Earlier quoted context omitted.
Risks? The risks of a colonoscopy are crazy low though.
There is still the rush of perferating the colon, but I assume it doesn't happen very often. Cologuard has got to be cheaper though.
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Is "colorectal cancer" rising in "young people"?
201–210 of 250 posts
Re: Is "colorectal cancer" rising in "young people"?
#202Re: Is "colorectal cancer" rising in "young people"?
#203Earlier quoted context omitted.
> The worst part, by far, was the emptying / prepping. This. The procedure itself was a snap (I was completely sedated; I'm in Canada), but it was NOT a fun 2 days of "pooping" pure liquid and being hungry. I don't think I was away from the toilet for more than 20 minutes at a time.
Having had three colonoscopies so far, my system for prep is to change what I eat at least the week before. Jello, ice pops. . . generally light stuff. At some point before I start drinking the beverage from hell, I get butt cream. Smear it on and then drink. Keeping a layer of diaper rash ointment on the tush helps a LOT. I suggested to the pharmacists at my local pharmacy they should recommend butt cream when someo…
+1 on low fiber diet 5-7 days before.
And although I didn’t try the diaper rash cream, Balneol was definitely a life saver.
Re: Is "colorectal cancer" rising in "young people"?
#204Seeing young adults around me going through this made me change my dietary habits 1 year ago. I went to the extreme by modern food industry standards, but now: - I take 100g proteins, 30g fibers daily - Red meat once a week but never fried - Most of the protein comes from eggs, yoggurt, chicken and various plant based sources - No white bread - No added sugars, no deserts except fruits - Nothing fried - No added salt…
These are really good changes for your overall health, but what I hear anecdotally is that a lot of the young adults diagnosed with colon cancer don't have traditional colon cancer diet/lifestyle risk factors. There's even a theory that healthy activities like long distance running might be contributing to cancer risk.
Re: Is "colorectal cancer" rising in "young people"?
#205Personally I am hesitant to do colonoscopy after a relative had a botched procedure. Just this month two celebrities revealed botched colonoscopies. I hope they figure out ways to make this procedure safer. https://www.yahoo.com/entertainment/celebrity/articles/kathy... https://www.usatoday.com/story/entertainment/celebrities/202...
Nothing you do is risk free.
Functional equivalent to “YOLO”.
Avoid risk where you can afford.
Where it costs you nothing.
Re: Is "colorectal cancer" rising in "young people"?
#206Earlier quoted context omitted.
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?
I think he's arguing that guidelines are dumb/outdated
Re: Is "colorectal cancer" rising in "young people"?
#207Earlier quoted context omitted.
My doctor recommended a combination FIT+DNA test instead of colonoscopy (brand name "Cologuard"). She said it's not quite as good as the "gold standard" colonoscopy, but it also doesn't have the risks of colonoscopy. And the FIT+DNA test is so cheap and easy, you can do it every year or three instead of every 10 years with the colonoscopy. She still recommends colonoscopies for high-risk patients, but she thinks the…
The main issue with those tests is they have a relatively high false positive rate. If you pop on that one you need to follow up with a colonoscopy to confirm. The big issue has been that in the US, the followup colonoscopy was often no longer covered by insurance as it was no longer classified as part of the preventative medicine tier, and instead was now a different sort of procedure. My understanding is that this…
Got burned by exactly this when on a high deductible HSA plan.
Re: Is "colorectal cancer" rising in "young people"?
#208Earlier quoted context omitted.
I just don't understand why the doctor would say anything different than what the national screening guidelines suggest?
I think he's arguing that guidelines are dumb/outdated
I think the guidelines are fine - we can't stop everyone's disease and that's not what the purpose of these screening tests are.
Re: Is "colorectal cancer" rising in "young people"?
#209Earlier quoted context omitted.
not who you asked but the perforation is 3-5 per 10,000; cardiovascular issues is 52 per 10,000, polyp removal carries risks of bleeding or perforation, and underlying patient physiology. RESULTS Among the 30,818 records identified, 82 population-based studies from 24 countries were included, involving a total of 38.5 million colonoscopies. The estimated incidence per 10,000 colonoscopies was as follows: gastrointest…
You are hardly describing "serious complications" ('bleeding', and 'respiratory events' are very non specific, and the fact that this is an uncited meta-analysis across nations makes the whole enterprise suspect), even less so since your source averages 24 countries while we are speaking about US colonoscopy recommendations. My source is not seeing one perforation each week at work. > just ask any AI These do not giv…
they give citations which i was going through and literally copied and pasted the CITE to you, not the AI.
i only answered the specific question of where the number "48" or the range 40-80 came from.
my cite even shows perforations are 3-5 per 10000 so i don't know what you're on me about
Re: Is "colorectal cancer" rising in "young people"?
#210Earlier 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-...
The risk of serious complications like major bleeding or perforation is closer to 40-80 per 10,000, significantly higher than the roughly 3-5 per 10,000 annual chance of actually having colorectal cancer for low-risk groups. My doctor says that since Cologuard catches a large percentage of those 3-5 per 10,000 without any of the colonoscopy risk, the marginal benefits from colonoscopy really aren't justified since FI…
The real risk is getting a doctor that is more interested in money than medical care. These seem to be more like 3000-5000 per 10000.