Understanding Colon Cancer Screening: Your Questions Answered

Essential Information About Colorectal Cancer Prevention and Detection

Gastroenterology

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Last updated: Mar 24, 2025

Why Should I Get Screened?

  • Colorectal cancer is the third most common cancer in adults
  • Early detection significantly improves survival rates
  • Most cases can be prevented through regular screening
  • Screening can detect precancerous polyps before they become cancerous

When Should Screening Begin?

  • Average-risk adults: Age 45
  • Earlier if you have:
    • Family history of colorectal cancer
    • Personal history of inflammatory bowel disease
    • Certain genetic syndromes

What Are My Screening Options?

Colonoscopy

  • Gold standard screening method
  • Performed every 10 years for average-risk patients
  • Allows direct visualization and polyp removal
  • Requires bowel preparation

Stool-Based Tests

  • FIT (Fecal Immunochemical Test): Annual
  • FIT-DNA (Cologuard): Every 3 years
  • Less invasive but more frequent testing required

Other Options

  • CT Colonography: Every 5 years
  • Flexible Sigmoidoscopy: Every 5-10 years

What Should I Expect During a Colonoscopy?

  1. Preparation day: Clear liquid diet and bowel preparation
  2. Procedure: 30-60 minutes under sedation
  3. Recovery: Brief monitoring period
  4. Return home: Rest for remainder of day

Insurance Coverage

  • Most insurance plans cover screening tests
  • Preventive screening typically has no out-of-pocket costs
  • Check with your provider for specific coverage details

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