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Article Category: Highlights

Let’s Get to the Bottom of Your Colonoscopy Questions

Published on March 26, 2024

Last updated 09:29 AM March 25, 2025

Got questions? A panel of GI health experts and a survivor answer questions about colorectal cancer screening and treatment.

In people under 50, colorectal cancer is now the number one cancer-related killer of men and the number two killer of women. Black communities are 20% more likely to get colorectal cancer and 40% more likely to die from it. But this doesn’t have to be the case—colorectal cancer is preventable. When people have a screening colonoscopy, doctors can remove pre-cancerous polyps, stopping them from ever becoming cancer.

Colonoscopies are now recommended starting at age 45 for the general population, and younger for people at higher risk or with a family history. But you have questions:

I’m above average healthy—do I really need a colonoscopy?

How do I know my risk level?

Will the procedure be painful?

How much time should I take off of work?


A panel of gastrointestinal health experts and a patient answer your questions and more here.

Image of colorectal cancer experts and patients including Samantha McInturff, colon cancer survivor; Nancy Page, Wellstar oncology nurse navigator; Dr. Sahir Shroff, Wellstar surgical oncologist; and Dr. Shani Clay, Wellstar gastroenterologist.

Who needs a colonoscopy

I eat well, exercise and am in good general health. Do I really need to go through the hassle of a screening colonoscopy?

Dr. Shani Clay, gastroenterologist: Unfortunately, we discover colon cancer in quite healthy individuals. While it is true that smoking and consumption of red meat increases your risk, we also see colorectal cancer in patients who follow very healthy diets and exercise regularly, hence the need for all people to get screened for colon cancer.

Samantha McInturff, colon cancer survivor: The screening age used to be 50 before they changed it to 45, so I had never had a screening. I was 48 when I had symptoms that led to a colonoscopy and I was diagnosed with stage 4 colon cancer. I am a rule follower. I always get my mammograms. I never smoked. I have no family history. I thought, ‘How can I have cancer?’ What I’ve been through really highlights the importance of screening early. Don’t be scared. Getting screened for colon cancer is a small inconvenience that’s completely worth it. 

When should I start having colon cancer screenings and how often will I need to have one?

Dr. Clay: For people at average risk, meaning people with no alarm symptoms and no family history of colon cancer, screening begins at age 45. 

How frequently you should have a colonoscopy depends on a few things, including family history, the number and type of polyps that are found during your colonoscopy and how clean the colon is at the time of the procedure. Repeat procedures can be anywhere from six months up to 10 years, depending on the results.

Colon cancer is in my family. When should I start screening? 

Dr. Sahir Shroff, surgical oncologist: We’re seeing more and more young patients with colon cancer. If a patient has a strong family history, the screening should start sooner than 45 years of age. For example, if your parent died of colon cancer, you should begin colonoscopies at the age of 30. It depends on the risk factor. Talk to your primary care doctor about your personal risk level.

Dr. Clay: If you have high-risk factors, you should be screened earlier. For example, if a person has a first-degree relative with colon cancer who was diagnosed at less than 60 years of age, that individual should get a screening colonoscopy at either 40 years of age or 10 years younger than the age at the relative’s diagnosis. Additionally, there are certain genetic syndromes that also warrant earlier colon cancer screening with a colonoscopy at less than 45 years of age. Wellstar has a Genetic Risk Assessment Program for people with hereditary risk factors or a family history of cancer.

 

Should I see a doctor if my stool looks different than before? 

Nancy Page, oncology nurse navigator: If you’re having changes in your bowel habits like blood in or on your stool or black stool, you need to let your doctor know soon. Consistent changes like constipation, diarrhea and, it may sound gross, but skinny stools that look like a pencil for a few weeks or more are signs to talk to your doctor. Other changes to be aware of are unexplained weight loss, unexplained fatigue, abdominal pain and even anemia. Don’t put it off. Don’t think, ‘I work a lot. I have kids. I’m busy.’ Let your doctor know now. If it’s colon cancer and it’s diagnosed early, there’s a 90% cure rate.

The majority of patients who get colonoscopies tell me at the end of the procedure that they do not remember a thing and that the procedure was not bad at all.

- Dr. Shani Clay

Wellstar gastroenterologist

What to know about having a colonoscopy

I’ve never had a colonoscopy before. What should I expect?

Dr. Clay: Patients often tell me that the worst part of the entire process is prepping for the procedure. Patients are typically advised not to eat solid foods the day before the procedure, and the evening before they must start taking the prep. The purpose is to clean the colon so that no solid stool is left that could possibly prevent the detection of polyps or cancer. This means many bathroom trips during the hours leading up to the procedure. The clearer the stool, the better my view will be. During the procedure, the patient typically receives sedation and gets great sleep—and, most importantly, does not feel a thing.

Nancy: Colonoscopies aren’t as bad as they used to be. The prep is not as bad at all. You drink clear liquids the day before your procedure. There are different preps but the easiest is a combination of Miralax, Gatorade and Dulcolax. For the colonoscopy, you’ll be sedated with propofol. You don’t even know it’s being done. You close your eyes, and the next thing you know, a kind voice is awakening you, saying, ‘It’s over.’ It’s an outpatient procedure. From beginning to end, it is only two to three hours, with the actual colonoscopy usually being 15 minutes or less.

Spending a day and a half doing colon prep and having the colonoscopy sure beats a year of going to doctor appointments and having chemotherapy and radiation treatments followed by surgery.

How long will the procedure last and do I need to take time off of work for recovery? 

Dr. Clay: The only day required to take off work is the day of the actual procedure.

Will the colonoscopy hurt? How long will recovery take?

Dr. Clay: After the procedure is over, in rare cases the patient may have very mild abdominal cramping that lasts for a few minutes—this is due to the insertion of air into their colon. Sometimes patients feel a little groggy for 15 to 20 minutes or so after the procedure is over from the effects of the anesthesia. About 30 minutes after the procedure is over, most patients feel completely normal. No driving or drinking alcohol is permitted on the day of the procedure. However, the next day, the patient is able to resume normal activities.

The majority of patients who get colonoscopies tell me at the end of the procedure that they do not remember a thing and that the procedure was not bad at all.  

What if you find cancer? Do you remove it during the colonoscopy? What’s next?

Dr. Clay: Sometimes we remove polyps that are pre-cancerous. This does NOT mean that you have cancer. However, there’s a chance the polyp could have turned into cancer in the future. This is the exact reason that we do colonoscopies—to detect these polyps and remove them during the colonoscopy so that they do not lead to cancer. Colon cancer is preventable. This is why colon cancer screening is so important. Everyone should get screened.

If your gastroenterologist sees something abnormal, such as a mass, they will take a sample of it and send it off to the pathology lab. The lab will typically send the results back within a few days, at which time we will inform the patient as to whether they have cancer or not. 

If diagnosed, patients are typically referred to cancer doctors, such as a medical oncologist, a cancer surgeon and sometimes a radiation oncologist. At Wellstar, these specialists discuss each person’s specific case and share perspectives on the best course of action to treat the cancer. They then communicate this to the patient, so the patient understands the next steps.

I am passionate about helping patients get screened for colon cancer because it is a preventable disease. I cannot stress that enough. My hope is that with increased knowledge and awareness, the number of people getting colon cancer will drastically decrease.

Schedule a colonoscopy

Schedule a colonoscopy or find a gastroenterologist near you.

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Highlights

Wellstar Experts Collaborate to Help People Fight Lung Cancer

From catching cancer to following through with expert care, Wellstar ensures patients never have to fight lung cancer alone.

We are dedicated to early intervention in lung cancer, which improves outcomes for patients. After detection of an abnormality on a CT scan, patients are immediately surrounded by an interdisciplinary support team devoted to their well-being.

Identifying lung cancer early

If you are at increased risk for developing lung cancer, talk to your care team about screenings. With a low-dose CT scan of the chest, it only takes a few seconds to check in on your lung health. These screenings are offered at several Wellstar imaging centers.

The United States Preventive Services Task Force has revised lung screening guidelines. Patients may qualify for screening if they are 50 to 80 years old and smoked for 20 years. If they are a former smoker, they may qualify if they quit less than 15 years ago.

“Finding lung cancer early leads to better outcomes, and screening with CT scans is recommended as the only proven way to minimize delay in diagnosis,” said Wellstar Thoracic Surgeon Dr. Daniel Fortes.

Because finding cancer and starting treatment sooner can be life-saving, Wellstar has invested in one of the nation's largest lung screening programs and an incidental nodule program. When people come into a hospital seeking care for something else—whether that be a health condition like appendicitis or a traumatic event like a motorcycle accident—they might get a scan of the abdomen or chest that also shows portions of the lungs.

Using artificial intelligence, reports of those scans are fed to report coordinators, categorized based on their risk level and if a patient is higher-risk, forwarded to nurse navigators for review. Nurse navigators consult with physicians about the findings, and Wellstar can then initiate care if cancer is suspected.

The program, which started in fall 2020, has identified a total of 203 lung cancers and 22 other types of cancer, as of November 2025.

Expert care and support at every step

From the very beginning, people with lung cancer at Wellstar are surrounded by a team of experts. Rather than go through the time-consuming process of driving to multiple appointments with different specialists, patients meet with all these physicians in one place.

The Wellstar Lung Cancer STAT Clinic—at Wellstar Cobb, Wellstar Douglas, Wellstar Kennestone, Wellstar North Fulton, Wellstar Paulding and Wellstar West Georgia Medical Centers, as well as Wellstar Cherokee Health Park and the Thoracic NOW Clinic at Wellstar MCG Health Medical Center—give patients immediate access to specialists in medical oncology, radiation oncology, pulmonary medicine and thoracic surgery.

"We plan patients’ appointments ahead of time, ordering multiple tests that will be necessary for the treatment decision-making. These can include PET scans, CT scans, MRIs and/or a pulmonary function test," Dr. Fortes said. "We’re always gaining time in the patient’s overall treatment because we are anticipating and creating a plan as a team."

Getting multiple expert opinions from the start not only gives patients peace of mind, it speeds up treatment, too. In the United States, the average time between an abnormal scan and the beginning of treatment is 60 to 90 days. The STAT Clinic reduces that time to as little as 14 days. Time-to-treatment affects long-term survival in patients with lung cancer.

"We have data to show that if we delay treatment, even in early-stage cancers, we decrease the chance of a cure," Dr. Fortes said. "The goal of the STAT Clinic is to get them the quickest we can into their final treatment plan."

High-tech surgery options

For many patients, surgery is a crucial part of lung cancer treatment. Wellstar offers several minimally invasive options, reducing recovery time for patients.

More than 90% of lung cancer surgeries at Wellstar are performed using either the Da Vinci Surgical System or Video Assisted Thoracic Surgery techniques (VATS).

Minimally invasive surgeries reduce pain, scarring, blood loss and infection, as well as time to recover—getting patients back to work and other routines quicker.

The Da Vinci system is equipped with 3D cameras and instruments that can make very intricate, precise movements, allowing for shorter incisions and more accurate surgery. Some patients can leave the hospital as early as the next day.

For biopsies, Wellstar has completed 500 procedures using the Ion system, a robotic-assisted platform.

The system uses a three-dimensional spatial recognition technology that helps guide a catheter down the airway, deep into the lung, all the way to small nodules where biopsies can be performed. The robotic catheter maintains its shape and stability throughout the biopsy process, significantly improving diagnostic yield compared to other modalities.

"The better the image and the more certainty we have of the spatial location of the catheter, the better we can avoid complications by making sure we are not too close to a blood vessel or the edge of the lung," said Dr. Fortes.

To reduce your risk of lung cancer and keep your lungs healthy, talk to your primary care team and follow a few tips, such as exercising and avoiding smoking. Learn more about treatments on our lung cancer care page.

Keep reading
Patient getting CT scan

Highlights

Monitoring Your Lung Health with Cancer Screenings

Lung cancer screening can detect cancer earlier—even before symptoms show up. Earlier-stage cancers are more easily treatable. If you are at increased risk of developing lung cancer, you could benefit from regular low-dose CT scans to monitor your lung health.

“Finding lung cancer early leads to better outcomes, and screening with CT scans is recommended as the only proven way to minimize delay in diagnosis,” said Wellstar Thoracic Surgeon Dr. Daniel Fortes.

Our team has built one of the country’s largest and most comprehensive screening programs. Wellstar has been designated as a Screening Center of Excellence and Care Continuum Center of Excellence by the GO2 Foundation, an organization that supports lung cancer patients and educates about screenings and care. We’re also a designated Lung Cancer Screening Center by the American College of Radiology.

Evaluating your lung cancer risk

The United States Preventive Services Task Force has revised lung screening guidelines. You may qualify for screening if you are 50 to 80 years old and smoked for 20 years. If you are a former smoker, you may qualify if you quit less than 15 years ago.

“Those who are current or past smokers of cigarettes are more likely to develop lung cancer,” Dr. Fortes said. “However, while smoking is the leading risk factor for lung cancer, a large number of lung cancer patients have never smoked—1 in 5 women and 1 in 10 men diagnosed with lung cancer were never smokers.”

You may also be at increased risk of developing lung cancer if you have been exposed to radon, asbestos or other agents such as uranium or arsenic, according to the American Cancer Society. Previous radiation therapy in the lung area, such as chest radiation for breast cancer treatment, can also increase risk. Additionally, be sure to discuss your family history with your provider—siblings and children of people who have had lung cancer may have a higher risk of developing it.

Screening for lung cancer is not a one-time test, but a process that involves a periodic evaluation of your lungs over time to look for newly emerging cancer. CT scans can detect nodules that are compared over time for changes in size. 

“For those who are at high risk for lung cancer, it is best to have nodules and lung health evaluated by a team of physicians specializing in lung cancer care so the appropriate decision can be made of continued observation versus the need for early intervention,” Dr. Fortes said. 

Depending on the findings, some patients may have more or fewer exams. If findings are suspicious for lung cancer, your care team will contact you to discuss your screening results.

How do I schedule a screening?

An order from your physician is required to get a screening. Contact your primary care team or a pulmonologist to talk about screening and when it may be right for you. Once an order has been obtained from your physician, call (470) 793-4AIR (4247) to schedule your appointment.

What if my scan shows a lung nodule?

Your care team will support you at every step of the screening process. If you have any questions about your results or your screening plan, contact your provider over the phone or using the secure messaging feature in MyChart. You can also call our cancer care team at (877) 366-6032 to learn about our care options.

All lung screenings are initially interpreted by a radiologist. A team of physicians who specialize in the diagnosis and treatment of lung cancer will review findings that are suspicious for cancer. Once the physicians complete their review of your images, your results are posted within three to five days to your MyChart account. Results will be communicated with you and your physician via MyChart or mail within one week.

If a lung cancer is suspected, our team will call you to answer your questions and arrange next steps. You will then meet with a physician specializing in lung cancer treatment.

Patients whose screening shows a lung nodule may feel concerned. However, you should not be overly concerned if your report indicates you have small lung nodules. Most people who meet eligibility for screening will have some. Nodules are very common—at least 50% of people have them by the time they are 50 years old.

Learn more at wellstar.org/lungcancer.

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Highlights

Wellstar Offers Saturday Hours for Lung Cancer Screening Day November 8

Lung cancer screening can detect cancer earlier, before symptoms show up. Earlier-stage cancers are more easily treatable and more frequently cured, so if you are at increased risk of developing lung cancer, you could benefit from regular low-dose CT scans to monitor your lung health. To expand access to these vital screenings, Wellstar will offer screenings at several imaging locations Saturday, November 8.

“Finding lung cancer early leads to better outcomes, and screening with CT scans is recommended as the only proven way to minimize delay in diagnosis,” said Wellstar Thoracic Surgeon Dr. Daniel Fortes.

Wellstar is partnering with the American Cancer Society National Lung Cancer Roundtable, the American College of Radiology, the Radiology Health Equity Coalition, and GO2 for Lung Cancer to celebrate National Lung Cancer Screening Day Saturday, November 8. While lung scans are always available at Wellstar’s conveniently located imaging centers during regular business hours, offering these Saturday hours will help patients fit screenings into their schedules.

Ask your care team about whether you meet the criteria for screening, or call us to learn more about qualifying and to make an appointment for a scan.Call us at (470) 793-4AIR (4247) to learn more and make an appointment for a scan.

The following Wellstar imaging locations will be open Saturday, November 8:

  • Wellstar Imaging at Wellstar East Cobb Health Park, 3747 Roswell Road, Suite 102 in Marietta
  • Wellstar Imaging Services, 60 Lacy St. in Marietta
  • Wellstar Imaging Services, 1220 West Wheeler Parkway in Augusta
  • Wellstar Imaging Services at Wellstar Cobb Medical Center, 1625 Hospital North Drive in Austell
  • Wellstar Imaging at Wellstar Douglas Medical Center, 8954 Hospital Drive in Douglasville
  • Wellstar Imaging at Wellstar Vinings Health Park, 4441 Atlanta Road SE, Suite 101 in Smyrna
  • Wellstar Imaging at Wellstar Windy Hill, 2540 Windy Hill Rd SE in Marietta
  • Wellstar West Georgia Medical Imaging, 1514 Vernon Road in LaGrange

In addition to these special hours November 8, low-dose CT lung scans are available at several Wellstar imaging locations. 

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