42 pointsby bmau510 hours ago8 comments
  • TrackerFF8 hours ago
    My entire adult life I've had a very unstable stomach, and for the past 6-7 years I've experienced pretty much every red flag, but they'd often come in waves - which would give me just enough time to back off from calling my GP.

    Last May a good friend of mine, 35 years old, was diagnosed with stage 4 colorectal cancer. He had experienced on/off constipation and stomach pain for a month, but otherwise healthy. When he went to the ER they suspected volvulus, but scans showed a huge tumor blocking. Long story short, it was cancer and it had spread to his liver and lungs.

    He's still alive, and responding well to treatment, in the sense that the tumors are shrinking - but in general the prognosis is poor. And he's been completely ravaged by the treatment. If he survives, it is very unlikely he can go back working.

    This prompted me to get myself checked. After telling my GP about my symptoms, he told me - yup, better get blood tests, stool samples, and a colonoscopy.

    The colonoscopy turned out to be almost completely painless. If anything, the prep was more annoying than the procedure itself. And by far my biggest anxiety was the idea of getting my fears confirmed.

    Luckily, there was nothing. Not even a single polyp. All other tests came back normal, too.

    So, at least based on my experience, don't hesitate. It's really not bad.

    EDIT: I took it without general anesthesia. I was asked if I wanted a mix of sedative and painkiller for the procedure, which I think was some benzo and fentanyl mix - to which I said yes. Where I'm from (Norway), propofol is not the standard for colonoscopy.

    Honestly I couldn't really feel much difference when I was given the mix - I've been under general anesthesia before, and the second you get propofol you instantly from normal to "drunk".

    Obviously it's individual, though. I've talked with people that have had the procedure without anything (because they had to drive there), and had minimal discomfort. And I've talked with people that needed sedatives / painkillers.

    • bmau57 hours ago
      Which tests did you have run?
      • TrackerFF7 hours ago
        A couple of different stool tests, which look for blood. From what I was told, if these come back positive that alone if enough to warrant a colonoscopy.
  • tbdfm7 hours ago
    If you are avoiding a colonoscopy because you don’t want to get knocked out, they can do it while you’re awake.

    If for some reason you don’t want to be anesthetized you can just ask. It is also cheaper this way and you can drive yourself home.

    Based on my limited research it seems like anesthesia is mostly there because people are prude.

    The painful parts of procedure doesn’t hurt any more than having bad gas pain.

    And it’s only a few less-than-ten-second points during the procedure that are anywhere near what I would describe as painful.

    The insertion of the camera is rather jarring if you’re not used to having things stuck up your ass, but again surprisingly painless.

    I was able to watch along with the doctor on a massive tv screen and see my own innards.

    Worst part was taking preparatory laxatives before.

    Overall not a bad experience for the piece of mind it provided.

    Get a colonoscopy if you are due or have reason to believe you should get one.

    • eszed3 hours ago
      Ask for novocain around your external sphincter - there's a high likelihood that the doctors won't think of it, because they're used to doing the procedure on sedated patients - unless, you know, you're otherwise prepared for that experience. That'll take care of ~75% of the discomfort. I otherwise endorse everything you say - it's a fascinating procedure to watch while awake!
    • spapas827 hours ago
      Actually the greatest thing for me is the falling asleep effortlessly part!
      • b2w6 hours ago
        To me, it felt like some of the best sleep of my life! The gibberish out of my mouth afterwards thou...well it was a good laugh for my spouse, which is a happy sight seen upon opening my eyes.
    • dzhiurgis6 hours ago
      How about DNA based stool tests instead of colonoscopy?
      • eszed3 hours ago
        It's a low specificity test. If you get a false positive you'll be getting a colonoscopy anyway, and (less of a risk, but still worth considering) if you get a false negative it's a bit of a problem. That's how my gastro explained it, and a bit of my own internet research supported.
    • whatevaa6 hours ago
      I think most people are not used to having things stuck up their ass.
      • kelseyfrog2 hours ago
        That's an incredibly easy thing to change. It takes little money, a flared base, and only mild curiosity.
      • ggggffggggg6 hours ago
        Lol. “Most” is doing a lot of work there.
  • chrledntsurf33 minutes ago
    dudes, colonoscopies hurt less than going to a dentist for a cavity. The prep is the main thing that sucks because the stuff tastes like ass but hold your nose and chug. Easiest test you'll ever have and could save your life.
  • beckler8 hours ago
    I had a family friend who recently passed from colon cancer.

    It was particularly brutal because it never showed up in any regular screenings, due to the tumor growing on the outside of their colon. It took ~2-3 weeks just to figure out what it was, but they only knew something was wrong because of some blood tests that came back with unusual results.

    It was only 90 days from when they got the call about the unusual results till their death.

  • helph677 hours ago
    Perhaps too much red meat and not enough fiber? "But foods with fiber can have other good effects as well. They can help you stay at a healthy weight and lower the risk of diabetes, heart disease and some types of cancer" https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-h...
    • pluralmonad7 hours ago
      To give another perspective on this, all my intestinal issues resolved when I eliminated fiber from my diet. Two other people I very intimately know that had IBS have managed their symptoms into remission by carefully gatekeeping fiber in their diets. last I was deep into this (5yrs ago or so) almost all of the prominent nutritional science was based on survey data and seemed to extrapolate way more than I was comfortable with given the narrow source. I have not kept abreast of new developments, but as far as I know the major impediments to real controlled nutritional studies are the same they always have been.
      • everybodyknows2 hours ago
        I found a big difference between soluble (trouble for me) and non-soluble fiber (okay, within limits).
      • NoPicklez5 hours ago
        Its a good perspective, however perhaps your body just cannot deal with a higher amount of fiber compared to others.

        In the same way that diabetics need to tightly control their sugar intake, it doesn't mean therefore that need for sugar is up for debate.

        • pluralmonad3 hours ago
          My greater point is that there is no one size fits all here. And generalizing things that are supposed to cover everyone like above is not always helpful, but can be actually harmful.
    • switknee5 hours ago
      Fiber is the cause of many of intestinal issues, making constipation and crohn's disease worse.

      Red meat also helps people stay at a healthy weight, lower the risk of heart disease (caused by glucose) and some types of cancer (which feed on glucose). What do fiber and red meat have in common? They are not sugar. You could replace fiber with other indigestible material such as sand, the effect would not be much different.

      • boarsofcanada2 hours ago
        Dietary fiber is a great way to reduce colorectal cancer risk: https://www.sciencedirect.com/science/article/pii/S266615432...
      • Klonoar4 hours ago
        > Fiber is the cause of many of intestinal issues, making constipation and crohn's disease worse.

        Big ol' citation needed on that one.

        Fiber is more than fine if you actually drink enough water. There are also two types of fiber; some people need one more than the other, or vice-versa.

        I know several people with Crohns where fiber has made the biggest difference in controlling it.

      • ryan_lane3 hours ago
        > Red meat also helps people stay at a healthy weight, lower the risk of heart disease (caused by glucose) and some types of cancer (which feed on glucose).

        Are you a lobbyist for beef? This is not at all what research says, and research has said mostly the opposite for decades.

  • NoPicklez5 hours ago
    I've found it helpful to knock down a glass of metamucil (Psyllium Husk) morning an night most days where I can.
  • nope10007 hours ago
    Paywall so I couldn't read, they probably mention this: Eating more fiber (to a point of course) will decrease your risk of colorectal cancer. Most westerners, especially americans, are eating about half the recommended amount of fiber. Could certainly be a contributing factor.
  • khelavastr8 hours ago
    Processed foods and sleep deprivation!