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PATIENT INFORMATIONColonoscopy Information Colonoscopy Informed Consent 1. What Is Colonoscopy & Who Performs It? It is a safe, effective means of visually examining the lining of the bowel using
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To fill out a colonoscopy form, follow these steps:
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- Obtain the colonoscopy form from the healthcare provider or facility.
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- Fill in your personal information, including your name, date of birth, and contact information.
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- Provide your medical history, including any previous surgeries, medical conditions, allergies, or medications you are currently taking.
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- Answer questions regarding your bowel habits, such as any symptoms you may be experiencing or any recent changes in your bowel movements.
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- Provide information about your family's medical history, especially if there is a history of colorectal cancer or other relevant conditions.
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- Follow any specific instructions given by the healthcare provider regarding fasting or medication usage before the colonoscopy.
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- If you have any concerns or questions, reach out to the healthcare provider for clarification or assistance.

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Colonoscopy is recommended for individuals who:
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- Are at average risk for colorectal cancer and are 50 years old or older.
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- Have a personal history of colorectal cancer or polyps.
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- Have a family history of colorectal cancer or certain genetic syndromes.
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- Have a history of inflammatory bowel disease (such as Crohn's disease or ulcerative colitis).
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- Have experienced unexplained changes in bowel habits, such as persistent diarrhea or constipation.
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- Have gastrointestinal bleeding or iron deficiency anemia.
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- Have symptoms or signs suggestive of colorectal cancer, such as abdominal pain, rectal bleeding, or unintentional weight loss.
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- Have had a positive result on other colorectal cancer screening tests, such as a stool test or sigmoidoscopy.
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It is important to consult with a healthcare provider to determine if colonoscopy is appropriate for your specific situation.
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Colonoscopy is a medical procedure used to examine the inside of the colon and rectum.
Patients who are advised by their healthcare provider to undergo a colonoscopy are required to have the procedure.
Colonoscopy is performed by a doctor specialized in gastroenterology. Patients need to follow the instructions provided by the healthcare provider regarding preparation for the procedure.
The purpose of colonoscopy is to detect and diagnose conditions such as colon cancer, polyps, and inflammatory bowel disease.
Information such as the patient's medical history, reason for the procedure, findings during the colonoscopy, and any recommendations for follow-up care must be reported.
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