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.

You don’t give your age in your letter and do not mention if any of the polyps were found to be cancerous. However, I believe that you would have been told if they were cancerous or pre-cancerous and would be receiving appropriate treatment if they were. I therefore assume that they are benign, harmless growths that you should not worry about.

Polyps are best treated by removal during colonoscopy. You appear to be receiving appropriate care and by having the procedure annually, as any new polyps are removed, your cancer risk is lessened. I don’t believe you are at a particularly high risk of cancer since you have been having regular removal of your polyps for over 6 years.

If you have any change in bowel habits, such as diarrhea or constipation, black stool, rectal bleeding or pain you should see your physician as soon as possible. These may be signs of intestinal abnormalities that should be tested immediately.

Make an appointment to discuss your concerns with your gastroenterologist (or the specialist who performs the colonoscopy). He or she is familiar with your case and is best suited to answer any questions you have. To make sure your have all your concerns answered, write a list of questions and bring it to the appointment. I am sure that your physician would be more than willing to provide written answers for you to take home.

To give you related information, I am sending you a copy of my Health Report “Irritable Bowel Syndrome”. Other readers who would like a copy should send a long, self-addressed, stamped envelope and $2 to Newsletter, PO Box 167, Wickliffe, OH 44092. Be sure to mention the title.

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.

You should stop using the enema bag. It is most likely worsening the situation and can lead to nutritional deficiency if used frequently.

To give you related information, I am sending you copies of my Health Reports “Constipation and Diarrhea” and “Irritable Bowel Syndrome”. Other readers who would like a copy should send a self-addressed, stamped number 10 envelope and $2 FOR EACH report to Newsletter, PO Box 167, Wickliffe, OH 44092. Be sure to mention the title.