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How important is a colonoscopy within 5 years of previous one...I'm a Crohn's patient on remicade and i'm not flared up. Seems unnecessary and expensiv?
The risk for...: Colorectal cancer in chron's increases with duration of illness and starts to rise 8-10 years into the disease. Further, the extent of bowel affected is directly related to the risk for colorectal cancer. The highest risk is for those with the entire bowel affected and least with just rectal involvement. Not knowing your specifics details this is the best i can do. Best of luck to you! ...Read moreSee 1 more doctor answer
Have had normal colonoscopy/egd/blood/fecal test/ ultrasound/cat scan.Gastro still wants to do smallbowel series. should I? I feel it's unnecessary.
Seems reasonable...: You don't say what problem or symptoms you have. But with the extensive work-up so far, it sounds like something serious, like gastrointestinal bleeding or Crohn's disease. If so, or if bleeding was severe, it is crucial to confirm the diagnosis and small bowel series seems reasonable. It's an easy test, a lot less invasive than tests already done. Discuss further with the gastroenterologist. ...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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