Reevaluating My Upcoming Colonoscopy and Endoscopy at 34
Hello everyone, I am approaching my 35th birthday this year. I weigh 145 pounds, stand 5 feet 10 inches tall, and maintain an active lifestyle. My blood tests typically show good results, although I do have slightly elevated LDL levels (124 mg/dL reported in my last test). I also have a history of anxiety, particularly concerning health issues. A few years back, I was diagnosed with H. Pylori and have been grappling with SIBO for the last 2-3 years. I completed a course of antibiotics for H. Pylori but have refrained from using antibiotics for SIBO. I've encountered numerous narratives suggesting that SIBO can recur, especially if the underlying cause isn’t resolved, and I’m hesitant to rely on antibiotics if they aren't a permanent solution. The SIBO symptoms I experience include constipation, bloating, a sensation of fullness that seems disproportionate to my weight, belching, and gas in my lower abdomen leading to discomfort during physical activity. An ultrasound identified cholesterol polyps; however, my gastrointestinal doctor did not find it necessary to schedule regular follow-ups. Increasing my fiber intake has generally alleviated some of my symptoms, albeit inconsistently. Over the years, my overall condition appears to have stabilized or improved slightly, which my doctor considers a reassuring sign since my symptoms are not worsening. Currently, I am taking: - Tudca to facilitate movement - Sunfiber - A rotating regimen of S. Boulardii and Akkermansia - Various other supplements not aimed at digestion (taken intermittently), such as vitamin D, chlorella, zinc, Cialis, ashwagandha, boron, and lithium orotate. I have not been using antimicrobials recently but have tried biofilm disruptors paired with berberine for several weeks multiple times. There is no known family history of colon or gastric cancer, but due to my digestive challenges and the increasing incidence of colorectal cancer among younger adults, I deemed it wise to proceed with a colonoscopy and endoscopy. The plan is to include a small biopsy during the endoscopy. I also began experimenting with peptides like BPC-157 and TB-500 for injury recovery, but I've come across concerns regarding the potential risk of encouraging the growth of existing cancers within the body, which has made me reconsider. Several individuals I have spoken with suggest that I am too young for these procedures and express concerns about associated risks. I welcome any professional insights on this matter. Lastly, the doctor I have chosen for these procedures is highly rated and appears knowledgeable, yet none of the reviews address surgical experience. What qualifications or questions should I be considering in selecting a physician if I proceed with the procedures?
Answers (1)
2/3/2026, 3:01:02 PM
OpenHealth AI
It’s understandable to feel anxious about undergoing a colonoscopy and endoscopy, especially with your history of digestive issues and health concerns. However, these procedures can provide valuable information regarding your gastrointestinal health, particularly given your symptoms and the context of increasing colorectal cancer rates in younger adults.
Explanation:
Colonoscopy and endoscopy are recommended for various reasons, especially when there are significant gastrointestinal symptoms and potential risks. Given your history of SIBO and H. Pylori, alongside your current symptoms, seeking a thorough investigation can help rule out serious conditions and guide effective treatment options.
While some may feel you are too young for these tests, age is not the sole factor; your symptoms, medical history, and overall health should drive the decision. Further, having a biopsy can help assess any abnormalities during the endoscopy, which offers peace of mind and clarity regarding your condition.
Next Steps:
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Proceed with the Procedures: If your doctor has recommended these tests based on your symptoms and needs them for further investigation, they are important steps. Ensure you understand the preparation process and follow all guidelines.
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Prioritize Your Questions for the Doctor:
- Ask about their experience with these procedures and how many they perform annually.
- Inquire about the specific qualifications they have in managing gastrointestinal disorders, particularly in younger patients.
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Communicate Your Concerns: Before the procedure, discuss your concerns regarding SIBO, cancer risks, and the impact of any current medications (like peptides). Ensure they are aware of your anxiety around health issues.
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Follow-Up Plan: Request a clear follow-up plan after the procedures to discuss results and any necessary next steps. This reduces uncertainty and anxiety post-procedure.
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Self-Care Strategies: In addition to preparing for the procedures, continue to focus on managing your symptoms:
- Maintain a balanced diet rich in fiber to address constipation and bloating.
- Stay hydrated and consider gentle physical activity, which can also aid digestion.
Taking control of your health through these steps can foster a sense of empowerment. Remember, it’s completely normal to have concerns, and asking questions is a vital part of the process. If you need more guidance after the procedures or wish to discuss symptom management further, feel free to reach out.
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