What are the treatment options for familial adenomatous polyposis?

Colonoscopy lets clinicians inspect the bowel, remove suitable polyps and monitor for changes. Because FAP is inherited, genetic counselling can clarify what a genetic result means for you and relatives, and can support family planning and screening decisions.

Bowel resection, also called colectomy when the colon is removed, may be discussed when polyps are numerous, difficult to control, or show concerning changes. The operation and reconstruction depend on the rectum, bowel function, symptoms and individual findings. Ongoing surveillance remains relevant after surgery because polyps can develop in other bowel areas.

Arrange care with a team familiar with inherited bowel conditions. Ask how often the colon and rectum should be examined, which symptoms need review, and whether relatives should receive genetic advice. Keep a record of procedures, pathology results and medicines.

Report blood in the stool, persistent changes in bowel habit, unexplained weight loss, ongoing abdominal pain or repeated vomiting. These symptoms have many possible causes, but they deserve assessment in someone with FAP.

Seek urgent care for severe or worsening abdominal pain, a swollen abdomen with vomiting, inability to pass stool or gas, heavy rectal bleeding, fainting or signs of dehydration. After bowel surgery, fever, wound redness, increasing pain or leakage also requires prompt contact with the surgical team.

What findings guide the timing of surgery? Which bowel examinations do I need? Should relatives be offered genetic counselling? If bowel resection is advised, what reconstruction and changes in bowel function should I expect?