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Colonoscopy

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11 hours ago, JTPR1 said:

An increasingly large segment of the U.S. medical community now no longer recommends regular (every-10-year) colonoscopies for those over 75,

Yes.

This was obvious to me from the very beginning.

It is logical.

The US Medical community, the majority, are NOT scientists.

They are not very much influenced by the scientific method.

They are often superstitious, meaning they exhibit superstitious behavior.

They are NOT scientists is the key unflattering detail here.

They need to spend a lot more money on REAL science, and abide by the findings.

Especially where they pontificate about diets, and diagnostic tests, and a whole lot more.

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  • Preparation: Laxative solution to clean out your bowels. Some hospitals have you do this at home, some have you come in several hours in advance and do it there. You may also be given special dietar

  • Autocan
    Autocan

    Like Sheryl said. I had a colonoscopy-endoscopy done at Bumrungrud I think 5years ago. Price circa 30k. Went in a few hours ahead and they put me in a room with a couple of jugs of laxative liquid

  • carlyai
    carlyai

    Stupidity may be punished. Bowel cancer is an easily treatable disease if caught early. Horrible if you ignore the symptoms and leave it.

  • Popular Post
17 hours ago, JTPR1 said:

An increasingly large segment of the U.S. medical community now no longer recommends regular (every-10-year) colonoscopies for those over 75,

It has always been the official recommendation that screening for colon cancer be done up to age 75. Used to be ages 50 - 75, now ages 45 - 75 due to rising incidence of colon cancer in younger people.

The guidance above age 75 is "For adults aged 76 to 85, the decision to be screened should be made individually, based on overall health and prior screening".

https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screening

The issue at older ages is that the risks of colonoscopy increase with age while the potential benefit in years of life from early detection obviously decrease. And the likelihood of having relative contraindications to colonoscopy (such as being on anticoagulant therapy etc) also increases with age.

However, these factors will obviously vary by individual. Someone with known risk factors (history of large of multiple pre-cancerous polyps., family history of colon cancer etc) but otherwise very strong, active and healthy (i.e. likley to live another 20 years or more) might opt to continue screening past age 75.

There is also the option of switching to less invasive screening tests like stool tests.

Actually many health screenings stop making much sense as one gets very old. My 95 years old mother does not get yearly mammograms anymore, for example. Why would she?

One useful way of looking at it is to ask what one would want to do if there were a positive screening finding, given overall age and state of health.

  • 2 weeks later...
On 6/9/2026 at 3:18 PM, Sheryl said:

Actually many health screenings stop making much sense as one gets very old.

Right. I noted that the coronary calcium CT scans (CAC scores), which measure the severity of calcification in your coronary arteries and rates your chance of major cardiac/stroke event in coming years is not recommended for those over 70. I think it's recommended for males 40-70 and women 50ish to 70. Seems a bit arbitrary, but like you say, if a 75 year old took the CAC scan and found out he has a very high chance of a major cardiac event in the next ten years? Then what?

6 minutes ago, ronnie50 said:

Right. I noted that the coronary calcium CT scans (CAC scores), which measure the severity of calcification in your coronary arteries and rates your chance of major cardiac/stroke event in coming years is not recommended for those over 70. I think it's recommended for males 40-70 and women 50ish to 70. Seems a bit arbitrary, but like you say, if a 75 year old took the CAC scan and found out he has a very high chance of a major cardiac event in the next ten years? Then what?

The only intervention recommended for people with elevated CAC score if asymptomatic is to address risk factors e.g. lipids, hypertension, elevated blood glucose. All of which can be done anyhow based on simple blood test.

BUT, CAC score can be very helpful in deciding whether or not to take statins in cases of mildly elevated lipids.

Age recommendations are relative, people in their 70"s vary enormously in how healthy and fit they are. Frankly 70 is not very old these days, its is sort of the new 60 for many people.

  • 4 weeks later...
On 3/31/2026 at 3:00 PM, unblocktheplanet said:

12k all in at public hospital in Bangkok. Honestly, having a Hoover shoved up your butt is not so agonising. I elected not to be put out, though they did did me Ativan.

If you have polyps which may or may not be cancerous, the rig clips them off to go to the lab. I only had a watermelon seed. It's pretty interesting to watch the video in real-time so you can ask questions.

You should also have a sigmoidoscopy (down the throat) at the same time. That needs you to be out because of the gad reflex.

Whatever that laxative is, you don't want to be far from a toilet for three days before the procedure. Better than those touted detox scams!

Evidently, I was not completely cleaned out so I had to take more at the hospital.

Seriously, nothing to worry about, even if you're squeamish. The consequences of not doing it could be catastrophic.

Hope you didn't let them put the sigmoidoscope down your throat without washing the <deleted> off first!

  • 4 weeks later...
  • Author

Update Barium enema test/exam at the Sikarin hospital, Bangkok.

2 days in advance each 24H Castor oil (laxative) cleaning the bowel and the last 12H no food/drinking

The procedure takes about 20 to 45 minutes. A small, lubricated tube goes gently into your rectum, then a white liquid (barium) flows into your colon, and later air is added to get a sharper picture. Then you must hold very still and change positions while the X-ray machine takes pictures (about 6 a 8 pics). After the test I went immediately to the adjacent toilet your poop may look gray or white for a day or two as your body clears the barium.

Result: All looks good beside that my colon show a "diverticulum" which is common for elderly and considered a normal part of aging nothing to worry about says the doctor. Next they'll do a "CBC" blood exam with my next check up in September.

Result:

On 3/30/2026 at 2:43 PM, Sheryl said:

Preparation:

Laxative solution to clean out your bowels. Some hospitals have you do this at home, some have you come in several hours in advance and do it there.

You may also be given special dietary instructions for the day prior. Varies with the hospital & doctor, but low fiber for a few days and clear liquids only the day before are typical.

During: little to no experience as you are usually put to sleep with IV sedation

After: nothing special; though some people find they pass a lot of gas in the initial hours. Due to tyhe sedation, shpould not plan on driving home yourself as may still be a bit groggy/spaced out.

Prices: depend on hospital (private vs government) and whether any polyps found, polyp removal and biopsy is additional to basic colonoscopy price. Nowadays, private hospitals in Bangkok are around 25-30k (not including any polyp removal and biopsy). There are periodic special packages with somewhat lower costs. Government hospitals usually under 10k. Recommended sources for the latter would be Chulalongkhorn going through their after hours clinic, or Chulabhorn Hospital.

https://kcmh.chulalongkornhospital.go.th/en/clinic/after-hours-clinics-and-premium-care-clinics-during-normal-operating-hours/

https://chulabhornhospital.cra.ac.th/

Is this for a routine screening, or a specific problem? As if the latter, choice of doctor (doctor, not hospital) is very important. Please indicate if so and I will recommend doctor.

I can confirm all this 👍

I waited forever to go to a private, but the prices always vague or 30k. The polyp prices removal biopsy really murky.

In the end, I went to Chula. It's pretty crazy all the people, but it's rather organized, managed and even polite chaos.

The first meeting was a waste of money 1300b. Just basic questions and making appointment

Second appointment is when it all happens...put yourself in queue 9am, waiting 10am, laxative, waiting, ... Procedure, rest, released at 5pm. You MUST have caregiver for discharge. I'm doing this Monday 😭

After Hours:

Price on brochure 8-20k

Plus laxative and ?

Plus polyp removal and biopsy if any

Don't mess around...just go here if you live in BKK

If I save some serious money I'll just make Chula AHC my first choice. I actually like it for some bizarre reason

*You should have some Thai ability to navigate everything no one really speaks much English outside the Dr and a bit in the appointment office (fl15)

Edited by KornPop

On 4/1/2026 at 10:56 AM, fredwiggy said:

Like another mentioned, early diagnosis of gastro problems means you can get rid of them easier. It's one of your most important systems and one many don't take care of. I myself took 68 years to have my first colonoscopy and upper endoscopy because of a H Pylori infection, and I shouldn't have waited near that long. Luckily I had no polyps but I did have stomach inflammation from the H Pylori, which a year later I'm still trying to get right, even though I ate healthy all my life.Try not to worry as most cysts are benign, and can be removed if they aren't.

I should have done the blood test today for H Pylori but backed out. A friend reported having it. No symptoms. He lived upcountry many years.

I have no symptoms. Traveled, lived some crazy places, not issarn.

I never have stomach issues. Cast iron. Eat Thai with exception pah lah, offal, paddy crab, uncooked crab seafood salad.

Symptoms? Why one year?

The antibiotics are heavy... metronidazole ffs. Used for giardia

On 6/8/2026 at 9:47 PM, JTPR1 said:

An increasingly large segment of the U.S. medical community now no longer recommends regular (every-10-year) colonoscopies for those over 75,

Probably because they want you to have cancer, as more profitable, as opposed to removing polyps before they turn cancerous, or are a problem.

If the medical community cared, they's start curing diseases, or discussing the causes of health issues and how to avoid, instead of prescribing.

5 minutes ago, KornPop said:

I should have done the blood test today for H Pylori but backed out. A friend reported having it. No symptoms. He lived upcountry many years.

I have no symptoms. Traveled, lived some crazy places, not issarn.

I never have stomach issues. Cast iron. Eat Thai with exception pah lah, offal, paddy crab, uncooked crab seafood salad.

Symptoms? Why one year?

The antibiotics are heavy... metronidazole ffs. Used for giardia

Up to 60% of people have it, but only about 20% are affected by the symptoms. Gastritis comes from many sources but when you are affected by H Pylori, the stomach inflammation doesn't go away until it's eradicated. Those 2 antibiotics and a PPI hurt your microbiome, where it can take years to get back to normal.

12 minutes ago, fredwiggy said:

Up to 60% of people have it, but only about 20% are affected by the symptoms. Gastritis comes from many sources but when you are affected by H Pylori, the stomach inflammation doesn't go away until it's eradicated. Those 2 antibiotics and a PPI hurt your microbiome, where it can take years to get back to normal.

Haha been years ago but I did metronidazole many times after returning out of India and Pakistan with giardia.

So I can have it and have absolutely no symptoms. And you say that it can be spread by something as simple as kissing?? Or I wouldn't everyone have it then?

2 minutes ago, KornPop said:

Haha been years ago but I did metronidazole many times after returning out of India and Pakistan with giardia.

So I can have it and have absolutely no symptoms. And you say that it can be spread by something as simple as kissing?? Or I wouldn't everyone have it then?

Kissing or affected water, which is a huge reason SEA has most of the affected worldwide, along with Africa, Latin America and the Middle East. I'm thinking more than 60% of people have it for those reasons. It can lead to stomach cancer and ulcers if not treated.

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