Oh Jel, I can only imagine how distressed you are feeling. I expect that the bleeding is related to the bowel frequency and burning and so it has basically excoriated the bowel.
As you know I had the awful bloating, burping, farting, constipation initially and then bowel frequency with occasional burning and experienced bright blood as I had hemorrhoids and possible a fissure.
After solving my nausea and gnawibg gut....using ondasetron 20mg morning and night...starting day before chemo....stemitil 8 hourly 3 times a day that helped with squarminess and double vision and ondasetron just before eating....I was then able to eat smaller meals more frequently. So I also tried a dietary change because after gastro and bacteria going haywire you can get short term lactose intolerance and gluten intolerance. So For about 10 days I switched to almond milk....avoided yoghurts etc but did have hard cheese but reduced amounts. I also used corn thins instead of bread ( could even toast them as a sandwich) and had rice not pasta and no spicy foods but plenty of salt. Whilst this didn't get rid of it, I think it really did help. Maybe even reducing the fluid to 2 litres a day might reduce the frequency and may assist your body to take more nutients from your bowel.
I can't say I noticed a low pulse rate but I definitely had low blood pressure ....freaking my GP out. I had several incidents of feeling faint when out for at least the 1st 2 cycles and basically cycle 2 I just rested most of the time. Even after nuelasta. I felt much better cycle 3 and after 8 days cycle 4 feeling crap felt really good.
Your oncologist may well go back and discuss your case and might have other ideas. Sometimes reducing the dose but more frequently can be an option. The dietitian consult might still be a good idea as they may have better suggestions than my self. Hope you can get a quick gastro consult to see if anither cayse abd they may have ideas...like more steroids to reduce bowel inflammation (a special type used in colitis).
As to tamoxifen....if you can't tolerate they can chemically put you into menopause another way....or...you can opt to have your ovaries removed to reduce the risk.
I hope this info can help you.
My thoughts are with you. Kath x
