Doctor insights on:
Colorectal Screening Vs Colonoscopy
Mom is 52. Smokes 2-3 cigs a day. Does she need to get screening colonoscopy even without symptoms? What are chances of colorectal cancer?
Needs colonoscopy: Studies have shown that all normal-risk individuals should have a screening colonoscopy starting at age 50 and repeated at least every 10 years if no polyps are found. All polyps should be removed. If there is a positive family history for colon cancer, screening should start at an earlier age. There is about a 5% lifetime risk of developing colon cancer. ...Read more
Examples are: colonoscopy for colon polyp or cancer; mammograms for breast lesions or cancer; psa a blood test that could indicate enlargement of cancerous prostate tissue; blood sugar or hemoglobin a! c for diabetes. Many think that scanning the whole body will pick up a cancer--in all likelihood, it will not. There also is no good blood test, yet, ...Read more
Mom is 52 yrs. Smokes 2-3 fags a day. Does she need colonoscopy screening even without any concerning symptoms?
Yes: 50 yrs or older needs screening. 45 for blacks. And cut out those cigs! ...Read more
Mom is smoker (around 2 fags a day). 52 yrs. Is a colonoscopy screening required for all smokers above 50 even without symptoms?
Yes: Double contrast barium enema xray or ct colonography however if some thing is found on either of the above, you will still need a colonoscopy. If either are negative, there is no guarantee that something wasn't missed due to the prep or performance of those studies. Colonoscopy is the gold standard. ...Read more
What percentage of colonoscopy screenings end up damaging or perforating the colon? 1/1000? 1/2000?
Very low: For screening colonoscopies the rate of serious complications is generally less than 0.1%. The rate is higher if polyps are removed and the rate also goes up with age of the patient. The rate is lower for doctors who do a lot of them, ie, gastroenterologists. ...Read more
Can you give a list of all cancer screening tests for people who have no present symtoms of cancer, for example, a screening colonoscopy; how often?
Only a few exist: Problem: cancer SLOW but usually, except for skin, DETECTED LATE. Thus bigger issue: realize that catching/stopping cancer is a key immune system function (controlled from brain), avoid foods which drive cancer (sugars), stay thin & keep up on science. Proven for men: check skin, mouth, thyroid & lymph nodes for growths, CBC, Electrophoresis, T. Markers, PSA (<1.0 ng/dL) & endoscopy>remove polyps. ...Read more
50+ and smoke around 2-3 fags a day. Do I need a colonoscopy screening even if I don't have symptoms?
Yes: Regardless of your smoking history, you should have got your first screening colo as soon as you turned 50. Observational trials suggest that smoking increases the risk of polyps and colon cancer to some degree, (not to mention multiple other cancers and cardiopulmonary issues) so if you want my advise, get rid of those cigarettes for good. ...Read more
Had colonoscopy at age 50, they removed non cancerous polyp. I am 51 now, how often should I have a colonoscopy or other related screenings?
Gastroenterologist: Urologists do not normally perform colonoscopies.Get a more detailed answer ›
Is a nurse anesthetist, to assist GI during a screening colonoscopy, a good choice over an anesthesiologist?
Anesthesiologist: A nurse anesthetist (crna) is a cheaper, less trained alternative to an anesthesiologist. The md is likely the better option. There are always bad mds and there are some phenomenal crnas but your safest bet would typically be the more extensively trained md. That being said, most anesthetics are safe, and you will likely be fine, but colonoscopies have ended in deaths like any other procedure. ...Read more
Can a healthy person have a screening colonoscopy without a sedative? Am eager to avoid any drug that causes confusion or memory loss, even if it's just "temporary."
I have seen it done: It is possible yes; rarely; most get some sedation though ...Read more
Can I still have a screening colonoscopy (am due now) when I enter the md's office with white coat syndrome?
Sure...: But you won't get a colonoscopy without getting prepped (cleaned out) first. You get sedation before and during the procedure. Your vital signs will be monitored throughout. Your blood pressure should be well controlled in that environment. If your BP is dangerously high, e.g. 200/110, no screening for you that day the BP would be the bigger and more pressing issue. ...Read more
If 61 yr m had a -ve whole body pet+ct done for renal mets 1 yr ago, how long we can postpone colonoscopy (first time)screening for colon cancer?
Let me be: Sure I understand. She had a renal cancer removed, and that was more than a year ago, and pet showed no metastasis. She is asymptomatic and feeling well? There are advisories that colonoscopy should be done once each decade after 50. She would seem eligible for that, but there is no rush. ...Read more
Paranoid about colon cancer. Great grandmother had it at 70. had runny + pencil stool last night. 24 y.o female. Should I get a colonoscopy screening?
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
Can you have colorectal cancer w/o polyps? Can colorectal cancer grow where it cannot be seen by colonoscopy? If yes, How are these diagnosed?
Possible bt unlikely: Dear Brand: Most colon cancers are visible with a colonoscopy either as a polyp or as a mass of some sort. However, there are some that are just not in the colon and only show up somewhere else like the liver. While this is certainly possible it is rare and it is typically found with a CT scan done for some other reason. But this is definitely not common. Hope this helps. All the best, Ariel. ...Read more
Yes.: That is one of the main reasons for colonoscopy. The gastroenterologist usually can see every part of the colon wall and biopsy suspicious lesions. Often this is curative if found early. While not completely true, consider all polyps to be future cancers and most cancers come from polyps. Screening should begin at age 50 unless there is a history to suggest beginning earlier. ...Read more
How can you diagnose nonpolyposis colorectal cancer discovered if there are no polyps to detect during sigmoi/colonoscopy?
MyStepdad referred colorectal urgent for colonoscopy/upper GI investigations. He bleeds easy, should it be mentioned to the doctors. PT/INR to safe?
Colorectal surgeon says bleeding since abscess surgery for 4 months ago not related to surgery. Husband just had colonoscopy and treated for crohns.
Not sure? Ur asking: Perianal abscesses are common with crohn's, often pre dating diagnosis. Bleeding is commonly from ulcers in colon, but also common after anorectal surgery, due to friable scar tissue and daily trauma from bms. If u are asking is the bleeding from his surgery, his surgeon says no, so no cause for alarm. ...Read more
I'm 30.Afraid of colorectal cancer due to rectal bleeding+other symptoms. Can PCP order virtual colonoscopy or must I visit gastro? Is virtual good?
Colonoscopy: Virtual colonoscopy has value but w/the symptoms you mention you need a real one, which will yield more information. Your PCP can refer you to a gastro, which is the type of doc you would be best served by. Peace and good health. ...Read more
How can I distnguish between bleeding piles and colorectal cancer other than undergoing colonscopy?
Unclear question: Please clarify. I am not sure what you are asking. ...Read more
You can check your stool for hidden blood, get colonoscopies (checks whole colon), or get a combination of flexible sigmoidoscopies (checks part of colon) and stool checks. Screening should be done between age 50 and 74 unless there is another reason to start earlier or go later. All of these methods work!
a good proven prevention guide by age is an iphone app called my health checklist 2012. ...Read more