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Question

My husband is 62 and has never had a colonoscopy. He gets a physical once a year and has seen the same doctor for the past 10 yrs. Everything I'm reading says to get screened after the age of 50. His doctor just brought it up at his last physical - why wouldn't she bring it up sooner? I'm worried. What if he now has cancer but it could have been caught years ago?

Submitted: 187 days and 10 hours ago.
Category: Health
Value: $14
Status: CLOSED
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Posted by Lisa, MSN, FNP-BC, CCRN 187 days and 10 hours ago.

Info Request

Hello;

 

Thank you for writing in today. I understand your concern. I may be able to ease some of your concern; however, I do have a few questions. I hope you understand.

 

Does your husband have any other medical conditions?

Does your husband have any stomach complaints or bowel complaints?

Has your husband ever been diagnosed with anemia or concerned about blood in his stools?

Has your husband ever done the fecal occult blood testing---places stool on a card an mails in to a lab or drops off at doctor's office? If so, how often?

Is your husband's diet high in fruits and veggies?

Is his diet high in fat or red meat?

Any family history of colon cancer?

 

Please let me know.

 

Lisa

187 days and 10 hours ago.

Reply

He has done the fecal occult blood testing maybe twice in the past 5 years. He does not know of any history of colon cancer in his family and has no complaints about pain or blood in stools or changes in bowel movements. He is slightly over weight and his diet could be better, but it's not terrible. He is having knee replacement surgery and has had a complete physical, chest x-ray, stress test and blood work and everything was good. His doctor mentioned that while he was off work recovering from his surgery he should get a colonoscopy - since he was off anyway. It was said kind of like a suggestion and I was shocked when mostly everything I've read states you should get them at age 50. I guess I am wondering if our doctor goofed in not sending him for one sooner or if it's ok since there's no history or problems. Does that make sense?

Posted by Lisa, MSN, FNP-BC, CCRN 187 days and 10 hours ago.

Answer

Hello;

 

Thank you for responding.

 

Yes, colonoscopy screenings are recommended to begin earlier. This screening may have been overlooked by the provider, or it may have been mentioned earlier but disregarded. At any rate, the important thing is to have the test done now. Based on his information, other than a less than ideal diet and weight, he does not have any real red flags that suggest colon cancer. A family history of colon cancer, changes in bowel habits, and any history of blood in the stools would be very concerning and possible indications of cancer. It is a good sign that he has none of these concerns. Also, although not as good as a colonoscopy, the fecal occult testing is also important for screening. It is also a good sign that he did these tests without any concerning results.

 

At this point, he needs the colonoscopy; however, I would not be too concerned about colon cancer at this point.

 

I hope this helps. If you have additional questions and concerns, please let me know.

 

Lisa

187 days and 10 hours ago.

Reply

Do you know how long someone can have colon cancer without there being any signs or symptoms?

Posted by Lisa, MSN, FNP-BC, CCRN 187 days and 10 hours ago.

Answer

Hello;

 

Thank you for responding.

 

Generally, colon cancer progresses slowly. Usually, colon cancer is quite advanced before a patient has any real symptoms, or the patient will have a history of vague abdominal complaints and bowel habit changes. It usually takes several years for colon cancer to grow and develop before symptoms.

 

I hope this helps.

 

Lisa

186 days and 18 hours ago.

Reply

Do you know where I could veiw stats on colon cancer - average age, percentage of people who have polyps at age 62, etc. You have been very helpful - thank you!

Accepted Answer

I tend to use statistics from medical literature; however, I did try to find some resources available to you online. I do want to caution you about using online resources. With health resources, it is important to consider the source. Therefore, I will provide you with links for colorectal cancer statistics from the American Cancer Society (ACS), Center for Disease Control (CDC), and the National Cancer Institute. All are reputable organizations.

 

http://www.cancer.org/docroot/CRI/content/CRI_2_4_1X_What_are_the_key_statistics_for_colon_and_rectum_cancer.asp?rnav=cri

 

http://www.cdc.gov/cancer/colorectal/statistics/

 

http://www.cancer.gov/cancertopics/types/colon-and-rectal

 

I hope this helps.

 

Lisa

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Expert: Lisa, MSN, FNP-BC, CCRN
Pos. Feedback: 100.0 %
Accepts: 866
Answered: 9/15/2009

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