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DrThomasMd, Board Certified Physician
Category: Medical
Positive Feedback: 97.2 %
Satisfied Customers: 49624
Experience: Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
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11 years ago I had stage 3 cervical cancer, I was given an

Customer Question

11 years ago I had stage 3 cervical cancer, I was given an extended hysterectomy and I then developed a bladder/vaginal fistula which I also had surgery for, I then had 5 weeks radiotherapy which resulted in a bowel obstruction and had a right hemi-colectomy for that. Since then I have had ongoing bowel problems, ranging from loose bowel movements to constipation and frequent urgency to open bowels. For the past week or so I have had diarrhoea (water like) and have now developed a pain in my lower left groin. Could you give me some advice about this.

Submitted: 10 months ago.
Category: Medical
Expert:  DrThomasMd replied 10 months ago.

Hello from JA

I am Dr. Thomas, MD, board certified in internal medicine and integrative medicine, so I cover a lot of ground and can help you with your question.

I will either give you an answer right away or have questions for you. Either way, use reply until you are ready to rate the answer

Have you had any type of scope recently
Do you have any fever?

Customer: replied 10 months ago.

I've not had a colonoscopy for about 4 years now. I have no fever but do feel very tired.

Expert:  DrThomasMd replied 10 months ago.

OK
What were the findings 4 years ago

Customer: replied 10 months ago.

Inconclusive, the consultant just said that my bowel was still unsettled due to the radiotherapy treatment, didn't offer any further help or advice.

Expert:  DrThomasMd replied 10 months ago.

OK
This can be acute infection at this point.
A viral or bacterial gastroenteritis.
Lower left quadrant pain is common.
If this is it , it should clear up on its own.

IT can be diverticulitis, inflammation of pockets in the colon..this needs the correct antibiotics.

I suggest pepto bismal [although this will turn things dark]
And stool samples for bacteria and parasites.

If the doc things diverticulitis the correct antibiotics.

And I suggest arranging a follow up scope at this point....

Since things were inconclusive 4 years ago.

Let me know if you have further questions.

When ready: Please rate one of the positive ratings: the only way we are compensated for time and expertise. If you are not done, use reply to expert. Come back anytime. Bonuses are great…but your satisfaction is my goal.

Future questions? Ask for DrThomas in the question title or see my profile to request me. Save my profile to your browser favorites http://www.justanswer.com/medical/expert-dr-thomas

DrThomasMd41130.9731538542

Customer: replied 10 months ago.

If the pain becomes any worse, should I contact my A& E dept?

Expert:  DrThomasMd replied 10 months ago.

I wold simply go, have the stool samples, make sure that is OK
then follow up with the GI doctor for the scope.

a week is long enough to put up with this.

When ready: Please rate one of the positive ratings: the only way we are compensated for time and expertise. If you are not done, use reply to expert. Come back anytime. Bonuses are great…but your satisfaction is my goal.

Future questions? Ask for DrThomas in the question title or see my profile to request me. Save my profile to your browser favorites http://www.justanswer.com/medical/expert-dr-thomas

DrThomasMd, Board Certified Physician
Category: Medical
Positive Feedback: 97.2 %
Satisfied Customers: 49624
Experience: Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
DrThomasMd and 6 other Medical Specialists are ready to help you
Customer: replied 10 months ago.

Ok Thank you, XXXXX XXXXX go to A&E .

Expert:  DrThomasMd replied 10 months ago.

Good enough
good luck

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