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Family Physician
Family Physician, Doctor
Category: Medical
Satisfied Customers: 2592
Experience:  Emergency Medicine and Family Practice for over 26 years
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In March of 2014, two and a half years ago, I began noticing

Customer Question

In March of 2014, two and a half years ago, I began noticing a very small amount of bright red blood on the toilet paper after passing stools. It was on and off until I finally saw a doctor towards the end of the year who did not do much aside from suggesting a colonoscopy to me at 30 years old and providing me with some cream incase it was a fissure. He did not see anything on the exterior upon a visual inspection but whether or not that means there could be a fissure on the interior, I'm not sure.
Eventually in early 2015 after passing stools slower and intaking more fiber the bleeding seemed to completely stop. Now over a year later this past summer and the bright red blood has returned! Again this is only after bathroom use. I do feel a decent amount of discomfort when wiping and the stools do seem to be very hard so I feel it really may be a fissures after all but at this point I am beginning to worry. At 32 now I know any type of colon cancer is extremely unlikely and I should note that there is NO history of it in my family, but I still worry.
Since this blood on the toilet paper stopped for over a year and returned, is it safe to say it is likely a fissure or even hemorrhoid? If it were something more serious such as a tumor is it safe to say the bleeding would likely have never stopped and likely gotten worse in all this time? My other health is very good aside from a touch of hypothyroidism. Thank you for your answer in advance.
Submitted: 11 months ago.
Category: Medical
Expert:  Dr. Phil, MD replied 11 months ago.

Hi, this is Dr Phil, here to assist you. I am Board Certified with over 10 years of experience. I will respond with my answer shortly. Thank you.

Expert:  Dr. Phil, MD replied 11 months ago.

any other medical issues?

Customer: replied 11 months ago.
No other medical issues.
Expert:  Dr. Phil, MD replied 11 months ago.

statistically this is very likely to a be a hemorrhoid or fissure

However, I can tell you that I absolutely recommend you have a colonoscopy

I'm not trying to scare you but I had a 35 year old patient of mine diagnosed with stage 3 colon cancer

Now, again, not trying to scare and I highly doubt that. But a colonosocpy is needed for sure

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