I am a 30 year old male. My height is 5 feet and 7 inches, and I weigh about 87 kg. For the past 4 to 5 years, I am suffering from indigestion. This got more serious in the recent years. It used to occur three to four times every week, especially after lunch. I sought medical help and went to see a general physician, who ordered for blood tests. It revealed most of the levels to be normal, except for a mild elevation of ALT and AST levels. Then he ordered an ultrasound which showed I have a fatty liver, though I rarely drink alcohol. Also, H. pyroli came out as negative. He asked me to take a healthy diet and avoid alcohol. For indigestion, he prescribed Rabeprazole 20 mg every day, which seemed to help, since I did not get any indigestion anymore.More recently, I developed frequent loose motions. On some days, I pass stools thrice and have excessive gas. Over this period, I had four to five blood tests, which revealed that my hemoglobin was gradually decreasing. The first blood work done three years ago, showed my Hb to be 152 g/L, then 148, 143 and now in the last month it was 137 g/L. Also, my RBC count dropped from 4.89 to 4.5 million cells. My latest ferritin level was 194 ug/L. I asked my doctor here, and he ordered FOBT test. All three samples showed negative and no blood was found in the stool. Recently, he has ordered for a colonoscopy which I am waiting on, and I am really worried that I might have colon/rectal cancer. My question is, does negative FOBT and normal ferritin rule out any cancerous growth in the bowel and intestine? I have hypothyroidism and sleep apnea. I have no family history of bowel cancer.
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Thank you for your time and response. I have a few follow-up questions. I was diagnosed with hypothyroidism three years back, and my TSH level was 7.8. So, I was treated with 10 to 50 mg of Synthroid or Eltroxin. Now, my last reading of TSH was 1.9, after which the doctor reduced the dosage to 0.05 mg. So, is the reduction in hemoglobin levels likely to be due to this? Also, I was wondering that, since my issues are going on for more than a year, will not I be exhibiting more obvious symptoms like pain or bloody stool, if it is cancer? And lastly, may I assume that since my FOBT is normal, I am not losing blood through stool?
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