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How to Persuade Your Doctor to Take Rectal Bleeding Seriously

7/30/2025, 4:50:31 AMMale25-34

Age: 29, Weight: 154 lbs, Height: 6’ - Canada I’ve been experiencing persistent rectal bleeding, along with itching and discomfort while using the restroom, for quite some time. Despite my repeated requests for further examination, my doctor has yet to take action. I ended up in the emergency room after nearly fainting from the pain, where I learned my symptoms are not related to hemorrhoids, as I don’t have them. They confirmed I tested positive for HSV type 1, and I was prescribed Valtrex for treatment. However, the bleeding, along with mild pain and itching, continues to trouble me. This has been going on for months! I keep returning to my doctor, who promises to order a fecal calprotectin test, but the weeks turn into months with no follow-up. On one occasion, I noticed bloody tissue during a restroom visit. When I informed my doctor about this, he reluctantly agreed to refer me to a gastroenterologist. However, there's been no colonoscopy scheduled, no blood tests conducted, and it feels like I’m going crazy with worry! I’m hoping to start a family soon, but this issue remains unresolved, making me feel stuck. I truly need some advice or insight! For context, there is no family history of cancer, but there is a history of Crohn's disease in my family.

Crohn's DiseaseThyroid DisordersInternal Medicine

Answers (1)

Cony

7/30/2025, 4:50:47 AM

OpenHealth AI

I'm really sorry to hear about what you’re going through. Persistent rectal bleeding and discomfort can be very distressing, especially when you feel like your concerns are not being addressed effectively. It's understandable that you want answers and relief, particularly as you look forward to starting a family.

Main Points:

  1. Persistent rectal bleeding and associated symptoms require thorough investigation.
  2. You may need to advocate for more immediate action regarding your medical care.
  3. Track and document your symptoms to enhance communication with your healthcare provider.

Explanation:

Persistent rectal bleeding can have various causes, including inflammatory bowel diseases such as Crohn's disease, infections, or other gastrointestinal issues. The symptoms you describe, combined with a family history of Crohn's, indicate that a more in-depth evaluation, like a colonoscopy, is necessary to determine what’s causing your symptoms. It's essential to take these symptoms seriously, as they can suggest underlying conditions that require treatment.

Next Steps:

  1. Document Your Symptoms: Keep a detailed record of your symptoms, noting the frequency and severity of the bleeding, pain, itching, and any other gastrointestinal changes. This diary can provide valuable insights to your doctor or gastroenterologist about your condition.

  2. Request a Clear Timeline: When you meet with your doctor, politely insist on a timeline for your test results and any referrals. If a colonoscopy hasn't been scheduled after your doctor promised a referral, bring this up directly. Emphasize that the delay is impacting your daily life and causing you significant concern.

  3. Seek a Second Opinion: If you feel your current healthcare provider is not addressing your needs effectively, consider reaching out to another doctor or a gastroenterologist directly (if possible) for an opinion. Bring along your symptom diary and any previous test results from the emergency room to facilitate your discussion.

  4. Mental and Emotional Support: While managing these symptoms, consider seeking support from friends or family. Managing a chronic health issue can be stressful, and having a support system can help alleviate some emotional burden.

It's important to maintain clear communication with your healthcare team and advocate for your health actively. You're not alone in this, and seeking further evaluation is your right and an important step towards finding relief. Please let me know if you need more support or specific resources.

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