Getting a colonoscopy? Some Important Points to Consider


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Slideshow that provides some basic information about colonoscopy and why it is an important step in preventing colon cancer

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Getting a colonoscopy? Some Important Points to Consider

  1. 1. Getting a colonoscopy Your best way to prevent colon cancer Elizabeth Tedrow, Ejt2124, 12/17/10
  2. 2. Dios Mio!!! My doctor says I need a colonoscopy! Now what? Colonoscopy? It’s time to schedule your colonoscopy.
  3. 3. What is this test even for? <ul><li>A colonoscopy is a test that looks for colon cancer . </li></ul><ul><li>Your colon is a large organ in your stomach. The colon helps you digest food and get rid of waste. </li></ul><ul><li>Many parts of the body are at risk for cancer, including the colon. </li></ul>If you want to learn more about colon cancer, click here .
  4. 4. How does cancer work? <ul><li>Cancer happens when cells grow too quickly. These extra cells create tumors , which can be unsafe. </li></ul><ul><li>If cancer is not caught, it can spread to other parts of the body and even lead to death. </li></ul><ul><li>If you want to learn more about how cancer develops, click here or here . </li></ul>
  5. 5. Why my colon? <ul><li>Being over 50 years old </li></ul><ul><li>Having other family members with colon cancer </li></ul><ul><li>Smoking </li></ul><ul><li>Stomach diseases such as Crohn’s or inflammatory bowel disease </li></ul><ul><li>Poor diet (diets that are high in fat or low in fiber) </li></ul>No one knows exactly what causes colon cancer, but here are some risk factors:
  6. 6. But I thought it was caused by something else. . . <ul><li>You may have heard of some other things that cause colon cancer. Some of them are not true. </li></ul><ul><li>Colon cancer is NOT caused by: </li></ul><ul><ul><li>Eating spicy foods </li></ul></ul><ul><ul><li>Constipation </li></ul></ul><ul><ul><li>Frequent sexual activity </li></ul></ul><ul><ul><li>Certain sexual positions (such as anal sex) </li></ul></ul>
  7. 7. How does colon cancer affect my community? <ul><li>Colon cancer is the second most common cancer for Latinos. </li></ul><ul><li>Latinos in Washington Heights are less likely to get checked for colon cancer. </li></ul><ul><li>Latinos are more likely to find their colon cancer when it is very advanced. </li></ul>
  8. 8. Quiz : Am I at risk for colon cancer? <ul><li>Do I smoke? </li></ul><ul><li>Has a family member had colon cancer? </li></ul><ul><li>Do I often eat fried foods, or foods with a lot of butter or oil? </li></ul><ul><li>Do I eat less vegetables than I should? </li></ul><ul><li>Do I eat a lot of red meat? </li></ul><ul><li>Answering yes to any of these may mean you have a greater risk for colon cancer. </li></ul>
  9. 9. How does a colonoscopy help? <ul><li>A colonoscopy is a screening test . </li></ul><ul><ul><li>Screening tests look for very early signs of cancer in people that do not have symptoms. </li></ul></ul><ul><li>A colonoscopy is done once every 10 years. </li></ul><ul><li>During a colonoscopy, your doctor looks for growths in your colon called polyps . </li></ul>
  10. 10. What is a polyp? <ul><li>A polyp is a small growth inside your colon. </li></ul><ul><li>Some polyps are safe and will not harm you. </li></ul><ul><li>But some polyps can turn into cancer. </li></ul>
  11. 11. <ul><li>If I have polyps in my stomach, wouldn’t I be able to feel them? </li></ul><ul><li>Why should I get this test if I do not feel sick? </li></ul>Polyp?
  12. 12. Polyps are a ‘silent’ cancer risk <ul><li>Polyps are small and take many years to grow. </li></ul><ul><li>You cannot feel a polyp in your colon. </li></ul><ul><li>Every polyp is at risk of becoming cancer. </li></ul>
  13. 13. Polyps can be removed! <ul><li>If your doctor sees polyps during your test, he can take them out. </li></ul><ul><li>This will keep the polyps from turning into cancer later on. </li></ul>
  14. 14. You mean a colonoscopy can prevent cancer? <ul><li>Yes! A colonoscopy can help prevent you from even getting colon cancer. </li></ul><ul><li>If you remove polyps early, they cannot make you sick. </li></ul>
  15. 15. But what if the test shows that I have colon cancer? <ul><li>If you have colon cancer, your doctor can still remove the bad polyps. Then you can start cancer treatment right away. </li></ul><ul><li>For more information about cancer treatment, click here . </li></ul>
  16. 16. <ul><li>But God is in charge of my fate, not me. </li></ul><ul><li>Why should I take this test? </li></ul>
  17. 17. Get this! <ul><li>64% of people who get treated for colon cancer survive. </li></ul>You do have control over your fate! But you have to catch it early, which is why you need this test. Chance of survival from colon cancer: Chance of survival if caught early: People who find colon cancer early survive 90% of the time!
  18. 18. Ok, I’ll take the test. How do I get ready for it? <ul><li>To get ready for your test, you will need to clean out your colon. </li></ul><ul><li>If your colon is clean, your doctor can see any polyps that you have. </li></ul><ul><li>The cleaner your colon is, the better your test will be. </li></ul>
  19. 19. One day before your test, you will need to: <ul><li>Avoid all solid foods </li></ul><ul><li>Drink clear liquids </li></ul><ul><li>Take your prescription bowel prep mixture </li></ul>
  20. 20. Why can’t I eat solid food? <ul><li>Your colon must be empty for your test so that your doctor can see signs of cancer. </li></ul><ul><li>If there is food in your colon, your doctor will not be able to see polyps. </li></ul>
  21. 21. What can I have? <ul><li>Juices without pulp </li></ul><ul><li>Sports drinks and sodas </li></ul><ul><li>Coffee or tea </li></ul><ul><li>Broth </li></ul><ul><li>Popsicles and Jello </li></ul>
  22. 22. What am I not allowed to have? <ul><li>There are two types of liquids that you cannot have: </li></ul><ul><li>Dairy products </li></ul><ul><ul><li>Example : You cannot have milk in your coffee. </li></ul></ul><ul><li>Red, pink or purple liquids </li></ul><ul><ul><li>Example : You cannot have cranberry juice. </li></ul></ul>
  23. 23. What is bowel prep mixture? <ul><li>Bowel prep mixture is a strong laxative that you drink to clear out your colon. </li></ul><ul><li>Taking the bowel prep can be uncomfortable. </li></ul><ul><li>You may feel bloated, and you will probably go to the bathroom a lot. </li></ul>
  24. 24. That sounds awful! <ul><li>Preparing for a colonoscopy is not fun, but it is only one day. </li></ul><ul><li>Don’t forget that people who find colon cancer early survive 90% of the time. </li></ul><ul><li>This test could save your life. You owe it to yourself and your family to protect your health. </li></ul>
  25. 25. Here are some tips to make your prep easier: <ul><li>Plan </li></ul><ul><li>Relax </li></ul><ul><li>Distract </li></ul><ul><li>Get support </li></ul>
  26. 26. <ul><li>Plan : Get all of your supplies (including drinks and your prescription bowel prep) ahead of time </li></ul><ul><li>Relax : Do not work or plan any major activities for the day of your bowel prep </li></ul><ul><li>Distract : During your prep, play games and watch some movies or TV shows that you enjoy </li></ul><ul><li>Get support : Tell your family members or friends about your test. They can support you and help if you feel overwhelmed </li></ul>
  27. 27. What happens during the test? <ul><li>For your colonoscopy, you will have to go to a hospital such as Columbia-Presbyterian. </li></ul><ul><li>During the test, a doctor will inspect your colon with a small camera called a scope. </li></ul><ul><li>The doctor who does the test will not be your normal primary care doctor. </li></ul>
  28. 28. <ul><li>First, you will get medicine so that you do not feel anything. </li></ul><ul><li>Next, the doctor will insert the scope through your rectum and look at your entire colon. </li></ul><ul><li>If he sees polyps, he will remove them right then. </li></ul>
  29. 29. <ul><li>The test will last about 15 to 30 minutes. </li></ul><ul><li>Once it is over, you will need about an hour to recover. Then a friend or family member can take you home. </li></ul><ul><li>You do not need to stay in the hospital overnight. </li></ul>
  30. 30. When do I get my results? <ul><li>You will not get your results on the day of your test. </li></ul><ul><li>It may take a week or two before you find out your results. </li></ul><ul><li>Be sure to set a time to meet with your primary care doctor after your test. </li></ul>
  31. 31. Where can I find out more? <ul><li>For more details about your colonoscopy and bowel prep, ask your doctor or nurse. </li></ul><ul><li>For more information about colon cancer, visit the National Cancer Institute . </li></ul><ul><li>Some of your friends or family may have had a colonoscopy before. They also may be able to answer some of your questions about what it was like. </li></ul>
  32. 32. Where can I get help? <ul><li>Many hospitals in New York City (such as Columbia-Presbyterian) have Patient Navigators. </li></ul><ul><li>A patient navigator can support you while you prepare for your test. They can answer questions and help you talk to your doctor. </li></ul><ul><li>Ask your nurse or doctor if there is a navigator that can assist you. </li></ul>
  33. 33. Where can I get help? <ul><li>If you need help paying for your bowel prep, you can: </li></ul><ul><ul><li>ask your doctor for a generic brand bowel prep </li></ul></ul><ul><ul><li>ask your pharmacist about programs that help cover the cost </li></ul></ul><ul><ul><ul><li>To see normal bowel prep prices, click here . </li></ul></ul></ul><ul><li>If you need help paying for your colonoscopy, read about your options here . </li></ul><ul><li>If you need support managing your health, ask the staff at this Resource Center. </li></ul>
  34. 34. Let’s review: <ul><li>Colon cancer is a serious disease </li></ul><ul><li>A colonoscopy can detect and even prevent colon cancer. </li></ul><ul><li>The day before your test, you need to clean out your colon by drinking liquids and taking your bowel prep mixture. </li></ul><ul><li>The test is done in a hospital and is short. You need to plan for an escort and support. </li></ul>
  35. 35. Glossary <ul><li>Colon cancer : Colon cancer is cancer of your colon, a large organ in your stomach. Colon cancer develops when cells grow too quickly, forming tumors. </li></ul><ul><li>Tumor : Tumors are lumps that form when cells grow too fast. </li></ul><ul><li>Screening test: A screening test is a test that looks for early signs of cancer in healthy people . </li></ul><ul><li>Polyp : A polyp is a growth inside your colon that can be harmless or turn into cancer. </li></ul><ul><li>Bowel prep : Bowel prep is a strong laxative that you take to clean out your colon before your test. It is usually a liquid that you drink. </li></ul><ul><li>Patient navigator : A trainer health worker that can guide you through the health system, answer your questions, and help you talk to your doctors. </li></ul><ul><li>Generic : Some medications have generic forms. Although the generic form is the exact same as the brand-name form, it is often less costly. </li></ul>
  36. 36. References <ul><li>American Cancer Society. Cancer Facts and Figures for Hispanics/Latinos 2006-2008. Accessed at: </li></ul><ul><li>Centers for Disease Control and Prevention. Vital Signs: Colorectal Cancer Screening Among Adults Aged 50-75 Years- United States, 2008. MMWR. July 9, 2010. 59(26), 808-812. Accessed at: </li></ul><ul><li>Goldman RE, Diaz JA, Kim I. (2009). Perspectives of colorectal cancer risk and screening among Dominicans and Puerto Ricans: stigma and misperceptions. Qual Health Res .19(11),1559-68. </li></ul><ul><li>Olson EC, Van Wye G, Kerker B, Thorpe L, Frieden TR. Take Care Inwood and </li></ul><ul><li>Washington Heights. NYC Community Health Profiles, Second Edition; 2006; 19(42):1-16 </li></ul><ul><li>National Cancer Institute. (2010). Colon Cancer and Rectal Cancer. Accessed at: </li></ul><ul><li>Illustrations acquired from the National Institutes of Health. </li></ul>