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Is "colorectal cancer" rising in "young people"?

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Re: Is "colorectal cancer" rising in "young people"?

#191

Post by dgacmu »

wolfi1 wrote: post #61
TrackerFF wrote: post #8

Had my first colonoscopy 4 months ago, after going for a couple of years with every red flag symptom under the sun. The procedure was a piece of cake. As the standard is where I'm from (Norway), I was only administered some sedatives - but honestly I couldn't feel much difference. I watched the procedure on the screen, which was quite fascinating. The worst part, by far, was the emptying / prepping. A month prior to…

I did one two years ago without sedation, I wanted to work afterwards. I didn't feel any pain, so sedation is really not necessary

I woke in the middle of my first one due to inadequate sedation and it felt like someone was pushing their fist into my stomach too hard and/or having cramps. Tolerable but unpleasant. I elected for propofol on my second and was happier (though both midazolam/fentanyl and propofol basically make you kinda useless for the rest of the day).

Re: Is "colorectal cancer" rising in "young people"?

#192

Post by dgacmu »

pazimzadeh wrote: post #187
Findecanor wrote: post #132

Earlier quoted context omitted.

There are brands of "mayo" and other products that contain some emulsifying agents that have been observed to deteriorate the mucus membrane in the colon, and that effect is believed to increase the risk of colon cancer. I haven't heard about any risk with the natural emulsifier in egg yolk though.

homemade mayo is one of the easiest things to make if you have a hand blender and wayyyyyy tastier, addictingly so actually you need some real, strong dijon mustard though, like the kind trader joe's sells for ~$3 in a tall glass or container: 1 raw egg 1 soup spoon dijon 1 soup spoon apple cider vinegar salt/pepper a bunch of vegetable oil (about 1.5 cups? eyeball - watch some youtube videos) blend don't overblend o…

Kenji's stick blender mayo recipe is also really good and really easy.

Re: Is "colorectal cancer" rising in "young people"?

#193

Post by kelvinjps10 »

m3047 wrote: post #184
ramesh31 wrote: post #97

Earlier quoted context omitted.

>"Risks? The risks of a colonoscopy are crazy low though." Not at the statistical level. Death rate from complications is about 1 in 10,000: https://www.endoscopy-campus.com/ec-news/risk-of-death-from-...

This is funny. I've had an unbelievable string of bad doctors / clinics... almost as though something is wrong with medical care around here. Couple of years ago the latest doctor who I fired started talking colonoscopies. I asked some basic questions like how do they get paid? How much do they get paid? Who inspects their facilities? He took great umbrage at the notion that the doctors were getting "bounties" for ni…

What is your point?

Re: Is "colorectal cancer" rising in "young people"?

#194

Post by bonsai_spool »

pazimzadeh wrote: post #189
bonsai_spool wrote: post #182

Earlier quoted context omitted.

> In my 40s I asked my doc what I should get screened for and when. He said to wait until 50. What did you want your doctor to say, instead?

what do you think? what do you think he's going to say when he has stage 4 cancer?

I just don't understand why the doctor would say anything different than what the national screening guidelines suggest?

Re: Is "colorectal cancer" rising in "young people"?

#195

Post by dwd »

Findecanor wrote: post #132
nomemory wrote: post #94

Earlier quoted context omitted.

I've explained why I don't have mayonnaise. Also it was just an example. I avoid it because I can eat more meaningful stuff without bombing my calories and saturated fats stats. The mayonnaise I find in the shops has terrible composition.

There are brands of "mayo" and other products that contain some emulsifying agents that have been observed to deteriorate the mucus membrane in the colon, and that effect is believed to increase the risk of colon cancer. I haven't heard about any risk with the natural emulsifier in egg yolk though.

"Other products" is quite a long list, though there's more a link between a high intake of refined sugars that promote particular bacteria that can damage the lining. Still often the same products to avoid or minimise.

We've been on the whole food path for a few years now, and while there's a bit of extra time in prepping all the ingredients from scratch and you have to turn over fresh vegetables often (therefore more frequent visits to the market) you at least know what you're eating.

Re: Is "colorectal cancer" rising in "young people"?

#196

Post by goosejuice »

bonsai_spool wrote: post #157
goosejuice wrote: post #124

Earlier quoted context omitted.

The risk is the primary reason the age for first colonoscopy is so high. Even with cologuard it's not typical before 40 unless you have family history. There's also risks of false positives/negatives for some tests which complicate matters as well.

> The risk is the primary reason the age for first colonoscopy is so high What? I have a hard time understanding this, what is your primary reference. Colonoscopies take a lot of resources and GI docs are in high demand—these seem much more plausible limiting factors than undefined 'risks' inherent to the procedure.

Those are also factors for sure, but the the risks from complications aren't undefined. Even cheap and non invasive screening carry risk due to false positives inviting unnecessary downstream procedures.

Not an MD but have worked in cancer prevention for a while in a software capacity.

See figure 5 https://pubmed.ncbi.nlm.nih.gov/34003219/

Re: Is "colorectal cancer" rising in "young people"?

#197

Post by [deleted] »

kelvinjps10 wrote: post #193
m3047 wrote: post #184

Earlier quoted context omitted.

This is funny. I've had an unbelievable string of bad doctors / clinics... almost as though something is wrong with medical care around here. Couple of years ago the latest doctor who I fired started talking colonoscopies. I asked some basic questions like how do they get paid? How much do they get paid? Who inspects their facilities? He took great umbrage at the notion that the doctors were getting "bounties" for ni…

What is your point?

[deleted]

Re: Is "colorectal cancer" rising in "young people"?

#198

Post by lokar »

abuani wrote: post #171
ipsento606 wrote: post #163

Earlier quoted context omitted.

> I believe that in the US, there is a certain age, after which, they're covered. There is a lot of confusion over this point, even among support agents for health insurance companies. i) The Affordable Care Act specifies that all Marketplace health plans must cover colorectal cancer screening for adults 45 to 75 years at zero cost [i]. That means no copay and no coinsurance, even if you haven't met your deductible.…

Reading this should make everyone in the US furious about the state of our health system

I achieved what I understand to be maximum furiosity on this subject years ago.

Re: Is "colorectal cancer" rising in "young people"?

#199

Post by bonsai_spool »

goosejuice wrote: post #196
bonsai_spool wrote: post #157

Earlier quoted context omitted.

> The risk is the primary reason the age for first colonoscopy is so high What? I have a hard time understanding this, what is your primary reference. Colonoscopies take a lot of resources and GI docs are in high demand—these seem much more plausible limiting factors than undefined 'risks' inherent to the procedure.

Those are also factors for sure, but the the risks from complications aren't undefined. Even cheap and non invasive screening carry risk due to false positives inviting unnecessary downstream procedures. Not an MD but have worked in cancer prevention for a while in a software capacity. See figure 5 https://pubmed.ncbi.nlm.nih.gov/34003219/

> https://pmc.ncbi.nlm.nih.gov/articles/PMC8409520/figure/F5/

You can link to the figures directly for PMC articles.

My point is that the risks aren't the limit for how we think about testing (though they exist), but instead the low marginal improvement in diagnostic yield and life expectancy.

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