What is the first treatment tried for familial adenomatous polyposis?

FAP causes many adenomatous polyps to develop in the large bowel. These growths can increase the chance of bowel cancer over time, so care begins with specialist assessment and repeated colonoscopy. The timing of surgery depends on the number, size and appearance of polyps, symptoms, and whether they can be removed or watched safely. Bowel resection removes part or all of the colon at risk; the surgical plan may also address how bowel movements will pass afterward.

Arrange care with a colorectal or hereditary-cancer team. Keep every colonoscopy appointment and report bleeding, persistent abdominal discomfort, altered bowel habits or unexplained weight loss. Genetic counselling can clarify inherited risk and help relatives understand whether they need assessment. Do not delay a recommended operation while relying on symptoms, because polyps may need treatment before they cause problems.

Seek urgent medical help for heavy rectal bleeding, black stools, severe or worsening abdominal pain, repeated vomiting, a swollen abdomen, or inability to pass stool or gas. Contact your treating team promptly for new bleeding or a sustained change in bowel habit, even if the symptoms are mild.

Ask how many polyps were found, whether they can be removed during colonoscopy, what would trigger bowel resection, and which operation is being considered. Ask how surgery could affect bowel function, what follow-up the remaining digestive tract needs, and whether genetic counselling should be offered to relatives.