How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Chip Your Own Question

Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 26844
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
18722459
Type Your Medical Question Here...
Dr. Chip is online now

My 35 year old daughter had treatment for 1b1 stage cancer,

Customer Question

My 35 year old daughter had treatment for 1b1 stage cancer, chemo/radium, they told her last august all scans were clear. Past few months shes had blleding from back passage, they gave her steroid suppositories for late affects of radium. She was fine then got quite a heavy bleed so they are going to do a colonoscopy. Then last night she took a bleed from the vagina for the first time, she has pain in lower abdomen, not bad pain. Her oncologist is going to see her on monday and said he would have a gynocologist with him. Can you tell me your thoughts on this bleeding please. Lorraine.
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. Chip replied 3 years ago.
Hi--just to be clear here was this cervical or uterine cancer that she was treated for?
Expert:  Dr. David replied 3 years ago.
This is Dr. David

Thank you for requesting me.

I am sorry for your daughter's diagnosis of cervical cancer.

sounds like she had some possible radiation proctitis or internal hemorrhoids which caused some rectal bleeding. hopefully the steroid suppository has helped calm that inflammation down. if she continues to have rectal bleeding, she might need to have a colonoscopy to look up into her rectum and see how much radiation proctitis is going on there and the GI doctor can perform fulguration of the area to burn and scar areas of bleeding to stop the bleeding.

often times for young women who receive radiation and chemotherapy for early cervical cancer, they can have stoppage of their periods because the ovaries are suppressed by the radiation and chemotherapy. in some rare cases, the ovaries wake back up and their periods start back up again. this could have happened to her after many months after her treatments. so her vaginal bleeding could have been a period bleeding after many many months of no period.

this needs to be checked. she can have a gyn examination to look at the cervix to make sure the cancer has not come back and she can have blood work to check on her estrogen levels. and if her estrogen levels are back up to normal, it is likely she could even have her monthly periods come back

let me know if you have other questions.
Expert:  Dr. Chip replied 3 years ago.
Hi Lorraine--I was the original expert above that first responded to you. While this could be radiation proctitis and her period returning, let me give you all the other possibilities here and please let me know if you need me to continue after this. Let's say that the rectal bleeding could be from the radiation--this could be more than just from the rectum and she could have more of her colon involved in this where the lining of the colon is thinned and can bleed. That can be treated with cortisone as with suppositories and enemas and oral prednisone if needed. That said, this may be something else like colon polyps, colitis unrelated to the radiation therapy, or even a bleeding diverticulum or something called an arteriovenous malformation of the colon wall. As for the vaginal bleed, it could be a cervical polyp but it could also be from uterine fibroids or endometriosis. She'll obviously need the colonoscopy and a pelvic ultrasound and vaginal exam as well. That gives you all the other possibilities here and I just wanted to let you know that this all may not be related to her cervical cancer and her radiation treatment. Please let me know if you need more information than what I've provided here

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Last | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.