The Real GI Doc Show

Blood in the Stool after a Recent Colonoscopy: What Now?


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In this episode, Dr. Gandolfo will address a common clinical question: What should you do if you have a stool test positive for blood but recently had a colonoscopy?

Dr. Gandolfo explores the purposes of stool tests in colorectal cancer prevention, comparing their strengths and weaknesses to colonoscopy. He reviews a patient case and discusses the utility of performing stool guaiac tests after a recent colonoscopy.

Topics covered in this episode:

- Stool Tests: Understanding their role in colorectal cancer prevention.

- Colonoscopy vs. Stool Tests: Strengths and weaknesses.

- Patient Case: A 52-year-old woman with a positive guaiac test two years after colonoscopy.

- Quality of Colonoscopy: Key factors to ensure a protective exam.

- Practical Advice: When to consider a repeat colonoscopy and when it might be unnecessary.

Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here.

References cited in this episode:

  • VA study on fecal occult blood testing
  • Australian study "To scope or not..."
  • Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.

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    The Real GI Doc ShowBy Fred Gandolfo, MD

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