Hi Doctor....i am a female 44y ..my question is this....I have been on Ixempra chemotherapy. Now I was fine he first cycle, then the oncologist made the chemo a bit more stronger. This was like the 4th treatment. I have also been given blood 2 transfusions because this chemo lowers the blood hemoglobin. Now after this treatment loke a week ago I was having blood in the stool but it was with mucous and what it looked like a lining. I had no abdominal pain, no fever or chills. 3 days ago it came back the blood in the stool but today I felt gassy and I went to the bathroom and I had pooped but this time it was bloody..when I cleaned myself the paper was with blood like when you wipe during a menstrual period. This has never happened before I have been on different chemos for 7 years and this is the first time I have seen this happen. Is it irritating the lining of the intestine. I started a low fiber diet. I am worried about this. What should I do?
Hi, Thanks for writing in. Chemotherapy is treatment with strong medicine and this has potential side effects.  Many times a medicine will cause intense side effects when given alone, and it is likely that your bleeding from bowel is from this cause. You are having low hemoglobin and more decrease might become serious. Therefore, please take precautions in diet and medicines to raise your hemoglobin slowly. Please inform your doctor and this might help to decide if your chemotherapy requires change. Please do not worry.