Colon Cancer

Colon or large intestine cancer primarily develops in the elderly. Benign polyps on the inner wall of the colon undergo malignant transformation. Symptoms include fatigue, weight loss, bloody stools, changes in bowel habits, etc. Obesity, alcoholism, smoking, sedentary lifestyle, old age, family history, diabetes, food lacking fibers and rich in fat, inflammatory intestinal diseases, family history, etc., are the risk factors. Surgery, chemotherapy, radiation therapy, targeted therapy, and immunotherapy are the available treatment options.

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Can iron deficiency anemia be improved with supplements in stomach or colon cancer patient?

Query: Hi doctor,A week ago I made a complete blood test to check whether my iron deficiency was improving. I have used B12 and iron supplements. In addition to this, the doctor told me that I had a UTI and gave me pills. Though UTI did not seem like it has gone away, and another thing is that, after I am ...  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to I have reviewed your query and here is my advise. Your attached report (attachment removed to protect patient identity) showing improvement in iron parameters and hemoglobin level. So your anemia is improving. Read below answers for your questions: In stomach cance...  Read Full »

69-year old smoker diagnosed with colon cancer. Does she need chemotherapy?

Query: Hi doctor, My mom is 69 years old, smoker and she was diagnosed with colon cancer. She used to suffer from her stomach pain and we ended up doing a colonoscopy for it and the doctor found a tumor. We need to know what is the best way to help her and what is recommended in her case? Should the docto...  Read Full »

Dr. Arshad Hussain Shah

Answer: Hi, Welcome to I have gone through the reports of your mother (attachment removed to protect patient identity). As per reports she has a sigmoid colon cancer. There is no distant spread of cancer (not spread outside colon) as per CT scan reports. The report is also showing multiple re...  Read Full »

Is it advisable to consume alcohol with my medicines?

Query: Hi doctor, I am suffering from the following symptoms. Left lower abdomen pain, constant mushy stools (twice had blood), constant watery stools, heart twitches a couple of times a day, abdomen hurts more when I sit or lay down. I am a chronic alcoholic. I have searched in the internet resources and ...  Read Full »

Dr. Sadaf Mustafa

Answer: Hello, Welcome to Lorazepam should not be taken with alcohol since both can cause respiratory suppression if you over do it.Having said that this is the drug of choice to treat alcohol withdrawal symptoms. It has a short half life, so requires multiple doses in a day.I would suggest tap...  Read Full »

My 69-year-old mother tested positive in her cologuard test and was advised of a colonoscopy. Is it serious?

Query: Hello doctor, My mother tested positive in her cologuard test last month and was advised to get a colonoscopy. We have called at least eight different practices, but the earliest she can get in for a colonoscopy is next month. My mother is an anxious person, and so is my dad. She had a colonoscopy s...  Read Full »

Dr. Ghulam Fareed

Answer: Hello, Welcome to I have reviewed the case history. The cologaurd test is used for the initial screening of colorectal cancer. Considering the last colonoscopy, which was normal, and she is asymptomatic from a gastrointestinal point of view, I guess waiting for a few more weeks from n...  Read Full »

My mother had undergone laparotomy. Please advice on her biopsy reports.

Query: Hello doctor,My mother has been operated two months before. She was suffering from constipation, and the doctor found a tumor in the CT scan. Some operation called laparotomy was done. After that, she is fine now. The stool is passing through the stoma. After the biopsy report, I have been asked to ...  Read Full »

Dr. Dinesh Kumar

Answer: Hello, Welcome to So she has colonic carcinoma. As you told, she is passing stool through the stoma, that gives me the impression that probably she was not surgically fit at the time of surgery to complete operation in one stage. As per the cancer stage, she needs to undergo cancer chem...  Read Full »

Please suggest ways to convince my husband about my gluten-free diet.

Query: Hi doctor, I have been having abdominal and thoracic pain for the past 16 years. I do like to describe the pain as irritation, burning, feeling like eating sandpaper; constant pulse to puff and burp, acid reflux and fire in my breast and stomach. I used tons of medications for years, such as proton ...  Read Full »

Dr. Sadaf Mustafa

Answer: Hello, Welcome to Thank you for the excellent history and sharing your background as a dietitian really helped. First of all, as you might now, the celiac disease cannot be proved by chemical basis. You can very well have a negative serology with biopsy proven celiac disease. ...  Read Full »

I had colon cancer, and my ultrasound report shows a 3 mm polyp in my gallbladder. Is it related to colon cancer?

Query: Hello doctor,I was diagnosed with colon cancer five years ago. I had surgery, and they removed the tumor. Unfortunately, they found cancer in one of my lymph nodes. Currently, I am undergoing chemotherapy. I had an ultrasound done the other day. My liver looked fine, but they found a 3 mm polyp in m...  Read Full »

Dr. Arshad Hussain Shah

Answer: Hello, Welcome to As per the details and images (attachments removed to protect the patient's identity) provided by you, it looks a stage 3 colon cancer. So chemotherapy as adjuvant treatment is advised for six months. It is unlikely that gall bladder polyp is related to colon cancer....  Read Full »

My grandmother suffers from stage 4 colon cancer with liver metastasis. What is the prognosis?

Query: Hello doctor, My grandmother, 74, suffers from stage 4 colon cancer with liver metastasis. She had weakness and a cough for the past week. She was taken to the hospital, where she was diagnosed with pneumonia. She also has some memory loss and hand tremors. The fever has subsided. Will she be able...  Read Full »

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim

Answer: Hello, Welcome to I read your query and understand your concern. Colon cancer stage 4 with liver metastasis is advanced with a very poor prognosis but requires good palliative care. Pneumonia has certain symptoms like fever, productive cough, and wheezing. This could have happened du...  Read Full »

I am diagnosed with moderately differentiated adenocarcinoma. What is the appropriate treatment for this?

Query: Hello doctor, I was diagnosed with adenocarcinoma, a moderately differentiated sigmoid mass with one pericolic lymph node positive for metastasis. Is the Folfox chemotherapy the best treatment for my stage 3 colon cancer? Kindly help.  Read Full »

Dr. Arshad Hussain Shah

Answer: Hello, Welcome to Thank you for your query. As per your details, it looks like sigmoid colon cancer stage 3. Yes, the standard chemotherapy treatment for stage 3 colon cancer is Folfox-6 for six months. But not all the patients with stage 3 are candidates for Folfox-6. The type of tr...  Read Full »

Does diverticulitis increase the risk of colon cancer?

Query: Hello doctor, I have been having lower left pelvic pain, so I got a CT scan of the abdomen done. I was diagnosed with mild diverticulitis and diverticulosis. The doctor gave me Flagyl and Cipro. Is it serious? Can this lead to colon cancer? I am very scared. How can you tell that it is diverticuliti...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to Do not worry, diverticulum is a common condition, and most patients remain asymptomatic or have mild symptoms. The risk associated with this condition are diverticulitis, which is an infection of the diverticulum pouch, and risk of bleeding. Approximately 75 to 80 pe...  Read Full »

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