Before I switched diets a month ago, I had blood about 80% of the time. It's ... Mixed in, and dark, as opposed to bright red and on the surface. Meaning whatever it is, it's deep inside my intestinal tract.
Since a month ago I've seen it only once. I'm holding out hope it's just a stomach ulcer or some weird thing involving sugar. Cutting that crap completely seemed to help.
But that's homeopathy, not medicine. I need to get scoped out to figure out what's up.
Those needles though...
https://scottgriddle.com/blog/dealing-with-my-needle-make-th...
https://medium.com/@sgriddle/im-35-and-i-may-suddenly-have-l...
I read that and think "I'd rather die of cancer," but then I read about what it's like and realize it's just a mental hangup. Pretty powerful one though. I think the author probably delayed getting checked for similar reasons.
Go to a doctor immediately. There is no way that old blood mixed with stool is from a stomach ulcer. In fact, that’s not how it works anyway (upper gastrointestinal bleeds are modified by stomach acid and enzymes and have a characteristic effect on stool that we call Malena). You may have one of many different things, the most serious of which is, as you fear, a cancer, but the differentials run through benign polyps and vascular malformations.
I understand that you live in a country where you have to make practical choices about your engagement with healthcare VS putting food on the table but if you play your game slightly further out (ie add in the future value of the rest of your life VS the opportunity cost of a colonoscopy soon) it doesn’t make sense. You have a pressing and urgent need to attend to a doctor for referral for colonoscopy
What do I do? Show up and say "There's no way I can ever pay for this, but see me anyway"? I literally have no idea, and I'd feel like a complete scumbag for doing that.
I know it's pressing and urgent, there's just... It's societal pressure. Am I really going to stare at the receptionist and say "No, I won't give you my debit card info; yes, I want you to see me anyway"? They'll tell me to GTFO.
Would it be ok if I send you an email?
If you won't get insurance, apply for financial aid in the healthcare system you use. They'll cover most or all of the cost based on hardship if your situation is that bad. Once you're received financial aid, it will probably apply for most of your medical expenses for several months to a year. Call various healthcare systems in your area to see what charity/financial aid programs they offer.
If you don't want to do that, at least call for quotes. $3-4k is possible to pay, but too high. It's worth driving a bit to save a few thousand dollars. Yes, you can get a quote for a colonoscopy; it's a standard procedure. Here is an example of a nationwide program that will do it for around $1,100 and that has several options in CA. It is not the only one. https://www.colonoscopyassist.com/After_Colonoscopy.html
For the sake of your health, please don't assume you have fully researched your options yet.
You checked? For a single adult? Most states don't even cove Medicaid for a single adult with no kids, regardless of income. And for those that do, I'd be surprised if $18,000 qualifies him in most of them.
> If you won't get insurance, apply for financial aid in the healthcare system you use
Healthcare system he uses? You realize he's in the US, right? What healthcare system are you referring to?
I'd recommend that the poster go to the ER and tell them his symptoms. I'd say they'll almost certainly do tests on you. Ask to talk with a social worker if needed, and ask them about payment plans, and then if you can't pay, don't worry about it. With you income, it's highly likely they'll be willing to write most of the cost off. It's our fucked up system that's left necessary medical care unaffordable to you. If you were in a reasonable country, either:
a) there would be universal health care or single-payer insurance and you'd not have to worry about paying, or
b) care would be much, much more affordable and you could afford it. In Mexico, a colonoscopy would be a few hundred dollars, and a fecal occult blood test maybe 20-30 dollars.
Because of the corruption of our political officials, and the greed of our insurance companies, pharma companies, hospitals, and doctors, you're left without the recourse that 90% of the world has. So go to the ER and get it taken care of. Even if you have cancer (and it doesn't necessarily mean you do), you won't always end up with a colostomy bag. But the longer you wait, the more likely that becomes.
If you cannot find someone, Talk to a social worker at your local hospital.
DON'T. Other people with less urgent medical matters are "cutting in line" before you because they don't have as much of a problem with it.
It might be our life on the scales, and maybe that's worth nudging your principles a little.
I sincerely hope you will get out of this better and more healthy.
On costs: have you investigated going to an emergency room to be seen for blood in stool? Under Federal law, you have the right to screening, emergency care, and transfer to appropriate followup facilities regardless of ability to pay. It's possible you could at least get a diagnosis at an ER, and perhaps a full colonoscopy as part of that.
On needles: I don't have fear of needles, so I have no 'been there, done that' recommendations. However, there are effective oral anxiolytics that would probably reduce your anxiety enough to get past needle insertion. These might be combined with oral sedatives as well.
On the actual colonoscopy: I've had three. They've all been completely routine and painless. The first time, my doc asked me if I wanted to stay awake and follow the colono-tour on a video monitor, which I did. It was fascinating. For the others, I decided I'd seen it before and chose to not be a tourist, so I was sedated (Versed, I think).
My brother had intestinal cancer. He had a short bowel resection over 40 years ago and he's been fine since. No colostomy bag, no hassles, just 4 more decades of good life. Good outcomes do happen.
I hope you can get care very soon. Best of luck.
