When is colonoscopy recommended for familial adenomatous polyposis?

Familial adenomatous polyposis is an inherited condition in which numerous adenomatous polyps may develop in the large bowel. A specialist uses examinations to identify when polyps are appearing, increasing, or becoming difficult to manage endoscopically. The plan may begin before symptoms and may include examination of the rectum and colon, with tissue removal or sampling when suitable. The age to begin and the interval between examinations depend on the family history, genetic findings, polyp burden, and the specialist service.

Ask for a coordinated appointment with a gastroenterology and genetics team. Keep a written record of prior examinations, polyp findings, operations, and relatives with the condition. Follow preparation instructions and report medicines or health problems that could affect the procedure. Discuss surveillance of areas beyond the colon when your specialist recommends it, because inherited conditions can involve more than one organ.

Tell your care team about rectal bleeding, persistent abdominal pain, a change in bowel habit, unusual tiredness, or unexplained weight loss even if your next examination is booked. Seek urgent care for heavy bleeding, fainting, severe pain, repeated vomiting, or marked abdominal swelling. Symptoms should be assessed promptly rather than attributed to the inherited condition alone.

Ask when surveillance should start for you, which examination is planned, how often it should be repeated, and what findings would change the plan. Ask whether relatives should receive genetic counselling and how surgery or endoscopic treatment fits with continued monitoring.