Post Radiation Proctitis bleeding - Advanced Prostate...

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Post Radiation Proctitis bleeding

mort42 profile image
23 Replies

Has anyone experiencing blood in their urine a few years after radiation therapy?

My doctor attributes it to Radiation Proctitis, which affects the blood vessels in the bladder neck.

If any of you are or have experienced this, was there anything specific that seemed to cause it (i.e. bowel movement, etc.)?

Also, did you undergo any sort of treatment to improve the situation?

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mort42 profile image
mort42
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23 Replies
Tall_Allen profile image
Tall_Allen

It's usually from scar tissue sloughing off in the urine stream. It is common and expected. It usually goes away on its own and can be ignored. If the bleeding is copious and doesn't resolve, talk to a urologist.

jjpeabody profile image
jjpeabody in reply toTall_Allen

Thanks for reply, "common and expected", ", usually goes away on its own", "can be ignored". I understand what you are saying here, so it suggests holding off on another cystoscopy if you had one in last 6 months. I do have intermittent blood with clots in urine and it stresses me since it's relatively new and 2 years after salvage IMRT. This has been going on roughly for about 4 months. I thought spicy/hot food and maybe a large bowel movement may encourage it. I can live with it, ballpark how long might this last under your expectations, I see what others are saying here. Thank you

Justfor_ profile image
Justfor_

Radiation cystitis is the correct term.

Still_in_shock profile image
Still_in_shock in reply toJustfor_

Proctitis is around back!!😝

SongofFred profile image
SongofFred in reply toStill_in_shock

And HBOT does a really good job at taking care of either one.

j-o-h-n profile image
j-o-h-n in reply toJustfor_

The Greeks Had a Word for It...(TO)...

Good Luck, Good Health and Good Humor.

j-o-h-n

Bfit01 profile image
Bfit01

It happens to me at about the one year mark and again at the three year mark. Lasted a couple days each time then resolved. At 6 years now and hasn’t happened again. Both times I felt may have been worse due to me doing fairly heavy squats and deadlifts .

Steve507 profile image
Steve507

I have twice post radiotherapy, 18 and 30 months. Urologists says probably burnt bladder. I have an appointment next week to review scan.

OzzieJ profile image
OzzieJ

Yes. I have this as well and it started about a month ago. I had a probe to confirm it was caused by damaged veins in the bladder. There are three options to resolve it. 1. Wait and see. In most cases it should resolve itself.

2. There is a gel they can apply to inside of bladder to dissolve the problem veins.

3. Hypobaric oxygen treatment to promote healing.

Apparently it can occur at any time after treatment. I discussed it with my urologist and we are going to wait it out and only consider taking action if it gets worse.

Steve507 profile image
Steve507 in reply toOzzieJ

Very useful

Steve507 profile image
Steve507

This is useful.

Mike1971 profile image
Mike1971

I had a lot of bleeding issues after radiation.

I peed a lot of blood for a while and had the bladder checked with a camera probe. The bleeding continued for a few months, but then healed by itself.

I also did bleed a lot when pooping (also for many months) and had to do argon treatment during colonoscopy where they burned a lot of wounds shut, which fixed the problem.

Ab75 profile image
Ab75

I have bleeding if I put to much pressure during bowel movements. I had a scan and cystoscopy which confirmed radiation damage to bladder neck.

mort42 profile image
mort42 in reply toAb75

I have the same issue during bowel movements

see my reply to Kite ND

kiteND profile image
kiteND

Yes. I had radiation in 2019 and had this happen to me for the first time two weeks ago. The blood clotted so much that I had to have a catheter put in for a few days. In a follow-up with the urologist, the scope showed the inflamation and scarring around the exit of the bladder.

mort42 profile image
mort42 in reply tokiteND

Sorry to hear what you are going through

When this happened to me three days in the Hospital and catheter

for a week

Only time bleeding occurs is during a bowel movement so I have

to be very careful stool softeners and no straining

also having catheter for a week caused slight incontinence

so try not to have catheter in too long if possible

also By accident I found a technique to get rid of the blood clots

and avoided having a catheter

When you have a clot and cannot urinate try to just relax and gently

rub in a circular motion in your groin which is where your bladder is

and after a few minutes you can start to urinate and avoid the catheter

I found out from my urologist this this is a known technique but

neither my Doctor or the ER told me about it

Hope this helps you

Omalley profile image
Omalley

I had Proton and 3D conformal radiation in 2009, everything was fine for several years and then twice I had huge clots and lots of blood when I peed, went to my Uro and he took a look said I had some bad spots on my bladder, he went in and cauterized them and no more problems until around 20021. I went to the VA because my EGFR had fallen to around 60, they took a look and found kidney stones and a swollen left kidney. Went in and got some of the stones, had bleeding after the operation, plugged, ended up in the ER for a catheter. Later on they went in again several times and left stents in, I always had some bleeding with the stents, one time I plugged again and had to go to the ER for another catheter. Both urethers ended up blocked, had surgery for that in 2022. After surgery had stents and minor bleeding, did 30 HBOT, no problems since then. Hope it stays that way.

j-o-h-n profile image
j-o-h-n

Greetings mort42,

If you wish to view other posts regarding your bleeding issue, just do a search of the H.U. history file using the search string "cystitis". There are tons of hits to view.

Would you please update your bio. All info is voluntary but helps you and helps us too. Thank you!!!

Good Luck, Good Health and Good Humor.

j-o-h-n

mort42 profile image
mort42 in reply toj-o-h-n

Thanks John

I am new at this so how do i navigate to HU history file

kiteND profile image
kiteND in reply toj-o-h-n

Thank you. Until this post, I would not have known what word to search for.

j-o-h-n profile image
j-o-h-n in reply tokiteND

You're welcome............ Keep posting - we need you as much as you need us.

Good Luck, Good Health and Good Humor.

j-o-h-n

wpeebles profile image
wpeebles

I had radiation 8 years ago and now have PCa and on occasion I still get blood in urine but mostly blood in the stool once every few weeks now, According to Doctors this is from initial radiation. Everything else checks out OK. Just need to keep an eye on it if it gets worse.

j-o-h-n profile image
j-o-h-n

Click on your "Avatar" (the round circle you use for your UserID) and look at the top left of the screen and you will see a rectangular lightly shaded box labeled SEARCH HEALTHUNLOCK with a picture of a magnifying glass. Merely overlay the search healthunlock with the string (data) you wish to search for and hit the magnifying glass and off it goes hunting for your string.

Good Luck, Good Health and Good Humor.

j-o-h-n

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