Is It Cancer? When to Get a Colonoscopy - Gastroenterology and Hepatology

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When it comes to understanding the results of a colonoscopy and the implications of finding polyps, it's essential to clarify that not all polyps are cancerous. In fact, the majority of polyps found during a colonoscopy are benign, meaning they are not cancerous and do not pose an immediate threat to your health. The pathology report you received indicates that the polyps you had were hyperplastic polyps, which are typically considered low-risk for developing into colorectal cancer.

Hyperplastic polyps are common and generally do not require aggressive treatment or frequent surveillance. They are often small and do not have the same cancerous potential as other types of polyps, such as adenomatous polyps. The fact that your doctor recommended removing the polyps and scheduling a follow-up colonoscopy in three years is a standard approach to ensure that any potential changes in your colon can be monitored over time.
Regarding your concern about the three-year interval before your next colonoscopy, this is a common practice for individuals who have had benign polyps removed. The timing of follow-up screenings can vary based on individual risk factors, including family history of colorectal cancer, personal medical history, and the types of polyps found. If you have additional risk factors, your doctor may recommend more frequent screenings.

It's important to understand that while polyps can be precursors to cancer, the presence of a hyperplastic polyp does not mean you have cancer or that you will develop cancer in the future. Regular screenings, such as colonoscopies, are crucial for early detection and prevention of colorectal cancer. They allow for the identification and removal of polyps before they have the chance to develop into cancer.

If you continue to experience symptoms such as abdominal bloating, gas, or discomfort, it is essential to communicate these concerns with your healthcare provider. While your recent tests, including a gastroscopy and stool tests, have returned normal results, persistent gastrointestinal symptoms warrant further investigation. Conditions such as irritable bowel syndrome (IBS), food intolerances, or other gastrointestinal disorders could be contributing to your symptoms.
In summary, while the presence of polyps can be concerning, the type of polyp you had is generally not associated with cancer. Regular follow-ups and screenings are vital for maintaining your health and catching any potential issues early. If you have ongoing symptoms or concerns, don't hesitate to seek further evaluation from your healthcare provider. They can help determine the best course of action based on your specific situation and medical history.