How Often Should You Get Colonoscopy and Gastroscopy?

Colonoscopy

I had a colonoscopy last June, which showed only mild intestinal inflammation.
In September, I had an upper endoscopy that indicated mild gastroesophageal reflux.
I would like to ask the doctor how often I should have a colonoscopy and an upper endoscopy.
Also, I'm not sure if the loose stools I have, which are mostly not formed, are related to the reflux medication I'm taking.

Wen An, 20~29 year old female. Ask Date: 2016/01/27

Dr. Chen Qifeng reply Gastroenterology and Hepatology

There are no guidelines specifying how often to perform gastroscopy or colonoscopy, unless there are significant lesions that need to be monitored.
Loose stools may be related to medication, and it is advisable to consult a physician, as there may also be issues related to intestinal dysfunction.
Wishing you good health.

Reply Date: 2016/01/27

More Info

When it comes to the frequency of colonoscopy and gastroscopy, several factors need to be considered, including your medical history, any previous findings, and your current symptoms. Based on the information you've provided, you had a colonoscopy last June that revealed mild inflammation of the intestinal wall, and a gastroscopy in September that indicated mild gastroesophageal reflux disease (GERD).
For colonoscopy, the general recommendation for individuals with a normal risk profile is to undergo the procedure every ten years starting at age 45. However, if you have a family history of colorectal cancer, previous polyps, or other risk factors, your doctor may recommend more frequent screenings, typically every 3 to 5 years. Given that you had mild inflammation, it would be prudent to discuss with your healthcare provider whether a follow-up colonoscopy is necessary sooner than the standard interval, especially if you experience any new or worsening symptoms.

As for gastroscopy, if you have been diagnosed with GERD, the frequency of follow-up can vary. If your symptoms are well-controlled with medication and there are no alarming signs (such as difficulty swallowing, significant weight loss, or gastrointestinal bleeding), your doctor may suggest a follow-up gastroscopy every 3 to 5 years. However, if your symptoms persist or worsen despite treatment, or if there are concerns about potential complications, more frequent evaluations may be warranted.

Regarding your concern about loose stools and the consistency of your bowel movements, it is important to consider that medications for GERD, such as proton pump inhibitors (PPIs), can sometimes affect bowel habits. PPIs can lead to changes in gut flora and may contribute to softer stools in some individuals. If you are experiencing persistent changes in your bowel habits, it would be advisable to discuss this with your healthcare provider. They may recommend dietary adjustments, further evaluation, or a review of your current medications to determine if they could be contributing to your symptoms.

In summary, the frequency of colonoscopy and gastroscopy should be tailored to your individual health status and risk factors. Regular communication with your healthcare provider is essential to ensure that you are receiving appropriate screenings based on your medical history and current symptoms. If you have any concerns about your gastrointestinal health or the impact of your medications, do not hesitate to reach out to your doctor for personalized advice.

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