Vascular Lesions?

Posted by dablues @dablues, Jun 2, 2020

I have a bleeding problem with AVM's. I'm seeing a blood doctor but I know I have or had AVM's in Intestines and Colon. One was cauterized. I was fine for a while but my blood work is not good again. i also have low white cells. My gastro dr. did a Pill Cam and I followed his instructions to a T especially the bowel prep. Well I called and his niurse said no bleeding found. Never sent me my report so I called and told her I would pick it up today.: Findings are somewhat poor prep in the distal half of the small bowel. Now my dr. knows my stomach empites slowly so he should have had me take the prep early in the morning instead of 6PM the night before the Pill Cam. Several punctate erythematous areas in jejunum of questionable significance and etiology. Otherwise normal exam.

I wasn't told anything about that when I talked to the Nurse. No Source for blood loss identified. Then it goes into Recommendations. Monitor Hgb/HCt, Treatr with iron as necessary RTO 6-8 weeks with CBD. Then under commens it says ?AVM Then ? vascular lesion. Can you help me understand this. I am going to my blood dr. Thursday but am confused about the lesions. Should I be worried? I get precancerous polyps and had a Colonoscopy last year. My mom died of colon cancer and my daughter also gets precancerous polyps. My son, I don't know he won't get a colonoscoopy. Hope someone can let me know what "several punctate erythematours areas" are.

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Colleen Young, Connect Director | @colleenyoung | Jun 2, 2020

@dablues, good for you for getting a copy of your report so that you can prepare for your upcoming appointment with the blood doc or hematologist. Naturally, as a layman reading the report, it can also cause anxiousness. These results are best discussed with your doctor, who has all your history and reports.

To untangle a few of the terms for you.
1. Arteriovenous malformation (AVM) is a vascular lesion.
2. Erythematous means exhibiting abnormal redness of the skin or mucous membranes due to the accumulation of blood in dilated capillaries (as in inflammation).

I certainly wouldn't make the leap to colon cancer right away. You are being vigilant with getting colonoscopies. That's good.
Have you started a list of questions to ask your doctor on Thursday? Let's start one. What questions do you want to ask him/her?

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