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Doctor insights on: Coding Code For Colonoscopy With Polypectomy Of Rectal Polyp

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Dr. Charles Cattano
2,024 doctors shared insights

Colonoscopy (Definition)

Colonoscopy is the procedure of using a long flexible camera to visualize the entire colon from the inside with the option to take pictures, video, perform biopsies, remove polyps, etc. Generally people are sedated and do ...Read more


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Heavy rectal bleeding for almost 3 weeks 3-4 x a day. Colonoscopy 10/28/13 no polyps etc. Any idea? I'm beyond worried

Heavy rectal bleeding for almost 3 weeks 3-4 x a day. Colonoscopy 10/28/13 no polyps etc. Any idea? I'm beyond worried

You are young: It is hard to imagine what could be bleeding in your colon, at your age and not seen by colonoscopy. The only thing i could think of is av malformation since they can't be seen once decompressed from bleeding. You have to discuss it further with your doctor and your gastroenterologist as to what it could be. Good luck. ...Read more

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I had a colonoscopy 2 months ago. They removed a benign polyp but the last 3 weeks i have had a lot of rectal bleeding. Could this be from the surgery?

I had a colonoscopy 2 months ago. They removed a benign polyp but the last 3 weeks i have had a lot of rectal bleeding. Could this be from the surgery?

Rectal bleeding. : It would be quite unusual for you to start bleeding five weeks after a colonoscopy with biopsy. If it's red blood, this could be a hemorrhoid or anal fissure, especially if nothing other than that benign polyp was found at colonoscopy. ...Read more

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Which tests are considered "routine" when trying to diagnose rectal and anal problems? I have had a colonoscopy , i had a few polyps and inter.Hemmorh

Which tests are considered "routine" when trying to diagnose rectal and anal problems? I have had a colonoscopy , i had a few polyps and inter.Hemmorh

Colonoscopy is it!: For common rectal or anal problems such as rectal bleeding or pain, a full colonoscopy is commonly "routine" at age 53. Depending upon the symptoms, a simple anoscopy or rigid or flexible sigmoidoscopy might be recommended. Importantly' rectal bleeding should never be attributed to hemorrhoids without an endoscopic exam to document hemorrhoids or, more importantly, rule out a malignancy. ...Read more

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If there's history of colon/rectal cancer (lowercolon andrectumremoved) and 7 large polyps were found from an colonoscopy how often should a person go?

If there's history of colon/rectal cancer (lowercolon andrectumremoved) and 7 large polyps were found from an colonoscopy how often should a person go?

Depends: Discuss with GI re: how thorough scope eval was. Ask if biopsied areas marked. Type of polyp (tubular, villous, sessile etc important predictors. May consider 6 month f/u scope, possibly 12 mo. Then annual until all negative then space every 2-3 yrs cautiously. Family history, genetic testing, upper scope should be considered. ...Read more

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Had a colonoscopy yesterday, removed four polyps,one of which had to be clip,how long dose the clip stay in?also not feeling 100% lot of rectal press.

Had a colonoscopy yesterday, removed four polyps,one of which had to be clip,how long dose the clip stay in?also not feeling 100% lot of rectal press.

Clip will pass: The clip on the stalk of a polyp will fall off after a few weeks. It will likely pass without you knowing about it. The rectal pressure after colonoscopy is due to irritation of the rectal canal from manipulating the colonoscope during the procedure. It should resolve within a day or two after the procedure. ...Read more

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If someone had colon cancer a year ago how often should he get a colonoscopy and do all colon and rectal cancers starts from a polyp?

If someone had colon cancer a year ago how often should he get a colonoscopy and do all colon and rectal cancers starts from a polyp?

It depends, and yes: If the colon cancer was small, repeat colonoscopy should be done every year. If it was big or obstructed the colon, repeat colonoscopy might be necessary in 3 or 6 months. Ask your oncologist. And yes, all colon carcinomas are believed to start as polyps. ...Read more

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What is wrong?Rectal bleed began 8mos ago. Colonoscopy - 50mm tubulovillous polyp s/p 6wks. New ab.Pain, more r.Bleeding. Ct - ov.Cyst, p.Duod hernia.

What is wrong?Rectal bleed began 8mos ago. Colonoscopy - 50mm tubulovillous polyp s/p 6wks. New ab.Pain, more r.Bleeding. Ct - ov.Cyst, p.Duod hernia.

Repeat colonoscopy: You have a villus polyp removed for lower GI bleed. It has been 6 weeks and still bleeding. Talk to your GI doctor. This could be a hemorrhoid but it could be another lesion or polyp. It can also be an arterial-venous malformation. Best to have a doctor evaluate. They will also look for anemia. Hope this helps. ...Read more

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If you had polyps last time you had a colonoscopy does than mean it's expected to continue the same.

There are higher odd: Some people are more prone to form polyps. So if you have had the polyps removed before, you are considered higher risk for more polyps and advised to undergo colonoscopy in 5 years, as opposed to 10 years for someone who did not have any polyps in their first colonoscopy. ...Read more

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I had a colonoscopy and they removed 5 polyps. What is the average amount that is removed and is 5 a lot?

5 is a lot: 5 polyps found at colonoscopy is a lot but not uncommon. Most important is the type of polyp. Hyperplastic polyps are not malignant and are not the concern that we associate with adenomatous polyps which can be premalignant. Most worrisome are adenomatous polyps with atypia which should be aggressively removed. Many invasive cancers start as a benign polyp and can be prevented by polypectomy! ...Read more

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How often do you need a colonoscopy if they find pre cancerous polyps?

How often do you need a colonoscopy if they find pre cancerous polyps?

It depends on: several things including the type, size, and number of polyps. Your polyps were likely adenomas, not hyperplastic polyps, if you were told they were pre-cancerous. If you only had 1 or 2 small (<10 mm) adenomas, next colonoscopy in 5-10 years. But >2 adenomas, or >10 mm in size, almost all guidelines suggest repeat colonoscopy in 3 years. Serrated polyposis syndrome is annual exam. Hope helpful ...Read more

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I had a colonoscopy and 1 polyp was found.It was biopsied and found to be precancerous.What characteristics of a polyp make it pre.?What r prebiotics

I had a  colonoscopy and 1 polyp was found.It was biopsied and found to be precancerous.What characteristics of a polyp make it pre.?What r prebiotics

Microscopy: The pathologist who read out your polyp under the microscope spends several years learning to tell the ones that are premalignant and this would take more than 400 words. Prebiotics remain unproven as a means of reducing colon cancer risk; claims have been around for a decade without anything strong, ask your gastroenterologist about aspirin. ...Read more

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I am 62 & bleed from hemmroids. I have had 3 colonoscopies, last one in 2011 - all clean, no polyps. Is that enough or do I need a yearly protoscope?

I am 62 & bleed from hemmroids.  I have had 3 colonoscopies, last one in 2011 - all clean, no polyps.  Is that enough or do I need a yearly protoscope?

Rectal surgeons: go get the hemorrhoids taken care of if they're bleeding this regularly! I assume you've tried all topical treatments? Next colon cancer screening in 2021, assuming no significant family history and no past polyps ...Read more

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Full Colonoscopy normal, mucosa normal, no abnormalities, no polyps. Why the Dr got tissue for biopsy?

Colonic biopsy: You would have to ask the doctor who did the biopsy. This is usually unnecessary unless something suspicious was seen, or the doctor just wanted to absolutely certain they were not missing anything. ...Read more

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I am having a polypectomy to remove uterine polyps. Can the procedure still happen if I am men stating?

I am having a polypectomy to remove uterine polyps. Can the procedure still happen if I am men stating?

Yes but...: If a woman is bleeding heavily at the time the procedure is attempted, the doctor may not be able to see as well. Your doctor may want to give you some Progesterone to stop the period from coming and to thin out the lining to make it easier to see and work. ...Read more

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I had a colonoscopy that revealed over 1, 000 polyps. Is there any way this doesn't require collectomy?

I had a colonoscopy that revealed over 1, 000 polyps.  Is there any way this doesn't require collectomy?

Unusual to count: this high... if you indeed have a genetic syndrome (FAP or similar) yes a colectomy needs to be considered. a lot of it also depends on the pathology of the polyps themselves. you need to discuss this with your GI doc, surgeon and possibly a genetic counselor. ...Read more

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5yr son had a colonoscopy & removed 1 polyp 15 days ago now he passes stool once in 2 days is it normal?

5yr son had a colonoscopy & removed 1 polyp 15 days ago now he passes stool once in 2 days is it normal?

It would be helpful: ...to know what his bowel pattern was like before the procedure, and whether there are other concerning signs or symptoms present now (e.g. abdominal distension, tenderness, fever, blood in stool). If any doubt, call the physician who performed the colonoscopy, since he knows what was found & what transpired during the scope. ...Read more

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Endoscopy, colonoscopy done. Polyps removed 2 months ago, all beningn. Last week hgb results 12.8. Confused. What this could be?

Endoscopy, colonoscopy done.  Polyps removed 2 months ago, all beningn. Last week hgb results 12.8. Confused.  What this could be?

Sounds normal: If your concern is a slightly low hemoglobin, 12.8 is still within normal range, and I am not sure you need to be very concerned. There are many benign causes of anemia, not related to the stomach or colon, like thalassemia. Questions for your doctor. What is causing my anemia? Is it iron deficiency? If it is iron deficiency, should I have a capsule endoscopy done since EGD/Colonoscopy normal? ...Read more

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Polyp (Definition)

A polyp may occur anyplace on the body, but is most commonly seen in the colon when a colonscopy exam is done. It is a bump or protrusion from the lining of the GI tract and colon, which can can be benign or turn ...Read more


Dr. Raj Mummadi
78 doctors shared insights

Polypectomy (Definition)

It is a procedure usually done through an flexible scope that removes an ...Read more