Is CT scan and MRI straight after colonoscopy normal?

Hello,

I'm a 41 year old male whose father and parternal grandfather both died of bowel cancer at 65 and 62.

I've been passing blood routinely for some time and the local GP blood tests showed no untoward signs and didn't seem keen to engage further. 

After several occasions of haemorraging blood over the last few months I had a private medical consultation who advised he thought it was likely just haemmoroids.

I've just had a colonoscopy this morning and good news there were no haemmoroids but they did discover a 30mm polypoid lesion in the lower area which was described as friable.

They have taken biopsies and immediately booked me in for an MRI and CT scan.

Should I be worried?

Thanks in advance for any insight.

  • Hi siln,

    Sorry to hear your partner's colonoscopy results are causing you to worry.

    at 25mm, the polyp is on the larger side. Not all endoscopists have the necessary skill and experience to remove larger polyps and they will leave it for a suitably qualified person to do so. In this case, many endoscopists will take a biopsy in order to identify whether you should be fitted in sooner for it to be removed.

    Generally speaking, the endoscopist will be able to identify a polyp that has turned in to a cancer by looking at it, although sometimes, a polyp looks benign (not cancerous) but actually does have some cancerous cells inside.

    In my experience, the endoscopist would normally tell you if they believe they have seen a cancer during your test.

    you wouldn't receive the MRI results on the day as the images would have to be reviewed and reported on by a Radiologist.

    Hope this helps.

    Rich

     

  • Thank for your reply. That's what I was thinking that they would tell us if they thought it. So seeing as it cannot be removed by colonoscopy because of the size of it ...what is the other procedure that they use before attempting to do surgery? I work as well and am trying to figure out would i need time off work or not. 

    I'm just hoping this is just a small thing and benign. 

  • Hi

    They did it via a colonoscopy and took a basket up too. Then they cut the polyp off and Dissected it and put small pieces in the basket and bring the basket down when it’s full and then they go back up and do it over again and again,fetching bits of it down 8n the basket. They cut the polyp from me and removed lots of it but had to stop going back up because the surgery went on for quite some time and they had given me enough sedatives and couldn’t give me anymore. The poly left comes down naturally. The polyp is then biopsied and a follow up colonoscopy is done a few months later with a regular yearly follow up. Have you got a removal date yet.x

     

     

     

     

     

     

     

  • I'm struggling with similar things to what others have put here. I'm a 31 year old woman and everything has happened quickly.

    I had a colonoscopy last week and polyps were round 15cm up from rectum and are 20mm. They took biopsies and sent me for a CT scan and MRI scan which I had yesterday.

    The doctor I saw on the day doesn't usually work there and all I remember him saying is that he was very surprised to find anything that abnormal and hopefully it wouldn't be cancerous. The specialist nurses have been very pessimistic on the phone. They have only had an email from the endoscopy coordinators but I can't help but feel they were told its clearly cancer and I wasn't.

    Tomorrow we'll know it I'm getting a plan next week or the week after.

    I'm just terrified

     

  • Hi there

    I would really appreciate some advice. My mother went for a colonoscopy on Friday. It was an awful ordeal, they could not finish it, they found 4 large polyps, but could not remove them due to the pain my Mothet was in and they said she had a jelly bowel and there was a lot of looping. My mother has lost a lot of weight and I am really worried. I am thinking of going private. My question is, does she have to wait to have another colonoscopy, or can she book one for two weeks if we go private? Someone said you cannot have one soon after? 
     

    please help. 
    thank you in advance. 

  • Hi truehandonheart,

    Sorry to hear your Mother had a bad experience during her colonoscopy. Some people do just have loopy bowels which does make the procedure more difficult and painful.  Your mother may require deeper sedation, which would require the presence of an anaesthetist. It may also be the case that there is a more skilled endoscopist who could attempt the procedure.

    There is no reason why she couldn't have another colonoscopy within 2 weeks of her first one. In fact, this is done relatively frequently in the bowel cancer screening programme when large polyps are found and there isn't enough time to remove them.

    On going private: You would need to ensure that the endoscopist is aware that there are large polyps there and that they have the skill to remove them safely. Not all endoscopists are skilled in the removal of large polyps. Also, depending on the type of polyp, your Mother may require a follow up colonoscopy to check that the polyps have been completely removed. 

    The endoscopist who did the first procedure should have already made a plan following the unsuccessful colonoscopy. 
     

    Best wishes,

    Rich
     

  • Thank you so much Rich. I have found a consultant locally, I will contact his secretary and make them aware. I will also try and get all the info from the endoscopist that performed the procedure on Friday.

    Really appreciate your reply.
    thank you 

    THOH 

  • Hi Rich03,

     

    I had a CT which only found diverticulosis without acute changes. I am worried they missed bowel cancer. Would polyps/tumours show on the scan? I am trying to push for a colonoscopy.


    Thank you.

  •  

    Hi Hun, I had a CT scan which showed nothing. It was the only service available at the time, it was during the 1st covid lockdown. It was meant to reassure me and it did to a point but I knew there was something wrong.  Eventually I was given a colonoscopy, about a month or so later but it seemed like an eternity waiting for the appointment. The colonoscopy revealed a polyp which was 50mm. When it was removed it wa larger than first thought and was infact over 95mm. PUSH for the endoscopy is my advice as the CT scans obviously don’t always detect polyps but that said, I think the CT scans show other sinister problems very well. Good luck.

  • Hi Nicholls98,

    It's difficult for me to give you any certainties as I've not been involved in your care.

    There are lots of different types of scans (and I'm no expert on them, by any means). Some methods of scanning are better than others for looking at the bowel. A specialised Doctor would have looked at your scan and if they had any doubts at all, they would have recommended that further investigations be carried out.

    If your symptoms persist you can always go back to your GP.

    I hope this helps.

    Best wishes