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Do I need another colonoscopy
Hi all,
I recently had an anal fissure which was due to constipation. Before that I had occasional diarrhea due to food related issues. The anal fissure is cured now but I am having mild stomach pain now and then. I had a colonoscopy in 2011 which was normal and the doctor diagnosed as IBS and a sigmoidoscopy in 2014 August which revealed both anterior and posterior fissure. Ever since then I've been having on and off fissure and hemorrhoids. I had a c reactive protein test 4 months ago which was normal and so was my CBC and also fecal occult blood test. Any reason to have a colonoscopy now for the mild stomach pain or could this be ulcerative colitis or crohns or cancer?
Answers (2)
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Not at all. If your previous colonoscopy was normal, also repeat sigmoidoscopy revealed only fissure there is no need of any colonoscopy or sigmoidoscopy now.
Fissure diagnosis is made by local EXAMINATION. It doesn't need sigmoidoscopy colonoscopy etc.
If your SYMPTOMS are of ibs why are you undergoing so many tests unnecessarily.
Stop worrying about crohns uc cancer etc.
Next Steps
discuss ore about your SYMPTOMS for better guidance and stop wasting your money time and energy.
Health Tips
plant based diet should be followed for good health.
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+128
Dr. Abhinandan Mishra
Gastroenterologist
7 yrs exp
Gurgaon
Colorectal cancers in your age is unlikely in absence of any family history.Ulcerative colitis usually presents with blood mixed stools.Crohn's disease is hard to rule out by history alone.If the pain is severe,colicky and there is weight loss/anorexia then you should undergo colonoileoscopy.
Next Steps
You can get a fecal calprotectin done.
Take treatment for fissures.
Health Tips
Avoid constipation.Contact a gastroenterologist if you have any of the alarm features like -Anorexia/Weight loss,Bleeding PR,Abdominal distension,Recurrent vomiting,Anemia.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.