Understanding a Positive FIT Test After a Normal Colposcopy
Approximately eighteen months ago, I underwent a routine colposcopy. The findings were largely uneventful, revealing just two small non-cancerous polyps, which were subsequently excised. There was no requirement for further monitoring at that time. Recently, however, I have been experiencing significant issues, including sharp pains in my lower left abdomen, persistent constipation, and bloating. In response, my physician recommended a FIT (Fecal Immunochemical Test), which surprisingly came back with a positive result. This has left me quite perplexed, especially considering that my previous colposcopy and FIT test, conducted nearly two years ago, both yielded normal outcomes. Additionally, I've not observed any visible blood in my stool. What might be behind this unexpected positive finding? I am 37 years old and female.
Answers (1)
6/26/2025, 8:40:38 PM
OpenHealth AI
A positive FIT (Fecal Immunochemical Test) indicates the presence of hemoglobin (blood) in your stool, which can have several potential causes. Given your relatively recent colposcopy and the fact you have not seen visible blood in your stool, it’s understandable to feel worried and perplexed.
Understanding Your Situation:
- Positive FIT Test: This test is designed to detect hidden blood that might not be visible. A positive result does not automatically indicate cancer; it can also signify benign conditions such as hemorrhoids, polyps, or gastrointestinal issues.
- Recent Symptoms: The symptoms you mentioned—sharp abdominal pains, constipation, and bloating—may or may not be related to the FIT result. These symptoms can arise from several conditions, from digestive disorders to stress.
- Normal Prior Tests: Your prior colposcopy findings are reassuring, but they do not directly correlate with bowel health.
Next Steps:
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Follow-up Testing: Since you have a positive FIT, it’s essential to discuss the next appropriate steps with your physician. Typically, they may recommend a colonoscopy to investigate the cause of the positivity; this is crucial as it helps to visualize the entire colon and could identify any abnormalities.
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Track Your Symptoms: Keep a detailed record of your symptoms (abdominal pain, constipation, and bloating), including when they occur and their intensity. This will be helpful for your healthcare provider during further evaluations.
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Dietary Considerations:
- Increase fiber intake gradually to help relieve constipation. Foods like fruits, vegetables, and whole grains are good options.
- Stay well-hydrated; drinking enough water can ease bowel movements.
- Monitor your diet for any recent changes or foods that might exacerbate your symptoms.
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Manage Stress: If you feel stress or anxiety due to these health concerns, consider incorporating stress management techniques, such as deep breathing exercises, meditation, or gentle physical activity.
Reminder:
While a positive FIT test can be concerning, it is also important to remain calm. Many factors can contribute to a positive result, and most issues are manageable. Following up with your physician for further testing is the most critical next step. If your symptoms worsen or you experience new issues (like significant changes in bowel habits, weight loss, or severe pain), reach out to your healthcare provider promptly.
Feel free to reach out if you have more questions or need further guidance.
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