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Doctor insights on: Routine Colonoscopy Recommendations

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Do colonoscopies screen for colon cancer?

Do colonoscopies screen for colon cancer?

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

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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 bowel prep for colonoscopy safe?

Is bowel prep for colonoscopy safe?

Yes: There are many kinds of prep ; they are necessary and safe. ...Read more

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Current recommendations for breast cancer screening?

Current recommendations for breast cancer screening?

Awareness: For you few years from now regular breast examination by the physician, monthly self examination, annual mammography , if needed sonography, some times mri, core needle biopsy of suspicious dencities. Genetic study ( braca i & ii ) if there is strong family history. ...Read more

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Is colonoscopy w/o biopsy reliable? Does routine colonoscopy w/o symptoms also check for anal cancer? Finally, can be cancer mistaken for hemroids.THX

Is colonoscopy w/o biopsy reliable? Does routine colonoscopy w/o symptoms also check for anal cancer? Finally, can be cancer mistaken for hemroids.THX

Here are some...: Your Q is well taken. However, even today all what medical professionals can do is to apply current available knowledge, skill, technology, medication, common sense, & wisdom at reasonable time in reasonable way for reasonable patient. More facts: Behind what we know always still hides a lot of what we do not know. Nonetheless, what you have had should be sufficient to assure your current health. ...Read more

Dr. Liawaty Ho Dr. Ho
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How does a family history of colon cancer age for routine screening?

Dr. Liawaty Ho Dr. Ho
5 doctors agreed:
How does a family history of colon cancer age for routine screening?

Important: Family history of cancer is very important information. If your family history of colon cancer is significant ( multiple family members with colon cancer especially at younger age) -then you would need to be screen for colon cancer- started approximately 10 years earlier than the age of the youngest person in the family got diagnosed with colon cancer.You also need to see a genetician if history +. ...Read more

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Screening for breast cancer--need latest us recommendations and rationale?

Screening for breast cancer--need latest us recommendations and rationale?

Awareness: Form age 35 (in suspicious group ) to 40 yrs and on regular breast examination by the physician, monthly self examination, annual mammography , if needed sonography, some times mri, core needle biopsy of suspicious dencities. Genetic study ( braca i & ii ) if there is strong family history. ...Read more

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Dr. Ly Phan Dr. Phan
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How routine is a biopsy with egd?

Dr. Ly Phan Dr. Phan
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How routine is a biopsy with egd?

Quite routine: Lot of time when an egd is done, there is high index of suspicion so there are more often stomach, esophageal, duodenal bx to confirn our suspicion. ...Read more

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Current STD screening recommendations?

Current STD screening recommendations?

Risk-based: Talk to your healthcare provider about specific concerns! in general, if you are a woman under 25, test for gonorrhea and chlamydia each year, and over 25 if you have new partners or multiple partners. Hiv/syphilis/hepatitis testing if you have another std, have had more than one partner since your last test, or use injection drugs. Pap tests every other year (age 21-30) or every three (age 30-64). ...Read more

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What follow ups are needed for colon cancer patients after treatment?

See your doctor: Have regular follow up with your family doctor and oncologist. Blood tests and yearly colonoscopy may be recommended. Sometimes ct scan is used if indicated. Please follow your doctor's recommendations, who will help direct you to the best tests for your specific condition. ...Read more

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Gastroscopy found HPV papilloma in esophagus.Biopsy results negative for malig.Doctor recommends annual endoscopy follow ups.Should i be worried?

Gastroscopy found HPV papilloma in esophagus.Biopsy results negative for malig.Doctor recommends annual endoscopy follow ups.Should i be worried?

HPV: You are worried. If you follow up with your doctor with regularity as suggested you should be able to control any complications should they occur. You might want to go ahead and get the hpv vaccine anyway. ...Read more

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Do routine urine tests check for bladder cancer?

Do routine urine tests check for bladder cancer?

No: Routine urinary and blood tests do not check for bladder cancer. If the urine test is abnormal if there are urinary symptoms to suggest bladder cancer, then specific testing must be performed to determine if bladder cancer is present. ...Read more

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Should i get a colonoscopy yearly to detect colon cancer?

Should i get a colonoscopy yearly to detect colon cancer?

Colonoscopy: Generally there are guidelines for this and it is based on your age and risk and is not usually required on a yearly basis. See the acs website meeting with a local GI or surgeon can also help decide on how frequently this should be performed, . ...Read more

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Im looking for a physical therapy routine and exercise routine for global delay?

Im looking for a physical therapy routine and exercise routine for global delay?

Good idea: Global delay is typically an infant diagnosis. Unless there are progressive nutritional risks, aggressive therapy programs for weight bearing, movement, cognitive stimulation and functional activities on 5-7 day a week basis have merit. Unfortunately this is not a medical benefit and will be expensive. Some families choose 2-3 months a year of such a program and simulate it at home afterward. ...Read more

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What laboratory exams are typically ordered to follow a year(s) after a successful colon cancer surgery?

What laboratory exams are typically ordered to follow a year(s) after a successful colon cancer surgery?

Generally: Depending on a patient's overall health, once or twice yearly physical examination, basic blood tests, maybe yearly colonoscopy. Blood cea testing sometimes. Also depends on the stage & grade of the cancer at the time of diagnosis. X- ray or ct scan not a routine usually unless there are clinical concerns. ...Read more

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What are screening recommendations for intestinal cancer?

What are screening recommendations for  intestinal cancer?

Colonoscopy: Colonoscopy is recommended to begin at age 50. Further recommendations are made depending on the findings of the first colonscopy. ...Read more

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Can someone please explain the whole routine of a colonoscopy.

Whole process: The day before will require some diet changes and a boel prep. On the day, a nurse will place an IV and then you will be given a sedative through it. Once sedated, the doctor will insert the scope via the rectum and advance it slowly to the beginning part (called the cecum). He/she will slowly withdraw and look around to see if anything needs to be biopsies or removed. Wake up in recoverafterward. ...Read more

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I need a colonoscopy at 30 years old. How common is colonoscopy in people under 35?

Not very: common unless the patient is at increased risk or is having symptoms related to the colon. ...Read more

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What are common side effects after a colonoscopy?

None: There is no "common" side effect to colonoscopy. The overwhelming majority of colonoscopies have no side effects. The uncommon adverse event is missed polyps or bowel perforation. ...Read more

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When is it safe to stop getting routine colonoscopies?

When is it safe to stop getting routine colonoscopies?

Unknown : If patient is old enough to prevent cancer and comorbidities risk do not outweigh benefit than continue into the 80 year old range. If you find it ok for an 85 or 90 year old to get colorectal cancer which is preventable than stop at 80. ...Read more

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I had a colonoscopy Mon and now have pain in center of chest. Especially when bending over. Is this common?

I had a colonoscopy Mon and now have pain in center of chest. Especially when bending over.   Is this common?

No, not necessarily: Since you did just have the Procedure and are now experiencing those symptoms, it is best to call the GI Dr. who did the scope and let them know, and either see them or your Primary Care Doc for an evaluation and clinical exam to be sure you get properly diagnosed. Best wishes. ...Read more

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Is diarrhea common after a colonoscopy?

Possibly: Before colonscopy you took a prep to clean the colon, so you may be having the residual effects of that. If it persists for more than 1 week call your provider. ...Read more

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How common is it to find 36 polyps in a colonoscopy? None were found to be cancerous.

How common is it to find 36 polyps in a colonoscopy?
None were found to be cancerous.

Polyposis: Hi, Thank you for your question. That is a high number but usually polypsosis syndromes have 100's of polyps. If everything is okay you may just need an earlier follow up. Hope that helps..contact me if you have any other questions :-) Dr. M ...Read more

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Colonoscopy 2010 told all clear 2011 diagnosed with stage 4colon cancer ?Is this common

It is not common: It is not common. Please follow all recomendations of your doctor. Stay well and be strong. Thank you for question. ...Read more

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I had my first routine colonoscopy at 54 years old, and I have had intense itching of the anus since the colonoscopy. Can you tell me the cause?

I had my first routine colonoscopy at 54 years old, and I have had intense itching of the anus since the colonoscopy.  Can you tell me the cause?

Inflammation: It would help to know how long this has been going on, but I can give you some generalities. The scope itself can cause irritation or very minor injury; the lubricant may be something your skin is sensitive to; you may have some hemorrhoids that the scope caused to "act up." Generally, doctors schedule a follow up to discuss the results. I recommend you bring this up at that time. ...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

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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At age 33, had 3polyps (1 was tubular adenoma) removed during colonoscopy. At age 38, had another 2 benign polpys removed.. How common is this in 30s?

See below: Whether it is common or not, you need to have colonoscopy at regular intervals, not exceeding five year between colonoscopies. You may consult this site for more info. http://www.mayoclinic.org/diseases-conditions/colon-polyps/basics/definition/con-20031957 ...Read more

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How common is it to find ulcers during a colonoscopy?

The nature of ulcer: Ulcers of colonic mucosa could be seen in inflammatory bowel disease (ulcerative colitis or crohn's disease), ischemic colitis or psuedomembranous colitis. Ulcers of intestinal mucosa might be seen in colonic cancer. Biopsy in time of colonoscopy might be helpful to understand the nature of ulcer. Thank you for question. ...Read more

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Do you need to have an analgesic for colonoscopy? Is diprivan common?

Do you need to have an analgesic for colonoscopy? Is diprivan common?

Not necessarily.: You don't need to have any sedation or analgesia for a colonoscopy, but it depends on your response to pain and your colon anatomy. I had my colonoscopy wide awake without sedation and went to work right afterwards. Diprivan is relatively common and depends on physician or regional preference. ...Read more

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I might have an anal fissure caused by colonoscopy i had two days ago. Is this common?

Can happen: This is not common, but can happen. Make sure your keep a high fiber diet. Warm tub baths will help. Most of the time these resolve quickly. ...Read more

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Is an anal tumor visible by a routine examination by a gastrenterologist? Not a colonoscopy

Is an anal tumor visible by a routine examination by a gastrenterologist? Not a colonoscopy

Some: May be visible by inspection. Others may need to be palpated or by more invasive exam. ...Read more

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I have UC currently in remission. Had routine colonoscopy 9 days ago. Still have not had bm. Can this be within the "normal" time range?

I have UC currently in remission.  Had routine colonoscopy 9 days ago. Still have not had bm.  Can this be within the "normal" time range?

Well considering: the fact that your colon was "empty" at the time of your study ,it's a bit unusual but may reflect the amount of "stool residual" is in your diet. I would not worry but report this to your GI Doc! Hope this is helpful Dr Z ...Read more

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Have had severe rectal pain for 8+ mos., feels like sharp gravel on L side--started the day after a routine colonoscopy!!... Was I injured during C?

Have had severe rectal pain for 8+ mos., feels like sharp gravel on L side--started the day after a routine colonoscopy!!... Was I injured during C?

It's possible.: If your symptoms have gone on for 8 months, you really need to get back to the doctor who did the colonoscopy and be reevaluated for the cause of pain. It simply isn't possible to give any significant information on a forum without further workup and examination. Best wishes. ...Read more