I'm so terrified I have advanced bowel cancer

Hi, thanks for reading. I'm a 32 year old mother of one. I have suffered with IBS for 15 years, but 4 years ago, I began needing to go more urgently, and I noticed some blood in my stool. I went to my GP and after months of seeing them, they finally did a calprotectin test (for inflmmation) and mine came back as over 200 (normal is less than 50), so they referred me to gastroenterology at the hospital. They repeated the calprotectin test and it came back as over 2000! They referred me for an urgent colonoscopy for suspected IBD. However, they were unable to sedate me (they couldn't get the thing in my vein) and because I was in a lot of pain, the doctor decided to stop the procedure (I'm absolutely kicking myself for not insiting that he continue). He took a few bopsies from the bottom part of my colon to check for inflammation, but they came back clear. He also said he saw some internal hemmoroids. I then had a PillCam (where you swallow a camera) and that came back clear. However, I didn't know this at the time, but that only looks at the small bowel, not the colon. So they didn't look at most of my colon - only the very bottom part. They repeated the calprotectin test and because it had gone down to 200, then down to 58, they decided there was no need to continue with tests and said the 2000 level could have been down to an infection.

Over the last 4 years, my IBS symptoms have been pretty much the same. I have loose stools each day, but only usually go once or twice per day (and ocasisonally after a large meal). I have been bloating more than I used to though. However, I have been suffering with tenderness in my upper right abdomen for over a year. It hurts to press (feels bruised) and I can't lay on my left or the upper right hurts - it feels like pressure. They did the calprotectin test again twice last year and it came back as 108 and 110, which apparently is classed as 'slightly elevated'. I saw another gastroenterologist who felt my stomach and told me that he did not think there was anything to worry about. (I hadn't noticed any blood in my stool for a long time, however, I tend to like a glass of red wine [or two, or three] each night [yes I know, it's not good and if all comes back clear I will be quitting] but the wine colours the stool darker, so I'm worried that I might have missed blood because of this). A few months ago, because the upper abdominal tenderness was still there, I had an abdominal ultrasound whch checked my liver, pancreas, gallbladder and kidneys, and earlier in the year I had a pelvic ultrasound which checked my ovaries and bladder - all of these tests came back normal.

But 3 weeks ago, I did see some pink blood drop into the toilet after I went for a poo. It was there when I wiped too, and looked a bit mucusy. I straight away made a GP appointment, and she repeated the calprotectin test - it's back up to over 2000!  She did blood tests but they were all normal. I have been referred back to gastroenterology and have been told that I will likely need another colonoscopy (but a complete one this time). I have noticed a tiny bit of blood on two other ocassions too.

To say I'm scared is an understatement.  I'm now terrified that it is bowel cancer and that they missed it years ago by not looking at my colon, and that I am now going to die. It is rare in my age but I have read many stories of younger people who were diagnosed after years of symptoms. I can't sleep, can't eat, can't stop crying. I can't think abut anything else thoughout the day. I'm not sure what anyone could possibly say to make me feel better. I guess I just needed to get it out there - I feel like I'm going to go mad. 

  • Hi Rebecca, I know exactly how you feel as I am going through a similar thing.  I have a colonoscopy scheduled for 16th February.  I am 61 so in a higher risk age group than you; I have had bowel issues for years, but mainly constipation.  I passed a small amount of blood and mucus just before Christmas, I do have external haemorrhoids but I had never seen anything like this before.  I contacted my GP and she did bloods which came back fine, she referred me to the hospital but did not feel I met the criteria for an urgent referral, so I decided to go private. Up to beginning of January I was taking lots of different things to enable me to go to the toilet, but then had a really upset stomach and decided to come off everything, thinking that would make me really constipated - but since then I've had diarrhoea most days, not watery but loose and sticky.  I am convinced this is cancer and cannot think of anything else, I lie awake most nights worrying and it is having a real impact on my ability to work. I cannot settle to watch tv or read the paper or anything. My husband is at the end of his tether as he doesn't think there is anything wrong, but I know how I feel and it's likely to be bad news.

  • Hi GOJ. I'm sorry to hear that you're going through something similar - isn't it awful. I can't even look at my daughter without wanting to burst into tears (she's 13 and so happy. This would ruin her life). Pain aside, my bowels were actually feeling ok (well, as ok as they ever have been with the IBS) but once I saw the blood and got the calprotectin result, they became really bad. That week, I had diarrhea around 10 times per day, more cramping, etc. I also couldn't eat anything for days, so when I tried to eat, it was a real struggle (took me 2 hours to force down one slice of toast). Of course, I then started to worry that this was a symptom of cancer. However, when I thought about it logically - the diarrhea started after I became panicked, which is quite common. I wonder whether the same might be happening with you? I now know where the term 'worry yourself sick' comes from. Just on another note too - constipation and straining on the toilet can cause blood due to hemmorhoids or internal/ external fissures. I know you likely already know this, but just pointing it out in case it helps.

    I'm driving my bf mad too. He keeps saying 'you haven't been diagnosed with anyting yet!' and 'the doctors don't even think you have cancer!'. But I can't help it. It's like I'm picturing the tumors inside me that haven't even been found yet.

    I hope your tests all go OK (even with your symptoms and age, it's still more likely that they will be ok than not OK... which is what I'm trying to tell myself but it's tough when anxiety takes over!). 

  • thanks you're right, the anxiety will undoubtedly have an effect on my bowel function, I just can't seem to switch it off!  i will keep you posted!

  • Yes, please do. I'll do the same. I called my GP surgery because I couldn't handle the anxiety, and they prescribed me some beta-blockers to help for now. I didn't think they would help much, but they actually have helped with my appetite, presumebly because they help stop the effects of adrenaline, which I think adds to the sick feeling. Just something to think about :) Take care.

  • Snap - I have been on propranolol for a week which has definitely helped with my panic attacks

  • Hi I hope you are well I am just wondering how you are getting on now xx

  • Hi, sorry I haven't update this. I was in such a state when I posted it that I forgot that I had.

    They tried a colonoscopy again in February but it failed again due to the pain. I then had a small bowel MRI which was clear, and an ultrasound of my abdomen which was also clear. My calprotectin was still over 2000 in August, and I had another colonoscopy and a gastroscopy (to look at my stomach) in October and they both looked normal. No visible inflammation, no growths - nothing. So I have no idea what the issue is. They have taken biopsies but apparently the wait is up to 10 weeks for non-urgent ones, so I'm still waiting. The biopsies (I believe) are to check for inflammation that may not be visible, not cancer as they would expect to see a growth if it were that, so I'm extremely releived.

     

    How are you getting on? Do you have any answers yet?

  • I'm just having the same symptom's as you, doctors keep saying it's a fissure but seeing blood and all the anxiety around it is giving me such tummy trouble! I think this tummy trouble only started when I saw the blood so hoping it is linked to anxiety. It was six weeks ago when I saw the doctor last, they asked me To do bloods for celiac disease (came back negative) and a calprotectin test, which came back abnormal at 120, but I have to repeat it next week and go from there. I'm really nervous I have a toddler and it's making me dread Christmas with all of this lingering over me. 
    glad you have been given some reassurance and hopefully will be feeling better soon xx