Doctor insights on:
Colonoscopy Elderly Persons
Possibility of colorectal cancer in younger people. Which persons should get colonoscopy <50 years?
Colonoscopy <50 y o: There are several nationally-recognized colonoscopy screening guidelines. Most agree the following patients under 50 year old should undergo colonoscopy:1) afro-american males at age 45; 2) familial syndromes that predispose to early colon ca (fap, lynch syndromes, etc.); 3) inflammatory bowel of longstanding; 4) history of colon ca or adenomatous polyps at young age; 5) other select settings. ...Read moreSee 2 more doctor answers
Mum, 92, 2cm cancerous lump found in scan for gallstones. Waiting for colonoscopy & CT results, what treatment options are for such elderly patients?
Depends: Mostly depends on the person's overall health and activity level, not just age. Where is the lump? How is it known to be cancerous on only a gallbladder study? Would need more detailed information, but if it is a cancerous tumor that is contained or localized, then surgery should be fine depending on the overall health status (and depending on what organ may have the tumor). ...Read more
Diagnosis/treatment: At colonoscopy most visible abnormalities are either definitively diagnosed via sampling (biopsy) or removed completely also for diagnosis that includes the treatment. Some findings, eg cancer, need definitive treatment via other modes (for example but not limited to surgery). ...Read moreSee 2 more doctor answers
Yes: There are many variations of "the prep", but in general you will need to restrict your diet to clear liquids the day before the procedure, and drink a prescribed preparation to wash out your colon the evening before and possibly the morning of the procedure. There may be other instructions for the avoidance of certain foods (seeds) for a few days in advance. ...Read moreSee 2 more doctor answers
Look inside colon: You are sedated (very sleepy, but still breathing on your own). The endoscopist places an instrument through your anus and then passes it into the colon to carefully exam the colon for polyps, cancer, etc. If any abnormalities are found a biopsy may be done. Typically, it is painless - the only bother is cleaning out your bowels beforehand and even that's not so bad. ...Read moreSee 2 more doctor answers
Valid procedure: The purpose of colonoscopy is preventative, that is to define the presence of an early colon lesion, if present, before clinically symptomatic. Should be performed every 5 yrs starting at 40 y..o. and at a time when the bowel is properly cleansed with an a-gent such as Go-Lytley to assure the bowel can easily be examined. Should be carried out with light anesthesia so that procedure is painless. ...Read moreSee 2 more doctor answers
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