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If you are 45+, go get a colonoscopy

Posted on 7/13/23 at 12:59 pm
Posted by theantiquetiger
Paid Premium Member Plus
Member since Feb 2005
20041 posts
Posted on 7/13/23 at 12:59 pm
Or at least shite in the box.

I went in the box, came back positive for polyps. Had my first colonoscopy a couple days ago (my first and I’m 55).
They found seven polyps and were sent off for biopsies.

I got the call a few minutes ago. They came back negative!!!! That brief second when you see the hospital calling, my blood pressure shot up, but was quickly relieved when I got the news.

The new age now for colon cancer screening now is 45. The box is very simple, and most insurances pay 100%.
Posted by Lawyered
The Sip
Member since Oct 2016
37095 posts
Posted on 7/13/23 at 1:11 pm to
Cologuard is a 13% false positive rate. And aside from the panic and the dread of a potential positive test, it could all be for nothing anyway

Then you’ll have to do the prep work again and meet with a GI doctor to confirm it either way

Better off to do it the old fashioned way from the start
Posted by theantiquetiger
Paid Premium Member Plus
Member since Feb 2005
20041 posts
Posted on 7/13/23 at 1:29 pm to
quote:

Cologuard is a 13% false positive rate. And aside from the panic and the dread of a potential positive test, it could all be for nothing anyway


Cologuard only tells you if you may have polyps, not colon cancer.

quote:

Better off to do it the old fashioned way from the start


The prep was a lot easier than I thought it would be. All OTC meds. I took four Dulcelax at 3pm, 1/2 of a 8oz bottle of Miralax mixed with Gatorade at 5pm, and the other 1/2 of the bottle with Gatorade at 9pm, and I was done. I couldn’t eat anything solid after midnight, the night before.
My biggest mistake was going straight to Chick Fa La as soon as I left the hospital. My stomach cramped all day.
This post was edited on 7/13/23 at 1:31 pm
Posted by metallica81788
NO
Member since Sep 2008
10040 posts
Posted on 7/13/23 at 2:12 pm to
Seeing a lot more young people (<50yo) with colon and rectal cancer

I'll be getting at 40 - if you have any family history do the same, or at least now do 45

Also just do the scope it's better than the box.
Posted by AtticusOSullivan
Member since Mar 2016
2886 posts
Posted on 7/13/23 at 2:24 pm to
Best sleep you will ever have. Almost worth it.
Posted by Homey the Clown
Member since Feb 2009
6018 posts
Posted on 7/13/23 at 2:28 pm to
I'm 38, and I had one done this year. I was having some stomach issues, and that was the first step, stool sample, upper scope, and lower scope. All came back negative.
Posted by Aubie Spr96
lolwut?
Member since Dec 2009
43907 posts
Posted on 7/13/23 at 3:16 pm to
Turn 50 next year. Getting it done then.
Posted by OysterPoBoy
City of St. George
Member since Jul 2013
42918 posts
Posted on 7/13/23 at 3:16 pm to
I had a large polyp at 40. Scary stuff.
Posted by tunechi
Member since Jun 2009
10531 posts
Posted on 7/13/23 at 4:16 pm to
quote:

Cologuard is a 13% false positive rate. And aside from the panic and the dread of a potential positive test, it could all be for nothing anyway Then you’ll have to do the prep work again and meet with a GI doctor to confirm it either way Better off to do it the old fashioned way from the start


Not to mention a possible false negative. Might as well just get the damn scope
Posted by Irregardless
Member since Nov 2021
2237 posts
Posted on 7/13/23 at 9:23 pm to
Go get one for sure. I was asking to get one but they said the new guidelines say you can wait. Two weeks later I was in the hospital for 5 days with perforated diverticulitis that could have been seen and treated if I had the rotor rooter. Now I’m looking at a colon resection in a month.
Posted by Yewkindewit
Near Birmingham, Alabama
Member since Apr 2012
21599 posts
Posted on 7/14/23 at 2:30 pm to
Good news for you! My dad had polyps and didn’t know until one bled out the hiney. Doc removed 3, each the size of kidney beans. He was good to go after that. He warned us to get screened since his dad died at 49 from colon cancer.
With that news 30 years ago us siblings started getting tested every 5 years and no polyps have been discovered yet. God bless us.
Posted by gumbo2176
Member since May 2018
19333 posts
Posted on 7/14/23 at 4:26 pm to
quote:

Better off to do it the old fashioned way from the start



Came to post the very same thing. False positives are a real thing with those Cologuard tests.

I'm 70 and have had 3 colonoscopies so far, but really not looking forward to do more to be honest.
Posted by JasonDBlaha
Woodlands, Texas
Member since Apr 2023
3385 posts
Posted on 7/14/23 at 7:41 pm to
My take is that if a guy is having GI issues that keep persisting for over a month, get a scope. Even if he's in his 20s. You never know what the problem is and the only way to rule cancer and IBD out is to get a scope. You can speculate all you want but unless a scope confirmed it, you could have cancer and have no idea. I know a guy who had colorectal cancer and almost considered not getting a scope because his symptoms were just mild bloating and constipation.
This post was edited on 7/14/23 at 7:47 pm
Posted by Ryan3232
Valet driver for TD staff
Member since Dec 2008
27337 posts
Posted on 7/16/23 at 2:10 am to
Thats probably a similar feeling to winning the jackpot at the casino.
Posted by lsunurse
Member since Dec 2005
129146 posts
Posted on 7/16/23 at 10:03 am to
One thing with the box….if it shows anything you still have to get a colonoscopy. That colonoscopy will be be billed as a diagnostic one versus preventative and your insurance may not cover all of it.

Most insurances fully cover a preventative(screening) colonoscopy 100% but not a diagnostic one

So you could possibly end up paying $$$ out of pocket

So double check with your insurance about that first
This post was edited on 7/16/23 at 10:06 am
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 7/20/23 at 2:27 pm to
quote:

Seeing a lot more young people (<50yo) with colon and rectal cancer



1) any change in bowel habits without an obvious reason that persists for more than about a month
2) any bleeding, particularly if it’s painless and especially if it comes along with a change in bowel habits (bleeding includes black, tarry stools)
3) any family history

I’m seeing tubular adenomas and tubulovillous adenomas with an alarming frequency in 30-somethings lately. I’m very conservative with the number of endoscopies I do on this population. The rate in the ones I am selecting is so high that I may become more liberal with it over the next few years.


One theory that’s starting to gain a lot of traction is the concordance of Colon AdenoCA and charcuterie consumption in France. Well, the smoked sausage consumption in LA is probably higher than many/most other places, and it wouldn’t surprise me if a few decades from now they go ahead and find the link between that, too.
Posted by LSUA 75
Colfax,La.
Member since Jan 2019
4639 posts
Posted on 7/22/23 at 10:55 pm to
I thought smoked and processed meats(sausage,bacon,hot dogs,salami) were known risk factors for colon cancer.BTW I love all the above but rarely eat them because of cancer risk.I quit making deer sausage and smoking it for that reason.
Nothing better than a BLT but I don’t put bacon,just sprinkle Baco’s on .
Do you check Vit D levels on pts.you see?I’ve read low levels are a risk factor also.
Posted by POTUS2024
Member since Nov 2022
20943 posts
Posted on 7/23/23 at 7:51 pm to
I wonder how many false alarms are created by people being dehydrated, having some difficult defecations, straining a lot, having a little blood on the toilet paper. I keep hearing how the western diet and chronic dehydration are causing a lot of problems and the number of people complaining of difficult defecation is increasing. I'm curious if it leads to false alarms in this area.
Posted by Blutarsky
112th Congress
Member since Jan 2004
11726 posts
Posted on 7/23/23 at 7:57 pm to
I have a friend that found out he has stage 3 rectal cancer in his first colonoscopy last year.

No symptoms before the screening.
Posted by POTUS2024
Member since Nov 2022
20943 posts
Posted on 7/23/23 at 8:03 pm to
quote:

I have a friend that found out he has stage 3 rectal cancer in his first colonoscopy last year.

No symptoms before the screening.


Wow, good luck to him. Did he get a pretty favorable prognosis?
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