How Long Can I Rely on Normal Colonoscopy Results? - Gastroenterology and Hepatology

Q: How Long Can I Rely on Normal Colonoscopy Results?

Hello： If the bowel is very clean and there are no omissions in the examination, follow-up can be done every 3-5 years. <br>For gastrointestinal discomfort, adjustments in diet and lifestyle can be made first; if there is no improvement, you may consult a gastroenterologist for f

Follow-up questions after a colonoscopy?

Hello doctor, I had a colonoscopy four years ago and another one two and a half years ago, both with normal results.
How long can I feel reassured by these colonoscopy results? Recently, I have been experiencing occasional gastrointestinal discomfort, and my stool varies in thickness.
Should I be concerned? Thank you.

miwu, 30~39 year old female. Ask Date: 2017/01/27

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: If the bowel is very clean and there are no omissions in the examination, follow-up can be done every 3-5 years.
For gastrointestinal discomfort, adjustments in diet and lifestyle can be made first; if there is no improvement, you may consult a gastroenterologist for further evaluation of the necessity for additional tests.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2017/01/27

More Info

When it comes to the reliability of colonoscopy results, several factors come into play, including the quality of the bowel preparation, the thoroughness of the examination, and individual risk factors such as family history and personal health conditions. Generally, if you have had two normal colonoscopy results in the past four years, you can typically rely on those results for a period of 3 to 5 years before needing another screening, assuming there are no new symptoms or risk factors that arise.

However, your recent gastrointestinal discomfort and changes in bowel habits, such as alternating between hard and soft stools, warrant attention. While these symptoms may not necessarily indicate a serious condition, they could be signs of underlying issues such as irritable bowel syndrome (IBS), dietary intolerances, or even early signs of colorectal conditions. It’s essential to consider that colonoscopy results are not a guarantee against future problems; they only reflect the state of your colon at the time of the examination.

If you are experiencing persistent gastrointestinal symptoms, it is advisable to consult a gastroenterologist. They can evaluate your symptoms in the context of your medical history and may recommend further testing or dietary adjustments. In some cases, symptoms like yours can be alleviated through lifestyle changes, such as improving your diet, increasing fiber intake, staying hydrated, and managing stress.

Moreover, if you have a family history of colorectal cancer or other gastrointestinal diseases, this may necessitate more frequent screenings or earlier follow-ups than the general population. Family history is a significant risk factor, and it’s crucial to communicate this to your healthcare provider.

In summary, while normal colonoscopy results can provide peace of mind for a few years, any new or persistent gastrointestinal symptoms should be taken seriously. It is always better to err on the side of caution and seek medical advice when in doubt. Regular check-ups and open communication with your healthcare provider are key components of maintaining gastrointestinal health.

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