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Warning-sign checks

Colorectal polyps: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    And for anyone, someone who:

    • has lips or skin that look pale, blue, grey or blotchy
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Do not wait for a planned surveillance visit if new rectal bleeding, persistent bowel changes, or symptoms of anemia develop.

    These concerns should be discussed sooner.

  3. 3

    Does any of this apply?

    Book an appointment

    Follow-up colonoscopy is often called surveillance .

    Its purpose is to check for new polyps and confirm that certain large or complex lesions were completely removed.

    One or two small sessile serrated lesions may lead to follow-up in 5 to 10 years.

    Larger, more numerous, incompletely removed, or piecemeal-removed lesions may require earlier evaluation.

    These intervals are examples, not personal recommendations.

    Guidance can differ outside the United States, and individual findings may change the plan.

    The endoscopist may initially give a provisional interval and update it after the pathology results return.

    Contact the medical office if no pathology result or follow-up plan is received.

    Routine follow-up is also an opportunity to review family history, since a new cancer or advanced polyp in a close relative may affect future screening.

The article also says

The recommended timing depends on:

The number and size of polyps

Whether they were adenomas, serrated lesions, or another type

Whether advanced microscopic changes were present

Whether removal was complete

The quality of the bowel preparation and examination

Personal and family history

Inflammatory bowel disease or an inherited cancer syndrome

Under 2020 guidance from the U.S.

Multi-Society Task Force, a person with one or two tubular adenomas smaller than 10 millimeters, completely removed during a high-quality examination, may be advised to repeat colonoscopy in 7 to 10 years.

An advanced adenoma generally leads to a shorter interval, often 3 years.

Every sign above is quoted from the sofidex article on Colorectal polyps. If you are not sure, err upward — it is always reasonable to be checked.