>> HELLO, I'M JENNIFER BLOMKEST AND THIS IS HEALTHLINE.

THANKS SO MUCH FOR JOINING US.

TONIGHT.

I CASE YOU'RE NEW TO THIS PROGRAM.

THIS IS A LIVE SHOW.

WE'RE HERE IN THE STUDIO RIGHT NOW.

WE'LL BE JOINED BY A COLORECTAL SURGEON.

THAT'S THE TOPIC.

TODAY IS A COLORECTAL HEALTH AND ALSO TALK ABOUT R * * * * * BLEEDING AND SOME OTHER.

>> ISSUES ALONG THOSE THE DOCTOR WILL BE JOINING US.

VIRTUALLY WE'RE STILL DOING THAT NOW BECAUSE OF THE PANDEMIC.

HE WILL BE MORE THAN HAPPY TO ANSWER ANY QUESTIONS YOU WANT.

SO LIKE I SAID, IT'S A LIVE SHOW AND THE PHONE LINES ARE OPEN AND THEY'RE AT THE BOTTOM OF THE SCREEN IS THE PHONE NUMBER.

IT'S 9, 6, 9, 2, 7, TO 0.

IF YOU'RE OUTSIDE OF FORT WAYNE IS STILL A FREE CALL.

AS LONG AS YOU PUT AN 8, 6, 6, IN FRONT OF THERE SOON.

AS YOU CALL YOU HAVE 2 OPTIONS.

YOU CAN EITHER ASK YOUR CALLS LIVE ON THE AIR AND THEY DON'T JUST THROW YOU ON THE AIR.

WHEN YOU CALL, THOUGH, GET AN IDEA OF WHAT YOU WANT TO ASK A NEW PIPE TO WAIT JUST A MINUTE OR 2.

AND THEN YOU CAN ASK LIVE OR IF YOU'RE A LITTLE SHY, I'M HAPPY TO ASK THE DOCTOR.

THE QUESTION FOR YOU JUST TELL THE PERSON ON THE PHONE YOU'D LIKE TO HAVE A CERTAIN QUESTION ASKED OF THE DOCTOR.

CALL ANY TIME THE PHONE LINES ARE OPEN NOW FEEL FREE TO INTERRUPT US AT ANY POINT OF THE GO AHEAD.

INTRODUCE YOU TO OUR GUEST WHO'S BEEN KIND ENOUGH TO GIVE US HIS TIME THIS EVENING.

THIS IS A CALL RIGHT COLON R * * * * * SURGEON HERE IN 4 WAY.

THIS IS DOCTOR MEET THEM.

SHUN WAH.

I HOPE I PRONOUNCE THAT CORRECTLY BEEN PRACTICING DOCTOR.

>> I'M GLAD TO BE HERE.

THANK YOU SO MUCH.

GREAT.

I THANK YOU FOR JOINING US.

WE REALLY APPRECIATE THAT.

>> THE TOPIC WE'RE TALKING ABOUT TONIGHT.

IS NOT PLEASANT.

IT'S SOMETHING YOU DON'T WANT TO HAVE HAPPEN.

BUT IF IT DOES HAPPEN, IT DEFINITELY COULD BE A SIGN THAT SOMETHING IS WRONG AND THAT IS R * * * * * BLEEDING.

CAN YOU TALK A LITTLE BIT ABOUT THAT.

YOU WHAT, WHAT TO DO IF YOU KNOW YOU'RE TALKING ABOUT JUST MAYBE WHEN YOU USING THE RESTROOM.

A NEW CLEANING YOURSELF.

YOU MIGHT FIND SOME BLOOD ON THAT ISSUE OR YOU TALKING ABOUT ACTUAL BLOOD IN THE STOOL.

WHAT WHAT KINDS OF SITUATIONS WOULD CAUSE ALARM.

>> YES.

R * * * * * BLEEDING SO MANY DIFFERENT THAT YOU DEAL TO SOME DIFFERENT CAUSES.

>> AND WHEN.

WE DEFINITELY WOULD HAVE DONE.

BUT THE A LITTLE BIT OF BRIGHT RED LIGHT THAT YOU MAY WHAT YOU WOMAN DOOR WHEN YOU WHITE THAT ARE USING THE BATHROOM.

SOMETIMES THE BLEEDING CAN BE QUITE A BIT.

SOMETIMES IT CAN BE MIXED IN WITH YOUR STOOLS AND YOU KNOW, SOMETIMES YOU CAN JUST GET A LOT OF LEAVING FROM YOUR NECK TO MOUNT WITHOUT ANY.

STILL.

SO FROM THAT STANDPOINT THAT THE LEADING.

BECAUSE THIS CAN BE ANYTHING THAT AFFECTS YOUR G. I SO MANY SOMETHING FROM KNOWS TO A STOMACH ULCER.

TO COLON CANCER OR ALL OF THOSE CAN MANIFEST AS RICK COMPLETING.

BUT MY SPECIAL DIA IS ON COLON AND R * * * * * DISEASE.

AND SO ATTORNEY WILL FOCUS MAINLY ON THE.

LITTLE BIT OF BRIGHT COULD, THAT YOU SEE AND IT IS ALSO BY FAR THE MOST CAUSE AND SIGN UP FOR IT TO BE.

>> NOW.

THIS BE SOMETHING RECURRING OR COULD IT BE JUST A FLUKE.

MAYBE IT HAPPENS.

ONE DAY AND THEN IT REALLY NEVER NOTICE IT.

YOU AGAIN, EVEN WEEKS AND MONTHS DOWN THE ROAD.

IS IT OK TO JUST KIND OF MONITORED AT THAT POINT OR SHOULD YOU ALWAYS CALL YOUR DOCTOR.

>> YET.

GENERALLY ALL R * * * * * BLEEDING SHOULD BE EVALUATED BY A EITHER BE A PRIMARY CARE PROVIDER.

OR IN COLORECTAL SURGEON OR EVEN A GUEST RAINFALL JUST.

>> AND A LITTLE BIT OF SPOTTING, YOU KNOW, ONCE THAT.

STOP TRYING TO WIN DOESN'T HAPPEN EVER AGAIN.

YES.

PERHAPS.

OKAY.

ANY MEAL ON ADULTS, RIGHT.

THE BLEEDING THAT PERSISTS.

YOU KNOW, MORE THAN ONCE AND TWICE.

IT'S ASSOCIATED WITH PAIN.

IT'S ASSOCIATED WITH ANY SYSTEMIC SUCH AS.

>> 18 FEVER IS NAUSEA AND VOMITING OR EVEN A LARGER SYMPTOMS SUCH WEIGHT USING YOUR APPETITE.

ALL OF THOSE WHAT DID ACQUIRE FOR THE EVALUATION AND YOU GET NOTHING NEED TO BE SEEN BY A PHYSICIAN.

>> I KNOW YOU SAID THERE ARE A WIDE RANGE OF OF THINGS THAT THIS THAT COULD CAUSE THE R * * * * * BLEEDING SAID AND IF YOU WANT TO COVER MAYBE A FEW OF THEM WOULD BE YOU KNOW WHAT, WHAT A PATIENT SHOULD DO WITH THAT KIND OF DIAGNOSIS.

>> SURE.

YOU KNOW, I FIND THE MOST COMMON I SEE IN MY PRACTICE IS A POLITICAL SECOND.

OUR FAMILY.

SO.

IT ALMOST ON DEFECTIVE LEADING IS LABELED AS HAMBRIGHT AND OUT SO PATIENTS.

GET OUT.

COMES TO ME FOR AN EVALUATION AND TYPICALLY THE STORY.

IS BRIAN COULD SMALL WANT TO BREAK COULD LIE.

WHITE IN AFTER ABOUT A WOMAN.

YOU DO SEE BLOOD IN THE TOILET BOWL.

IT'S USUALLY SO THERE'S NO PAIN WHEN YOU'RE PASSING STOOL.

IT'S SOMETHING THAT WE DIAGNOSE RELATIVELY EASILY WITH IT.

HISTORY AND EXAMINED BY THE OFFICE.

>> I HATE TO INTERRUPT A DOCTOR.

WE HAVE HAD A COUPLE FOLKS CALL.

AND SO I WHICH IS GOOD.

WE ALWAYS LOVE TO GIVE FREE ADVICE TO THE PEOPLE WATCHING SO.

MINISTER WITH ROSE HE IS LIVE ON THE LINE TO ASK THE QUESTION.

GO AHEAD FOR US ALL.

YOU WANT TO ASK THE DOCTOR YOUR QUESTION.

>> I DO NOT HAVE R * * * * * BLEEDING UP.

FROM TIME TO TIME.

I DO HAVE SEVERE R * * * * * PAIN.

IT CAN BE SEVERE LEX UP LIKE A SORE THING AROUND.

SO BEING RUN UP THE ROCK THEY CAN ALSO.

RADIATE TO THE POINT AREA.

WHAT COULD THAT BE?

>> THANKS, JILL.

SO ONE OF THE COMMON POSSIBILITIES WOULD BE.

AND YOU KNOW, FISHER.

WHICH GOOD IN THE LINING OF THE ANIMAL CAN YOU KNOW, JOY TO IMAGINE IF YOU CUT THE CORNER OF YOU KNOW, WHEN WE EAT ANY FOOD AND IT'S KIND OF THE SAME THING IS HAPPENING AT THE OTHER END OF THE BODY.

SO.

THAT IS ONE OF THE POSSIBILITIES.

BASED ON WHAT YOU'RE DESCRIBING TO ME.

IT IS CERTAINLY SOMETHING THAT SHOULD BE EVALUATED.

R * * * * * PAIN IS A NEVER I COULD OTHER THINGS SUCH AS CONSTIPATION.

SOMETHING CALLED THE LIBYAN OR SPASM, WHICH IS A SPASM OF THE ELEMENTS.

MORE MUSCLES.

AND.

THESE ARE SOME OF THE THINGS THAT WE SO IN THE SO IF YOU DO IN THAT MUCH PAIN.

YOU NEED TO BE IN MY POSITION.

>> REZA KNOW, DID YOU WANT TO ASK ANYTHING ELSE.

LIKE I'M JUST CURIOUS IF ALIKE SAY AND CANCER CAUSE OF PAIN TOO.

>> ABSOLUTELY.

YOU KNOW, CANCER >> YOU KNOW WHAT, ONE OF THEM.

BIG THINGS WE WORRY ABOUT THAT WHEN WE HEAR ABOUT 18.

SO INVOLVING DIRECT THEM OR NO, NO CAN BE A CAUSE OF TO LOOK AT.

>> AND LATER IN THE SHOW, THE DOCTOR AND I WANTED TO GO OVER SOME OF THE NEW GUIDELINES THAT ARE OUT.

I THINK YOU'LL GET EVERYBODY SHOULD HEAR ABOUT THIS FOR THE COLON CANCER SCREENING KNOW WHAT EVERYONE ELSE WATCHING.

WE'RE GOING TO SAY THAT A LITTLE BIT LATER IN THE SHOW.

DEFINITELY WANT TO LISTEN TO SOME OF THE THINGS THE DOCTORS SAID BECAUSE THINGS HAVE CHANGED IN NUMBERS NO LONGER 50.

THEY'VE LOWERED THE AGE, UNFORTUNATELY.

SO WE'LL COVER THAT IN A LITTLE BIT.

>> AND YOU KNOW, DOCTOR, WE HAD SOMEBODY ELSE.

COLIN NAME ERIC KIND OF ASKING THE SAME THING ALONG THE LINES OF JUST DOESN'T KNOW WHAT TO DO IS EXPERIENCING THIS PERSON IS EXPERIENCING R * * * * * PAIN AND BLEEDING.

BUT WONDERING WHAT THE FIRST STEP IS.

SO I DON'T SHOULD YOU MAY BE FIRST GO TO YOUR FAMILY DOCTOR AND SEE WHAT THEY SAY.

>> YES.

YOU KNOW, THE YOU GO TO YOUR FAMILY DOCTOR.

NO, I WOULD ALSO IF YOU HAD ANY OTHER SYMPTOMS SUCH AS FEELING LIGHT-HEADED, DIZZY SHORTNESS OF BREATH, THINGS THAT MAY INDICATE THAT THE.

>> LEADING IS MOORE REFUSED AND WE THINK IT IS.

I THINK YOU PROBABLY NEED TO GO TO THE EMERGENCY ROOM OR TO ENGAGE AND CARE CENTER.

BUT.

YEAH, THE BAYS, THE FIRST STEP THAT CAN GOING TO HEAR A FAMILY DOCTOR.

>> THEN.

YEAH, YOU KNOW, THEY CAN DECIDING WHAT THEY NEED.

SO THE VALUE ISSUE BY A POLITICAL SURGE IN VOTING AGAINST RECALL.

THIS.

>> AND I JUST LEARNED THAT THIS CALLER IS ACTUALLY JOINED US LIVE NOW.

SO I DON'T KNOW IF MY PRONOUNCING YOUR NAME CORRECT IS THAT ERIC.

DID YOU WANT SAYS DOCTOR SHIN WHY ANYTHING ELSE?

>> YES, I DO.

GO AHEAD.

I WHAT I'M CONSTIPATED.

THEN WHEN I DID MY LEGS, HOW THEY HAVE PUT A LAYING AROUND AND WATCH IT ALL OUT.

HIM BOY'S SURGERY, ALL OF NOW'S THE TIME AGO, THE NEWS YOU KNOW, GOTTEN USED CONSTIPATED.

AND THEN WHEN I USED TO BAD TO ME AND MY FAMILY.

I DO THAT.

I THOSE NOT LIABLE OR NOT.

THEY THEY GOT TOWELS.

I PUT UP THERE AND DO IT.

STOP.

I I LOST SO MUCH BLOOD ONE TIME I HAD TO HAVE A BLOOD AND THEY SAID THEY DON'T KNOW HAD MADE.

I KNOW WHILE ALLOW WENT TO DIE FROM IT EACH FACTION.

WHY DO YOU WANT TO OFFER HIM ADVICE IS DOES SOME PRETTY SERIOUS.

>> YEAH.

I'M NOT SURE I CONDUCT ALL THE DETAILS OF THAT PHONE CALL.

I YES, IT IT.

I THINK THAT SOUNDS SERIOUS.

>> YOU KNOW, AGAIN, HE'S CERTAINLY NEEDS TO BE EVALUATED AND IS HE HAS.

>> NOT >> TESTS DONE SUCH AS TAKE MY BOSS COULD BE CALLED MASS, COULD BE.

YOU KNOW, THAT THAT WOULD BE SOMETHING WE WOULD INDICATE THAT THE MEN.

I APOLOGIZE.

I DIDN'T CATCH ALL THE DETAILS OF THIS QUESTION.

>> YEAH.

I DON'T THINK HE'S WITH US ANY LONGER, BUT IT JUST SOUNDED LIKE HE A LARGE AMOUNT OF BLEEDING SOUNDED IT SOUNDED PRETTY HOPEFULLY HE'LL TAKE YOUR ADVICE AND GO, YOU KNOW, CONSULT WITH SOMEBODY.

I THINK ONE THING I WANTED TO JUST TACKLE WITH YOUR DOCTOR IS.

YOU KNOW, WE'RE I THINK IN GENERAL MOST OF US ARE USED TO SEEING SPECIALISTS FROM TIME TO TIME.

BUT THIS ONE COULD BE, I GUESS PEOPLE PROBABLY JUST FEEL EMBARRASSED OR UNCOMFORTABLE.

AND I DON'T KNOW IF THERE'S SOMETHING YOU CAN SAY THAT I REALIZE THIS IS YOUR PROFESSIONAL.

YOU DO THIS EVERY DAY MAY BE SOMETHING TO JUST TELL PEOPLE THEY YOU KNOW, THE RISK OF NOT BEING SEEN, YOU KNOW, BECAUSE YOU'RE BARRIS MUNDT HAS FAR OUTWEIGHED BY BY NOT DOING ANYTHING TO SOMETHING ABOUT SOMETHING SERIOUS.

>> YEAH, TO.

SO, YOU KNOW, THERE'S A GOOD MAJORITY OF THE BLEEDING IS.

CAUSED BY BENIGN CONDITIONS.

SO CONDITIONS THAT ARE NOT CANCER AND.

>> WELL, ONE OF THE MORE UNFORTUNATE THINGS I SEE IN MY PRACTICE IS PATIENTS HAVE BEEN STRUGGLING LEADING FROM HEMORRHOIDS.

WHAT WE'RE GETTING FROM A FISSURE FOR SEVERAL OR EVEN YOU KNOW, A LOT OF THESE CAN BE TREATED.

BUT YEAH.

THE SIMPLE MEASURES THAT THEY YOU KNOW, NOT ALL OF THESE CONDITIONS SURGICAL TREATMENT.

AND GET OUT.

SO THIS THAT'S PROBABLY THE BIGGEST THING IS PATIENTS.

WAIT.

WAY TOO LONG OF COURSE, THERE'S ALWAYS THE CONCERN THAT YOU KNOW, THAT THEY BEAT CANCER.

THAT THEM MISSING, ESPECIALLY IN PATIENTS WHO HAD.

LEADING FOR A FEW MONTHS.

AND IT'S INEVITABLE.

WE KNEEL ON SAID NOT SOMETHING THAT'S BEEN GOING ON FOR YEARS AND YEARS.

THOSE DEFINITELY NEED URGENT TO EVALUATIONS.

AS FAR AS YOU KNOW, WHEN SOMEONE COMES IN TO SEE AS A COLLECTIVE WITH THIS COMPLAINT.

I YOU KNOW, THEY FORCED OUT THE DAY.

AND THAT'S THE VIEW OF ALL OF THE OUT THE SYMPTOMS THAT THEY HAVE AND SHE MINERS ALSO SOME OF THE HISTORY FROM THEM.

AND THEN I GO IN AND SEE THE NATION I A LOT OF IT FINDINGS AND THEN WE PROCEED AN IT IN UK AND SO FOCUSED EXAM UNITED.

BUSH AND THE ABDOMEN.

AND THEN I DO.

AND YOU KNOW, NICK CLEGG'S AM.

AND THAT'S PROBABLY THE PART THAT MOST HAS TROUBLE WITH SORE AND COMFORTABLE.

I CAN SAY IS IT'S QUICK.

IT'S THERE.

MANY TIMES I HAVE.

THAT WAS A FUN IDEA OF DIFFERENT CONDITIONS FOR PATIENTS.

SORT OF YOU FOR OR TO QUOTE HEMORRHOIDS AND DOES JUST AN OFFICE VENUE IS NOT ENOUGH AND THEY NEED FOR THE EVALUATION.

THE SEVERE SIGMOIDOSCOPY.

SO.

I GUESS THE BOTTOM LINE YOU KNOW, YOU NEED TO BE EVALUATED.

AND OUT.

YOU COULD ANYONE WHAT WE FIND.

WE GO FROM THERE.

>> ALL RIGHT.

I I WANTED TO GET TO A COUPLE THINGS.

YOU SAID IN AND ASK YOU FOR SOME FURTHER EXPLANATION.

BUT I DO WANT TO REMIND EVERYBODY THAT WE'VE HAD A COUPLE CALLS.

ERIC CALLED IN AND WAS CALLED IN WITH SOME GREAT QUESTIONS.

AND THE DOCTORS HERE FOR TO ANSWER ANY QUESTIONS YOU MAY HAVE LIVE DURING THE SHOW.

SO TAKE ADVANTAGE OF THAT.

THEY JUST TOLD ME WERE UNDER 10 MINUTES NOW, BUT STILL PLENTY OF TIME TO TAKE YOUR QUESTIONS.

SO TAKE ADVANTAGE OF THAT.

IT'S 9, 6, 9, 2, 7, TO 0 AGAIN, IF YOU'RE OUTSIDE OF FORT WAYNE ITS TOLL FREE.

IF YOU PUT IN 8, 6, 6, IN FRONT OF THERE.

YOU KNOW, DOCTOR, YOU YOU MENTION 2 THINGS.

I I'M GUESSING MOST PEOPLE PROBABLY FAMILIAR WITH THE COLONOSCOPY WHAT THAT IS.

BUT YOU ALSO MENTION SIGMOIDOSCOPY CAN YOU TALK ABOUT THE DIFFERENCE BETWEEN WHAT WHAT THOSE DIFFERENT PROCEDURES ARE.

>> BOTH OF THEM ARE MANY IT IS A GAME.

WE.

START WITH THE PATIENTS TO DOING IT ABOUT THAT TO CLEAN OUT THERE CALL AND THEN DRINK THE ANY STILL ARE TECHNICALLY MATTER.

WE HAVE THE PATIENTS COME INTO WILL WANT TO FIND ASK OF THE NOW IT IS ME ALMOST ALL OF THESE HAVE AN ANESTHESIOLOGIST TO PROVIDE SEDATION AND KEEPS THE PATIENT COMFORTABLE GETTING THE PROCEDURE.

AND THEN WE PROCEED WITH EITHER A COLONOSCOPY.

WHICH IS BASICALLY USING A SLIGHT STUMBLE INTO YOU CAN MAYBE VISUALIZING BEEN GARDEN HOSE.

THE CAMERA, THE DIMPLES.

IT AND WITH THE CLONE MASKS MAY BE THAT MEAN THE ENTIRE COLON ALL THE WAY FROM THE IN TO THE SEQUEL, WHICH IS THE FIRST PART OF THE COLON AND OFTEN WE ALSO LOOK AT THE TERM ENDING IN, WHICH IS THE VERY LAST PART OF HIS SMALL INTESTINE.

THE CITY MIGHT ASK TO BE.

THIS IS SHORT.

DIDN'T COLON OSSIPEE.

WE DON'T.

IF THE GOAL ON THE WAY TO THE SEA COME.

AND IT'S YOU CAN'T.

THEY SHUN IS WAY.

WE THINK THAT THE A PROBLEM IS ON THE LEFT SIDE OF THE COLON OR MORE IN THE VICTIM AND IN OUR REGION.

AND SO IT'S SOME MIGHT ASK THESE BASICALLY A SHORT AND GO TO THE HOSPITAL.

BUT BOTH PROCEDURES ARE DONE ALMOST IDENTICALLY.

I WANTED TO ALSO TOUCH ON, YOU KNOW, SOME OF THERE'S A WIDE RANGE OF TESTS.

THAT YOU GIVE ME A LIST OF THINGS THAT THAT CAN BE DONE.

>> IN ADDITION TO THOSE TO WHICH, YOU KNOW, PEOPLE DON'T NECESSARILY WANT TO HAVE TO GO THAT ROUTE.

BUT IT SOUNDS LIKE THERE'S SOME MORE CONSERVATIVE THINGS THAT CAN BE DONE TO MAKE DIAGNOSES AS WELL.

>> YES.

WHEN WHEN WE SEE PATIENTS IN THE OFFICE.

ME START OUT AN EXAM USUALLY SAY I DID STAND R * * * * * EXAM WILL BE A KIND TOO.

FEELING FOR ANY APOLOGY IN THE ANNUAL CAN NOW ORDER.

THE IS STILL THE LAST PART OF THE WRECKED HIM.

SOME THINGS YOU FIND MASSES.

SOME THINGS YOU IN THE WATER.

OR OTHER PATHOLOGY THAT YOU CAN JUST FEEL WITH OUR OF FINGER.

WE WOULD ALSO AT THE SAME TIME DO.

AND IN NAZCA BE WHICH IS JUST GETTING A GOOD LOOK AT THE INSIDE OF THE ANNUAL NOW USING IT SMALL IN SCOPE.

>> THIS GOING ON.

SO THAT YOU KNOW, GIVE US A HOW BAD SOMEONE'S AND BOYS ARE.

OR IF THEY AND, YOU KNOW, FISHER, FOR EXAMPLE.

BUT BEYOND THAT, I MEAN, THE GET RID OF PESTS IS IS A WIDE SOMETHING CG SCANS ARE TO IDENTIFY SOURCES LEANING.

SOMETIMES WE HAVE TO DO IT.

I KNEW SCAN.

AND GEOGRAPHY IS ANOTHER ONE.

BUT BY AND COLONOSCOPY IS A MAJOR PART OF THAT DIAGNOSING KNOW THAT PROBABLY.

>> AND IT SOUNDS LIKE MOST OF WITH THOSE BE DONE ON AN OUTPATIENT PROCEDURE.

OUTPATIENT BASIS.

>> YEAH.

MOST OF THEM CAN BE DONE AND I HOPE THEY SHUN BUT.

DEPENDING ON HOW THE PATIENT PERCENTS JUST SOMEONE IS COMING IN WITH A LARGE VOLUME OF R * * * * * BLEEDING.

SOMEONE WHO IS QUITE SICK.

NEAR THE EU HE SEEN IN THE EMERGENCY OR IN THE HOSPITAL.

AND SO THESE TEST ME LIKELY BE DONE IN THE HOSPITAL.

BUT IN SOME WE WOULD DO THEM ON AN OUTPATIENT BASIS AND AGAIN, DEPENDING ON THE DIAGNOSIS TREAT THEM ACCORDINGLY.

>> ALL RIGHT.

WHAT WE DID ANOTHER GENTLEMAN WHO CALLED IN BUT WANT TO BE THE ASKED THE QUESTION FOR HIM SO LET'S SEE.

IT THIS IS FROM A MAN NAMED SAM.

IT'S JUST GOING TO THE BATHROOM A LOT MORE THEN NORMAL THAT HE I GUESS THAN THE NORMAL AMOUNT OF TIMES.

HE WOULD GO JUST WONDERING IF HE JUST WONDERING IF THAT'S CAUSE FOR CONCERN.

>> YES.

SO, YOU KNOW, I WOULD THINK OF THIS AS YOU KNOW, THAT YOU CHANGE IN BOWEL AND THAT.

WOULD BE SOMETHING.

THAT NEEDS TO BE FURTHER YOU KNOW, TYPICALLY JUST STRAIGHTFORWARD CAUSES SUCH AS CHANGES IN DIET.

YOU'RE IT'S THE FAMILIES AND TRAVEL HISTORY.

>> INFECTIOUS CAUSES.

THOSE CAN CHANGE ABOUT HABITS.

BUT.

>> THE DIDN'T REALLY NEED TO BE EVALUATED NEEDS STEP-BY-STEP MANNER AND OF ELIMINATING ALL OF THE.

BAD STUFF, SO TO SPEAK.

AND THEN >> YOU, YOU KNOW.

>> REALLY NOT ALL THE BAD STUFF.

YOU KNOW, THATS OF THE CALL AND ASK TO BE.

AND THEN FINALLY SETTLING.

ON SOME OF LESS SERIOUS CONDITIONS.

>> IT DEFINITELY SOUNDS LIKE IT'S A PROCESS.

YOU KIND OF START AND SEE WHAT YOU FIND AS YOU GO ALONG.

SO IT SOUNDS LIKE.

>> ABSOLUTELY DOCTOR.

WE JUST HAVE A COUPLE MINUTES LEFT IN A PROMISE.

EVERYBODY WE REVIEW THE GUIDELINES NOW FOR COLON CANCER SCREENING BECAUSE, YOU KNOW, WE ALWAYS HEARD FOR YEARS A 50 WAS A MAGIC NUMBER THAT, YOU KNOW, AS LONG AS YOU DIDN'T HAVE A PREDISPOSITION TO COLON CANCER OR FAMILY HISTORY THAT THAT'S WHEN YOU SHOULD THINK ABOUT STARTING CALL OUT HAVING A COLONOSCOPY.

SO CAN YOU TALK ABOUT THE CHANGES AND WHAT THE GUIDELINES ARE NOW.

>> SO IT STARTED WITH THE AMERICAN CANCER DEVISING THEIR GUIDELINES FOR COLORECTAL CANCER SCREENING.

>> FOR SEVERAL YEARS OF USE TO FOR THE AVERAGE DUE TO COME IN AND STARTING SCREENING COLONOSCOPIES AT AGE 50.

WITHIN THE LAST 2 YEARS THEY'VE LINES TO STARTING SCREENING COLONOSCOPY AT AGE 40 SPY.

AND SO WE SEE WE DO STILL SEE A LOT OF PATIENTS COMING IN WHEN THEY TURN 50 SAYING I'M HERE, I'M DOING.

YOU KNOW, MY PART CALL MASS COULD BE THE YOU CAN'T TELL THEM THEIR 5 YEARS TOO LATE.

>> YEAH.

AND THAT WAS THAT YOU SAID THIS WAS JUST CHANGED WITHIN THE LAST 2 YEARS.

IS THAT RIGHT.

>> YES.

THE THE MANY OF RECENT >> THIS KNOWLEDGE HAS BEEN QUITE FRANKLY, THAT ALL THE WAY THROUGH.

THE MEDICAL COMMUNITY AND CERTAINLY IN THE GENERAL PUBLIC.

BUT YEAH, IT THE DETERMINATION OF THE AMERICAN CANCER SOCIETY.

AND IT IS ALSO AN UPDATE BY THE UNITED STATES.

PREVENTIVE TASK FORCE SERVICES.

WAS JUST SOMETHING THAT INSURANCE LOOK WHEN THEY DECIDE POWER FOR A SCREENING COLONOSCOPIES AND OTHER SCREENING TESTS.

>> AND I YOU KNOW, YOU AND I WERE TALKING A LITTLE BIT ABOUT BEFORE THE SHOW ABOUT THIS.

BUT, YOU KNOW, I THINK THE PART THAT PEOPLE DREAD IT MAY BE WHAT PREVENTS THEM FROM GOING THROUGH THE PROCESS IS THE PREP.

YOU KNOW, THE DAY BEFORE CLEANING OUT YOUR COLON.

YOU SAID IT'S GOTTEN A LITTLE BIT EASIER THAN IT USED TO BE.

MAYBE.

>> YES.

SO I START BY SAYING THAT THERE ARE MANY DIFFERENT OPTIONS FOR COLORECTAL CANCER SO.

>> YOU KNOW, COLIN ASCA BEINGS NOT BE.

ONLY OPTION.

IT IS CERTAINLY WHAT WE WOULD CONSIDER THE GOLD STANDARD AT THIS POINT.

BUT THERE ARE OTHER OPTIONS THAT YOU SHOULD DISCUSS WITH YOUR PRIMARY CARE PROVIDER.

AS FAR AS TO CALL AND ASK THE IT'S VERY IMPORTANT.

DOING HIGH QUALITY CALL MASS COULD BE WHICH INCLUDES DOING A GOOD HOUR, PRACTICALLY NO TO CALL IN AND READ THEM.

WE START THAT.

DID TYPICALLY START THAT THE DAY BEFORE THE IT STARTS IN THE AFTERNOON.

WE TELL PATIENTS TO STARTED AT 3 O'CLOCK.

WE DO HAVE AND ON THE LIQUID THE DAY BEFORE THE COLONOSCOPY.

NOW IT IN OUR PRACTICE.

WE.

JUST A LITTLE OVER THE COUNTER THAT YOU CAN BUY IT FROM ANY PHARMACY.

AND WE JUST HAVE YOU MIX IT AND TRY TO DRINK OF SOME KIND OR EVEN JUST WATER.

A JUST AND THE COUNTY THAT BETTER.

HIM TO CUT YOU OFF.

DOCTOR WHERE THEY'RE TELLING ME TO WRAP.

BUT YOU BUT YOU ARE SAYING THAT THEY TOLERATE IS KIND OF ONE OF THE SPORTS DRINKS WITH INSTEAD OF THAT JACKIE WATER.

>> EXACT CONDITION SAID TO DO BETTER WITH LOW.

THERE PROBABLY IS NOT IS.

>> GOOD TO HEAR.

GOOD TO HEAR.

I'LL BE HAPPY WHEN THEY JUST TELL YOU CAN TAKE A PILL THAT WOULD BE THAT THAT WOULD BE MY OPTION DOCTORS IN WHAT HAS BEEN A PLEASURE.

THANK YOU SO MUCH FOR JOINING US.

TAKE CARE.

ABSOLUTELY.

THANKS FOR HAVING ME.

AND THANKS SO MUCH FOR WATCHING.

I APPRECIATE THE QUESTIONS AND TAKE CARE.

WE'LL SEE YOU BACK HERE NEXT.

TUESDAY EVENING.