Embarrassing bum bits

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Hello all,

Hope you're doing okay Yellow heart 

I am currently in phase 2 of the below plan:

Phase 1 - you have these drugs over 12 weeks:

paclitaxel once a week

carboplatin either once a week or every 3 weeks

pembrolizumab once every 3 weeks.

Phase 2 - you have these drugs once every 3 weeks for 12 weeks:

epirubicin

cyclophosphamide

pembrolizumab

I have a question about blood in my stools. Basically whenever I go number 2 for the last 4 days when I've wiped I have seen blood on the tissue. Not huge amounts at all. But bright red blood and a small amount of pain centralised around the bumhole when it comes out. 

I am in a predicament. I haven't told my oncologist about this yet as I was hoping it would go away on its own. As I am on immunotherapy I am worried she will think it's collitis and take me off immunotherapy straight away. I haven't seen any blood in the water whatsoever but I had a horrible incident around 7 weeks ago when I ended up in A&E with diarrhea, which they suspected was colitis but decided to monitor how I go. 

I am 99% sure this is an anal fissure or tear as I remember the day it happened and felt pain as the stool passed. I don't want to be taken off immunotherapy but also want to satisfy that 1% of worry in me. Any advice would be greatly appreciated or any similar experiences.

Thanks,

Em

  • Hi  

    As I understand it, colitis brings a lot of pain, wind, diarrhoea etc and is usually worse when lying down rather than standing up. What you are experiencing doesn’t sound like a flare up of that. The best advice with blood in the stool is always to get it checked out. It will be easy for them to tell if it is one of the more obvious explanations like haemorrhoids or a tear. Hopefully it’s nothing serious and it won’t mean halting or stopping treatment. 

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