Colon cancer screening is one of the most powerful tools in preventive medicine, yet many people are unsure when to start or what to expect. The recommended colon cancer screening age has recently changed, making it more important than ever to understand the current guidance. While colonoscopy is considered the gold standard, several colon screening options are available. Adhering to established colonoscopy guidelines helps detect precancerous polyps and early-stage cancer, when treatment is most effective. Having clear, reliable information empowers you to take control of your long-term health.
The medical team at Doral Health & Wellness provides comprehensive, expert guidance on all aspects of digestive health. We are committed to offering clear information and a supportive environment, ensuring you have the resources to manage your health with confidence and peace of mind.
Colon Cancer Screening Age: Current Recommendations
Due to an increase in colorectal cancer in younger adults, major health organizations now recommend that individuals at average risk begin screening at age 45. Your risk is considered average if you do not have:
- A personal history of colorectal cancer or certain types of polyps.
- A family history of colorectal cancer.
- A personal history of inflammatory bowel disease (Crohn’s disease or ulcerative colitis).
- A confirmed or suspected hereditary colorectal cancer syndrome.
If you are at higher risk, your doctor may recommend starting screening before age 45 and potentially being tested more frequently. A consultation with a trusted gut doctor is the best way to determine your personal screening schedule.
An Overview of Colon Screening Options
While a colonoscopy is the most comprehensive test, several screening options are available. The best test for you depends on your risk factors, personal preference, and a discussion with your healthcare provider.
Stool-Based Tests
These non-invasive tests are done at home.
- Fecal Immunochemical Test (FIT) – This test checks for hidden blood in the stool, which can be a sign of polyps or cancer. It should be done annually.
- Stool DNA Test (FIT-DNA) – This test (such as Cologuard) combines the FIT with a test that detects altered DNA in the stool. It is typically done every three years.
It is critical to understand that if a stool-based test comes back positive, a colonoscopy is required to determine the cause.
Visual and Structural Exams
These tests allow a doctor to look directly at the colon and rectum.
- Colonoscopy – A doctor uses a thin, flexible tube with a camera to view the entire colon. Precancerous polyps can be removed during the procedure. This is the only test that serves as both a screening and preventive tool. The current colonoscopy guidelines recommend a screening every 10 years for average-risk individuals with normal results.
- CT Colonography (Virtual Colonoscopy) – This test uses a CT scanner to produce detailed images of the colon. It is less invasive than a colonoscopy but still requires a bowel prep. If polyps are found, a colonoscopy is needed to remove them. It is typically done every five years.
- Flexible Sigmoidoscopy – Similar to a colonoscopy, but this test only examines the lower third of the colon. It is done every 5 years, or every 10 years if combined with an annual FIT.
What to Expect During a Colonoscopy
The idea of a colonoscopy can cause anxiety, but understanding the process can help ease your concerns.
- The Prep – The most challenging part for most people is the bowel preparation. You will be given a special liquid laxative solution to drink the day before the procedure to completely clean out your colon. A clean colon is essential for a clear view.
- The Procedure – The procedure itself is usually painless. You will be given a sedative to keep you comfortable and relaxed. The test typically takes 30 to 60 minutes.
- The Results – Your doctor will discuss the initial findings with you after you wake up from sedation. If tissue samples (biopsies) were taken, those results will be available in a few days. Based on the findings, your doctor will tell you when you need your next screening.
Finding the best gastroenterologist near me ensures you will be cared for by a skilled professional in a safe and comfortable setting.
When Should You See a Specialist?
You should schedule a consultation with a gastroenterologist if it is time for your routine screening or if you have any concerning symptoms, such as:
- A change in your bowel habits
- Blood in your stool
- Persistent abdominal pain or cramping
- Unexplained weight loss
A gut doctor in NY can provide a thorough evaluation, discuss all colon screening options with you, and recommend the best path forward for your health.
Your Partner in Preventive Health
Colorectal cancer is a serious disease, but it is largely preventable with regular screening. Understanding the recommended colon cancer screening age and the different colon screening options are the first steps in protecting yourself. Following colonoscopy guidelines and working with a trusted gut doctor allows for the early detection and removal of polyps, stopping cancer before it even starts.
The expert gastroenterology team at Doral Health & Wellness is dedicated to providing comprehensive and compassionate care to the Brooklyn community. We utilize advanced technology and provide a supportive environment to ensure your comfort and well-being. To schedule your screening consultation, contact Doral Health & Wellness today at 1-718-365-2555 or visit us at 1797 Pitkin Avenue, Brooklyn, New York 11212. For general information about Doral Health & Wellness services, you can contact or email info@doralhw.org.
