The informed patientCategory
What is the point of treating one member of the family for H. pylori if he or she is just going to get reinfected by other people living in the house that also have the infection? Just how contagious is H. pylori?Share this:
H. pylori lives in the stomach lining and causes chronic inflammation called gastritis, acting as a strong risk factor for both ulcer formation and stomach cancer. But how does someone get infected with H. pylori? Can people spread H. pylori by kissing?Share this:
FODMAP what? Have you heard? It’s the new dietary approach for the bloating and belly cramps seen with irritable bowel syndrome (IBS).
What is immediately apparent from these numbers is that Cologuard rarely misses cancer. However, if we count polyps as a significant finding, there are plenty of false-positive results (45%) and plenty of false-negatives too (34%). So is Cologuard a good test overall?Share this:
If you notice, the basic idea here is pretty simple. According to the guidelines, there are really only a few options for follow-up intervals for colonoscopy: 10 years (negative exam), 5 years (low risk polyps), and 3 years (high risk polyps). Less than 3 years is only recommended in the truly unusual case of a large polyp burden or invasive cancer in a polyp. And that’s it.Share this:
I thought it would be a good time to show a real-life example of colorectal cancer prevention in action. Let’s pretend that you are a friendly neighborhood gastroenterologist, just minding your own business and doing a screening colonoscopy on a patient.Share this:
If there is one take-home message for colorectal cancer screening it is this: Start screening most people at age 50. Colonoscopy is the preferred screening test.Share this:
So, after this careful analysis, here are my concluding thoughts on anal sex as a healthcare professional specializing in colon and rectal diseases:
Anal sex seems to significantly raise your risk of having fecal incontinence.
You probably just shouldn’t do it.
If you are going to do it anyway, don’t do it too frequently.
It seems like common sense, but use lots of lube.
When finding a partner for anal sex, smaller is probably better.
Here in Long Island, NY where I practice, it seems to be the norm to have a precolonoscopy visit. This visit serves several important purposes in my mind: I can meet the patient, take a history, and make sure they actually need a screening colonoscopy. I can answer all of the above questions in more detail than the primary doctor can. I also get to give them my basic talk about the purpose of a colonoscopy, how and why we remove polyps, the importance of good bowel prep and how to do it, and the small associated risks of a colonoscopy. We can talk about what to do with medications, and where to arrive on the day of the test, and parking, and all those seemingly small details that can make a patient stressed-out about the test for no good reason.Share this: