Physician reminds, family history of colorectal cancer, positive fecal occult blood test, bloody stool, follow-up after polypectomy, thinner and pencil-shaped stool, unexplained diarrhea, change in bowel habits, or mucus in stool, lower abdominal pain, constipation, unknown If the cause is anemia, long-term fatigue and unreasonable weight loss, etc., you should seek medical examination; the picture shows the situation.
(picture taken from freepik)
[Health Channel/Comprehensive Report] A woman in her 30s always felt that her bowel movements were not clean in the past few months, so she ordered a "colonoscopy" examination, and found colorectal cancer in the sigmoid colon!
Wu Gengliang, director of Wu Gengliang Clinic, said that if there is a family history of colorectal cancer, positive fecal occult blood test, bloody stool, follow-up after polypectomy, stool shape becomes thinner and pencil-shaped, unexplained diarrhea, changes in bowel habits, or mucus in stool, lower abdominal pain , constipation, unexplained anemia, long-term fatigue and unreasonable weight loss, etc., you should seek medical attention, including colonoscopy.
Wu Gengliang posted on his Facebook page "Wu Gengliang Clinic - Internal Medicine Gastrointestinal Hepatobiliary Department" that colorectal cancer has a trend of getting younger in recent years. According to the statistics of the Ministry of Health and Welfare, colorectal cancer is the cancer that most people suffer from in Taiwan; colon, rectal and anal cancer The combined death toll ranks third in cancer mortality.
More than 90% of colorectal cancers occur in people over the age of 50, but in recent years, the age group of colorectal cancer has a downward trend. Outpatients with colorectal cancer have found that they are 40-50 years old, or even patients in their 30s Increase.
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Wu Gengliang shared that a new study in the United States also found that the proportion of young people suffering from colorectal cancer has increased significantly. Experts suspect that the rejuvenation of colorectal cancer is not only due to changes in living habits, but also related to environmental factors. Therefore, it is recommended that people with symptoms should undergo regular screening.
Early detection will directly affect the prognosis of colorectal cancer. Prevention is better than cure. As soon as you have any symptoms, you should be checked immediately, so as to be able to detect and treat early, and strive for the greatest chance of cure.
Colonoscopy must be anesthetized?
Wu Gengliang explained that when a colonoscopy is performed, it is hoped that the subject’s colon will be completely cleansed, while an anesthetic drug will be administered for a painless colonoscopy to allow the patient to enter moderate anesthesia before performing the procedure; which one to choose depends on the patient’s physical condition ( function of the heart and lungs) and pain tolerance.
Because the current health insurance does not cover anesthesia for gastrointestinal endoscopy, examinations and drugs related to anesthesia must be paid for by oneself.
Wu Gengliang said that in fact, more than 60% of the colonoscopy examinations are performed by ordinary colonoscopy. Unless the patient is afraid of pain, or has undergone abdominal surgery, sticky intestines, and small abdominal circumference, anesthesia colonoscopy is recommended. .
At present, colonoscopy under anesthesia has proper assessment and close monitoring of physiological heartbeat, blood pressure and blood oxygen, and the chance of complications is very low.
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