My SIL was fobbed off with the exact same Bagpipes Musical Instrument 4 On The Planet Shirt thing. Young female severe chronic abdominal pain. Finally referred for a scan which was canceled because she was low risk. She was again in a lot of pain so my brother insisted she is checked again this time by a new physician who decided to do a rectal check. Diagnosed with colon cancer there and immediately referred for a scan then to the best specialist in the area. Chemo, removal of most of her bowels narrowly avoided a bag and a lifetime of adjustments but thankfully in remission now. 2 years of being diagnosed with piles instead! Yup. Exactly. Also, a surgeon has seen far too many fungating distal rectal cancers in patients diagnosed with “hemorrhoids” for ages.
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I run into this a lot as a surgeon. Very few primary care providers will do a Bagpipes Musical Instrument 4 On The Planet Shirt rectal exam. Just tell the patient that rectal bleeding probably hemorrhoids and give them ointment. If it doesn’t resolve within a few months, I get the referral for “hemorrhoid surgery” and find the rectal mass. Either that or find a colon cancer on the colonoscopy that they should have ordered months ago. I found a rectal polyp with my finger, which turned out to be a very rare very aggressive cancer three months after the polyp was removed and I went for a checkup on that surgery… people shouldn’t be so afraid of their own bodies. One that comes to mind is when I was a resident, the ED doctor wanted to admit a mild septic patient with a UTI.
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