Colorectal polyp
Hello, doctor.
I previously experienced stomach rumbling and had loose stools, so I went to the hospital for a consultation.
A colonoscopy revealed a polyp about one centimeter, which was removed on the spot.
After three weeks, during my follow-up appointment, the doctor informed me that the biopsy results were benign but showed some changes, indicating early signs.
The changes were slight and did not reach the intestinal wall.
I was advised to have a follow-up later this year or early next year, and I do not need to take any medication.
However, I am confused about why there are signs of change yet it is still considered benign, and why I do not need treatment.
Will there be any changes during this period? Could it develop into cancer? Isn't early-stage considered cancer? I am quite worried.
How should I take care of my colon in the meantime? I didn't ask many questions when I first heard about the changes, and now I have many doubts.
I would appreciate it if you could take some time to help clarify these issues.
Thank you!
Xiao Yizi, 30~39 year old female. Ask Date: 2017/01/17
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Your doctor used some adjectives, including benign but with some signs, a bit of change, and early-stage, which can indeed be confusing.
You might want to ask him to explain this part in more detail.
From my understanding, there is a 1 cm benign polyp that needs to be followed up with a colonoscopy in one year, and that’s all.
Reply Date: 2017/01/17
More Info
Understanding colon polyps can be a source of anxiety for many patients, especially when they receive a diagnosis that includes terms like "precancerous" or "changes." It’s essential to clarify what these terms mean and how they relate to your health.
Colon polyps are growths on the lining of the colon that can vary in size and type. The majority of polyps are benign (non-cancerous), but some can develop into cancer over time. The fact that your polyp was removed and classified as benign is a positive outcome. However, the mention of "changes" or "indications" can understandably raise concerns. These changes may suggest that the polyp had some atypical features, but it does not mean that it is cancerous or that it will become cancerous in the immediate future.
The key to managing your health after the discovery of a polyp is regular monitoring. Your doctor has recommended follow-up colonoscopies, which is standard practice. These follow-ups are crucial because they allow for the early detection of any new polyps or changes in existing ones. The timeline for follow-up, such as the one suggested for later this year or early next year, is based on the type of polyp and its characteristics.
Regarding your concern about whether these changes could lead to cancer, it’s important to understand that while some polyps can progress to cancer, this process typically takes several years. The term "early stage" can be misleading; it does not necessarily mean that cancer is present. Instead, it indicates that there are some cellular changes that warrant monitoring.
To maintain colon health and potentially reduce the risk of new polyps forming, consider the following lifestyle and dietary tips:
1. Dietary Fiber: Increase your intake of dietary fiber, which can help promote regular bowel movements and may reduce the risk of polyp formation. Foods high in fiber include fruits, vegetables, whole grains, and legumes.
2. Hydration: Drink plenty of water throughout the day. Staying hydrated aids digestion and helps prevent constipation, which can contribute to polyp formation.
3. Regular Exercise: Engage in regular physical activity. Exercise has been shown to have a protective effect against colon cancer and can help maintain a healthy weight.
4. Limit Red and Processed Meats: Studies suggest that high consumption of red and processed meats may increase the risk of colon polyps and cancer. Try to limit these in your diet.
5. Avoid Smoking and Limit Alcohol: Both smoking and excessive alcohol consumption are risk factors for colon cancer. Quitting smoking and moderating alcohol intake can improve overall health.
6. Regular Screenings: Continue to follow your doctor's recommendations for colonoscopies and screenings. These are essential for early detection and prevention.
7. Healthy Weight: Maintaining a healthy weight can also reduce the risk of developing polyps and colon cancer.
8. Discuss Family History: If you have a family history of colon cancer or polyps, make sure to discuss this with your healthcare provider, as it may influence your screening schedule.
In summary, while the presence of a polyp with some changes can be concerning, it is manageable with regular monitoring and a proactive approach to your health. By adopting a healthy lifestyle and adhering to your follow-up schedule, you can significantly reduce your risk of developing further issues. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider for clarification and support.
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