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Colonoscopy: Screening vs. Diagnostic: Is There a Difference?

Maintaining a healthy colon is vital for overall well-being, and regular colonoscopies play a crucial role in colorectal cancer prevention and early detection. In a recent #Twitter discussion it was evident the need to understand the distinction between two common types of colonoscopies: diagnostic colonoscopy and screening colonoscopy.  In this blog, we will explore the differences between these procedures, their purposes, and when they are typically recommended.

Diagnostic Colonoscopy: A diagnostic colonoscopy is performed when a patient exhibits symptoms or has a specific medical concern that requires further investigation. It is used to identify the cause of symptoms, diagnose gastrointestinal conditions, and assess abnormalities detected through other diagnostic tests. Some common indications for a diagnostic colonoscopy include:

  • Gastrointestinal bleeding
  • Anemia from an unknown cause
  • Unexplained abdominal pain or discomfort
  • Changes in bowel habits
  • Unintentional weight loss
  • Suspected inflammatory bowel disease (IBD) or colorectal polyps
  • Family history of colorectal cancer or other hereditary conditions

During a diagnostic colonoscopy, the gastroenterologist examines the colon’s lining, identifies any abnormalities, and may take biopsies or perform therapeutic interventions if necessary. It focuses on diagnosing specific conditions and addressing the patient’s health concerns.

A doctor holding a colonoscope.

Screening Colonoscopy: A screening colonoscopy is performed in individuals who have no symptoms and have no known gastrointestinal issues. The primary purpose of a screening colonoscopy is to detect early signs of colorectal cancer or precancerous polyps when they are more easily treatable or preventable. Recommended screening guidelines vary based on factors such as age, family history, and personal risk factors. Generally, screening colonoscopies are recommended for:

  • Average-risk individuals starting at the age of 45 
  • Individuals with a family history of colorectal cancer or certain genetic syndromes may require earlier or more frequent screenings

During a screening colonoscopy, the physician examines the colon’s entire length, searching for polyps, abnormal growths, or signs of cancer. If any polyps are detected, they can be removed during the procedure, reducing the risk of developing colorectal cancer.

Conclusion: Both diagnostic colonoscopy and screening colonoscopy are valuable tools in colorectal health management, but they serve distinct purposes. A diagnostic colonoscopy is performed when specific symptoms or concerns are present, aiming to diagnose and address underlying conditions. On the other hand, a screening colonoscopy is a preventive measure, detecting early signs of colorectal cancer and removing precancerous polyps to reduce the risk of developing the disease.

Understanding the difference between these procedures empowers individuals to make informed decisions regarding their colorectal health. It is crucial to consult with a healthcare professional who can assess individual risk factors, recommend appropriate screening guidelines, and determine the most suitable course of action.

Remember, early detection and timely intervention significantly increase the chances of successful treatment and improved outcomes. Prioritize your colon health by adhering to recommended screening guidelines and discussing any concerning symptoms with your healthcare provider. Your colon health is in your hands, and regular colonoscopies are a vital step toward a healthier future.

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