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Doctor insights on: Colonoscopy Elderly Persons

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Possibility of colorectal cancer in younger people. Which persons should get colonoscopy <50 years?

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 more

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Dr. Charles Cattano
2,055 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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Is ramelteon recommended for elderly people with vascular dementia?

Is ramelteon recommended for elderly people with vascular dementia?

Yes: It is an excellent choice for elderly people with or without vascular dementia who have sleep onset insomnia. It does not have the high fall risks associated with the other sedative hypnotics. It also can strengthen the circaidian rhythm that is weakened in dementia patients. ...Read more

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Patient safety in elderly populations; how do nurses communicate with the Alzheimer's folks?

Patient safety in elderly populations; how do nurses communicate with the Alzheimer's folks?

Patience/compassion: It is hard to watch a viable adult dwindle in to memory loss as with alzheimer's. Most people who communicate with them have patience, understanding, and can read body language and facial cues. Caregivers remember what these patients liked and how to help them and communicate that to nurses. Art, music, and old pictures reach the long term memories of these patients and that helps. ...Read more

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On-line doctor writes that colon cancer is extremely common among healthy people in their sixties. So, everyone in age group will get colon cancer?

On-line doctor writes that colon cancer is extremely common among healthy people in their sixties. So, everyone in age group will get colon cancer?

Colon Cancer: The lifetime risk for developing colon cancer is about 4.5%. The median age at diagnosis is about 70. It is the 3rd most commonly diagnosed cancer. So, relatively speaking, it is a common cancer, but it is not extremely common. Most people won't get colon cancer. ...Read more

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Use of restraints on elderly patients--are those considered elder abuse?

Use of restraints on elderly patients--are those considered elder abuse?

Usually safety issue: Preferable to use restraints than have an elder fall out of bed or chair or go wandering off and find themselves in dangerous situations. Most hospitals and nursing homes do not have enough staff to have one on one caretakers all the time. Restraints are thus often necessary for economic reasons. Abuse would be the use of restraints purely as a punishment. ...Read more

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How common is colon cancer in young people aged 18-24?

How common is colon cancer in young people aged 18-24?

Not common: less than 1% of that population has colon cancer. Why do you ask? ...Read more

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Are people generally hospitalized for delirium?

Are people generally hospitalized for delirium?

If acute and serious: There are many causes for delirium. Most common would be drug toxicity. This can be very serious and need acute medical care. Withdrawal from alcohol produces delirium that can cause serious medical complications. Infections of the brain can present with delirium and progress to coma. Patients with long standing psychiatric disease or dementia do not need hospitalization. ...Read more

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Can kidney transplant patients have cats in their homes?

Can kidney transplant patients have cats in their homes?

Yes they can: No reason not to have cats unless subject or family is allergic to them. ...Read more

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Can an elderly person live through a kidney transplant?

Can an elderly person live through a kidney transplant?

Senior transplant: Depends not so much on chronologic age, but rather physiologic age and overall performance status/co-morbidities. ...Read more

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Does colon cancer ever occur in young people?

Does colon cancer ever occur in young people?

Yes: In certain hereditary disorders such as familial polyposis, colon cancer can occur at a relatively young age. ...Read more

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Will legionnaires' disease effect children, the elderly, or adults differently?

Will legionnaires' disease effect children, the elderly, or adults differently?

Yes: The disease is a result of inhaling droplets or soil contaminated by the legionella bacterium. Not everyone who is exposed will get this. Risk factors include age over 65 years, low immunity, smoking, steroid treatment, chronic lung disease and occupational (air conditioner maintainers). ...Read more

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What special issues face older adults who have dialysis?

What special issues face older adults who have dialysis?

Multiple issues: Older adults on dialysis tend to be sicker and have more associated health problems. This may adversely affect how well they do on dialysis. In addition, placing a good fistula for access may be more challenging as their veins may be small and scarred or "used up" from previous ivs or medical procedures. ...Read more

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Is it true elderly people can live longer with cancer ?

No: It depends on several factors: what type of cancer, sites of disease, the health of the patient, and symptoms of the cancer. Hope this helps. ...Read more

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Why does a stroke patient or elderly person lose bowel control?

Why does a stroke patient or elderly person lose bowel control?

Disinhibition: There are various reasons: just as one can be paralyzed and unable to move the muscles of the arm or leg, they may be unable to maintain sphincter control due to muscular weakness. Or they may not be able to feel that they need to evacuate. Or there may be higher cortical disinhibition in which they do socially unacceptable things they would never do if they had their full mental capacity. ...Read more

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Do people who suffer clinical depression throughout their lives die younger than the average person does?

Do people who suffer clinical depression throughout their lives die younger than the average person does?

Not necessarily: Recurrent depression is associated with a higher risk for several conditions including heart disease, diabetes. Some might be due to not taking good care of oneself. With good treatment, depression can remit and longevity is no different. ...Read more

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What elderly people get ulcers?

What elderly people get ulcers?

More than youths: Elderly, compared with young people, have additional risk for ulcers: 1) higher incidence of helicobacter pylori; 2) greater sensitivity to nsaid's; 3) underlying co-morbidities with associated increased risk of "stress gastritis;" 4) poly-pharmacy (they take more drugs that can hurt the gut including cardio-prophylactic aspirin); 5) greater likelihood of past ulcers; more. ...Read more

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Can people with celiac sprue donate blood?

Can people with celiac sprue donate blood?

Yes.: Yes if in remission. It's not a blood-borne disease so the recipient will not be adversely affected. A person with untreated or incompletely treated celiac disease should not donate because it would be detrimental to their health. Once celiac disease is controlled through diet a person should be able to handle the rigors of blood donation. ...Read more

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Aide molestation to female adults common?

Aide molestation to female adults common?

CriminalActivity: This needs to be immediately reported to police if suspected! ...Read more