Rachel Feltman: For American scientific‘s Science quickly, I’m Rachel Feltman.
Few medical procedures in the outpatient will turn on negativity as colonoscopy. In honor of the consciousness of cancer consciousness, we decided to wet some myths that prevent people who avoid decisive procedure. Today my guest is John Nathanson. Gastroenterologist is at the Irving Medical Center at Newyork-Presbyterian University of Columbia.
Thank you today to join us.
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John Nathanson: It’s great to be here. Thank you for being me.
Feltman: So here we are forbid some colonoscopic myths. First, you know, why do you think that they are colonoscopy, the general public is so revealed? I was able to check the GI post-Covide issues a year ago, and I was really impressed by all that (laughs) based on the overall atmosphere. So yes, why do you think people are so big?
Nathanson: Well, completely. You know, I think it’s a sensitive issue. People, you know, you don’t usually check these things and usually we usually don’t usually talk about things that we deal with in a normal conversation of the day. So for the people, this mystical nature is understanding where they understand, but maybe we don’t understand everything, and because such a sensitive area, people tend to have a wrong idea.
Feltman: Yes, so what do colonoscopes do? Why are they important?
Nathanson: Cololoscopy is a critical tool as gastroenterologist in our armamentive area. A number, colonoscopy can be used to diagnose issues such as bleeding, without any other causes, but more importantly, and for the general public, it can be used as a tool for projecting colon cancer.
Feltman: So most people prepare coronoscopy will be really terrible. What really brings, and what is it like?
Nathanson: You know, the doctor is very variable from the doctor: everyone recommends how to do things. But for most people, it is generally a day than your colonoscopy, changing your diet and taking a kind of laxative to help clean the system before the procedure.
Feltman: And why is it so important for the procedure for achieving good preparation?
Nathanson: Getting a good prep is a critical part of that experience, because the better preparation, the more deeper study. The more cleaner colon, the more we are able to search for specific injuries, ensure that it does not develop in the colon and diagnose some problems that bring people first.
Feltman: Yes. Are there people to facilitate what people can do to make the preparation process? I mean, for example, recommended by the doctor, you know, before I slowly change my diet, I seem very helpful.
Nathanson: Completely, it’s a great idea. If you know, we try to make very light changes in people’s routines, this is not a disruptive experience, which is very easy to achieve.
We generally recommend drinking a cold preparation; can sometimes help. The number two is just changing your diet gradually before colonoscopy. Most of the time we recommend that the colonoscopy is in a liquid diet, but drinking broth, jell-o, popsicles, you can do things like these types of things.
Feltman: What are some common mistakes that people could do in training in the quality of colonoscopy?
Nathanson: Sure, you know, these days, people love fibers and we recommend as gastroenterologists to increase fibers for everyone in their diet.
Feltman: Mm-hmm.
Nathanson: However, in the days of your colonoscopy, a high fiber diet can be more difficult to prepare your colonoscopy …
Feltman: Right.
Nathanson: So while the fibers are generally excellent, it is great for your health, it is excellent for your digestion. Prep process can be a little more difficult. And you may not be able to be as complete as we need. So usually, we recommend a smaller fiber diet in the days that go to Cololoscopy.
Feltman: This makes sense. So when you move from PREP to the procedure, you know, in terms of fear, what happens in a colonoscopy?
Nathanson: Sure, well, you enter our office, you will get an IV in your arm and control you anesthesiologist, keeping you comfortable with the medication. As a sick asleep we put a camera, to study the lining of the colon. While you are asleep we seek any sign of cancer signals or cancer. And if we see anything irregular or develop, we do the biopsy or extract it completely.
Feltman: And should you sedate to be colonoscopy?
Nathanson: You don’t have it. We recommend it. When the patients are more comfortable, we do a deeper and complete study. However, there are patients who choose completely anesthesia, and do well.
Feltman: Yes, well and what, do you know, what about people who are really painful colonoscopes, bloating and how bad is it usually?
Nathanson: The wide majority of patients has almost no discomfort. During the procedure, patients are very comfortable and controlled by an anesthesiologist, which can provide more medications, if any discomfort. After the procedure, any discomfort is also minimal. Patients usually pass the gas very fast, don’t feel discomfort after the procedure.
Feltman: So we have a little dismidated by the same procedure, let’s talk about getting a one.
So what would you say to people who don’t need cololoscopies, because they are healthy, they eat well, don’t have problems in the bathroom?
Nathanson: Sure. I say, I tell everyone: if you are between 45 and 75, Cololoscopy is suitable for the projection of the colon cancer. Everyone is, as long as it is healthy, to maintain an anesthesia and sufficient healthy procedure to prevent the procedure, to prevent colon cancer and avoid a critical method.
Feltman: So we saw a lot of studies and things in news about younger cancer cancer. Are there people who should remove people from there, they should project or what symptoms should go for?
Nathanson: Sure, and I think this is: We are seeing a small increase in the absolute number of patients under 45 people who are diagnosed with colon cancer.
So the colonoscopy is the only tool we use on the colon cancer screen. Most often the tool I recommend being able to detect colonoscopies, but because it has an additional advantage of being able to avoid colon cancer. I always say: Don’t forget the symptoms. If there are frightening symptoms, they are new, talk to the doctor, whether it is appropriate to prove testing, to evaluate what is happening.
I will say that since 45 years of cancer-colored performance is a great time to think about, but if there is a family history, there is a high-risk genetic situation, first can be a candidate to start the screening. For example, if a patient has a history of the family’s family, we recommend that we generally recommend 40 or 10 years earlier than the earlier diagnosis. So I always say talking to your doctor to imagine when you had to start the screening and start thinking about participating in this process.
Feltman: If you have people, you know, maybe, maybe they should be a colonoscopy, what should they be the first steps?
Nathanson: Completely. You know, that’s what we specialize, and if patients have any questions about gi symptoms, I always recommend talking to a gastroenterologist. Working with your doctor is a great way to work that Cololoscopy can be a proper performance for you and it may be a proper test to represent what is happening and causes your symptoms.
Feltman: I think a lot of people think that a colonoscopy can do, you said that you have colon cancer. What else can you get out of these procedures?
Nathanson: Yes, Cololoscopy is a great way to avoid colonus cancer. Therefore, it’s the reason we encourage so much, or we really talk to our patients to get colonoscopes.
Feltman: Yes, that’s a huge deal. Is there about knowing the truth about our listeners about colonoscopic?
Nathanson: Yes, that experience is unpleasant. Most of our sick “Well, that if that was not at all, I would come so easy, I would come before.”
So this is the correct test, the test is safe, and is a test that does not significant discomfort.
Feltman: It’s awesome, for helping me throw some of these myths.
Nathanson: Completely. Thank you for being me.
Feltman: That’s the episode of today. We will return on Friday with a special look at the science of TV success Head, The writers helped them develop the headline of the neurochujea show.
Science quickly Rachel Feltman produces me with Fonda Mwangi, Kelso Harper, Naeem Amarsy and Jeff Delviscio. Shayna Books and Aaron Shattuck Fact-Check our show. Our music topic was completed by Smith. Subscribe American scientific Update and deep science for more news.
For Scientific American, This is Rachel Feltman. See next time!
