constipated stool and bleeding. These two complaints are the common problems post operatively in this operation. How is the operated area wound. If the wound is there proper cleaning and dressing is a must. Even if the wound has healed well, Sitz bath (sitting in a Betadine diluted warm water 20 mts for as much time as possible) after each defecation , Laxatives at night and pain killers 2 or 3 times a day may be helpful. Anvil PM you can take in the night.
Other drugs you can continue as per your Dr's choice. Inj Vit K, Styptochrome or botrapace, IV Calcium may be tried to arrest the bleeding. If the bleeding is profuse consult an emergency Dr. He will examine you and may keep a bandage role tightly in the rectal area to arrest the bleeding temporarily. If the bleeding is arrested then there is no harm in waiting for 2 weeks (CT SCAN).
I hope you understand
Best wishes for you

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Rectal Cancer, Difficulty To Have Bowel Movements. Treated With Chemotherapy. Done Colonoscopy. Taken Advil. Is It Still Serious?

Hello, I went through your reports. Two and half years back Ano Rectal Surgery was performed followed by Chemotherapy and radiotherapy. Your main complaints are painful constipated stool and bleeding. These two complaints are the common problems post operatively in this operation. How is the operated area wound. If the wound is there proper cleaning and dressing is a must. Even if the wound has healed well, Sitz bath (sitting in a Betadine diluted warm water 20 mts for as much time as possible) after each defecation , Laxatives at night and pain killers 2 or 3 times a day may be helpful. Anvil PM you can take in the night. Other drugs you can continue as per your Dr s choice. Inj Vit K, Styptochrome or botrapace, IV Calcium may be tried to arrest the bleeding. If the bleeding is profuse consult an emergency Dr. He will examine you and may keep a bandage role tightly in the rectal area to arrest the bleeding temporarily. If the bleeding is arrested then there is no harm in waiting for 2 weeks (CT SCAN). I hope you understand Best wishes for you