Increasing incidence of early-onset colorectal precancerous lesions in patients under age 50

Medical Xpress / The Mount Sinai Hospital / Gastroenterology ^ | Jan. 11, 2022 | Steven H. Itzkowitz, MD, FACP

[ConservativeMind]

I have been told to get a colonoscopy, but I am having problems finding one who will do it with light or no sedation.

[ConservativeMind]

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[refreshed]

Two things that I can see. First, more screening means more detection. Second, genetically modified food and the standard American diet results in a myriad of health problems.

[Yo-Yo]

It was the first large-scale study to look at precancerous polyps in this age group.

Call me crazy, but if this is the first study of this age group, then how can they claim a "troubling increase" in the polyps?

[mason-dixon]

Perhaps the people who chose to take colonoscopy before age 45 are a specific subset, not characteristic of entire population.... so recommendations based on this “a postiori” analysis are skewed/not valid.

I say this because I chose to take the colonoscopy at age 45 because grandmother was diagnosed & treated for colon cancer.

[HonorInPa]

Believe me, you’ll want the sedation

[z3n]

Call me crazy, but if this is the first study of this age group, then how can they claim a “troubling increase” in the polyps?

~~~

Because they think no one will click if you don’t have something scary or sensation in your headline

[Yo-Yo]

I was confused by the conflicting claims that there is a “troubling increase” in polyps, yet this is the first large scale study of the age group.

To what are they comparing this study in order to come to the conclusion that there is a “troubling increase?”

Normally, you would need to compare the results of this study to past studies of a similar nature before you could confidently detect a trend.

[1Old Pro]

I am having problems finding one who will do it with light or no sedation.

They have it down to a science, the doctor walks in, the nurse says count to ten, by 3 your out. Next thing you remember is the doctor standing at your bed when you wake up at the exact time he begins speaking.

[jagusafr]

No thanks - but considering I’ve had two radial approach catheterizations with nothing but Versed on board (fully awake and could feel the thing bumping against my heart at times), I don’t know why a proctologist wouldn’t do a scope with light sedation.

[mmichaels1970]

They have it down to a science, the doctor walks in, the nurse says count to ten, by 3 your out. Next thing you remember is the doctor standing at your bed when you wake up at the exact time he begins speaking.

Slightly different experience. Had one a week ago (first time). They told me they were administering the drug (Fentanyl). I felt no different. I felt awake during the entire procedure but felt no pain. I'd have sworn I wasn't sedated at all. Had my glasses removed so all I felt was blind. Got wheeled back to my bed and dressed almost immediately. About 1 hour, 10 minutes from the time I put on my gown til discharge. I easily pointed out my ride and my car as they wheeled me out.

And I don't remember ANYTHING about the 10 minute ride home. Nothing. My ride said I spoke normally all the way. But that 10 minutes is gonzo.

[C210N]

Big Pharma invented modern day “cancer” 100 years ago - create the problem that you sell the drugs to “cure”.

[MplsSteve]

For both mine (last year and five years ago), I don’t remember completely going under. I was in kind of a netherworld where I faded in and out. I’d occasionally wake up for a few seconds and look at the screen and then fade back out.

But when the nurse called my name when it was done, I woke up immediately.

[WMarshal]

"I have been told to get a colonoscopy, but I am having problems finding one who will do it with light or no sedation."

You cannot party hard and let your freak flag fly if the patient is awake....

[4Liberty]

I think I see the problem....

[WMarshal]

[LittleBillyInfidel]

Had mine done just yesterday! For me, the sedation was a much appreciated nap. As an aside, they found higher than average polyps, which surprised me cuz I’m not a big red meat eater. Hope you get yours, soon!

[JoSixChip]

Because they blow your colon up like a balloon. The pain would drive you insane. They use the Michael Jackson drug to knock you out. You go to sleep instantly, and you wake-up instantly with no hangover and your head is clear, like after a good night’s sleep.

[4Liberty]

[mass55th]

The worst part of a colonoscopy is the fasting and prep the night before. I'm 74, and have had colonoscopies regularly since I was 50, because my father had polyps. On my last colonoscopy in June, they found a small polyp, and removed it. It was benign. The good news is that my doctor has said we can do the colorectal tests from now on, as long as there isn't a problem. My doctor also said that because of colon cancer appearing in younger people, they have lowered their screening age quite a bit.

My youngest son, age 48 at the time, was diagnosed with cancerous polyps in 2019. The doctor told him the polyps were so big, he'd wish he'd come to see him 10 years earlier. He would have been 38 at the time, but they didn't do cancer screening on people that young back then. My son had surgery...two re-sections. They also took out at least 70 lymph nodes, and he went through 6 months of chemo. He's cancer-free, but as a mother, I can't help but worry, because he still smokes occasionally. Everyone in my family smoked but me. Three died of lung cancer, one of a stroke, and my only brother at 51, of a massive heart attack. I'm the last one left. The oldest lived to be 74, so if I make it to 75, I'll be lucky.