Why you should get a colonoscopy and what to ask your doctor when it’s over
Peter Attia MDPublished on February 9, 2025
Summary authored by editor@wellifi.com
TLDR Summary
In sharing my colonoscopy experience, I aim to highlight its importance in colon cancer prevention, the essential questions to ask for a thorough examination, and the problematic high costs of bowel prep medications in the U.S. healthcare system.
Key Points
- Colonoscopies are the gold standard for colon cancer screening and can prevent cancer by detecting and removing polyps early.
- Three key questions to ask your endoscopist post-colonoscopy: the quality of bowel prep, if the cecum was easily intubated, and if any polyps were found.
- High costs of bowel prep medication like SuTab highlight issues within the U.S. healthcare system, emphasizing the need for healthcare reform.
Everything You Need to Know About Colonoscopies: Insights from My Own Experience
Hey everyone, today I want to share with you the highlight of my day, which might sound unusual, but it's about my recent colonoscopy experience. While not everyone's idea of fun, colonoscopies are crucial for early detection and prevention of colon cancer, a leading cause of cancer death. Through this personal account, I aim to demystify the process and emphasize its importance.
Why Colonoscopies Are Essential
Colonoscopies are the gold standard for screening colon cancer. This procedure not only helps in detecting cancer at its early stages but also allows for the removal of polyps, potentially preventing the progression to cancer. Given that colon cancer progresses in a known sequence, from normal to pre-cancerous stages before becoming cancerous, timely detection is key.
Questions to Ask Your Endoscopist
From my own experiences, I've learned there are three crucial questions to ask your endoscopist post-procedure:
- How good was the bowel prep? A clear bowel is essential for a thorough examination. The prep quality is rated on a scale from 1 to 9, with 9 being the best.
- Was the cecum easily intubated? This means checking if the endoscopist was able to view all the way through your colon to the distal part of your small bowel.
- Were there any polyps? If polyps were found, their type and pathology would dictate the timing of your next colonoscopy.
I'm pleased to share that my prep was rated a 9 out of 9, and my doctor was able to thoroughly examine my colon without finding any polyps. This means I won't need another colonoscopy for five years, though I plan to use ColoGuard as an interim screening tool.
A Critical Look at the Cost of Bowel Prep Medications
On a separate note, I want to discuss the cost of bowel prep medications, particularly a product called SuTab. Compared to other methods, SuTab offers a more comfortable prep experience but comes at a high cost. My co-pay was $50, but the cash price without insurance is a staggering $176.11. This pricing issue highlights a larger problem within the U.S. healthcare system, where patients face exorbitant costs for simple treatments.
Conclusion
In conclusion, while a colonoscopy might not be the most exciting item on your agenda, its role in preventing colon cancer cannot be overstated. By asking the right questions and being aware of the costs involved, you can navigate your screening with confidence. Remember, early detection saves lives.
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