Doctor insights on:
Calcium And Colon Polyps
I've had benign colon polyps removed on two occasions over a three year period. Should I consider taking calcium to reduce my odds of polyps?
Not typically: On occasion, polyps may infarct, twist on their stalk, bleed, or secrete (villous tumors of the rectum) with resulting "diarrhea." however, most polyps & colon cancers are identified (hopefully) before symptoms develop. Early detection at a smaller polyp size means higher cure rates, lower risk of malignant transformation or invasion, & improved survival before cancer develops. Get a colonoscopy! ...Read more
Possibly: We don't really know because most people don't get colonoscopies in their 20's. Most people start at age 50 for colon cancer screening. There are some inherited syndromes like Familial Polyposis that predispose someone to polyps, but they are exceedingly rare. The polyp should be biopsied to figure out what type it is, which will be very informative. ...Read more
Some: There are different types of colon polyps. Some will not turn into cancer. But many (adenomatous polyps in particular) have a high likelihood of turning into cancer if not removed. We think that most colon cancers start as polyps. That is why we recommend colonoscopy at age 50. If you have a precancerous polyp, it can be removed before you get cancer. ...Read moreSee 2 more doctor answers
No ...: ... On the contrary. The smaller the polyp, the less likely it is to be "cancerous". Sessile just means flat (harder to find) versus pedunculated (mushroom-shaped). The precancerous type of polyps are adenomatous and serrated polyps (documented on pathology). Hyperplastic polyps in general are almost always benign and never turn into cancer. ...Read more
Yes: they can come back. it depends on the type of polyp, size, genetics, if it was removed completely or in part. patients that have polyps are predisposed to get new ones, particularly if these are "adenomas". depending on these factors, your gastro doctor will determine how soon you would need a repeat exam. ...Read more
Not normal: It would be prudent to consult the doctor who carried out the procedure. ...Read more
Yes: Truly either pedunculated ( i.E with stalk) or sessile (flat) can harbor a malignant or pre-malignant lesion. The flat ones are a little more worrisome, and size of lesion also plays a role. Biopsy is the key to diagnosis - if the lesion is large and flat, there is always the possibility that malignancy may exist elsewhere within the lesion and surgery or close follow up may be needed. ...Read moreSee 1 more doctor answer
When are the colon polyps considered dangerous? What can be done in treating a large polyp, just surgery?
Adenomas: During colonoscopy, one cannot tell whether a polyp is benign, pre-cancerous (adenomas) or malignant - so polyps are removed for pathology. When small, polyps are removed as a whole. In larger polyps, these can be challenging to remove, pieces are often taken and if cancerous, then surgery is required. In some cases, endoscopic submucosal dissection, an advanced technique can be attempted. ...Read moreSee 2 more doctor answers
Is it odd to have three colon polyps removed during the same procedure, or is multiple-polyp removal common?
I am highly susceptible to colon polyps & at 30 had a hgd adenoma removed, is a high or low fibre diet best for me to reduce frequency of the polyps?
More complex...: Than that. In general, high fiber diet (not simply bran or fiber supplements) may be helpful ( conflicting data). Adequate calcium, especially from dairy (low fat/no fat) may be helpful. Low sat fat (low meat, especially processed/sausage type) may be helpful. Aspirin or nsaids may be helpful. Need to discuss your particulars, including fam hx, polyp hx, w/ md. Follow surveillance scopes. ...Read more