Why Did My Doctor Order a Colonoscopy?

Why Did My Doctor Order a Colonoscopy?

Having a colonoscopy is one of the smartest things you can do to reduce your risk of colorectal cancer and its complications — but cancer screenings are just one reason why doctors recommend this important test.

Michael H. Tarlowe, MD, may recommend a colonoscopy for different reasons, depending on an individual patient’s unique needs. Here, learn the most common reasons why he orders a colonoscopy to help you stay healthy.

To screen for colorectal cancer 

Colonoscopy is the gold standard when it comes to screening for colorectal cancer. During the screening exam, Dr. Tarlowe uses a long, flexible, lighted scope to view the lining of your large intestine and rectum, looking for fleshy growths called polyps or other abnormal lesions that could be an early sign of cancer. 

If he spots any unusual areas, he removes the entire polyp or a tiny tissue sample (biopsy) for further evaluation in a lab.

To manage other gastrointestinal issues

Colonoscopy enables Dr. Tarlowe to view the lining of your colon, making it an effective way to diagnose and manage other gastrointestinal (GI) problems and diseases, too. For instance, colonoscopy may play a key role in managing inflammatory bowel disease (IBD), a chronic and often serious GI problem that can cause irritation and bleeding. Having regular colonoscopies helps prescribe and adjust therapy to keep symptoms under control.

To diagnose abnormal GI symptoms

Persistent or recurrent abdominal pain, unexplained bloating, chronic diarrhea or constipation, unexplained weight loss, and rectal bleeding can be signs of serious bowel problems — or they may be completely benign and harmless. A colonoscopy may be used to find the cause of symptoms, so they can be treated and complications can be avoided.

To follow up lab tests and imaging results

Likewise, Dr. Tarlowe may recommend colonoscopy following unusual lab test results. For instance, patients who have an abnormal result following a fecal occult blood test typically have a colonoscopy to rule out colorectal cancer. He may also recommend colonoscopy to monitor your progress following colon surgery or other therapies.

To monitor people with a family history of gastrointestinal issues

While colorectal cancer screening is important for everyone, it’s especially important for people who have a family history of colorectal cancer or polyps. In these individuals, colonoscopy may be ordered more frequently to monitor for abnormal changes that could indicate an early stage of cancer.

The colonoscopy process: What to expect

Colonoscopies are a lot less nerve-racking than a lot of people think. Prior to your visit, you take a special preparation designed to completely empty your bowel, making it easier for Dr. Tarlowe to spot unusual changes. This prep is critical, so be sure to follow instructions carefully.

The procedure itself is performed under sedation, which means you nap throughout the screening. Once you’re sedated, Dr. Tarlowe administers an inert gas to your intestine, expanding it slightly so it’s easier to see inside. 

During the screening, you lie on your side on an exam table, and Dr. Tarlowe passes the lighted scope through your rectum, slowly advancing it so he can examine the lining of the colon. A tiny camera at the end of the scope transmits images to a monitor for clear, magnified viewing.

Most screenings only take about 30 minutes. Afterward, you go to a recovery area for a brief time. You may notice some bloating initially, an aftereffect that wears off soon afterward. You may feel groggy afterward, and you will need someone to drive you home. 

While you can eat right away, remember — your intestine is completely empty. Most people find it’s best to begin with a small meal to avoid gas and bloating.

Learn more about colonoscopies

A new year is a great time to commit to improving your health, and having a colonoscopy is one very important way to do that. To schedule your colonoscopy or to learn more about your risk of colorectal cancer, call 954-210-7127 or request an appointment online with Dr. Tarlowe in Deerfield Beach, Florida.

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