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Its Time Again For A Colonoscopy And Endoscopy . I

Posted on Wed, 28 Dec 2022

Question: its time again for a colonoscopy and endoscopy. I do not want to have this done for 3/4 months because of covid/virus/rsv problems. I have been told any colon problems wait be much worse if i wait till march. Is this reasonable.

Answered by Dr. Ramesh Kumar (7 hours later)

Brief Answer:
Need few more details.

Detailed Answer:
Hi and thank you for choosing "Ask a Doctor" service for your query,
Can you please share the report of previous endoscopy and colonoscopy.
And are there any symptoms for which these tests are being done or just as a part of regular check up.
A professional reply could be given after that.
Waiting.
Thanks!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ramesh Kumar (13 hours later)

3 years ago a pre cancerous flat polyp on decending colon was removed. S recent cologatd came back positive..

Follow up: Dr. Ramesh Kumar (5 minutes later)

Sorry , it was 4 years ago for procedure. Also diagnosed with barracks esophagus no discomfort cause of meds every day. Dexlansoprazole. Dr. 30.

Answered by Dr. Ramesh Kumar (52 minutes later)

Brief Answer:
Follow up.

Detailed Answer:
Hi there,
Thanks for replying,
As problems were ruled out 4 years back yes a check endoscopy and colonoscopy should be done.
However delaying it for few weeks won't make any difference,Unless your symptoms are increasing.
Thanks!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ramesh Kumar (4 hours later)

Very helpful. Cologuard said about 13% of positives are due to cancer, they also present info on % advanced pre cancer and % pre cancer. Do my question would a biopsy. If polys is precancer, would report specify if its regular or advanced pre cancer?

Answered by Dr. Ramesh Kumar (29 hours later)

Brief Answer:
Follow up.

Detailed Answer:
Hi again yes off course biopsy is the best test to diagnose cancer.
Tissue sample is directly studied under microscope.
It's the gold standard test to differentiate between benign and malignant cancer.
Thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ramesh Kumar (18 hours later)

I looked at pathology report. It said tubular adenoma. Does this mean. Its . Pre-cancerous?? What is likely hood it would become cancerous if it was not removed? How long to turn cancerous?

Follow up: Dr. Ramesh Kumar (26 minutes later)

Can. I also askk about the probability/possibility of removing one small polyp with the tubular adenoma during a colonoscopy and then finding more in a follow up colonoscopy. 5. Years later.

Follow up: Dr. Ramesh Kumar (10 hours later)

Do you have. Time to reply?

Answered by Dr. Ramesh Kumar (3 hours later)

Brief Answer:
Follow up.

Detailed Answer:
Hi there,
See sir frankly speaking after a age of 60, Tubular adenomas can be found in more then 50% of population.
Now out of this 50% only 5-8% would change into a cancer.
So that's why after removing a Tubular adenoma patient is suggested to have colonoscopy usually every year or two.
Yes even smallest of small adenoma can be seen by colonoscope and can be removed..
From precancerous stage to a full blown cancer it takes some what around 18 months.
However out of 50% people only 5-8% develops cancer.
As far as chances are concerned see most of the cancers are some how related to genetics of a person...So may be at the time colonoscopy was done one polyp was there..Now may be after 2 years their can be multiple polyp or No polyp...I mean this is unpredictable...Only colonoscopy can give this answer and therefore regular colonoscopies are advised.
Please feel free to follow up.
Regards!

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar