Health New England | Health Matters | Wellness Guide 2019

Health Matters ∞ 11 Although undergoing a colonoscopy is cer- tainly no picnic, there are good reasons to get the test, such as: • It’s not a painful procedure. • The sedative medication given beforehand also helps most people have no memory of the experience. • After it’s done, you probably won’t need another test for 10 years. But the best reason to schedule a colonoscopy is that the test is so effective. Not only can it spot signs of colorectal cancer early, when it’s easiest to treat, but it also allows doctors to remove abnormal growths (polyps) before they have a chance to become cancer. When to Get Screened Your Health New England Medicare Advantage plan covers colonoscopies beginning at age 50. Factors that may increase the risk for colorectal cancer include: • A family history of the disease or of polyps • A personal history of inflammatory bowel dis- ease, like Crohn’s disease or ulcerative colitis • A personal history of colorectal cancer or polyps If any of the above applies to you, your doc- tor may suggest earlier or more frequent screenings than for someone at average risk for the disease. What You Can Expect There are different ways to prepare for a colo- noscopy. All of them involve cleaning out your colon, or large bowel, before the procedure. COLORECTAL CANCER Colonoscopy Don’t Put It Off The best reason to schedule a colonoscopy is that the test is so effective. This bowel prep often requires a liquid diet for one or more days before the test and then a series of laxatives or an enema the night before. On the day of the test, you’ll be given a seda- tive. Once you’re relaxed, the doctor will insert a thin, flexible tube (a colonoscope) into your rectum. At the tip of the colonoscope is a light and a tiny video camera, which sends video images of your colon to a computer screen. If your doctor sees anything unusual, such as a polyp, he or she can pass tools through the scope to remove it or take a sample for testing. The exam usually takes less than an hour. You’ll be in recovery for another hour or so, and you’ll need someone to drive you home when you’re released. Talk to Your Doctor Make time to have a frank discussion with your doctor about your risk for colorectal cancer. Ask about other testing options too. Together you can determine the type of test- ing and schedule that’s right for you. Sources: American Cancer Society; American College of Gastroenterol- ogy; National Institute of Diabetes and Digestive and Kidney Diseases