by rockdoc123 » Wed 21 Mar 2018, 17:55:22
$this->bbcode_second_pass_quote('', 'A') colonoscopy can detect things that a fecal blood test can not. Namely polyps that are not bleeding, diverticulitis, internal hemorrhoids, and cancer that has not yet reached the bleeding stage. If I were betting my life on it, I would do the colonoscopy even with the risks associated with it. Especially if you are in the 50+ age category. If they find nothing then, then do the fecal blood test from there on.
agreed the colonoscopy is the definitive tool. However, in many places the wait list for a colonoscopy if you don't have a family history can be quite long. My wife was on it for 2 years. The FIT test is actually much better than it was a few years back and for those not on the high risk list it is a good means of screening if there is something nasty going on in which case you get put into the immediate queue for a cscope. If you are prepared to pay for the test an MRI is supposed to be the next best thing to a colonoscopy. In Canada it costs about $600.
So my view (I've had a sigmoidoscopy and 3 colonoscopies) is:
- if you are high risk (family history) then get referred to a gastro doc who will schedule you for a cscope
- if you aren't high risk or don't know then over 50 take the FIT test each year as a screening measure
- if you aren't high risk and can't get on the cscope list for several years then pay the out of pocket to get an MRI done and have a level of comfort there is no problem.