Polyps not cause for concern

March 3, 2008 By

DEAR DR. GOTT: Please tell me what causes polyps in the colon. I had eleven removed in 2001 and now have to have a colon test every year. Every year I have at least two or three more new polyps removed. Am I at risk of colon cancer? I constantly worry that I am.

DEAR READER: Polyps are small growths that usually arise in the lining of the colon or sinuses. They are generally non-cancerous but rarely some types of polyps may be pre-malignant.

There is no clear cause for polyps except those associated with familial polyposis. This condition is caused by a mutated gene and therefore runs in families. These polyps have a high malignant potential and generally occur around puberty.
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Frequent enemas not safe

February 23, 2008 By

DEAR DR. GOTT: I frequently use a rubber enema bag to flush out my colon. It works but it is getting more difficult to get rid of my feces. Is there any danger in doing this? Are there other ways to do this?

DEAR READER: Colonic irrigation is unnecessary and should be avoided.

If you have chronic constipation, you should be examined by your primary care physician or a gastroenterologist. He or she can examine you to ensure there is no physical cause, such as blockage or polyps. You should then be checked for irritable bowel syndrome which can manifest itself as chronic diarrhea or constipation or a combination of both. Depending on the cause, you can then discuss treatment options such as bulking up with fiber, the use of stool softeners or perhaps you need medication.
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