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Medical Forum / Diseases and Disorders / Prostate Cancer / August 2004

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Survivor

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Bert - 06 Aug 2004 12:49 GMT
Hi,

Two years after seeds and radiation my PSA is well below .2.  To my surprise
yesterday I noticed rectal bleeding.  Is it possible that it is a side
affect of the radiation?  Any information would be appreciated.  I know I
will check my Radiologist, Urologist and Gastroenterologist.  I will.
Thanks.
dale.j. - 06 Aug 2004 14:21 GMT
> Hi,
>
[quoted text clipped - 3 lines]
> will check my Radiologist, Urologist and Gastroenterologist.  I will.
> Thanks.

I did not have any radiation treatments, but I guess I'd check with your
GP doc for that.  I'd be a little concerned too.  Seems like a long time
ago for the radiation to cause it.

Dale

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Email:  dalej2@mac.com

Leonard Evens - 06 Aug 2004 14:32 GMT
> Hi,
>
[quoted text clipped - 3 lines]
> will check my Radiologist, Urologist and Gastroenterologist.  I will.
> Thanks.

My guess is that it is unrelated to your radiation therapy.  You should
definitely check with your doctors, in particular your
gastroenterologist.  Often, such bleeding is caused by hemmorhoids, but
it could be something else.  So don't put it off.
Bob Oaks - 06 Aug 2004 14:41 GMT
> > Hi,
> >
[quoted text clipped - 8 lines]
> gastroenterologist.  Often, such bleeding is caused by hemmorhoids, but
> it could be something else.  So don't put it off.

Could also be an anal fissure, completely unrelated to the radiation
(especially after so long).  Not a particularly dangerous problem, just a
pain in the you know what (you didn't say whether you also experienced
pain).  Definitely worth pursuing with your doctor. Probably your primary
care doctor can at least diagnose.
Steve Kramer - 06 Aug 2004 18:00 GMT
Two years?  I thought we had two Berts.  I'm thinking it's just one.  Are
you the Whitzman?

In any case, I have heard of rectal bleeding years after seeds and RT.  If I
recall correctly, it is a result of a residual breakdown of normal bodily
tissue around the area treated.  But, if I also recall correctly, new tissue
can be grown to compensate whereas the cancerous cells are pretty much out
of luck.

Signature

Prostate Cancer Survivor (so far), not a doctor
PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000
PSA  .1  .1  .1  .27  .37  .75
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32
Erection 05/12/2003 @ 48
HTbegins 07/21/2003 @ 48
PSA  .07 .05
Lupron 7/03, 8/03, 12/03, 4/04
non illegitimi carborundum

> Hi,
>
[quoted text clipped - 3 lines]
> will check my Radiologist, Urologist and Gastroenterologist.  I will.
> Thanks.
ron - 06 Aug 2004 19:41 GMT
> Hi,
>
[quoted text clipped - 3 lines]
> will check my Radiologist, Urologist and Gastroenterologist.  I will.
> Thanks.

Hi Bert...Rectal bleeding at 2 years (give or take) post-RT is a known
side effect.  I don't know what the frequency of occurrence is, but it
is not insignificant.  Post-RT PSA bounce also occurs in this same
general timeframe.  The PSA bounce suggests there is a lot of cell
death at this time, so it is not unreasonable to assume that this is
why there is also a spike in urinary and rectal morbidities as well at
this time...Best wishes and good health, Ron
Danny McCarty - 07 Aug 2004 01:26 GMT
>Subject: Survivor
>From: "Bert" bertp@monmouth.com
[quoted text clipped - 8 lines]
>will check my Radiologist, Urologist and Gastroenterologist.  I will.
>Thanks.

Two years is a little long, but radiation might be responsible.
Beverley - 07 Aug 2004 02:59 GMT
Best thing is to check with your doctor. Probably just a hemorrhoid
especially if it is bright red blood. Better to be on the safe side.
Bev

> Hi,
>
[quoted text clipped - 3 lines]
> will check my Radiologist, Urologist and Gastroenterologist.  I will.
> Thanks.
 
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