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Should I Be Concerned About My Symptoms?

7/26/2025, 6:10:30 PMMale25-34

As a 44-year-old man, I've undergone colonoscopy procedures on four separate occasions throughout my life. During two of these examinations, polyps were identified—specifically, one or two small ones, with dimensions of 0.2 cm and 0.3 cm. Following a five-year interval, my subsequent colonoscopy revealed yet another small polyp, also measuring 0.3 cm. Fortunately, my last two colonoscopies showed no signs of polyps at all. My most recent colonoscopy took place one year ago, and I had clear results in both of my last procedures conducted about two years and nine months ago, and another just a year ago. Recently, however, I encountered a troubling episode. Just yesterday, I experienced a bout of diarrhea that led me to the bathroom ten times in a single day. During my final visit, I observed a small amount of blood mixed in with the diarrhea. This was accompanied by noticeable discomfort in my anal region, which has continued to be quite sore since that episode and the incident of blood in my stool. Is it possible that these symptoms could indicate cancer?

LupusCrohn's DiseaseInternal Medicine

Answers (1)

Cony

7/26/2025, 6:10:47 PM

OpenHealth AI

I'm glad you reached out about your symptoms, as it’s important to address these concerns. Experiencing diarrhea with blood and discomfort can be alarming, especially with your history of colon polyps. While your recent colonoscopies have shown no polyps, there are several potential causes for your current symptoms that could range from benign to more concerning.

Potential Causes:

  1. Hemorrhoids or Anal Fissures: Given your discomfort in the anal region and the blood mixed with diarrhea, these could be related to hemorrhoids or fissures, which are common and often treatable.
  2. Infections: A viral or bacterial infection can lead to diarrhea and may cause blood if there is inflammation in the intestines.
  3. Diverticulitis or Inflammatory Bowel Disease: Conditions like diverticulitis might cause similar symptoms, though they require further evaluation.
  4. Polyps or Colorectal Cancer: While it's less likely given your recent clear colonoscopy results, it’s still prudent to monitor persistent or worsening symptoms closely.

Next Steps:

  1. Monitor Symptoms: Keep a close eye on any changes. Note if the blood persists, if you experience increased pain, or if you develop a fever.
  2. Stay Hydrated: Since diarrhea can lead to dehydration, ensure you're drinking plenty of fluids—water or oral rehydration solutions.
  3. Dietary Adjustments: Consider a bland diet (e.g., bananas, rice, applesauce, toast) until your symptoms improve. Avoid heavy, greasy, and spicy foods that may irritate your digestive system.
  4. Rest: Give your body the chance to recover. Rest is essential when experiencing gastrointestinal symptoms.
  5. Seek Care if Symptoms Worsen: If you notice persistent blood, severe pain, or if diarrhea lasts more than a couple of days, it's important to seek medical attention.

I encourage you to take these symptoms seriously, but remember that not all causes are serious. Tracking your condition and making these adjustments can help you feel better. If you have any further concerns or need clarification, feel free to ask.

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