When is it TIME to STOP Colon Cancer Screening?

Have you been told its time to stop colon cancer screening? Or do you wonder if you really need another colonoscopy, and think its time to stop having a colonoscopy?
In this video, I discuss how we decide when it is time to stop colon cancer screening. First, its important to understand the goal of a colonoscopy - to prevent colon cancer. And that is done by removing polyps that may turn into colon cancer in the future. Second, I talk about when polyps may become cancer. Third, I explain why only having one colonoscopy isnt enough and if stool based colon cancer screening is ok. Fourth, I discuss how GI doctors determine how frequent your colonoscopies should be based on how many polyps or what type of polyps you have. Fifth, I eplain why someone would want to stop having colon cancer screening and what the guidlines state as a reasonable timeframe. Additionally, i talk about where the guidlines are not clear and how you and your doctor can explore when is the best time for you to stop screening. While a colonoscopy has many benefits, there are risks for people who have severe conditions and may not be the right choice for people with other comorbidities. So discuss these factors with your doctor!
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DISCLAIMER: While I am a Gastroenterologist, I am not acting as your Gastroenterologist. The information provided on this channel is intended to be general educational content and not directed towards any one individual. If you believe you have a medical condition that deserves attention please seek care from your healthcare provider. If you are experiencing a life threatening emergency, call 911.

[@Patco11]

Had colonoscopy at age 52 and was diagnosed with colon cancer. Screening save my life and have been cancer free since.

[@MarkCollins-k6x]

I had my first colonoscopy at 59. They found 2 small polyps and a “flat polyp”. It was quite large at 20mm. I had it scraped and tested and was negative. They weren’t in a position to remove it during the colonoscopy….so I got it removed 1.5 months later. That was yesterday. From what I been reading a flat polyp is more prone to turn to cancer. So I’m glad I finally gave in and got the colonoscopy. Maybe saved me from colon cancer in the future.

[@ManinderSingh-zn7mg]

@@MarkCollins-k6x I need more knowledge about colon cancer, my mother was diagnosed with cancer and is in the third stage, and the doctor is refusing to do surgery, could you advise some steps to take forward, what shall I do next.

[@juanacastillo7154]

🙏❤️🙏

[@sharonmassetti265]

For me the only bad thing is the prep the day before.

[@earthwormscrawl]

I know, I was going to install a five-point harness on the toilet to prevent being blasted into orbit. The most important rule of survival during that phase is to never trust a fart. Be warned, it isn't a fart.

[@scotsmanofnewengland7713]

I added some peach lemon ice tea crystals to the gallon of prep the morning before and refrigerated it. I was a little worried because of the color but after calling the VA they said it was alright to use that peach lemon ice tea since the color was a brown and not purple or red. All went well after the procedure.

[@TheReal1953]

Yeah, about that. Seems like it's not so cut and try. On my last screening, I woke up with the surgeon wagging his finger at me about not being 'cleaned out enough'. I had done exactly as I was instructed. Seems like there was a hiccup with the pharmacist and the instructions. Now, the same GI nurse at the office is denying that....same one who told me about it originally. I'm getting a diagnostic procedure next month. Includes three days of fasting and BS. Oh boy......

[@jc4evur661]

@@earthwormscrawl Thanks for the mental picture. Lol

[@jonclassical2024]

I just don't get the issue...I LOVE to get CLEANED OUT...I feel sooooo good thereafter!!!!

[@CancerChick0523]

I have stage 4 colon cancer. I was ONE year late for my colonoscopy and was diagnosed with stage 3b colon cancer at age 61. It then metastesized to my liver. Trust me everyone, as bad as the prep is, it is much worse to have colon cancer!

[@MarkCooperMD]

Thanks for sharing. Good luck with therapy. Are you receiving immunotherapy?

[@CancerChick0523]

@@MarkCooperMD Yes, I’m on Keytruda! I started treatment in August with mets to liver. My last PET scan showed the arrest of the mets to liver and scanty residual disease. I have Lynch syndrome. Feeling great now!

[@georgewatson6622]

​@@CancerChick0523good for you, colon cancer is nothing to mess with.people please get tested.

[@3John-Bishop]

​@@CancerChick0523😅

[@pawelzielinski1398]

@@georgewatson6622 I am not getting any more colonoscopies. I am done with that. I don't care if I die tomorrow.

[@ayokay123]

Pressure from hospitals on gastroenterologists to bring home the bacon leads to many unnecessary colonoscopies. This doc is a breath of fresh air.

[@alansach8437]

What is an "unnecessary " colonoscopy? Every five to ten years for screening isn't unreasonable. The nice thing about routine screening colonoscopies is that they can remove a polyp right there. No return visit or surgery needed. Sure, the prep is miserable, but not as miserable as cancer treatment.

[@georgewatson6622]

​@@alansach8437from a colon cancer survivor your spot on. I get one every five years. Just might save your life like me.

[@pawelzielinski1398]

@@georgewatson6622 I don't think life is worth living. I am not getting any more colonoscopies. I am also stopping taking any medications from now on. I don't care how soon I die. The sooner the better, I guess?

[@koblongata]

yea, very refreshing

[@pawelzielinski1398]

@@alansach8437 what if I don't care, if I die? I don't think the life is worth living.

[@fredlarge8209]

Thanks to this video I have had my last colonoscopy. Three colonoscopies in the past 30 years and no polyps. I’m done, thanks.

[@MarkCooperMD]

Thanks for sharing!

[@EddieJazzFan]

My dad has his first colonoscopy at 88 years old and was diagnosed with colon cancer. I guess there is no way of telling how long he had it, but he was a heavy smoker. They wanted to do all sorts of surgery on him and he said NO! The doctor was surprised at his answer. So he had radiation and chemo and the huge tumor shrank down to nothing. He lived about six more years until the cancer show up again in his liver. But he did have a really healthy life for those last years without surgery.

[@gstlb]

I’m not sure I’d choose radiation and chemo over surgery but I guess it would depend on what the surgery results would mean for my lifestyle. He seemed happy with his decision so that’s enough.

[@fr0103]

​@@gstlbStaying on point, my father had his first colonoscopy at 80 and they discovered stage 2 colon cancer, although it was still contained. He opted for surgery and they conducted a bowel resection and took about 6" out of him, removing the cancer. My father then refused follow-up with chemo and radiation treatments and the cancer returned 18 months later. He died from it (plus pneumonia) at 83 1/2. Typically, for the best results, colon cancer surgery includes both radiation and chemo treatments.

[@ScottA2345]

They radiated an 88 year old man?? WHAT??? That alone would usually be grounds for malpractice. The tissue of older people can't handle radiation - it basically causes tissue to whither and die. And you claim he lived another 6 years problem free??? I'm finding this hard to believe.

[@swissmaid]

My dad's second wife had the surgery, about 6-8"" cut out. All went well, then she came home,died in bed that first night. Imagine my father, trying to cuddle her for good morning and she was stiff as a dodo.

[@TravisMcGee151]

Radiation usually follows surgery to make sure the cancer is gone. Radiation is no big deal. Dying from colon cancer is a big deal. Each to their own.

[@TomHobbes987]

What a magnificent voice and presentation you have. Very helpful video; I am 79 and deciding since I have had some polyps removed in the past.

[@barryobrien7935]

Agree! I’d love to have him as my doctor but they tell me (at 86) I don’t need anymore colonoscopies even though my mother died from colon cancer at 62.

[@joeyjamison5772]

I'm 75 and have undergone 6 colonoscopies. After the last one when I was 68, I asked the Dr. how many polyps has he ever removed from me. When he went over my records and replied "I've never removed any", I thought "I'm done with this".

[@jjbud3124]

You've made the right decision.

[@jjbud3124]

@@Louis_A640 He may have had a very strong family history of colon cancer. Or maybe the surgeon was scoping for money.

[@joeyjamison5772]

@@Louis_A640 You drew a conclusion without getting all the facts. I had a serious peritonitis incident which is why the Dr. kept such a close eye on me in the first place. He told me I was at much higher risk for problems, but was not specific as to what it might be. This went on for 22 years. I'm 75 now.

[@ctuna2011]

Well I am of a similar age and have had about that number and have had about 4 first two at the beginning and two more last time though they where small.

[@edie4321]

If it aint broke, don't let them in to break it. Mammograms cause cancer, and are not effective in truly determining it. I do not understand why anyone over 50, or any age actually, trust that profession, at all, anymore.

[@Nancy-cm1rh]

Thank you for explaining this in a low tone voice !!!!!. 🎉❤

[@fishgutz4272]

My father died at 61 from an aggressive form of colon cancer. He had always had the regular evenings. No signs. One day he was putting on his seat belt and felt pain in his neck as the belt brushed a lump. The lump was malignant and secondary. The cancer had already metastasized. Stage 4 colon cancer. He died 7 months after diagnosis. My last two scopes found polyps with abnormal cells. They were not yet precancerous. But they were the type that will grow to cancer if not removed. Our son is at higher risk because he also has crohns and is a Hodgkin's lymphoma survivor. He has had more colonoscopies than I have.

[@sharonsalzberg2654]

Had two at 50 and 55. No polyps or family history of colon cancer. Could not tolerate the fasting and prep and at 73 am super healthy with all systems functioning normally. My decision.

[@curbozerboomer1773]

I guess your tolerance level is very low!

[@sharonsalzberg2654]

@@curbozerboomer1773 I almost passed out from the fasting due to a sharp drop in my blood sugar. I will never get this test again. I feel very safe rolling the dice on colon cancer. My body, my choice, my life.

[@HappyLife-wv5ms]

And the risk of anesthesia and bowel perforation…..I agree with you! I just do random stool guaiac testing. This is the old standard testing. Sometimes new is not better.

[@susangrande8142]

@@HappyLife-wv5msI’m 65; have had 3 colonoscopies in my life. My grandmother, who smoked and had a terrible diet, died of colon cancer in about 1980 at age 65 or so. I’ve had a few polyps removed. I HATE the prep, and last prep time got dehydrated with headache, and threw up in the pre-op room. (The tech/nurse didn’t believe me when I said I was going to throw up.) I’m leery of not only the risk of bowel perforation, but also the possible infection with the ‘scope, and the damage removing all my colon’s intestinal flora does. I’ve cleaned up my diet a lot in the last year, (it’s now very low carb, under 10 grams carbs each day) and I’m okay with putting off or maybe even not ever getting another colonoscopy in my life.

[@dads88]

​p@@susangrande8142

[@gstlb]

I had my last colonoscopy at 70, no polyps. The surgeon said he didn’t need to ever see me again 😊

[@gavnonadoroge3092]

did your insurance drop you , or what?

[@itsjustme7487]

My doctor said the same thing after removing several pre cancerous polyps. I had my first at 51 and had the procedure every 5 years since then. Now miraculously I don't need colonoscopies anymore.

[@edie4321]

Yes, for some strange reason they do not do pap smears, cervical cancer checks after a woman reaches 46. Sounds like it's for profit only.

[@gstlb]

@@gavnonadoroge3092 hah, no! Evidently colon cancer is slow and I’ve not had pre-cancerous polyps, so the doctors figure that even if I develop colon cancer, something else will kill me first 😏

[@nccountry1412]

Surgeon? Surgeons don't do colonoscopy. Liar.

[@joebidendidthat5121]

First colonoscopy was about age 52. I had one polyp. The doctor said it was the largest he’d ever seen in his career…. As big as his thumb. Pathology should positive for cancer in the cap but luckily it had not spread down the stalk yet and into the colon wall. He said it was a lifesaving procedure for me. He said about 6 month later I would have had to have a portion of my colon removed. I will encourage everyone to get a colonoscopy at 45 and every 5 years minimum! The prep is really not all that bad.

[@donnasr1799]

Oh yes, it is, but absolutely necessary

[@marytheresa5621]

My mother had her last colonoscopy at 70 and was told to come back at 75. She never did and was diagnosed stage 4 colon cancer at 80. She was healthy and vibrant in every other aspect, but we lost her. I am now 65 and have had 3 so far with my 4th coming this year. I refuse to make the same mistake.

[@AliceFarrell-DeVore]

Okay, this comment right here is the reason I'll have another one. I had my last one 2 years ago at 69 and decided I was done, but I'm like your mom, healthy in every way and don't want to die too young from something preventable. Honestly, a couple of days of misery doesn't compare to losing 10 years of your life. Thanks, internet friend!!

[@Dadidi8888]

​@@AliceFarrell-DeVoreTotally agreed. The prep is not that bad and only for 1+day every five years. Save one lots of trouble and suffering when getting sick.

[@MrLeedebt]

@@AliceFarrell-DeVore How right you are. Whining about cleaning out our bowels for another 10 or 20 years of life.

[@artsiecrafty4164]

Did your mom pass from the chemo and radiation, or from the cancer. If she had treatment that could be what killed her.

[@marytheresa5621]

@@artsiecrafty4164 She never had chemo or radiation. She had nothing but comfort care at that point.

[@ponder889]

I am 70 and decided no matter what the risk I’ll will not have anymore colonoscopy’s. The prep is so medieval.

[@MarkCooperMD]

If you’ve had no concerning lesions to date then I don’t think this is severely ill advised. Not what I’d want for a sibling but not something I’d nag them about either.

[@vietnamvet4533]

Yea and how about that tube in your keister what would you call that?

[@meagainandagain5756]

@@vietnamvet4533A brief inconvenience. … I think cancer is worse!

[@76TomD]

Some of the new prep is much improved. Suprep doesn't taste bad and can be mixed with sprite.

[@WyomingGuy876]

Cologuard requires no prop

[@boblossie3192]

Very well laid out. I'm 67 and have never had issues with polyps. However, colon cancer runs high on BOTH sides of my family. For that reason, I started getting colonoscopies in my early 40's. The doctor told me he wishes he could find a 12 year old with a colon as clear as mine. I'm the only one in my family that has a VERY clean diet with lots of raw fruits and veggies. Same goes with blood pressure issues on both sides of the family for the 3 generations, most of which take BP medication. I don't need them because I don't eat processed food. BUT I still plan to have colonoscopies because of the family history. What Dr. Cooper has done for me is make me feel more relaxed that I'm not likely to have a problem in the future.

[@MarkCooperMD]

thanks for watching!! glad the video made sense!

[@curbozerboomer1773]

Stop bragging, please!

[@ashs1992]

How many years should be tested?

[@boblossie3192]

@@ashs1992 I'm going to chose to be tested every 3 to 4 years.

[@ashs1992]

@@boblossie3192 k is it painful test

[@nancymurray9033]

I am 84, my Dr. told me she didn’t want to see me anymore at 75. I have several polyps that were removed that were the kinds that cause cancer. Both of my parents had colon cancer, an uncle and a grandmother had stomach cancer. I am now having concerning symptoms. I often questioned why my wellness check wants me to keep having mammograms but totally ignore the risk I had for colon cancer. Especially now!! 😮

[@MarkCooperMD]

What you describe is a case I would typically recommend continued screening. First degree relatives with cancer and a personal history of having polyps. Thankfully they grow slowly enough that I’m hopeful you would not having anything serious and removing polyps at this time would still be preventative. Past 85 I think the risks start to become greater than the likely benefit even for patients with fairly high risk (presuming they otherwise kept up with screening). In summary - consider getting one more scope for prevention and peace of mind.

[@jewel1953]

I feel your pain and concern. Because of your history like mine I would continue to have them if anything just for your peace of mind. Find a dr. that will do it for you. I had my dad die from colon cancer and my mom from breast cancer. It is scary when you know your history. I think you are wise willing to still pursue it. I wish you the best.

[@Hippy2021]

​@@MarkCooperMD You can reverse what called Gene. You can control your life. The diseases carried by ancestors and parents throughout the family came from ignorance. Decades ago a lot of things we don't know and that affects our health and longevity. Don't blame on Gene. Women in my family mother side didn't live pass 60, died of cancer, breast, oral, pancreatitis cancer. Because they didn't know. Technology did not exist and knowledge on science was very limited. Men in the family were heavy smokers and smoked in the house while holding their babies on their lap. People cooked with granola and vegetables oils thinking it's healthy. My mom added sugar in every single food, a pack of 100 pounds table sugar finished in a month or less! Am not exaggerating. She ended up with diabetes that lead to complications as pancreatitis cancer. She was a pharmacist. With all those terrible mistakes we cannot blame on Gene. My father side almost everyone passed with stroke or heart attack, eating junk or wrong food. No exercise but sitting together arguing on politics. I know where I came from. I put more time researching the best to improve my existence. We may make mistakes sometimes, of course we all do, but the more we know the better we live.

[@goedelite]

My case was the antipode of yours. Best wishes and good luck!

[@mikethompson3534]

It’s time to find another doctor

[@ChimiChimiChurryPie]

My coworker had stage 4 colon cancer diagnosed at age 36. His father also was diagnosed at a young age as well, but my coworker never thought he'd get it so he never had a colonoscopy. He died at 39. I learned from his lesson and started my screenings at 47 since my own grandfather had it when he was in his 60's (he lived the rest of his life with a colostomy bag). My mom has had precancerous cells found in a polyp that was removed in her 60's as well. I am a health care professional, and I'm not taking my family history as a fluke. I have a screening every 5 years religiously.

[@MarkCooperMD]

Your grandfathers history does not in and of itself place you at significantly increased risk. Your mom’s history is only significant if she had a high risk adenoma. Most commonly she did not. Patients with the history you describe I try to determine what the first degree relative actually had. In many cases there’s no need for accelerated screening unless the patient themselves has significant findings.

[@chieftain5391]

I finished my last colonoscopy at 75. I figured what the heck I have lived long enough. Any more is a bonus!

[@llaffallott]

I was hoping for a better discussion of risks. A physician friend said he will not get a colonoscopy because of the risks, and that he knows other physicians who feel the same way.

[@MarkCooperMD]

Other videos. We have to keep them a reasonable length. Your physician friends sound like they’re making an emotional decision out of fear. Which is perfectly fine. But they do a disservice by casting their view as a better understanding of risks.

[@curbozerboomer1773]

The risk factor is very low! I mean, ANY invasive procedure can go bad, but if any complications develop, you will have doctors right there to help you. That is how I see any invasive procedure...I have had four such procedures, dealing with heart issues. My attitude is, if you are in the hands of a good doctor--but die anyway--then that is just your fate, so accept that which you cannot control!

[@d.e.b.b5788]

@@MarkCooperMD My mother went in for a 'routine' colonoscopy, they somehow punctured the bowel, she went septic, and was in and out of the ICU with frequent trips to the OR to rise out the peritoneum. She almost died. Lost 70 pounds.( she's 5'10" and weighed 160+ when she went in). Might not happen to everyone, but it only takes ONE to scare the crap out of us.

[@tpresti7260]

Exactly... people think there are NO risks, but there are. Also, I once read, those instruments they never get cleaned 100%. It's hard to get into all those nooks and crannies.

[@deborahemielita5949]

I appreciate the discussion. I’m going for a colonoscopy because I had a bleed, probably hemorrhoids and not worrisome but my primary care doctor recommended I go. I’ve had one polyp on my first one and no polyps on my last one. No family history of colon cancer and I eat a lot of vegetables and fruits in my diet. So maybe I don’t need to go at all? I’ve also read there are controlled studies showing that a low residue diet for the prep would work just as well as the liquid diet, any thoughts on that? It’s pretty Juki ( white bread or rice, eggs, dairy that i can not eat, but still better than only liquids. I’m doing the liquid preparation anyway with a partial day before on the low residue diet, because that’s what doctor wants. Even worse than a liquid diet, the kit prep is 6 Pm and 2 am before the procedure! I am also having coughing due to sinus congestion due to allergy season is in full swing but will proceed with the preparation!

[@TaylorZ2]

Dr. Cooper is great! He's so on point and speaks in an easy, convincing, understanding way that a non doctor can understand. I wish he was my GI doctor. I do wish "older person" was better defined though, like what age range is a colonoscopy no longer beneficial

[@MarkCooperMD]

It depends on overall health and estimate of longevity. Which is not a well defined concept and very individual. Thanks for watching!

[@brucetaylor6107]

When you see brain tissue in the toilet bowl, you know your prep is complete.

[@keariewashburn4680]

😂😂😂😂​@@brucetaylor6107

[@jjbud3124]

@@brucetaylor6107 That comment WINS!!!!

[@curtiscollins2174]

Very well done sir. I will continue to have colonastame tests. I'm 66 and plan on living 100+ yrs God willing.

[@pintsizestories196]

Really well explained. I'm glad he mentioned that there are some risks to a colonoscopy as well so that's part of the decision process. My husband had some polyps taken off over the years and I am very glad he had the colonoscopies because he is unlikely now to get colon cancer.

[@Rendog2]

I don't remember him mentioning risks although he did say something about (age-related) comorbidities. I am 70 and am going to take my chances and forego a colonoscopy (yes, against professional advice). I'm going to gamble the odds. I am immuno-compromised, and had a bad case of c.diff many years ago (following a sigmoidoscopy, curiously, which may have been co-incidental) which nearly killed me. Yes, I run the occult blood test every two years, and yes, I realize that by the time they should find blood it's probably too late (for a colonoscopy). But I am afraid a colonoscopy (and I'm referring to the prep procedure and the post-restoration, not just the colonoscopy--the "snaking"--itself) would ultimately kill me. I've got a sensitive gut and believe I could never restore the flora and fauna balance back right, even if there were no complications from the scope.

[@LS-ei7xk]

@@Rendog2 I hear you! After my last one, I couldn't "go" for a week, and I think he damaged the nerves down there (without going into a lot of sordid details). Plus, I had a major anxiety attack over the prep. And he still said I wasn't cleaned out enough. Then I had sigmoidoscopy; just about as bad (and not "clean" enough). I've had enough of docs looking up my rear end! The sleep was good the first time, but the second time, I felt irritable and depressed. I know I already have blood down there, but it's from hemorrhoids, and I've had that for 25 years, or so. If it's something else, I don't want to know, at this point. I have so many other things wrong with me, I'd rather just make a Will, and die. Not really, but that's how strongly I feel over such invasive techniques.

[@bobboscarato1313]

Sometimes the walls o the colon can be accidentally perforated. Guess they get thinner with age.

[@ThuLe-eh1xe]

​@@LS-ei7xkthe colon is 5 feet long. Dr cannot see everything in the colon. Besides, the rod camera, might not be sterilized well and cause infection. As we get older, the wall of the colon get thinner. Perforation might happen.

[@ThuLe-eh1xe]

​@@bobboscarato1313agree. I am 73, and even my beautiful lips on my mouth get thinner.😂

[@HeatherCampbell-kc7fx]

My mom is 88 and has never had a colonoscopy. So far, no health issues!

[@darrylcullen2409]

My Dad lived to 91 and was never hit by a bus.

[@SFreedberg1]

You have my sense of humor lol​@@darrylcullen2409

[@antohong]

Very good answer😅​@@darrylcullen2409

[@Dit1160]

My mother is 96 and has never had one…last time she went to a medical doctor was when I was born…72 yrs ago…she keeps up with dental ( still has all her teeth) and eye Doc. She is at weight, exercises and still works part time…your mother has many years ahead of her…enjoy

[@pawelzielinski1398]

@@darrylcullen2409 good for him.

[@BunE22]

My dad died at 79 from colon cancer, as did his dad. I have routinely gotten checked since I was about 45 years old. I never had polyps, though my brothers have. But once the gastroenterologist removed "white spots" from my colon wall. He said they may not have turned into polyps, but he removed them because they don't belong there. My mother died at 92 from Parkinson's and Lewy Body dementia. During a hospital stay near the end, the doctor told me that my mom had blood in her stool. I wanted to know if she wound up with colon cancer too, but since she was in no condition to treat it, the doctor didn't want to test further. So I may have it on my mother's side also. I guess that means I should continue testing into my 80s, correct?

[@kathrinlancelle3304]

I had one and that was enough. What a horrific experience.

[@johnbelt5204]

I agree it is not pleasant, however, I would rather deal with the few days of discomfort to avoid a horrific, lingering death that shortens my life significantly.....

[@ES-mc3cc]

Eat a lot of vegetables and fruit the day before the day before and you will get emptied out quickly!

[@carollewis3912]

The drink is not horrific anymore. You can now take Miralax. No bad taste.

[@cherylcooper2838]

cancer would be worse and not for just 1 day.

[@rodgraff1782]

Would you rather die? It’s not bad at all to sit on the toilet for a few hours during the night before.

[@davidh9844]

Excellent, excellent report. I am a retired 74 year old Internist in great health with a lousy family history of colon cancer. I think the most important point here is that you do yourself a disservice by not talking to your DOCTOR about colonoscopy. Not a Physician Assistant. Not a Nurse Practitioner. And god knows, not a Chiropractor. A real, trained doctor! Both of my father's parents had colo-rectal cancers in the mid 1950s. They survive and died of cardiac disease. My father had both thyroid cancer and died of lung cancer. Neither he nor his sisters and bother had colon cancer. My then 49 year old brother had a lemon sized, malignant polyp removed from his colon. He's still alive and kicking. Me? First colonoscopy like a good boy age 51 (the age 45 recommendation came later, and that is super important if you are Black. Colo-rectal cancer DOES discriminate and has no intentions of stopping.) I had 2 millimeter sized flat polyps. Because of my brother's history, we repeated my study after 5 years. Clean. I got busy, covid showed up, and I had no desire to do the prep. I did a genetic stool analysis at 10 years. Clean. Medical allows a repeat test after 3 years. It came back positive - whatever that means. I repeated the full colonoscopy, more than 20 years after my initial, essentially unremarkable baseline screening. The stool screening test turned out to be a false positive - still no polyps or malignancies in my gut. And my doctor wants to repeat it in 5 years. In 5 years, if I'm still alive, I'll consider it, but almost certainly won't go through with it. I am more worried about general anesthesia and the risk of intestinal perforation/puncture from the procedure than I am of the findings. Decisions need to be made, but they need to be good, rational decisions!

[@MarkCooperMD]

Thanks for watching. The cologuard doesn’t add much over the FIT. Stool DNA markers aren’t highly reliable and considerably more expensive vs. FIT test. FIT is actually a part of the cologuard anyway and very often it’s the FIT portion that’s positive - so you effectively paid $600 for a drug store test. You seem to have dodged your brothers fate (and thankfully your brother dodged his own fate as well).

[@davidh9844]

I'm now working on getting his kids screened over the next few years. Oldest daughter just turned 40, making her 1 year late for her early screening. His son is due next year, and younger daughter in about 4 years. We urge the children to get screened at an age 10 years younger that the parent was at the time of diagnosis. My parents insisted to their deathbeds that I was not adopted. I told them for years that it was okay that I was, it doesn't bother me. If I weren't adopted, then babies had to have been switched before I was taken home. Dr H, MD, IM@@MarkCooperMD

[@User-cc6cq]

Thank you!

[@grandma460]

Hi there. Nurse here, old one haha. 60. You don’t have to have the anesthesia. They commonly do it without meds in Europe I have read. I got the IV in case I tapped out ;) but procedure went okay. Glad I didn’t use meds (I like to be in control of my mind). A bit uncomfortable at splenic and hepatic bends/flexure but definitely will do that way again next round. Hop of the table… can drive yourself home :) that’s pretty sweet. And (!) they have to go slower so I think a lower chance of perforation maybe 🤔. Take care

[@davidh9844]

@@MarkCooperMD Happy to report in both instances, insurance covered the full cost of the tests. The fact that I received a report that read "Positive", but not what that positive meant means I won't be repeating the cologuard, free or otherwise.

[@imtired20]

I am under the VA health care. I'm 76 years old. I've had a colonoscopy probably every 3 or 4 years since 1995. Every time they have found polyps, cut them out and then said they were not the kind that would turn cancerous. The last time I went to the VA they said they got me to 75 so they are not going to worry about that anymore. I guess this video clarifies that thinking.

[@stevenciccariello3130]

At 50, I had my first colonoscopy with a tiny polyp which was zapped. At 55, perfectly clear. At 60, perfectly clear. At 65, I did the Cologuard thing with a Negative result. No history of colon cancer in my immediate or extended family. I will continue with annual physical, blood test, etc....but hope to continue the Cologuard option moving forward.

[@deborahfairbanks4012]

Thank you. I'm 70 and have had polyps removed my last two colonoscopys

[@JJJJ-fg3qx]

Well done video. Very clear and informative. Great description. Thank you!

[@JayKethley-y8d]

after being nagged by pcp's for 20+ years, I finally got mine. Pleased to report no polyps, lesions, leaks, or cancer. The doc said I had the colon of a 20 year old. Pretty good for a 70+ old man. Good for me! One less thing to worry about.

[@Donna-cc1kt]

Ok ok, I’ll save this video to remind myself that I said I will go - again. Some drs are so gentle it’s a breeze. Then there’s another kind. I’m 76, always have polyps removed, mother died of colon cancer. I wasn’t going to go again but ya caught me. I am grateful but I just don’t look grateful. Merry Christmas Doc.

[@MarkCooperMD]

Thanks for sharing. Merry Christmas to you too. Helping others is the meaning of the season so I’m thankful this was helpful to you. Your comment reminds me of the time one of my faculty told me I was too gentle when scoping.

[@happysalesguy]

Thank you, that was very helpful. I will have a conversation with my GI guy next year and keep your guidelines in mind.

[@MarkCooperMD]

thanks for watching and good luck!!

[@jarichards99utube]

Thank You Dr Cooper... Yes, Very Helpful... 😊 👍

[@diannespalding6542]

I’m 77 and asked my doctor about a colonoscopy. I’ve never had one. Easier procedure now so thought I should have one. My doctor said that, because I have no family history, no symptoms and I do the home tests, I don’t require one. I was surprised.

[@MarkCooperMD]

I would tend to oblige a patient who wants one irregardless of age (presuming reasonably healthy) or prior home tests. Home tests are somewhat accurate and only exclude cancer at that point in time. They are poor predictions of your future risks and do nothing to prevent cancer.

[@alansach8437]

He isn't a doctor of literature. Give him a break!

[@MarkCooperMD]

Actually either is acceptable. Regardless is more formal and proper for sure though. A part of my practice when on call in the ER is to help remove things placed in inappropriate orifices. If you need help with that stick, let me know. Sounds like it’s pretty far up there, but that’s what we have the long gloves for.

[@bac9346]

@@MarkCooperMD 😂😂😂

[@Digital_Photog1995]

Thank you for this information! I have had colonoscopy’s done over the years and never had any polyps. Guess at 79 years of age another colonoscopy would be out of the question. Family history of colon cancer is in only one individual who was my father’s half sister. The other siblings had none.

[@dogsplantscarsneatstuff176]

Dr. Cooper as a retired water and wastewater tech for a municipality all my procedures used in the lab have to be documented and presented to anyone asking for them. Since our autoclave repairman was over 100 miles away I learned to repair and maintain it for our bacteria analysis. I have had colonoscopies every 5 years due to my grandmother having colon cancer. I have always done it without anesthesia. Since colonoscopes cannot be sterilized in an autoclave (steam at high temperatures is hard to beat), can only be disinfected, and the CDC has said 100% of the biodirt cannot be removed from an endoscope, would you think it reasonable for a patient to ask for the written cleaning procedure (pdf file)? I just read an article showing a better disinfection with peracetic acid vs glutaraldehyde. Thanks for your time.

[@matthewlehmann9682]

I came across a website a few years ago from a guy who got a punctured bowel or something in a colonoscopy. So he was angry about that. Then I think he must have got some bad gut infection as a large part of his website was about how the equipment can never be properly sterilized because the design makes it impossible. Was interesting to read. Came across it on reddit or YT comments can't remember now.

[@nmmorin3509]

Super Merci Dr Cooper, after having seeing you on KZbin & hear your reassuring voice & your knowledge, I had my first colonoscopy today; everything was a wonderful journey, Dr Sohi was wonderful & all the other medical 😇 assisting, back home a few hours later, fear and apprehension replaced by a warm well-being Merci Dr Cooper❤Your series of KZbin videos help me in overcoming my fears Bravo🎉you’re 😇

[@MarkCooperMD]

I’m glad it was helpful to you! Thanks for sharing.

[@Jimfundercover2]

I was 78 YO on my last colonoscopy. My last three tests showed nothing. My doctor said I can stop if I want to as I would probably die of old age before I developed cancer.

[@VB-lc4xz]

I would say - never. I had a colonoscopy 10 years ago and was so resistant to doing it when my doctor wanted me. I felt totally fine, ate super healthy, etc. Finally, I succumbed and dragged myself to the hospital. They found a polyp and two pre-cancerous adenomas. Go figure. Now I am glad I did!

[@KathyY1948]

I had my first colonoscopy about 25 years ago when I was 50 and one small polyp was found. Since then I have had regular colonoscopies with the last one a couple of months ago. All have found nothing and my doctor said I could have another colonoscopy in 5 years (I will be 80) if I want. After seeing this video you have reinforced my decision to skip it. There is no history of colon cancer in my family

[@donnanelson9181]

There are also risks of having them the older you get, like perforating your colon. No thanks.

[@donnacolwell3988]

I have a family history of colon cancer - maternal grandmother and uncle. I've been screened twice (age 57) and had polyps both times. I'll have another colonoscopy this fall. The doctor told me that I didn't get a good prep the last time, even though I followed the instructions to the letter. It certainly seemed on my end that all was clear. What do you think is the most effective prep method? I was prescribed two bottles of concentrate to mix with liquid and take several hours apart. It was very expensive, and I was quite disappointed it did work as it should have.

[@suetipping4841]

The mere idea at 77 that I do the prep for a colonoscopy is mind blowing. I refuse to do it anymore because A: I will have sh*t from one end of my apartment to the bathroom and B; I guess I would prefer not to '"bleed out" like two women know did.

[@MarkCooperMD]

Bleed out?

[@suetipping4841]

@@MarkCooperMD Neighbor, Retired RN, began bleeding after colonoscopy when she came home; called rescue squad and laid by front door; waiting to die. Squad took her to hospital, where she spent two weeks recovering.. She is over 70 now. I will not have one at 77.

[@MarkCooperMD]

Sorry that occurred. It’s highly unusual that a bleed from polyp removal be that dramatic. From training and practice in high volume medical centers this is about a once a year event-so I’d estimate 1:10,000. Which I’ll add I never saw anyone have to be in the hospital that long. This type of case is why I think we as GI docs need to be sensible about who we scope.

[@suetipping4841]

@@MarkCooperMD Thank you for respinding. I agree that it must be unusual, but two women I know have had this happen. I do know that doctors do their very best in test recommendation and I am very happy with my family doctor.

[@rogerphelps9939]

It is super easy and not a problem.

[@edwardmmanns7454]

Very well presented. I have had a few small polyps removed. I am now 77. Three years ago I had a bad prep and a polyp was removed partially. I was told it was cancer and it was to be tattooed shortly after. When tattooing the remainder was removed and was cancer free. I was then told to wait 4 years before the next one. All in all is all this true? was the partial really positive? If so, why wait 4 years between colonoscopes Trust often goes out the window... especially knowing it was at a Veterans Hospital..

[@MarkCooperMD]

Impossible to say without being there. I agree it sounds unusual. But I encounter unusual situations. It’s particularly difficult to know what to do when the prep is poor and there’s a polyp given insurance issues that arise. I would probably say have the next one in a year if there was cancer on the original pathology. What would make sense is that you had an adenoma (pre cancerous). When completely removed there was no actual cancer. Therefore you were told to follow in 4 years which may have been around 5 years since your first attempt. Sometimes I think the distinction between pre cancerous and cancer is hard to distinguish for patients even when emphasized. Polyps are rarely cancer. The VA specialists are usually pretty good, especially if the VA is associated with a training program. But there are disappointments in the VA for sure.

[@edwardmmanns7454]

@@MarkCooperMD Thanks for your input. I have found the specialist are very professional, the staff, not so much, the paperwork is edited often and lose your facts, primary doctors are a toss up. But that is IMHO and in my VA Hospital.

[@jerrymylove1754]

I had mine today in Malaysia. It was ridiculously easy and I got a recording of it after. The doctor removed one polyp and there was a lot of foam in there. I woke up towards the end of it and didn’t have any pain or side effects. It was super easy and I have no fear of it in the future. He said to do another one in five years. I am 44 now. He gave me some medicine called meteospasmyl for bloating. It still doesn’t explain why I eat a lot and don’t go to the bathroom hardly. He was saying that it’s because my colon isn’t contracting and moving the excretory along. Overall, a very positive experience.

[@MarkCooperMD]

Thanks for sharing!

[@edie4321]

Positive experience???

[@patriciapendlbury2603]

Your parastalses action is sluggish. Try a digestive enzyme and pineapple is good for that

[@Daisy662y72]

Hello I was reading ur message it's almost like me I don't hardly go either my colon is obstruction Dr said my colon isn't working well anymore but I gotta start thinking about removing part of my colon because of this I'm always bloated and swollen stomach constantly but didn't get surgery yet scared as heck Dr said if I get the surgery I'll be wearing a bag 😭😭😭 Im 55 years old plus central obstruction sleep apnea and adema swelling legs blind one eye asthma tumors and the list goes on 😢 just wanted to leave message didn't mean to bother you apologize just that caught my eye when I saw your message because you almost simler like me. You have a great day and night

[@Rebander1549]

I'm going to be 65 tomorrow and I have had only 1 small polyp removed 4 years ago. I am so glad that this doctor explained the decision making process so clearly. Now my doctor and I can make informed decisions about future colonoscopies!

[@mooster47]

I had an aunt who had colon cancer at age 84, and she lived to 96 after treatment. I intend to keep having colonoscopies, but found that doctors seem very cheerful about telling me that I don't need them after age 80 - without asking about family history. I have had one polyp so far, found at age 60.

[@MarkCooperMD]

Removing a small polyp over age 80 is unlikely of much actual benefit. The problem isn’t the polyp but what it could become in the future. I can see likely benefit of taking a look in the age range of 80-85 for the right patient.

[@Cherisse-lj7zf]

Was it Stage 1 only?

[@janetknox8857]

Thank you for that information, it will certainly help me make my decisions in the future. I’ve had small polyps in 2 past colonoscopies, therefore, I’m on the 5 year plan. The last biopsy report stated I had 2 polyps, but they were not the type that would turn into cancer. I’m due for next colonoscopy in December of 2025. I will be 78 at time. With your information I would if comfortable making that my last one, even if I have a polyp, but the biopsy is clear. I don’t mind the colonoscopy, it’s the prep that I dread. Thanks again.

[@sgrant39]

Well done. Also the prep would kill an eighty-year-old sooner than a polyp. 😢

[@ehrlichlanierc7429]

Not So! 81 now, have my prep, not hard to do at all! Don’t be afraid and have faith God will get you thru, or you wouldn’t be alive……

[@JohnWolk-ry1jw]

Great video Doc Cooper! Thanks a million for providing your valuable insights and plain spoken advice!!!

[@MarkCooperMD]

Glad it was helpful!

[@wataboutya9310]

I have heard it said many times here in America that colonoscopies are the goose that laid the golden egg for gastroenterologists

[@MarkCooperMD]

Yes in America it’s consistent across all industries that if you do something of immense value it tends to be rewarded commensurate with the value created.

[@timx9661]

Cancer is the golden goose for oncologists.

[@Support_Ad_Blocker]

wataboutya9310 When I went for mine it was like an assembly line only instead of “standing room only,” it was “lying on a gurney room only.”

[@Thetoad738]

Thank you, doctor, you are a breath of fresh air. So much misinformation and villainization of the medical profession nowadays.

[@BobDeGuerre]

I'm a feral/autistic gen-Xer who lives alone by choice, less than 100 yards from the hospital & I have the "redhead gene" that makes me almost impossible to keep sedated. I also don't drive (too expensive). *EVERY* time I've had a major surgery, (3 so far) I've awakened *before* they've wheeled me out of theatre (much to the surprise & disbelief of everybody in the room) & am alert & oriented from that moment on. They've known all this about me for 30+ years. 14 years of hospital-cancelled appointments later I'm yet to have the procedure because my closest family is 150+ miles away & 99% of my friends moved hundreds of miles away in the 40+ years I've known them. Last spring I arranged for my boss to swing by & pick me up after work to take me home because we'd both be done around the same time, but they said he *had* to come in & wait for me there while I got it done. I told them he was at work until 3pm. So they cancelled my 2pm appt. I have no next of kin, no emergency contacts, a dnr on file, & am more than willing to sign any waiver they put in front of me. They could *literally* light me on fire & throw me off the roof & be absolutely judgement-proof. But no. They gotta turn it into a popularity contest. To heck with it. The next time my gp brings it up, I'm telling him "I'm in the control group".😂

[@beckyhobson3283]

67 - Never having a another one.

[@MarkCooperMD]

If you’ve had mundane results on prior screening this is a sensible age to stop screening as you’re fairly unlikely to have a problem in the future

[@margotconway8605]

The prep is terrible. I have a friend who in the middle of god awful prep walked into the bathroom feeling weak. She fainted and hit her head on the sink. She needed stiches. My poor friend was lucky she didn't fracture her skull. I can't deal with the prep anymore either. It's dangerous

[@LS-ei7xk]

That's how I feel, too. I'd have it done in hospital-- if necessary, but of course my insurance wouldn't pay for that. And nowadays, ppl pick up horrible diseases in hospitals, too. Also, they are so short staffed, I could hit my head on the sink there, and no one would ever know. I speak from experience being in hospital for other reasons.

[@rogerphelps9939]

Prep is really easy and not a problem at all. It only lasts a few days antway.

[@jjbud3124]

@@rogerphelps9939 Not easy. A good prep does two things. It entirely empties your GI tract and it causes dehydration. Dehydration can make you lightheaded and can be dangerous to a fragile person.

[@billh.5360]

​@@rogerphelps9939 No, the prep is not "really easy and no problem at all." No one likes the prep. If you didn't have any trouble with it, I am glad for you. But I had some trouble. I took Suprep ten years ago. If I do get another colonoscopy I will not take Suprep!! The second day I had trouble drinking it. My body rejected it and I vomited. It was essentially just water, but still, not pleasant. Fasting wasn't a big deal. Just over a day of fasting. The actual procedure was a breeze. I believe most people probably don't get sick with the prep. Best piece of advice I got with the prep. Once you start drinking the solution to clean out your colon: If you feel like you're going to pass gas, DO NOT assume you're just going to pass gas!

[@eddihaskell]

My doctor put me on a "light" prep- Miralax and some tablets. It really was not that bad. I did not have horrible cramps, and tolerated it. It was much better than earlier preps which gave me horrible stomach aches for a week.

[@otiswinters3674]

Thank you for your video that puts everything about colonoscopies into perspective.

[@pch1147]

A very informative podcast. Thank you very much.

[@janetlodia1756]

Thanks Dr .Cooper highly educational and great information ❤️

[@Jean-c7i]

My mom was 93 and never had one. She died of old age.

[@caveredecorator5310]

Causes of death on the death certificate should not include terms such as old age, infirmity, and advanced age because they have little value for public health or medical research.

[@scottjohnson676]

I'm 68, never had a colonoscopy. I'll wait till there's a less archaic method.

[@robinshaul4069]

Me too

[@garybateman6869]

Me three

[@greg33770]

I'm 68...never had it also....

[@447L]

I said that when I was 50 years old then when I turned 60 I had my first colonoscopy and if you fast a few days before taking the prep stuff it’s not that bad next week I’m having my second one I’m 70 now

[@spud-from-Nam]

There is, but the doctors don't make as much money on them. Virtual colonoscopy by CT scan

[@zeon5323]

I'll never have another. I had a colonoscopy in 2006 at age 55 and have still not recovered!

[@tarasmith102]

O my gosh. That's awful. I do hope you recover. Must be things that can help you. Keep trying new things to help u heal. For example CBD oil. Perhaps some other things. Good luck.

[@curbozerboomer1773]

Not enough info to make any sense of what you say.

[@montanagal6958]

I had a colonoscopy and asked for ativan from the anesthesiologist because I was afraid, I watched him withdrawal the ativan from the pixis and put it in his pocket, never gave it to me.

[@tarasmith102]

@@montanagal6958 OMG ! Hope you tried to report it ! Too bad your blood couldn't have been tested ( by a different lab ) to show you had no trace of it in your system ! If it would've showed , IDK if that shows up as some things don't .

[@EmdrGreg]

In 18 years you haven't recovered? Either the procedure was badly botched, or something else is going on. In general, they're just not that bad. I hope you've gotten good medical care since then.

[@johntiggleman4686]

I'm 73, and had my most recent scope in November. Found one polyp. 5 years before, only one polyp. And before that, maybe two polyps. Any farther back, I don't recall. Would have to have records pulled. None of the polyps were of any concern and were benign. I'm thinking about stopping any future tests, but will check with my internist at next month's wellness check.

[@MarkCooperMD]

Polyps are almost always benign. The significant thing is if they are adenomas, subtype, size. Screening after 75 is less clear cut because these polyps are benign and not themselves the concern. It’s their potential to transform into cancer. A process that typically takes more than 10 years.

[@johntiggleman4686]

@@MarkCooperMD Yes, I saw that part. Reading test results, one polyp in the sgmoid colon, removed by cold snare. It was an Adenomatous polyp. No cancer cells present. I have Pancolonic Diverticula. Recommended another screen in 5 years. If I don't croak first.

[@MarkCooperMD]

A recent publication on colonoscopy in later life estimated there was value for patients with a 12 yr life expectancy at the time of scoping. So if you have strong reason to imagine living to 90 then there may be benefit to follow through on doing another at 78. I view the process of screening as trying to discover who are the people in that 5% of the population fated to develop colon cancer. I suspect those people are ones who have high risk lesions - polyps over a cm, numerous polyps, polyps with high risk pathology features (which are almost always those over a cm anyhow).

[@donnanelson9181]

I had my first colonoscopy at the age of 65. I had one benign polyp. No colon cancer in my family. I am extremely healthy. I not only eat a high fiber diet, but I take supplemental fiber and have for 30 years. I don’t eat meat or drink or smoke. And I will not have another colonoscopy even though my doctor mentions it every time I see him. I believe he has to to cover his butt. So I tell him to note in my chart that he suggested it and to also note in his chart that I refused it. I’m 73 now. I’m done with that.

[@edie4321]

I will not participate in cancer screenings. I don't believe in looking for trouble. Plus, it's scary how much they push the tests. So I am assuming the tests are like the c ones and come contaminated with cancer causing ingredients. I find I stay much healthier staying away from doctors. Seven years now and at age 64, I've never been healthier. No prescription drugs are why. I gave those up and miracles followed.

[@kerrynight3271]

I liked your comment. I'm 72 and live the healthiest possible life. My one colonoscopy at 54 found no polyps. I listen to my doctor's spiel about mammograms and colonoscopies every year and every year I refuse. When my body decides to kill me, I plan to die. Living to extreme old age holds no attractions for me. Meanwhile, I continue exercising and eating a whole food plant based diet. I wish you the best.

[@MB-uy5kh]

@@kerrynight3271 I am right there with you. My family on both sides lives to very old ages, like 101, 103 and 105. And I can tell you it’s not pretty. None had the quality of life I would want. My grandmother got so frail, she looked like a skeleton wrapped in tissue paper skin, and could not move after 102, but her mind was still sharp. My great aunt lived to 105, but her last four years, she was totally mentally gone. My parents generation are all dying in their late 80’s / early 90’s, with an excellent quality of life and very short, quick decline before death, and that’s what I wish and pray for myself. My dad passed in 24 hours from Covid in early 2020 at 88. Prior to that he was driving, doing his yard, and volunteering at food pantry. That’s not a bad way to go, quick and easy. My mom is 87 and does not need to take a single prescription medication, she helps my niece at her doggie daycare by walking the “littles” for a total of three miles per day.

[@ronsmith2241]

I am 77 and just had a colonoscopy and endoscopy. Everything was ok. Dr said they would review if I need one in 5 years. Dr said its unlikely I will have another one, but they will review it in 5 years. I've lost count of the number of colonoscopies I've had. Both my paternal grandparents died from colon cancer.

[@mitchellbarnow1709]

Hello Dr Cooper! I’m afraid that I’m going to need a colonoscopy at least once per year up until the last year of my life. My Lynch Syndrome has turned me into a polyp growing machine with dysplasia cells as well!

[@2MuchPurple]

Thank you for this video! Ill be 74 in a few weeks and just had my third colonoscopy two weeks ago. Two tiny normal polyps found and removed. My mother did have colon cancer, but recovered completely and lived to be 86, dying of something else. The prep was awful, and Id prefer not to do it again in my dotage. Both my parents lived to their mid 80s. I will have to think seriously about all this.

[@MarkCooperMD]

Thanks for sharing. I hope it was educational and provides context when you come to the next interval to consider a colonoscopy, which sounds like it may be at 79.

[@gregfaris6959]

It’s refreshing to see a pragmatic discussion of this topic. It is difficult for most people to view their own health history and future so pragmatically, but the truth is we are all going to die of something one day or another, and if a few colonoscopies over a few decades have revealed no polyps, or only one of a small size and non-threatening type, it is a reasonable bet that this is not the thing that’s going to kill you. Time to focus on the things more pertinent to your own risks, based on personal or family history. One of the things that contributes to over-prescription of colonoscopies is the high mobility of people today, and the breakdown of the “regular” private or family physician. Practitioners will see the colonoscopy as a low-cost insurance against a risk that can be devastating, and is avoidable with early diagnostics. But in today’s world, where most people never see the same doctor for more than two consecutive years, YOU become the guarantor of your own healthcare future. This type of analytic pragmatism can go a long way toward preventing you from spending significant amounts of time and expense on procedures you’ve already repeated multiple times, and allow you to focus on where the real risks lie for you.

[@MarkCooperMD]

Thank you for sharing. Your comments were highly satisfying to read. And you’ve hit the nail on the head for one of the big reasons I spend my time making these videos.

[@Chicago48]

I've had tiny polyps removed and I'm 75. I'm glad you have this video.

[@MarkCooperMD]

Cool. Thanks for sharing.

[@junbug1029]

What about a virtual CT colonoscopy?

[@MarkCooperMD]

It’s less reliable for detecting lesions and if detected you’d still need a colonoscopy to do anything about it. The use of these is phasing out as radiologists don’t perform them consistently enough. So I expect when a CT colonography is performed in the community it is even less reliable.

[@dperreno]

Good information. However, the volume level is so low I had to crank up my speaker to hear what you were saying. Info for future videos.

[@MarkCooperMD]

We have heard mixed reviews and I’m not sure what the ideal mix is. Thanks

[@ridinsolo8052]

I welcome this “wonderful” experience others seem to have…I have NEVER had a wonderful experience having a colonoscopy! 😞

[@Ron4885]

I've had 2 so far and might have another next year (at least my doctor has it listed for 'things to do' in 2025). I was always asleep for them, so I didn't mind. But I hate all that prep drinking that nasty liquid. But I do it. 😒

[@seascape35]

@@Ron4885 For me, the prep was far worse than the procedure itself!

[@dogsarefun2]

Profanol keeps me coming back for more!

[@Ron4885]

@@dogsarefun2 😉

[@LaraSierra28]

I almost needed a trip to the ER from the prep alone. Never again.

[@13thgenerationamerican51]

Thank you Mark. At 71 I’d like my NEXT scope be my last as my polyps are never suspect, just polyps. Done with pap smears too. I do have longevity on my Mom’s side though. This was a most informative video, so thanks!!!!

[@joetaylor8687]

Colonoscopies are the golden goose that keeps on giving gastroenterologists. They can do a lot of them, do them fast, and in the U. S. they end up costing LOTS of money. Sad thing is, very few "providers" and "practitioners" ever talk about PREVENTION, and the importance of ingesting enough fiber, and otherwise managing the entire digestive system properly. People abuse their bodies horrendously, and then run to the doctors and big pharma, largely to have TREATMENT, but often not cure.

[@MarkCooperMD]

Please check out my other videos on the topics you mention.

[@alansach8437]

All true, but no silver bullet! Had a relative who lived a very healthy life. Organic, homegrown foods, marathon bike rider, backpacked across the Sierra Nevada mountains to celebrate her 65th birthday (65 mile trip...one mile for each year she said!) Now 70 battling stage 4 colon cancer! Oncologist told her it's 10% health, 10% genetics, and 80% a crap shoot in his experience.

[@MarkCooperMD]

@@alansach8437thanks for sharing. Two things I will say with certainty is that all she did means she has lived well regardless of what happens and she can fight this much more successfully. Best of everything to her and your family.

[@DougCeleste]

Very helpful video, Dr. Mark, and thanks for sharing. I am now 71 and have had only one colonoscopy nine years ago and NO polyps were found. My doctor said "See you in 10 years" after that procedure in July of 2015. But I have heard that after 80, the intestinal walls get thin and colonoscopies are not recommended. What is your opinion on that?

[@MarkCooperMD]

Thanks for the kind comment. While there is added risk the age is a bit arbitrary but 80 is seen as the inflection point for when the tissues may be thinner. I’ve done many colonoscopies on elderly patients who are this age and older. I’ve found gentle technique makes it safe. The bigger reason I tend to not recommend colonoscopy in older patients is that we understand polyps grow slowly. So removing a small polyp in your 80s is not likely to ultimately benefit you. Having at least one more sounds like a good idea for you. There are times I’ve seen people come back and have developed a half dozen polyps over the intervening years. Removing those in your 70s is likely to reduce your risk of cancer in your 80s.

[@DougCeleste]

@@MarkCooperMD Thank you very much doctor for your professional thoughts. Much appreciated and yes, I plan to get another colonoscopy in this decade just to be sure that there are no polps again. I wanted to get my first procedure done around 55 but my Kaiser CA. doctor said I was "average risk" and saw no need for me to get one since the home fecal tests were negative. But as you and I know, those tests are NO guarantee that there are no polyps developing inside. My Kaiser doctor said to get a sigmoidoscopy but I did not want to do that since the exam only goes part way through the colon. Anyhow, I am sure that with Kaiser, it was all about money to spend. My blood uncle was 80 when he died of colon cancer in 1999 and was in good health but never had a colonoscopy and then Stage Four colon cancer was found and it was too late for him. And my dear friend in Iowa was only 59 when that same stage of cancer took her life after years of her fighting a brave battle. She had done home fecal tests for years and they were all negative until one came back positive and her cancer was too advanced to save her. Sadly, she never had a colonoscopy which might have prevented her cancer from spreading. These procedures DO save lives but too many people do not get them for various reasons.

[@autumnmoonfire3944]

I think the biggest problem with noninvasive screening has to do with how insurance pays for it. I was told that if I did the noninvasive screening and it came up suspicious then I would, on my high deductible insurance policy, have to pay for the resulting colonoscopy. While if I just had the colonoscopy that would be free and I would only have to pay for any pathology labs done. Absurd to put anyone in that position! Why would you ever do the initial noninvasive testing! Now 3 colonoscopies in I’ve got the kinks worked out. But I still hate insurance.

[@jogordon1530]

I heard the same thing and I’m not about to have to fork out $2000. They advertise that poop in a can as it is less evasive but like you said - if it comes back suspicious your stuck with the bill !

[@ew6629]

What's the percentage where the colon is perforated during the procedure and could have severe consequences? It's not as risk free as people think.

[@ew6629]

@@leevize6045 Thanks for the data. Any reason why they don't seem to offer sigmoidoscopies and what is your opinion on this less invasive procedure?

[@ultrasoundguy1]

For those who are at low risk for colon cancer, I'd think virtual colonoscopy might be a good alternative that would increase the patient acceptance of the procedure and has the added benefit of potentially finding other non-colon problems in the region. The last time I heard a discussion of this, the objection was mainly from insurance companies since the costs were similar but if polyps were found then the usual procedure would be required, effectively doubling the cost in those cases. But then I have to think that there are many who are resistant to the invasive procedure (I suspect mainly due to the prep) that possibly develop later stage colon cancer, for which the treatment costs must be very high. So it seems that even from just a crass financial perspective that there's a place for using the virtual colonoscopy procedure.

[@MarkCooperMD]

You still have to prep for a good quality CT colonography. There’s also the issue of radiation. And there’s also unreliable reading. I think it’s reliable at a major academic center but less reliable out in the community where it’s performed infrequently.

[@ultrasoundguy1]

@@MarkCooperMD Thanks for the clarification! I'd understood that the digital removal of the colon's contents was its primary advantage, but certainly I can see that using prep would increase its sensitivity and/or lower the likelihood of missing a small but significant feature, although as you mention additional training and experience would no doubt help. Still it seems that there's a large population that aren't being screened, so perhaps a poorer quality non-prep virtual colonoscopy would have value. I guess the counter argument would be that individuals who would normally still use the standard procedure might migrate to this lower quality one if it was widely used and suffer poorer outcomes.

[@MarkCooperMD]

Yes. I like that you’re thinking in terms of population health. As a doctor I have to consider both aspects as I’m doing this in sufficiently high volume that I have to be self aware that I’m part of a larger system which I shape by how I do things. I think the other issue is that there’s already more than enough abdominal imaging going on - so we don’t have radiologists sitting around looking for new things to do. The same is true of GI docs. Which is why I have no problem with non invasive alternatives to colonoscopy. From my viewpoint I’m booked well into the future. As are all my colleagues. I recommend annual FIT test for people wishing to avoid colonoscopy without a diagnostic intent (ie positive FIT).

[@ultrasoundguy1]

@@MarkCooperMD Thanks so much for the FIT test comment, for which I see that the Labcorp site has a questionnaire about its applicability to a particular patient. Notably for my friends and relatives who you could never get to have a colonoscopy, it should be an acceptable middle ground.

[@MarkCooperMD]

That’s great.

[@alfredeneuman6966]

My mother had colon cancer. She is a survivor. I've had routine colonoscopy's and never had any polyps until the last colonoscopy where I had three and one was large. Dang! Now I will have a screening every 5 years and am due again this year. I will be 70. Better safe than sorry!

[@MarkCooperMD]

If you had three polyps, a large polyp those are two reasons to follow in three years and with family history of a first degree relative 5 is recommended otherwise. Thanks for sharing.

[@alfredeneuman6966]

@@MarkCooperMD Thank you. Nobody told me that.

[@mzmscoyote]

My doc said I could stop at 75. Good thing because I almost bonked my head passing out during prep. I knew I could never do the prep again.

[@johnemanuele8695]

My mom was diagnosed with malignant colon cancer at 80!! Post surgery...she lived another 15 years!!!

[@cindypatrick785]

My 82 yr old mom and I had our colonoscopies the same day. Mine, as usual was all clear. Unfortunately hers came back as early stage colon cancer.😔. She was able to have 10” of her colon removed robotically and did not require chemotherapy!!! She is now 88 and doing well.🙂 2:50

[@peterclemmet]

I’d follow your advice as a healthy 76 year old.

[@karlhungus5554]

Very informative and helpful video. Many thanks, Dr. Cooper.

[@MarkCooperMD]

You’re welcome. Thanks for watching

[@gpgwapo]

Thanks for posting this video I worried about doing this but now I'm confident after watching good information .. 👀

[@katajoos3307]

Great Dr !! and handsome too ...very clear talking !

[@nlorand9033]

At 61 I decided to get a full medical in Bangkok. I had no health issues after the examination which included CT scan of chest, heart and brain. The hospital recommended I should have a colonoscopy as a precaution as my blood revealed a slightly elevated tumour marker figure. The colonoscopy revealed I had only one sessile polyp over an inch which was removed, had to have a biopsy as there was a high probability of it being cancerous. I waited over two weeks for the results. Fortunately it was normal.

[@TheGweedMan]

Unfortunately people are still dying from colon cancer. All they had to do was have a colonoscopy and they probably would have lived. The results of my last colonoscopy were zero polyps. I don't mind the colonoscopy; I still hate the prep.

[@jamesng9831]

Thank you for your video and your active answers to questions, Dr. Cooper. I would like to have your suggestion if I should have a colonoscopy at 80. I had 3 colonoscopy exams. Each time my doctor found/removed 2 tiny polyps. My younger brother had colon cancer and later had a small section of his colon removed 22 years ago. He is still surviving.

[@MarkCooperMD]

Thanks for watching and sharing. With that family history and personal history I would try to avoid following your brothers date and continue with another so long as you’re in otherwise pretty good health. If you’re active and don’t have significant vascular disease you should do well and have a reasonable longevity to ultimately benefit. Just bear in mind there’s no real immediate benefit to having a small polyp removed - the benefit is a few years further down the road. You take the risk the day of the procedure for a benefit in an uncertain future.

[@RockCorley-im1si]

Thank you very much for this information!😊

[@NoMoreTears64]

Age 65 and NEVER had one. NEVER will. Something SOMETIME is going to kill me. Can't prevent it all forever.

[@wajj1842]

I'm an 81 yo man with a history of UC since age 26. I've had about 10 colonoscopies since my first diagnosis of UC and have never had a polyup or any positive biopsy from the screenings. However, I have experienced a strong UC reaction from several of the procedures. My last procedure was at age 77, and after about 8 years of UC remission, I had a strong UC flairup that took me about a year to return to remission. I am now in UC remisssion and wonder if I should have another colonoscopy. What's your advise?

[@TheCJTok]

I have had Crohn’s since 1989. I’ve had several flare ups after a colonoscopy so I’ve made the decision to no longer get one unless there’s a compelling reason.

[@MarieKaytor]

What is uc

[@wajj1842]

@@MarieKaytor Ulcerative Colitis. Similar symtoms with Crohn's disease, but Crohn's is in the small intestine (usually) and UC is in the colon. Both are Inflamatory Bowel Diseases.

[@bobjacobson858]

It will be about 5 years since my last colonoscopy later this spring, when I'll be 72. I hope to get one around that time, and then at least one more even if I have to pay the full cost myself. I had a couple polyps removed a couple colonoscopies ago, but the doctor performing it said that they were of a kind "that couldn't possibly become cancerous". My parents both lived to their 90s, and had their last colonoscopies during their early 80s. My maternal grandmother died of congestive heart failure at 72, but also had metastasized colon cancer--she had had severe constipation much of her life which was I suspect was a contributing factor.

[@MarkCooperMD]

Severe constipation isn’t believed to contribute to cancer. It sounds like you had hyperplastic polyps on your prior colonoscopy which would suggest there’s not much value in you having one again in 5 years. Sorry about your grandmother. It’s only a first degree relative having colon cancer that is considered a direct indication that you are at high risk.

[@bobjacobson858]

@@MarkCooperMD Thanks. I've had one colonoscopy since those polyps were removed, and no others were found. The colonoscopy that revealed the polyps also revealed a couple diverticula, and the following one confirmed this. That worries me a bit--my mother ended up with acute diverticulitis, had surgery resulting in having a stoma, which was reversed later, but she lived almost an additional decade to age 95 although that process was certainly no fun for her.

[@Robsbrd99]

Hey Dr Cooper, l enjoyed your video. I had my 1st at age 50 and a few months. They found three with one being a sessile polyp. They said come back in three years. Had an opportunity from another surgery to get another colonoscopy at 21 months. They found a 4mm polyp this time. They still are saying come back in three years. I seem to like the two year mark for the next one. What do you think?

[@MarkCooperMD]

I usually reset the clock if I was able to complete a good exam with good prep. So if I only found one polyp after two years I’d consider the patient is good to go for 5 years. However the size of the initial polyps weighs into the consideration. Generally polyps are slow growing and common. The few that are large and have more aggressive histology are distinct from the run of the mill type. Ultimately I’d need more information to make a recommendation that differs from the advice you already received. Thanks!

[@billkallas1762]

I had my last colonoscopy at age 76, in 2022. I've always had just a few polyps. They told me to come back in 5 years or so. I'm in super excellent health, so I think that I'm done with them.

[@MarkCooperMD]

I think that’s a perfectly rational choice. Most likely you will gain little by doing it again and you have more peace of mind with this choice then it’s clearly the best one for you.

[@alabamatrixie7379]

I feel that patients should have a say in choice of prep drinks. I didn't want a gallon of whatever and i was offered SuPrep. I was able to drink it all within a few minutes with immediate results. I also heard horror stories of folks still 'going' the next day right up until their appointment. I decided to take a dose of immodium after i was thoroughly 'cleaned out' and i had zero issues the day of my appointment. For anyone reading this, please know that im just sharing my personal story and my dr was informed of my plan and approved. Always check with your doctor and do your own research for any procedure. PS ...the procedure is absolutely nothing to fear. Good luck to everyone

[@MarkCooperMD]

I agree. The cost of different preps can be considerable. One approach is to get a prescription prep and if you find it is too expensive complete the miralax prep. These options will usually provide a satisfactory prep, unless you have a problem with constipation.

[@LS-ei7xk]

@@MarkCooperMD So what do you do if you have a problem with constipation? I know I wasn't finished up to the time I was scheduled, and almost went in the car. It was very embarrassing... then doc said I wasn't cleaned out enough! But I followed instructions.

[@suzannederringer1607]

I'm 77 and never had a Colonoscopy. My GI system works beautifully. Saw a Doctor today for check up and he said I would never need a Colonoscopy.

[@MarkCooperMD]

Colon cancer is asymptomatic until it’s advanced. So unless you’ve had some sort of screening you should consider one.

[@roselineehimatieaimienmwon5974]

Pls Dr can you tell me the actual age, that supposed to do the test colonoscopy. I am 63 years now.thank you

[@MarkCooperMD]

In your 60s you should have a colonoscopy unless you have poor health that would make you unlikely to benefit or the procedure be more risky. But those circumstances are uncommon.

[@Dina52328]

Hi Dr. Cooper, I just came across your channel by chance. I’m 72 years old and my GP has been wanting me to get a colonoscopy. I’ve had 2 in my lifetime; the last one about 12 years ago. First one was normal; the second one revealed diverticulosis. My fear is that since I have diverticulosis and have had flares of diverticulitis in the past, there’s a possibility of getting my bowels perforated by accident if I have the procedure. I did the ColoGuard test a year ago and it was normal. Am I over reacting with my fears?

[@MarkCooperMD]

Yes. I scope people who have diverticulosis and past diverticulitis on a routine basis. This is about 1:20 people. Even if you have a 1:10,000 condition I’d have likely seen it before, even multiple times. Training at a major center you see super rare things on a regular basis.

[@AmericanConstellation]

Everyone wants to live forever. Good luck!

[@kerrynight3271]

Not me! I want to stay as healthy as possible for as long as possible through exercise and a healthy diet. When my body decides to fail me, I'm ready to go.

[@elazlob4442]

I don't, but my colon does!