How often do you need a colonoscopy if you have had polyps?

Asked by: Dana Veum  |  Last update: August 2, 2023
Score: 5/5 (13 votes)

If your doctor finds one or two polyps less than 0.4 inch (1 centimeter) in diameter, he or she may recommend a repeat colonoscopy in 7 to 10 years, depending on your other risk factors for colon cancer. Your doctor will recommend another colonoscopy sooner if you have: More than two polyps.

How often do colon polyps grow back?

Once a colorectal polyp is completely removed, it rarely comes back. However, at least 30% of patients will develop new polyps after removal. For this reason, your physician will advise follow-up testing to look for new polyps. This is usually done 3 to 5 years after polyp removal.

Can you get colon cancer 2 years after colonoscopy?

This means cancer and polyps can sometimes go undetected. So, despite having had a 'clear' colonoscopy, some patients go onto develop bowel cancer – referred to as post-colonoscopy colorectal cancer (PCCRC) or 'undetected cancer'.

How long does it take for a polyp to turn into cancer?

It takes approximately 10 years for a small polyp to develop into cancer. Family history and genetics — Polyps and colon cancer tend to run in families, suggesting that genetic factors are important in their development.

How often should polyps be checked?

By age 50, you should start getting a colonoscopy every 10 years, no matter your gender or overall health. As you age, your risk of developing polyps and bowel cancer increases. Getting routine colonoscopies helps your doctor find abnormalities early so they can be quickly treated.

How Often Should I Have a Colonoscopy?

18 related questions found

Why do I have to have another colonoscopy in 6 months?

If a polyp is not completely removed by colonoscopy or surgery, and the biopsy results are completely benign, another colonoscopy should be done in 3-6 months. Every effort should be made to remove polyps, as there is a significant risk that over time they can progress to an invasive cancer.

Why do I need a colonoscopy every 3 years?

Colon cancer is the third most common cause of cancer death in the United States. Because people with advanced polyps have triple the risk of developing cancer, it's generally recommended that they have a colonoscopy every three years.

What are the symptoms of stage 1 colon cancer?

A persistent change in your bowel habits, including diarrhea or constipation or a change in the consistency of your stool. Rectal bleeding or blood in your stool. Persistent abdominal discomfort, such as cramps, gas or pain. A feeling that your bowel doesn't empty completely.

Why do colon polyps keep coming back?

Various factors could contribute to polyp recurrence. Sex, lifestyle (e.g., smoking or drinking habits, and dietary habits), and age of the patient, and the growth site, number, size, and pathological pattern of the polyp are potential risk factors for polyp recurrence.

What are the symptoms of polyps in the bowel?

Bowel polyps do not usually cause any symptoms, so most people with polyps will not know they have them. They're often picked up during screening for bowel cancer.
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Symptoms of bowel polyps
  • a small amount of slime (mucus) or blood in your poo (rectal bleeding)
  • diarrhoea or constipation.
  • pain in your tummy (abdominal pain)

How fast does colon cancer grow after colonoscopy?

Among 126,851 patients who underwent colonoscopies, 2,659 were diagnosed with colorectal cancer; 6% of these colorectal cancers were found to have developed within 6 to 60 months after a colonoscopy.

How often should one have a colonoscopy?

Most people should get screened for colon cancer no later than age 50. If your colonoscopy doesn't find any signs of cancer, you should have the exam again every 10 years. However, if you're between 76 and 85, talk to your doctor about how often you should be screened.

How often should you have a colonoscopy after 60?

How Often Should I Get a Colonoscopy? Get your first screening at age 45. If you're at average risk, you should have a colonoscopy once each decade through age 75. If you're at a higher risk for colon cancer, your doctor may recommend a colonoscopy every five years instead.

Can a polyp turn cancerous in 5 years?

Adenomas: Many colon polyps are the precancerous type, called adenomas. It can take seven to 10 or more years for an adenoma to evolve into cancer—if it ever does. Overall, only 5% of adenomas progress to cancer, but your individual risk is hard to predict.

How do you prevent colon polyps from coming back?

Research suggests that making the following changes may have health benefits and may lower your chances of developing colon polyps:
  1. eating more fruits, vegetables, and other foods with fiber , such as beans and bran cereal.
  2. losing weight if you're overweight and not gaining weight if you're already at a healthy weight.

How do you prevent colon polyps from recurrence?

You can greatly reduce your risk of colon polyps and colorectal cancer by having regular screenings. Certain lifestyle changes also can help: Adopt healthy habits. Include plenty of fruits, vegetables and whole grains in your diet and reduce your fat intake.

Can stress cause polyps in the colon?

These stress related factors may influence colon polyp development [20,22]. Persons reporting increased levels of stress have also reported increased smoking, poor diet and low levels of physical activity [29,30]. Each of these factors have been associated with colon polyp development.

How many polyps is a lot?

More than one polyp or a polyp that is 1 cm or bigger places you at higher risk for colon cancer. Up to 50% of polyps greater than 2 cm (about the diameter of a nickel) are cancerous.

Can you get polyps more than once?

It's possible to have multiple polyps that are flat or raised (as if they are on a stalk). Polyps are one of the most common colorectal conditions, occurring in 15 - 20 percent of the adult population.

Where do you feel colon cancer pain?

If there are symptoms, the following may indicate colon cancer: Abdominal pain and tenderness in the lower abdomen. Blood in the stool. Diarrhea, constipation, or other change in bowel habits.

What is the next step if a colon polyp is cancerous?

In most cases, only a polypectomy and/or a local excision is needed to treat this stage of cancer. A polypectomy or local excision involves removing the polyp in its entirety during a colonoscopy. Additional treatment may be needed if a polyp or tumor is too big to be removed through local excision.

Can a doctor tell if a colon polyp is cancerous by looking at it?

A gastroenterologist, the specialist who usually performs a colonoscopy, can't tell for certain if a colon polyp is precancerous or cancerous until it's removed and examined under a microscope.

Is it normal to have a second colonoscopy?

Patients in the no-risk group may have small rectal hyperplastic polyps and should have a repeat colonoscopy in 10 years. Patients in the low-risk group have one or two small adenomas that are smaller than 1 cm and have no or only low-grade dysplasia; they should have a repeat colonoscopy in five to 10 years.

How common are colon polyps in 70 year olds?

Colon polyps are extremely common among adults 50 years of age and older, occurring in over 40 percent of individuals who undergo screening colonoscopy.

Are repeat colonoscopies necessary?

For people at average risk of colorectal cancer, colonoscopy screening is recommended beginning at age 50 and then every 10 years unless adenomas or cancer are found.