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Should I Get a Colonoscopy or Use an At-Home Kit?
General Wellness

Should I Get a Colonoscopy or Use an At-Home Kit?

Posted: March 21, 2023

When it comes to colon cancer screening, a colonoscopy is the most effective test for detecting abnormalities in the colon. However, the idea of undergoing a colonoscopy can be daunting for some individuals. The alternative is at-home colon cancer screenings kits. These kits have gained popularity over the years, and many people are now considering using them as an alternative to going to the doctor for a colonoscopy.

At-home colon cancer screening kits are to be used only by those who are at average risk for colon cancer. If you have close relatives with colon cancer, have a history of colon cancer or polyps, certain diseases like ulcerative colitis or Crohns Disease, please talk to your doctor before using these tests as your risk for colon cancer may be higher than the general population. Also of note, if the at-home kit shows a positive result, this must be followed with a colonoscopy.

Pros and Cons of Using an At-Home Colon Cancer Screening Kit 


Pro - Convenience

At-home colon cancer screening kits are convenient and easy to use. You can perform the test in the comfort of your home and don't need to take time off work or schedule an appointment with a doctor. 

Pro - Cost

At-home colon cancer screening kits are usually less expensive than traditional colonoscopies. While the cost may vary depending on the type of kit you choose, it's generally less expensive than going to a healthcare facility for a colonoscopy. 

Pro - Privacy

Using an at-home colon cancer screening kit allows you to maintain your privacy. You don't need to visit a hospital or doctor's office and can complete the test at your own pace. 

Con - Accuracy

While at-home colon cancer screening kits are designed to detect abnormalities in the colon, they may not be as accurate as a traditional colonoscopy. False negatives and false positives can occur, leading to missed diagnoses or unnecessary procedures. 

Con - No Sedation

During a traditional colonoscopy, patients are given sedation to help them relax and reduce discomfort. At-home colon cancer screening kits do not offer this option, which could make the test uncomfortable or even painful for some individuals.  
 

What At-Home Colonoscopy Kits Are Available? 

 
Fecal Immunochemical Test (FIT) 

The FIT test is an at-home colon cancer screening kit that detects small amounts of blood in the stool, which could indicate colon cancer. This test is non-invasive and doesn't require any special preparation. However, it is less accurate than other types of colon cancer screening tests.

DNA Stool Test 

The DNA stool test is another at-home colon cancer screening kit that detects abnormal DNA in the stool. This test is more accurate than the FIT test but is still not as accurate as a traditional colonoscopy. 

How to Use an At-Home Colon Cancer Screening Kit  

Each at-home colon cancer screening kit is different, but most involve collecting a stool sample and sending it to a lab for analysis. Some kits require special preparation before collecting the sample, such as avoiding certain foods or medications. It's important to carefully read the instructions that come with the kit and follow them closely to ensure accurate results.

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What to Do After Receiving Results from an At-Home Colonoscopy Kit

If your at-home colon cancer screening kit results are abnormal, it's important to follow up with a doctor. A positive result doesn't necessarily mean you have colon cancer, but it does mean that further testing is necessary. If the results are normal, it's still a good idea to speak with a doctor about your colon health and whether additional testing might be necessary.

Preparing for a Colonoscopy

If you decide to have a traditional colonoscopy, there are steps you'll need to take to prepare. Your doctor will provide specific instructions, but here are a few general tips:

  1. Follow a special diet: Your doctor may ask you to follow a special diet for a few days before the procedure. This may involve avoiding solid foods and only consuming clear liquids like water, broth and sports drinks. 

  2. Take laxatives: You will be prescribed a laxative to take the day before the procedure to clean out your colon. This can be in the form of pills, liquid or a special drink. Following the instructions carefully is important to ensure your colon is adequately cleaned. 

  3. Arrange for someone to drive you home: You will be given sedation during the procedure, which can make you drowsy and impair your driving ability. It's important to arrange for someone to drive you home after the procedure. 

 
Although at-home colon cancer screening kits offer convenience, privacy and cost savings, they may not be as accurate or comprehensive as a traditional colonoscopy. If you want to be certain about your colon health, you should speak with a doctor about which colon cancer screening test is right for you.  

If you decide to use an at-home colon cancer screening kit, carefully follow the instructions and follow up with a doctor if the results are abnormal. Remember, early detection is key to successful treatment of colon cancer, so don't hesitate to take steps to protect your health. 

Your Next Steps to Beat Colon Cancer

Schedule an appointment with your Methodist Le Bonheur Healthcare primary care physician today to discuss your screening options. 

Talk to your doctor about your risk of colorectal cancer.

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