Hi all, firstly thank you all so much for all the support and info that you've been giving me, it's appreciated so much, everyone has been do good.
My sis came to visit yesterday and I showed her the latest letter from my local consultant, I had focused on 1 part she saw something else and had a breakdown, now I'm confused.
As an overview of what ny consultant has said, I have T2 tumor, very low down in my rectum, 4cms from my bottom I've had 3 colonoscopys, the last one was supposed to been with an ultrasound scan to see how far through the bowel wall, and to confirm it was T2, it has spread to my lymph nodes, so he said I will need chemo after the op. The op that they're now looking at, the TEMS, op can't be done, so fingers crossed the lady I see at Wythenshawe tomorrow, will be done early September and robotically. My local consultant could do an op, but it would be through my stomach, rectum removal and stoma, 40% chance of it being permanent, that's not a worry, if I need a stoma I need a stoma.
In one letter my consultant has said that if the TEMS op couldn't be done, then a professor Saunders has said that I could have a non standardised approach to "having radiotherapy then chemo to see if this could treat your retcal cancer and also facilitating organ preservation"
I read that as being try to save me having a stom, so preservation of my colon and rectum. That has never been discussed with me, it was just in a letter. When was told that a TEMS approach was not going to be something that the consultant at Manchester could do, I phoned my local colorectal nurse and said just do the big op, I want it out. Then the local consultant, Chris Smart, rang me and said it may be able to be done robotically, and I'm seeing that consultant at Wythenshawe tomorrow, he pulled some strings, rang her when she was on holiday last Wednesday, amd I got a call on Friday saying she would see me on the 22nd at 10am. That's how I understood everything. Then on Saturday, why do they send letters to be recieved on the weekend when you can't call them?! Anyway the latest latter that perturbed me and upset my sis says I'm general that the bloke at Manchester would do the ultrasound endoscopy, to see how far and staging, he didn't do an ultrasound scan, just a sigmoidoscopy, and he'd already told me before the scan that he couldn't help me. He was supposed to be "clarify the staging with the endoscopic ultrasound" that wasn't done, and then goes on to say that if he couldn't do the op via the TEMS procedure, "it may be best in the form of a robot, given how low this is to give you a sphincter sparring procedure." I presume he meant "sparing"
I was focused on the sphincter part, as it's never been discussed, only removing my rectum, and maybe having a stoma, whether permanent or not, my sister broke down when she saw that he wanted to clarify the staging. She thinks it could be worse. Does anyone have any insight into this, I'm a little anxious, I know I can ask the lady at Wythenshawe tomorrow, but I'm anxious now.
I had a bad night, was sat on the loo for 3 hours, sweating, l soaked 3 large bath sheets with sweating, I had awful cramps, buscapan didn't touch the cramps, after a massive struggle I did manage to open my bowels, it was as if there was something stuck and after straining and struggling it was expelled. I had a lot of bleeding, which has settled now, but the same thing happened last Wednesday, I'm at a loss as to why I've started struggling so much, I take 3 docusate in a morning and 3 at night, senna at night, I know senna can give you cramps, but I did stop them and went to the Macrogol sachets, which I can take up to 8 sachets a day, but the cramps are still just as bad, and I have problems with getting the drinks down without me throwing up, but it was maybe every 15 to 16 days, now its more frequent and I'm a little worried, especially as the tumor is low, when I struggle it's like it prolapses out of me, and pops back when I finish straining, last night it seemed a lot bigger than usual, maybe nearly twice as big. My bottom is sore, and it's been very itchy for the last few days. Does anyone else ever have this?
Hi MissTee. Please don’t get too hung up on the staging side of things - the main thing is that you have no spread to other organs. The T2 means how far the tumour has grown into the bowel wall but if there is spread to lymph nodes then that is classed as stage 3 - see link below
The struggle going to the toilet is because you have something in the way ie. The tumour. As the stool squeezes past it then it can aggravate the tumour and cause bleeding. The itching may be caused by the mucus that the back passage naturally produces to help the stools move through. It may help to use baby wipes to clean yourself and then sudocream or nappy cream to ease the soreness.
Have you got a list of questions to ask the lady tomorrow? Might be worth jotting them down as it’s easy to get caught up in the moment and forget what you wanted to ask
Take care
Karen x
Hi MissTee
It sounds quite confusing when they’ve talked about different operations so hopefully tomorrow you will have all the information needed to allow you to prepare with whatever is needed.
You sound really positive about getting that Tumour out and that’s definitely the way to go. Thats how I felt I hated it there and like you before I had my operation I had a real struggle to open my bowels. I became quite weak as I couldn’t eat too much food as I knew I couldn’t process it and open my bowels. I also had discomfort and really worrying bloody stools. When I phoned the nurse she said that the tumour was bleeding as I opened my bowels. That made me more determined to only put in easy food to process .
So I had two Complan meal substitutes made with milk and three really small snack type meals spread over the day. I made sure that the food I put in I could pass. It worked I gained energy and going to the toilet wasn’t as traumatic.
Good luck tomorrow
Ann
Just back from Wythenshawe, and I'm gobsmacked, but in a good way, I'm have the robotics LAR next Thursday, the 1st September, I have to go for a pre op, and take an online class for pre hab, the tumor has spread to the node, at least 1, so I will need chemo afterwards, but she is convinced that she can do it without me having a stoma, although they are going to measure me up and mark for a stoma, just in case, she was a lovely woman, very clear, concise, and as she can't feel the Timor, she has small fingers, all the others who felt it are men, she says it's 6cm inside, so that gives her more leeway, as she has to have a clear 1mm margin, I was a little shocked when I asked when it could be done, she just looked at her phone and said "I can do it on the 1st" wow, I'm a lot happier now, I have a clear way through now, I'm fully prepared for a stoma, just in case, but she said that would only be temporary, unless there's something in there that they weren't expect. She answered all my questions without me having to ask her, she drew me diagrams and I have to self isolate before the op, I have picalax the day before to clear the colon, picalax can manage, the other fruit stuff that you have to drink so much of was a chore, I have to give myself a heparin injection the day before the op, qnd they will give me those in hospital, and I have to carry on with them for 4 weeks when I'm home. 3 to 7 days I will be in, unless there's problems, so right now I have to get myself into gear and get all my stuff ready.
Thank you for all your help, and also to the other people who have propped me up, I am now off the little island, onto a larger one, that's inhabited, and no circling sharks!!!
I also popped into the macmillan support there, for the life of me I can't remember the lady's name, but she was so helpful, and I bought a couple of guardian angels that the support group had made, she was so helpful, although as I'm not a sun lover, and don't go out much, I'm very pale, and I'm usually pale anyway, everyone I spoke to asked if I was OK because I looked so pale!! So I must do more to get out when the sun is out.
I will keep everyone updated, and fingers crossed it will be a good outcome. I couldn't have started this journey without the support I have had from this group, I'd have drowned weeks ago. Steve took me out for lunch too, bonus!!
This all sounds really good Rosie, and your consultant sounds excellent. All very positive going forward, and not long to wait for your surgery.
I’ve had multiple times of needing to do the blood thinning injections, and they only take a moment so don’t be concerned about them.
So glad you are away from the circling sharks!
Sarah xx
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