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Are colonoscopies worth it?

asteriskmag.com

111–120 of 296 posts

Re: Are colonoscopies worth it?

#112

It’s time to share something personal again. When I was 20, I vividly remember being in the bathroom at my workplace when a large amount of blood started coming out. I did what any smart, effective 20yo would do: ignored it because I was embarrassed. Fast forward 10 years, and I’d been ignoring it for a decade. It had continued to happen every few months. Sometimes the blood was so bad I’d have to wait up to 20 minut…

Jesus Christ, next time start with the fact that you’re not one thoracic tumor . I’m a dude that had GERD but got both ends checked and they found polyps, so I randomly got incredibly lucky. I was 26, and had less of a fight because of history, but it’s way worth it. Also, ask about the Miralax option!

Seconding the Miralax option, just be sure to mix it with a flavor of sports drink that you don't plan on enjoying ever again :P

Re: Are colonoscopies worth it?

#113

My father died of colon cancer at 52, so I've been getting colonoscopies every 3-5 years since I was 22. Yes, that's really early, but in the span between age 30-33, I grew a large polyp. My doctor removed it and it turned out non-cancerous, but if I waited until 40+ to start who knows?

The article theorized that some of the acceptors in the study likely looked at their family history when making the decision. They might not be especially helpful on average, but because of your father, they're much more helpful for you.

One thing I'm having trouble parsing from the study relates to exactly the point you're raising. If it's assessed as like a national program applied to everyone, that's one way of understanding its value. But if you believe yourself to be a part of a special at risk population and can have good reason for making that determination, to me it raises a new question about the wisdom of proceeding.

Re: Are colonoscopies worth it?

#114

I do regular colonoscopies because of a condition. People are worried about the procedure, as I was my first times. Here are some things that I wish someone had told me: - Taking the meds for cleaning out your system the day before is far worse than the procedure itself. - Have a lollipop to stick in your mouth after Each time you take a shot of the laxatives. It helps with the vile taste of it. - If you need relaxin…

> It only ever hurts if your colon are in bad shape. Colonoscopy doesn’t hurt if you are healthy (and even if it does, they have meds for the pain).

Ha, the procedure itself was painless for me since I was out cold, but during the prep I distinctly remember thinking (between waves of cramps) "Damn, maybe I do have Crohn's..."

Re: Are colonoscopies worth it?

#115
post #70

It’s time to share something personal again. When I was 20, I vividly remember being in the bathroom at my workplace when a large amount of blood started coming out. I did what any smart, effective 20yo would do: ignored it because I was embarrassed. Fast forward 10 years, and I’d been ignoring it for a decade. It had continued to happen every few months. Sometimes the blood was so bad I’d have to wait up to 20 minut…

Thank you for sharing. I'll share a story to help destigmatize. A few months ago I was taken completely out of commission by GI symptoms, just hours and hours of pain and vomiting. It turned out I had an infection, but the infection caused there to be shapes on my intestine that apparently looked vaguely like Crohn's disease on the MRI (or something, I'm not a radiologist, my understanding is pretty vague. There were…

The prep is even easier these days, my last colonoscopy earlier this year it was a few pills and then just drinking a lot of normal water.

Re: Are colonoscopies worth it?

#116

It’s time to share something personal again. When I was 20, I vividly remember being in the bathroom at my workplace when a large amount of blood started coming out. I did what any smart, effective 20yo would do: ignored it because I was embarrassed. Fast forward 10 years, and I’d been ignoring it for a decade. It had continued to happen every few months. Sometimes the blood was so bad I’d have to wait up to 20 minut…

If it is RED blood, it is a vein that breaks when the your stool passes. Most likely hemorrhoids. The problem is when you have BLACK blood in the stool. That may be an internal bleeding.

Wrong. There is melena, which is a generally unmistakable consistency of black sticky stool (nothing anyone would identify as "blood") that is indicative of upper GI bleeding - not the colon. It doesn't really indicate severity because it may be fast or relatively slow. Both upper and lower GI bleeding can be serious in terms of acuity or seriousness of disease (cancer).

However if the internal bleeding from the upper GI system is brisk/fast enough it will come out bright red. This can happen to people with esophageal varices (sequela of liver disease and cirrhosis) or brisk stomach or duodenal ulcers and the prognosis is usually poor, but very likely they will be getting emergent endoscopies and/or mass transfusion if they make it out of the ED.

You can't tell by color.

> That may be an internal bleeding.

Colonic bleeding is just as internal and will typically be red or maroon.

Re: Are colonoscopies worth it?

#117

This is about people between 55 and 64 years old at the start of the study. After 10 years: The risk of getting colorectal cancer is about 1%. The risk of dying because of colorectal cancer is about 0.3%. Getting an invitation the study does not change much. Actually getting a colonoscopy helps more (37% reduction in getting the cancer, no data for dying).

If you read the article thoroughly it explains exactly why your reasoning is incorrect.

Tldr; comparing control group to acceptors group is not right because who accepts and who doesn't isn't random.

We don't know the exact bias introduced but the author theorizes that people who are at higher risk are more likely to accept the invitation(e.g. someone with a colon cancer in family, someone having weird feeling about her tubed as the article calls it., etc.)

Re: Are colonoscopies worth it?

#118
I have a genetic predisposition for colon cancer, and have had nine colonoscopies: one every one–two years. As others have said: if your colon is otherwise healthy, it is safe and the worst part is the prep.

However, the last time 10 months ago, my body's immune system was stressed by another cancer, and so a tumour developed in only nine months. Because of the risk of more colon cancer during the treatment of the other cancer, the doctors removed my colon, despite it otherwise being "strong, young and healthy". I now poop fluids in a bag glued to my belly: it is better than being dead, but something you'd definitely want to avoid.

I actually miss colonoscopies now. I always watched the screens: it was beautiful and fascinating.

Re: Are colonoscopies worth it?

#119
post #116

Earlier quoted context omitted.

If it is RED blood, it is a vein that breaks when the your stool passes. Most likely hemorrhoids. The problem is when you have BLACK blood in the stool. That may be an internal bleeding.

Wrong. There is melena, which is a generally unmistakable consistency of black sticky stool (nothing anyone would identify as "blood") that is indicative of upper GI bleeding - not the colon. It doesn't really indicate severity because it may be fast or relatively slow. Both upper and lower GI bleeding can be serious in terms of acuity or seriousness of disease (cancer). However if the internal bleeding from the uppe…

Just a little aside for those doing a search in the future: many things you consume can also turn poop reddish so be sure to think about what you had for dinner if you've just noticed it. For example; beetroot, red wine, berries, stuff with food colouring etc.

Re: Are colonoscopies worth it?

#120
>3. It’s irresponsible to call colonoscopies “invasive” (as CNN did) since that might make people think they are unpleasant and not do them.

LOL. It hard to imagine anything much more invasive than having a metal tube (with light and camera) shoved up your arse. It is definitely unpleasant. I speak from personal experience. That said, it is less unpleasant than bowel cancer. So don't be put off if you really need to get it done. It's not that bad.

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