Indy Gastro | Colonoscopy, rectal bleeding, diarrhea, constipation, endoscopy

Colon Polyps and Colorectal Cancer

infographic-colonoscopy

What are colon polyps?

A colon polyp is a growth on the surface of the colon, also called the large intestine. Sometimes, a person can have more than one colon polyp. Colon polyps can be raised or flat.

The large intestine is the long, hollow tube at the end of your digestive tract. (fig. 1) The large intestine absorbs water from stool and changes it from a liquid to a solid. Stool is the waste that passes through the rectum and anus as a bowel movement.

Are colon polyps cancerous?

Some colon polyps are benign, which means they are not cancer. But some types of polyps may already be cancer or can become cancer (pre cancerous polyp). (fig.2) Flat polyps can be smaller and harder to see and are more likely to be cancer than raised polyps. Polyps can usually be removed during colonoscopy—the test used to check for colon polyps.

Who gets colon polyps?

Anyone can get colon polyps, but certain people are more likely to get them than others. You may have a greater chance of getting polyps if

  • You’re 50 years of age or older
  • You’ve had polyps before
  • Someone in your family has had polyps
  • Someone in your family has had cancer of the large intestine, also called colon cancer
  • You’ve had uterine or ovarian cancer before age 50


    Find out if someone in your family had or has polyps, and at what age they were diaganosed.
    You may also be more likely to get colon polyps if you

    • Eat a lot of fatty foods
    • Smoke
    • Drink alcohol
    • Don’t exercise
    • Weigh too much

    What are the symptoms of colon polyps?

    Most people with colon polyps do not have symptoms. Often, people don’t know they have one until the doctor finds it during a regular checkup or while testing for something else.

    But some people do have symptoms, such as

    • Bleeding from the anus. The anus is the opening at the end of the digestive tract where stool leaves the body. You might notice blood on your underwear or on toilet paper after you’ve had a bowel movement.  
    • Blood in the stool. Blood can make stool look black, or it can show up as red streaks in the stool.
    • Only larger polyps can cause bleeding such as mentioned. Small polyps do not cause any symptoms at all but can still turn into cancer which is why SCREENING is so important. (screening implies doing a test on someone with no symptoms)

    If you have any of these symptoms, see a doctor to find out what the problem is.


    How does the doctor test for colon polyps?

    The doctor can use one or more tests to check for colon polyps.

    • Barium enema. The doctor puts a liquid called barium into your rectum before taking x rays of your large intestine. Barium makes your intestine look white in the pictures. Polyps are dark, so they’re easy to see. Small polyps are frequently missed during this exam and that if polyps are seen one must still have a colonoscopy to remove them.
    • Sigmoidoscopy. With this test, the doctor puts a thin, flexible tube into your rectum. The tube is called a sigmoidoscope, and it has a light in it. The doctor uses the sigmoidoscope to look at the last third of your large intestine.
    • Colonoscopy. The doctor will give you medicine to sedate you during the colonoscopy. This test is like the sigmoidoscopy, but the doctor looks at the entire large intestine with a long, flexible tube with a camera that shows images on a TV screen. The tube has a tool that can remove polyps. The doctor usually removes polyps during colonoscopy.
    • Computerized tomography (CT) scan. With this test, also called virtual colonoscopy, the doctor puts a thin, flexible tube into your rectum. A machine using x rays and computers creates pictures of the large intestine that can be seen on a screen. During the CT scan a bowel prep must still be taken to clean out the colon even with this test. If the CT scan shows polyps, you will need a colonoscopy so they can be removed.

    Who should get tested for colon polyps?

    Talk with your doctor about getting tested for colon polyps if you’re 50 years of age or older, or earlier if you have symptoms or someone in your family has had polyps or colon cancer.

    How are colon polyps treated?

    In most cases, the doctor removes colon polyps during sigmoidoscopy or colonoscopy. The polyps are then tested for cancer or precancerous tissue.
    If you’ve had colon polyps, the doctor will want you to get tested regularly in the future.

    How can I prevent colon polyps?

    Doctors don’t know of one sure way to prevent colon polyps. But you might be able to lower your risk of getting them if you

    • Eat more fruits and vegetables and less fatty food
    • Gon’t smoke
    • Avoid alcohol
    • Exercise most days of the week
    • Lose weight if you’re overweight

      Points to Remember

      • A colon polyp is a growth on the surface of the colon, also called the large intestine.
      • Colon polyps can be raised or flat.
      • Some colon polyps are benign, which means they are not cancer.
      • Some types of polyps may already be cancer or can become cancer. Flat polyps can be smaller and harder to see and are more likely to be cancer than raised polyps.
      • Most people with colon polyps do not have symptoms.  
      • Doctors remove most colon polyps and test them for cancer.
      • Talk with your doctor about getting tested for colon polyps if you’re 50 years of age or older, or earlier if you have symptoms or someone in your family has had polyps or colon cancer.


      Hope through Research

      The National Institute of Diabetes and Digestive and Kidney Diseases’ Division of Digestive Diseases and Nutrition supports research into digestive conditions, including colon polyps. Researchers are studying why some people are more likely to get colon polyps than others. Researchers are also studying new tests and treatments to lower the risk of colon cancer in people with colon polyps.
      Participants in clinical trials can play a more active role in their own health care, gain access to new research treatments before they are widely available, and help others by contributing to medical research. For information about current studies, visit www.ClinicalTrials.gov.

      Pronunciation Guide

      anus (AY-nuhss)
      barium enema (BA-ree-uhm) (EN-uh-muh)
      benign (bee-NYN)
      colonoscopy (KOH-lon-OSS-kuh-pee)
      computerized tomography scan (kom-PYOO-tur-eyezd)(toh-MOG-ruh-fee) (skan)
      DNA (DEE-EN-AY)
      intestine (in-TESS-tin)
      polyp (POL-ip)
      rectum (REK-tuhm)
      sigmoidoscopy (SIG-moy-DOSS-kuh-pee)
      stool test (stool) (test)
      virtual (VUR-chuh-wuhl)

      For More Information

      American College of Gastroenterology
      P.O. Box 342260
      Bethesda, MD 20827–2260
      Phone: 301–263–9000
      Internet: www.acg.gi.org

      American Gastroenterological Association
      4930 Del Ray Avenue
      Bethesda, MD 20814
      Phone: 301–654–2055
      Fax: 301–654–5920
      Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
      Internet: www.gastro.org

      American Society for Gastrointestinal Endoscopy
      1520 Kensington Road, Suite 202
      Oak Brook, IL 60523
      Phone: 1–866–353–ASGE (2743) or 630–573–0600
      Fax: 630–573–0691
      Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
      Internet: www.asge.org

      National Cancer Institute
      Cancer Information Service
      6116 Executive Boulevard, Room 3036A
      Bethesda, MD 20892–8322
      Phone: 1–800–4–CANCER (422–6237) or 301–496–6631
      Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
      Internet: www.nci.nih.gov


      This publication may contain information about medications. When prepared, this publication included the most current information available. For updates or for questions about any medications, contact the U.S. Food and Drug Administration toll-free at 1–888–INFO–FDA (463–6332) or visit www.fda.gov. Consult your doctor for more information.

      Acknowledgments

      The National Digestive Diseases Information Clearinghouse (NDDIC) would like to thank the following individuals for assisting with the scientific and editorial review of the original version of this publication:

      C. Richard Boland, M.D.
      University of California at San Diego

      Francis M. Giardiello, M.D.
      Johns Hopkins Hospital

      The NDDIC would like to thank Michael B. Wallace, M.D., Mayo Clinic, Jacksonville, FL, for his review of the 2008 version.
      Thank you also to Anne Barker, R.N., B.S.N., at the Health Alliance, Columbia, MD, for facilitating field-testing of this publication.

      Follow us on

      Contact Indy Gastro

      • (317) 865-2955 & (800) 403-4683
      • Mailing Address

        8051 S. Emerson Ave.
        Suites 150 & 200
        Indianapolis, IN 46237

      • Contact UsView All Locatons