203 Omni Drive Hillsborough NJ 08844

267 US HWY 202 - 31 S Flemington NJ 08822

203 Omni Drive Hillsborough NJ 08844

267 US HWY 202 - 31 S Flemington NJ 08822

Colon Cancer Screening

Home   Colon Cancer Screening

Colon Cancer Is Preventable — But Only If You Get Screened

Colorectal cancer is the 2nd leading cause of cancer-related deaths in the United States, yet it is one of the most preventable cancers.
Most colon cancers begin as polyps, small growths inside the colon that can develop into cancer over time.
The good news:
  • Polyps can be found during colonoscopy.
  • Polyps can often be removed before they become cancerous.
  • Early detection dramatically improves outcomes.
  • Colonoscopy can both prevent and detect colon cancer.

Why Did the Screening Age Change From 50 to 45?

For many years, screening began at age 50.
Today, major organizations including the American Cancer Society and the U.S. Preventive Services Task Force recommend screening beginning at age 45 for average-risk adults.
Why?
  • Colon cancer is increasing in younger adults
  • Cases in individuals under age 50 have risen significantly over the last several decades
  • Younger patients are often diagnosed at later stages
  • Earlier screening saves lives
Do not assume you are "too young" for colon cancer.

Who Should Be Screened?

Who Should Be Screened?

Average-Risk Individuals
Screening should begin at:
  • Age 45 for both men and women
Higher-Risk Individuals
You may need screening earlier if you have:
  • Family history of colon cancer
  • Family history of colon polyps
  • Personal history of colon polyps
  • Crohn's disease
  • Ulcerative colitis
  • Iron deficiency anemia
  • Genetic syndromes such as Lynch Syndrome or Familial Adenomatous Polyposis (FAP)
  • Prior colorectal cancer
Many high-risk patients require screening before age 45.

Symptoms You Should Never Ignore

Colon cancer can develop without symptoms.
However, warning signs may include:
  • Rectal bleeding
  • Blood in the stool
  • New constipation
  • Change in bowel habits
  • Narrow or pencil-thin stools
  • Abdominal pain
  • Bloating
  • Unexplained weight loss
  • Iron deficiency anemia
  • Fatigue
  • Persistent back pain
  • Night sweats or fevers
If you have any of these symptoms, do not wait until your next screening interval.

What Is a Colonoscopy?

A colonoscopy is the gold standard test for colon cancer screening.During the procedure:
  • A thin flexible camera examines the entire colon
  • Polyps can be identified and removed
  • Biopsies can be taken if needed
  • Cancer can often be detected at an earlier, more treatable stage

Am I Sedated?

Yes.
At Hunterdon Digestive Health Specialists:
  • Colonoscopies are performed with anesthesia
  • A board-certified anesthesiologist provides sedation
  • Patients are asleep and comfortable during the procedure
  • Most patients remember little or nothing about the exam

Is Colonoscopy Painful?

No.
Because anesthesia is used:
  • Most patients sleep comfortably through the procedure
  • The vast majority report little to no discomfort
  • Most patients are surprised by how easy the experience is

Direct Access Colonoscopy

Many healthy patients may qualify for Direct Access Colonoscopy.
This means:
  • No office consultation may be required beforehand
  • Your medical history is reviewed
  • Screening can be scheduled directly
  • Saves time and avoids unnecessary office visits
Not everyone qualifies, but many average-risk screening patients do.

Why Experience Matters

When choosing a gastroenterologist, experience matters.
Questions to consider include:
  • How many colonoscopies does the physician perform each year?
  • How long have they been performing colonoscopy?
  • What is their complication rate?
  • What is their adenoma detection rate (ADR)?
  • Who administers the anesthesia?
  • Is a board-certified anesthesiologist present?
  • Are procedures performed in a hospital setting or outpatient center?
Dr. Sinha is a triple board-certified physician with decades of advanced procedural experience and has performed thousands of endoscopic procedures throughout her career.

Is Colonoscopy Safe?

Colonoscopy is a very safe procedure when performed by experienced providers.Serious complications are uncommon.Potential risks include:
  • Bleeding
  • Perforation (tear in the colon)
  • Medication or anesthesia reactions
  • Infection (rare)
For screening colonoscopy, complication rates are very low.

FAQS

Where Is My Colonoscopy Performed?

This is an important question many patients do not think to ask.Procedures may be performed:
  • In a hospital-based endoscopy suite
  • In an ambulatory surgery center
  • In an outpatient endoscopy center
Depending on your insurance, one location may result in significantly lower out-of-pocket costs.
Always ask:
  • Where will my procedure be performed?
  • What does my insurance prefer?
  • What are my expected costs at each location?

Is Colonoscopy Covered by Insurance?

Coverage depends on:
  • Your insurance plan
  • Whether the procedure is screening or diagnostic
  • Your personal risk factors
Most screening colonoscopies beginning at age 45 are covered by insurance.
At Hunterdon Digestive Health Specialists:
  • Insurance benefits can be verified before scheduling
  • Expected costs can be reviewed in advance
  • Our staff can help determine the most cost-effective location based on your insurance plan

Can Colon Cancer Still Occur After a Colonoscopy?

Although colonoscopy is the best screening test available, no test is perfect.
Rarely, an "interval cancer" can develop between colonoscopies.
This is why you should contact your physician if you develop:
  • Bleeding
  • Changes in bowel habits
  • Weight loss
  • Iron deficiency anemia
  • New gastrointestinal symptoms
Even if your prior colonoscopy was normal.

Is Colon Cancer Only a Disease of Older Adults?

No.
While colorectal cancer is more common with age, it is no longer considered only a disease of older adults.In recent years, there has been a concerning rise in young-onset colorectal cancer (diagnosed in adults under 50).
Key facts:
  • Rates of colon cancer in adults under 50 have increased significantly over the past few decades
  • Many younger patients are diagnosed at more advanced stages
  • Symptoms in younger individuals are often mistaken for benign conditions like hemorrhoids or IBS
  • About half of colorectal cancer cases are now diagnosed in people under age 66
This is one of the main reasons screening now begins at age 45 instead of 50.
Bottom line: Do not ignore symptoms just because of age.

What Is Bowel Preparation (Prep)?

A bowel prep is one of the most important parts of a successful colonoscopy.
Its purpose is to:
  • Completely clean out the colon
  • Allow clear visualization of the intestinal lining
  • Improve detection of polyps and early cancers
If the colon is not properly cleaned, small polyps can be missed.

What to Expect During Prep

  • Frequent bowel movements begin after starting the prep
  • Stool becomes progressively clearer until it is liquid
  • You must remain near a restroom during this time
  • Staying hydrated is extremely important
Although bowel prep is often the least pleasant part of colonoscopy, it is essential for accuracy and safety.

Types of Bowel Prep Options

There are several preparation methods available, and your provider will choose the best option for you.
Not all patients qualify for every prep type, but options can often be tailored based on preference and medical history

✔ Liquid Prep (Most Common)

  • Prescription or over-the-counter solution
  • Taken in divided doses
  • Cleanses the colon by causing bowel movements

✔ Split-Dose Prep

  • Half the solution taken the evening before
  • Second half taken the morning of the procedure
  • Considered the most effective method

✔ Low-Volume Prep Options

  • Smaller fluid amounts than traditional prep
  • Often better tolerated
  • Still very effective when taken correctly

✔ Tablet (Pill-Based) Prep

  • Capsule or tablet-based bowel cleansing option
  • Taken with clear liquids
  • Preferred by some patients who cannot tolerate large liquid volumes

Colon Cancer Survivor Testimonials

Real Stories, Real Impact

  • Hear from colon cancer survivors treated at Hunterdon Digestive Health Specialists
  • Personal journeys of diagnosis, treatment, recovery, and hope.

Why Early Detection Matters

  • Colon cancer is highly treatable when detected early.
  • Routine screening can find and remove precancerous polyps before they become cancer.
  • Many people have no symptoms in the early stages.
  • Screening is one of the most effective ways to prevent colon cancer.

Breaking the Fear & Stigma

  • Address the common fears and misconceptions surrounding colonoscopy.
  • Today's bowel preparation is more manageable and comfortable than in the past.
  • The procedure is safe, quick, and performed with sedation for patient comfort.
  • Don't let embarrassment or anxiety delay potentially life-saving care.

Get to Know Your Provider

  • Meet Dr. Sinha, a trusted gastroenterologist dedicated to providing exceptional digestive care.
  • Learn about Dr. Sinha's experience, clinical expertise, and patient-first philosophy.
  • Build confidence by getting to know the team dedicated to your digestive health.

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A Message from Our Team

  • Our providers are committed to compassionate, patient-centered care every step of the way.
  • We strive to make colon cancer screening as comfortable, accessible, and stress-free as possible.
  • Our team is here to answer questions, ease concerns, and guide patients through the screening process.

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Inside the Procedure

Get an inside look at what to expect during your visit by following one of our patients through their procedure from start to finish. See each step of the process, hear from our care team, and learn how we make every experience as comfortable, safe, and stress-free as possible.

Patient Testimonials

If you're going through something similar, you're not alone. Hear from patients who have faced the same condition, received care at Hunterdon Digestive Health, and are sharing their experiences to help others feel more informed and confident.

Questions Every Patient Should Ask Before Colon Cancer Screening

Being informed helps you make the best decisions about your healthcare. Before scheduling your procedure, consider asking the following questions:
✔ Colon Cancer Screening (Colonoscopy)
TOPIC
WHAT YOU SHOULD ASK
WHY IT MATTERS
Why Age 45
Why did guidelines change from 50 to 45?
Rising colon cancer in younger adults
Complication Rate
How many colonoscopies do you perform yearly?
Experience improves safety and detection.
✔ Discomfort
Is the test painful or uncomfortable?
Temporary gagging or pressure is common but brief.
Sedation
Will I be asleep? Is an anesthesiologist present?
Most patients are fully asleep and comfortable.
Bowel Prep
What prep options are available
(liquid vs pill)?
Proper prep is essential for accurate screening.
Direct Access
Am I eligible for direct access colonoscopy?
Allows scheduling without an office visit.
Facility Location
Hospital vs outpatient center? Where is it done?
Affects cost and insurance coverage.
Insurance Coverage
Is screening colonoscopy covered at age 45?
Most screening exams are fully covered.
Cancer Prevention
Can polyps be removed during the procedure?
Colonoscopy prevents cancer by removing precancerous lesions.
An informed patient is empowered to make confident healthcare decisions and receive the highest quality care.
If you have any questions or concerns before or after your procedure, please call:

Hunterdon Digestive Health Specialists
(908) 788-8200


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