I am online and happy to help you with your question today.
Are you able to hold your feces in at all?
Oh yes. Sometimes I just see a tiny bit of yellow stuff on the toilet paper when I wipe.
Do you find feces in your underwear all the time?
No, not at all.
Ok. That is good.
To answer your question, from what you have posted, I do not believe this tiny amount of yellow stuff on your toilet paper is a sign of cancer. I would not worry about this at all.
Of course, if you are really worried that you may have colon cancer or any other form of GI cancer, then a complete workup by a gastroenterologist, possibly including endoscopy, abdominal imaging etc, would be find any evidence of disease in these areas
So. What is the take home message? I do not think you have to worry that you have cancer based on what you have told me this evening.
Does this answer your question to your satisfaction?
I went to a GI doc years ago and he did not think a colonoscopy was necessary.
From what you have told me tonight I do not think it is necessary either at this point but, if you are really worried, it is a very helpful test in cases of GI problems.
Basically, what you are seeing on your toilet tissue is not anything to be concerned about.
I saw my PCP the other day and she said that I had an anal fissure and did not want to order a colonoscopy.
Colonoscopy may not be needed in evaluating an anal fissure.
Usually all that is needed is a direct rectal exam
Now I am worried that I need a colonoscopy. How do I get someone to order one for me?
The best person would be a GI doctor. You could discuss with her your concerns, your history of an anal fissure and your desire to make sure everything is OK.
A colonoscopy is normally performed by an GI doctor.
But wouldn't I need a referral from my PCP?
That depends on what your health care insurance demands, since they have to pay for it. For example, in my health plan, I can just make an appointment with any sub specialist without going through a PCP. In California, for patients who have Kieser Health, for example, I believe they have to go through their PCP for almost everything....
You would have to talk to your insurance company to see what you need to do if you require a specialists, like a GI doctor, care.
I know that you didn't ask for this, but here is a very good article from the NIH on anal fissures:
Yes, I think so. So you think I need to see a GI doc?
From what you posted on this page, I don't think that the tiny bit of yellow stuff on the toilet paper when you wipe is a sign of anything terrible wrong so, from that point of view, I do not think you need to see a GI doctor.
That being said, I can tell you are very concerned so, in that way, consulting with a GI doctor wouldn't be such a bad idea....
Does that make sense to you?
I guess you have stepped away from your computer.
I hope this information was helpful for you. But I do work for tips so I want to make sure you are happy with me before rating me. If you have another question on this or a related issue feel free to fire away. And please let me know if the rating system gives you any troubles. Thanks in advance, Dr. Rick