Health & fitness
I was tired all the time then I lost a pint of blood on the loo – three days later I was blindsided by cancer
A WOMAN has recalled the moment she was told she had bowel cancer at the age of 35 after experiencing persistent tiredness.
Andrea Robinson, 43, from Basingstoke, was diagnosed with stage three bowel cancer in November 2016.
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Because she had ulcerative colitis, a form of inflammatory bowel disease, doctors told the executive assistant her symptoms were down to flare-ups.
“I look back at pictures from when I was poorly, before I was diagnosed, and I have sick eyes,” says Andrea.
“I looked really ill and I remember feeling constantly exhausted.
“I’d take myself off to the toilet during work just to sit down and have a rest.
Read more on bowel cancer
“I went to the GP and was told it was flare ups but one weekend I went to the toilet and lost around a pint of blood.”
Blood in stool or the toilet and fatigue are key signs of bowel cancer, as well as changes in bowel habits (constipation/diarrhoea), weight loss and pain.
Andrea says: “I went straight to A&E and was given a colonoscopy and had a biopsy.
“I was kept in hospital and three days later, I was told I had bowel cancer.”
Bowel cancer is the fourth most common cancer in England, diagnosed 44,000 times in the UK each year.
Four in ten cases are in people over the age of 75. But those under 50 get the disease too.
Cancer in under-50s has been rising since the 1990s, including bowel, cervical, prostate, breast and womb cancer.
Andrea said: “I remember the doctor and nurse coming in and the nurse picking up some tissues that were in the room which was a sign it was bad news.
“The doctor told me it ‘wasn’t good news’ before saying I had cancer.
“It felt so surreal, like I was looking down on myself being given the news.”
Andrea was the same age as Sun columnist Dame Deborah James when she received her diagnosis – at the time, she was a married teacher and mum of two.
Deborah died from the disease in 2022 at just 40 years old after spending five years raising awareness of the disease.
Andrea says: “The doctor was optimistic they could treat it with surgery and he explained I’d have chemotherapy afterwards.
“I was told I’d need a stoma which felt really upsetting but I knew it was a necessity.
“My treatment wasn’t plain sailing, I had a lot of hospital admissions and I had stoma-related blockages which meant I was in and out of hospital a lot.”
Andrea will have a stoma forever. But thankfully, she is cancer free.
She says: “Stomas are a life-changer and a life-saver so they’re difficult because you’re thankful for it. But you don’t want it at the same time.
“I’m now grateful for it because I’m still here.”
It comes as harrowing scenes in Hollyoaks were played by actress Jennifer Metcalfe, 41, whose character Mercedes McQueen has been diagnosed with bowel cancer and told she could have just 12 months to live.
Andrea says: “Bowel cancer isn’t a sexy cancer but the fact it’s affecting a young, glamorous, sexy woman on a TV show is a really important message because it can affect anyone.
“People don’t like talking about poos and bums, they’re a taboo subject and like Dame Debs said, bowel cancer is the brown cancer.
“Looking back I knew something was wrong so I’d urge anyone reading this to get to know your body and your stools.
“Know what’s normal for you and don’t settle for being fobbed off if you’re not happy with what you’re being told. Your life could depend on it.”
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The signs of bowel cancer you need to know – remember BOWEL
- B:Bleeding
There are several possible causes of bleeding from your bottom, of blood in your poo.
Bright red blood could come from swollen blood vessels, haemorrhoids or piles, in your back passage.
Dark red or black blood could come from your bowel or stomach.
Blood in your stools is one of the key signs of bowel cancer, so it’s important to mention it to your doctor so they can investigate.
2. O: Obvious change in loo habits
It’s important to tell your GP if you have noticed any changes in your bowel habits, that lasts three weeks or longer.
It’s especially important if you have also noticed signs of blood in your poo.
You might notice you need to go to the loo more often, you might have looser stools or feel like you’re not going enough or fully emptying your bowels.
Don’t be embarrassed, your GP will have heard a lot worse! Speak up and get it checked.
3. W: Weight loss
This is less common than the other symptoms, but an important one to be aware of. If you’ve lost weight and don’t really know why, it’s worth mentioning to your GP.
You may not feel like eating, feel sick, bloated and not hungry.
4. E: Extreme tiredness
Bowel cancer that causes bleeding can cause a lack of iron in the body – anaemia. If you develop anaemia you’re likely to feel tired and your skin might look pale.
5. L: Lump or pain
As with lots of other forms of cancer, a lump or pain can be a sign of bowel cancer.
It’s most likely you’ll notice a pain or lump in your stomach or back passage.
See your GP if it doesn’t go away, or if it affects how you eat or sleep
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It’s the 2019 Summer Shred Challenge! Time to burn that belly fat away, lose weight in time to get that summer body! This full body workout is 25 mins long, has warm ups and cool down stretches. Lots of variations of high intensity exercises to help you burn those calories and lose weight.
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A 30 minute workout packed with strength building savage HIIT exercises which you can do anywhere! Starting with some low intensity warm up style exercises to get your body ready for the full body burn, ending with a short cool down. Let’s get it done!!
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Health & fitness
The terrifying reason you should never leave a UTI untreated or risk deadly condition that kills 1 in 5
ANYONE who’s ever had a UTI will wince at the memory.
That insistent need to pee and the excruciating burning sensation that follows once you do is hard for most to forget.
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UTIs are often associated with young women and having lots of sex.
So much so, that it’s are sometimes dubbed ‘honeymoon cystitis’ – but they really can affect anyone regardless of age, or gender.
Nearly half of women and 20 per cent of men will experience a urinary tract infection (UTI) at some point in their lives.
Not only are UTIs painful, but they can also be dangerous, sometimes leading to sepsis – a potentially fatal condition.
Sepsis happens when the body attacks itself in reaction to an infection, such as pneumonia and Covid.
It has a mortality rate of over 40 per cent, and research shows that around 25 per cent of sepsis cases begin as UTIs.
This happens because bacteria from the urinary tract can easily enter the bloodstream.
Older women, already at higher risk for sepsis, are particularly vulnerable.
But the risk of UTI-induced sepsis also extends to younger women.
Twenty-four year old Erin Montgomery was left fighting for her life in hospital after a “harmless” infection spread from her urinary tract to her kidneys and seeped into her bloodstream, causing sepsis.
Dr Andrew Conway Morris – Sepsis Research FEAT’s medical director – told Sun Health: “Although the great majority of urinary tract infections are self-limiting and will resolve with simple antibiotics or even just hydration and time, infections of the urinary tract are also the second commonest cause of sepsis in the UK.
“Sepsis is where the body’s response to infection is so severe that it damages the patient’s own organs, and can lead to the need for admission to intensive care for life support or even death.
“Infections in the upper part of the urinary tract, involving the kidneys, are the most common urinary cause of sepsis.”
An uncomplicated UTI – which is an infection in an otherwise healthy person – will typically cause symptoms such as pain while peeing, a frequent and sudden urge to go to the loo, cloudy wee and lower tummy or back pain.
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But there are certain telltale symptoms that distinguish uncomplicated UTIs from deadly sepsis.
According to Dr Conway Morris, these include:
- Increased breathing rate
- Cold hands and feet with mottled skin or a rash
- Confusion or reduced consciousness
- Very high temperature or uncontrolled shivering
- Feeling more unwell than one has ever felt before
- Severe pain in the loins (to the sides of the small of the back) can also indicate a problem with the kidneys
You should seek medical attention urgently if you experience any of the above symptoms, Dr Conway Morris warned.
“Patients should trust their instincts and seek urgent medical advice if they have these symptoms,” he told Sun Health.
“If the doctor doesn’t think they have sepsis at the time of presentation and they are being discharged, patients should ask what symptoms they should look out for and what should prompt them to come back.
“If they do start to feel more unwell, patients should not be afraid to come back for another review,” the physician added.
‘INDISCRIMINATE ILLNESS’
Colin Graham, COO at Sepsis Research FEAT, warned that sepsis can affect anyone and urged people to be aware of the symptoms so they can act quickly if it strikes.
“Sepsis is an indiscriminate, devastating illness which takes the lives of around 50,000 people every year in the UK,” he said.
“Despite these shocking figures, many people are still unaware of how serious sepsis is.
“That is why raising awareness of this deadly condition is vital, so that more people are able to recognise the symptoms and act quickly to seek urgent medical attention and improve chances of survival.”
Erin Montgomery’s brush with deadly sepsis
Erin was left fighting for life in hospital after what doctors thought was a harmless urinary tract infection.
She she felt her temperature rise and her heartbeat quicken while watching TV in September 2023.
“I was just on the couch when I started getting hot and had a pounding heart,” the 24-year-old said.
“At this point I already knew something wasn’t quite right as I was calm and sitting quietly and hadn’t done any exercise or anything.”
Things took a tun for the worse when Erin went to the toilet, as the mere act of peeing left her feeling like she “was going to die”.
“My heart rate kept increasing more and more each time I went,” she recalled.
Erin called 111 and called 111 and was reportedly told her symptoms were likely caused by a UTI, but she continued to explain how “abnormal” she felt and was told to go to A&E two hours later.
The 24-year-old was told that her body was being ravaged by sepsis, after an infection of her urinary tract spread to her kidneys and bloodstream.
Read more on Erin’s story here.
“Sepsis can be hard to recognise and diagnose and symptoms can manifest in many different ways.”
He named several key symptoms to look out for, such as a high or low temperature, uncontrolled shivering, confusion, peeing less than usual and having blotchy or cold arms and legs.
“On their own, some of these symptoms can be an indication of other health problems,” Colin warned.
“Someone with sepsis might also not show all of these symptoms at once.
“A combination of two or more symptoms, becoming progressively worse, means medical attention is needed and sufferers should call 999 or go to A&E.”
What is a UTI?
Urinary tract infections (UTIs) are usually caused by E.coli bacteria – found in poo – entering the urinary tract.
The bacteria enter through the tube that carries pee out of the body (urethra).
Women are more likely than men to pick up UTIs as they have a shorter urethra than men.
This means bacteria are more likely to reach the bladder or kidneys and cause an infection.
According to the NHS, things that increase the risk of bacteria getting into the bladder include:
- Having sex
- Pregnancy
- Conditions that block the urinary tract – such as kidney stones
- conditions that make it difficult to fully empty the bladder – such as an enlarged prostate in men and constipation in children
- Urinary catheters (a tube in your bladder used to drain urine)
- Having a weakened immune system – for example, people with diabetes or people having chemotherapy
- Not drinking enough fluids
- Not keeping the genital area clean and dry
Check if it’s a UTI
Symptoms of a urinary tract infection (UTI) may include:
- Pain or a burning sensation when peeing (dysuria)
- Needing to pee more often than usual
- Needing to pee more often than usual during the night (nocturia)
- Needing to pee suddenly or more urgently than usual
- Pee that looks cloudy
- Blood in your pee
- Lower tummy pain or pain in your back, just under the ribs
- A high temperature, or feeling hot and shivery
- A very low temperature below 36C
Your pee may also be dark or smell. If this is your only symptom, it might be because you’ve not been drinking enough water.
What to do if you think you have a UTI
If you think you have UTI symptoms, you should speak to your GP to discuss treatment options.
Most people will need antibiotics.
Some people may be prescribed a ‘delayed antibiotic’, meaning they’ll be asked only to use it if their symptoms don’t go away after a certain amount of time.
If you keep getting UTIs, your GP might recommend you have a low dose of antibiotics over a long period of time or refer you to a specialist for more tests and treatments.
For women who have gone through menopause, there is evidence that vaginal oestrogen creams can reduce UTI symptoms.
Source: NHS
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