Need advice regarding Blood in stool

[Karmaji]

18 months after boost RT on prostate and pelvis and seminal vesicles

I have once a while red color blood in stool visible on toilet paper....

Frequency once a week then no more, no pain , no irritation,no constipation.

No piles symptoms before or now....

My RT onco says I should consult Gastro but I hesitate for his intervention.

Should I just stay in Observation state and let it heal ?

Any suggestion will be useful..Thanks

[Bethpage]

My husband, 78, had the same about 6 weeks ago - almost exactly 18 months after the end of 39 RT to prostate bed in 2019. Very red, so from lower in the GI or rectum. Initially also had a little blood on the TP and a tiny bit in the toilet bowl. Ended up passing a few small clots. No pain involved. Happened over a period of 36 hours and hasn't happened again - yet. He wrote it off to radiation damage because he had/still has no other symptoms and had a completely clear colonoscopy in early June of 2019 just before radiation started. I'm interested to see other responses.

[Karmaji in reply to Bethpage]

Had 60G boost in 20 sessions on prostate , equivalent 74 normal Intesity Modulated Conformal RT control Image Guided RT dynamic arc therapyand 48 G boost integrated on pelvis and seminal vesicle....

in nov 2019....age now 81...

3 months ago like your husband...nothing for 2 mo,

now once a week. on TP..may be related to eating ...

Just for curiosity I am consulting Homeopath MD and asking Gastro without any poking....Shall be very helpful, any advice to share from tribe members...

Nal gave some names of homeopathy pills last month on same topic

In my case there may be more rectum damage due to pelvis and seminal points....radiation of 48 G boost

Should I just wait and see....TA sir what is your take

[Bethpage in reply to Karmaji]

As you're considering, my husband has eased up on the fiber a bit. Curious to see what TA says as well. I agree that your treatment may have done more damage at the 48 G boost.

[Pokerplayer]

Maybe be radiation proctitis.

[Karmaji in reply to Pokerplayer]

sure. may go by itselfdepends on my healing immune system

[Mascouche]

I am at my 22nd treatment out of 38 (87Gy)and I already started getting this. It began on Monday then nothing for the past 2 days and it started again today so I am curious to read what people will recommend.

[Karmaji in reply to Mascouche]

It seems food has effect...For you no fibre

[Mascouche in reply to Karmaji]

Thanks. Do you know why fiber is causes bleeding? It becomes harmful because of the radiation?

[Mascouche in reply to Karmaji]

Found this article that also says to avoid fibers but it does not explain why it causes bleeding in the stool ourcamwell.com/blog/things-...

[Tall_Allen]

It's common. If it goes away, leave it alone.

[Karmaji in reply to Tall_Allen]

Thanks. always very considerate..I will see Gastro just to have his opinion

[Tall_Allen in reply to Karmaji]

Avoid instrumentation. If he wants to treat internal hemorrhoids, that's ok.

[TheTopBanana in reply to Tall_Allen]

How come ”avoid instrumentation”? My father had a gastro and a colonscopy for the same reason.

[Tall_Allen in reply to TheTopBanana]

After prostate radiation the enteric tissue of the bowels become fragile and break easily.

[Karmaji]

Thanks I will ask Gastro.He is considered excellent...

In France all is covered by state for cancer

@

[timotur]

No bleeding here two years after HDR-BT/IMRT/SpaceOar tx for t3bN1 +SV, or if it has, missed it.

[Pokerplayer]

no fiber or more fiber?

[Mascouche]

I found this phoenix5.org/Basics/treatsi...

[Fightinghard]

Same symptoms for me. The tissue is likely damaged from the radiation.

I upped the fibre by adding a few prunes with breakfast. Keeping things soft helps me.

If it continues to be a significant problem, I have read that hyperbaric oxygen chamber treatments “might” help the tissues heal.

But for me, a few prunes a day helps keep the Drs away. Lol

[Miket218]

I’m three years out from 42 radiation treatments to the prostate bed. The radiologists inserted a custom fitted balloon into my rectum to protect my colon. They ended the treatment a few blasts early because the weekly CT scan showed my colon was in danger of being damaged. I was also told at the beginning that I could develop hemorrhoids. I still get occasional bright red blood —small amounts— occasionally regardless of whether my stool is soft or constipated. Last week I expelled quite a bit of blood even though my stool was quite soft.

[Karmaji in reply to Miket218]

Similar symptom like mine...All of a sudden I get a red blood clot and then all is well...

Independent of stool softness or not...

Lot of air and intestine action and blood clot dropping ...no pain

It seems on some part the wound crust just chips of...

Looking for some internal wound healing supplement without any toxic chemical drug....

Could be some nutrition, plums, psyllium, and then let us see what my MD homeopath says

My RO does not care as that is not his job....just nice smile

He just shoves you off to Gastro.

c est la vie