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Ask Your Doctor: When Is The Time To Have A Colonoscopy? If so, what can I expect? | Harbin

 


Weekly column featuring the most sought after health questions answered by Harbin Clinic’s expert health care professionals

Question: Is it time to undergo a colonoscopy? If so, what can I expect?

Dr. H. Whitney Jennings, MD: Colon cancer, the third most common cancer in the country and the cause of cancer-related deaths, is fortunately a very preventable cancer using screening colonoscopies.

Most people at average risk have their first colonoscopies between the ages of 45 and 50. It is highly recommended to start screening at an early age if you have a family history of colon cancer or advanced colon polyps. For patients without polyps or family history, it is recommended that the patient wait 10 years between colonoscopies. This interval may be shorter depending on the setting of polyps, the family history of colon cancer, or both. Unfortunately, colon cancer tends to occur early in this country, so it’s not early enough to wait for a colonoscopy until age 50. For this reason, it is very important to inform your doctor about symptoms such as rectal bleeding, changes in bowel habits, and abdominal pain.

Colon cancer begins as an abnormal growth of the colon called a polyp. Most polyps in the colon are precancerous and, if left in the colon, are at risk of becoming cancer over time. Although colorectal cancer is common, keep in mind that it can be very treatable with proper colorectal cancer screening. Colonoscopies can not only identify polyps, but also safely remove them during the exam.

Colonoscopy is a safe and effective screening tool for preventing colon cancer and should not be afraid. This is a procedure that a trained gastroenterologist uses a small, flexible fiber optic scope to assess the colon while the patient is comfortable and sedated. Preparation of the intestine is required the day before colonoscopy. Fortunately, the bowel preparation regimen has improvements and variations that make it easier for patients to use.

Harbin Clinic’s Gastroenterology and Hepatology physicians provide personalized and comprehensive care for gastrointestinal and liver diseases. If you or anyone you know needs assistance in preventing colorectal cancer or assessing the development of gastrointestinal symptoms, our team is ready to provide complete care.

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