Hello doctor, My husband has been having a lot of issues in the past year. He does have a history of colon cancer in his family and I am more concerned. He gets excessively bloated (looks like a pregnant lady) very often. He gets bad gas that causes pressure on his chest. Sometimes he will have problems of belching or passing any kind of gas. He will have numbness and tingling in his hands sometimes. He gets lower back pain, stomach upset, and abdominal pain that he describes as feeling like his stomach is being shredded. He has trouble with bowel movements often and there is usually a lot of blood. He does have hemorrhoids but it is still a lot of blood even with that. And I do not know if it is related, he is having pain in his testicles (not with urinating or ejaculation). He has an appointment with a gastroenterologist but it has been pushed back due to the pandemic. Please help. He is currently on Cymbalta, Xanax, and Adderall.
Hello. It is good that you are concerned regarding your husband with a positive family history. We should be alert for any conditions if they are running in the family. As per you, your husband has multiple gastric problems with back pain and numbness. These problems may be due to indigestion and less physical work up. It is very common in these lockdown days. The alarming issue is he has blood in stool that cannot be ignored. It may be due to hemorrhoids but complete checkup is necessary. I will advise you some medicines and blood investigation that should be done as early as possible. Avoid spicy and fatty diet and water intake should be adequate. Start some physical workup like cardio on treadmill if not possible to go outside. Regular habit of walking after ever meal will help. Get back to me any time after investigation. Gastric upset with bleeding PR (rectal bleeding). Colonoscopy with biopsy. Ultrasound whole abdomen abdomen and pelvis. Complete hemogram with LFT (liver function test), KFT (kidney function test), and blood sugar. Syrup Cremaffin four teaspoons at bedtime for seven days. Tablet Rifagut (Rifaximin) 400 mg twice daily for seven days, Pan DSR (Pantoprazole) once daily on empty stomach for seven days, Normaxin (Clidinium bromide, Chlordiazepoxide, Dicyclomine) twice daily for seven days.