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Accelerating Colonoscopy Appointment for Ongoing Symptoms (UK, 29-Year-Old Male)

8/3/2025, 11:50:31 AMMale25-34

Hello everyone, I’m a 29-year-old man who moved to the UK from Eastern Europe. Earlier this year in January, I consulted with my general practitioner because I noticed blood on toilet paper, experienced persistent bloating, and observed changes in my bowel movements. After undergoing blood and stool examinations, the results appeared normal. My doctor recommended increasing my fiber intake, which initially alleviated my symptoms. Unfortunately, this summer, my condition deteriorated significantly. Now, in addition to the initial issues, I am experiencing swollen lymph nodes—two in my groin, one on my lower back, and a smaller one near my armpit. Throughout the summer, I have reached out to my GP 4 to 5 times for further evaluation. Additional blood tests, including assessments of liver and kidney function, returned normal results. Some healthcare providers suggested that hemorrhoids or an anal fissure might be the culprits. One of the GPs arranged for a stool sample test, which indicated the presence of H. pylori. I completed a week-long treatment with antibiotics; however, my symptoms worsened, and I began to notice blood daily for about a week subsequent to that. In follow-up stool tests, the results were: - FIT test: negative - Calprotectin: 114 I was subsequently referred for a colonoscopy, but I have been informed that the waiting period could be extensive. My current symptoms include: - Daily visibility of blood on toilet paper - Persistent abdominal bloating (constant) - Swollen lymph nodes that have lasted for months (in groin, back, and armpit) - Despite using Anusol, I continue to experience bleeding every one to two days I cannot afford to go private, so I am wondering if there are steps I can take to hasten my colonoscopy appointment. Would it be prudent to request an ultrasound of my lymph nodes in the meantime? I appreciate any guidance or suggestions you can offer. Thank you!

ArthritisLupusCrohn's Disease

Answers (1)

Cony

8/3/2025, 11:50:50 AM

OpenHealth AI

It’s understandable to feel anxious when facing ongoing and concerning symptoms like yours. Your symptoms of blood in stool, persistent bloating, and swollen lymph nodes warrant attention, and it is important to safely navigate your options while waiting for the colonoscopy.

Key Points:

  1. You have several troubling symptoms that have persisted and worsened since your initial visit to the GP.
  2. Your repeated requests for further evaluation indicate your concern, and you may want to consider ways to expedite your colonoscopy or further investigations.

Explanation:

Your history suggests potential gastrointestinal issues, especially given the presence of blood and abnormal bowel symptoms. The swelling of lymph nodes, while often benign, can signal an underlying condition that warrants further evaluation. The colonoscopy is a crucial step in ruling out serious conditions, but long waiting times can be frustrating.

Next Steps:

  1. Contact Your GP:

    • Express your ongoing symptoms and their impact on your quality of life. Given the changes and worsening condition, emphasize that the blood visibility and lymph node swelling are concerning. Ask if there's any way to flag your case for earlier review due to the changing severity of your symptoms.
  2. Request an Ultrasound:

    • Request an ultrasound to assess the swollen lymph nodes. This non-invasive imaging can help determine if there's any cause for concern and may provide reassurance or prompt further action, depending on the findings.
  3. Document Your Symptoms:

    • Keep a symptom diary to track the frequency, severity, and nature of your symptoms. This documentation can support urgent requests for further testing.
  4. Consider Diet and Hydration:

    • Maintain hydration and consider your dietary choices. A high-fiber diet is generally beneficial, but if you're experiencing increased bloating, it might be worth consulting about specific dietary adjustments that could alleviate discomfort.
  5. Follow-Up:

    • If your symptoms worsen or new symptoms appear (like fever, significant changes in weight, or severe pain), reach out to your GP promptly.

While it’s important to be proactive, try to remain patient with the process as well, as it can take time for appointments in the NHS. If you experience severe symptoms in the meantime, you may also consider visiting local urgent care services or the emergency department if you believe your situation has become acute.

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