Colorectal cancer is one of the most preventable and treatable forms of cancer—when detected early. One of the most effective ways to catch it in time is through a colonoscopy, a procedure that allows your gastroenterologist to examine the lining of your colon and rectum. Understanding when to get your first colonoscopy and how often you should repeat it can make all the difference in maintaining lifelong digestive health.

When Should You Start Getting Screened?

The recommended age for a first colonoscopy has evolved as research and early detection data have advanced. For most average-risk adults, the American Cancer Society recommends beginning colonoscopy screening at age 45. However, your doctor may advise an earlier start if you have:

• A family history of colorectal cancer or polyps
  
  
• A personal history of inflammatory bowel disease (such as Crohn’s or ulcerative colitis)
  
  
• A genetic condition that increases cancer risk, like Lynch syndrome or familial adenomatous polyposis
  
  
• Previous findings of colon polyps
  
  

If you fall into one of these higher-risk categories, Dr. Stephen K. Buto will create a customized screening schedule tailored to your specific risk factors.

How Often Should You Get a Colonoscopy?

For most individuals with normal results and no elevated risk, a colonoscopy is recommended once every 10 years. However, the frequency can vary:

• Every 5 years if precancerous polyps were removed
  
  
• Every 1–3 years if you have a strong family history or certain genetic markers
  
  
• As needed if symptoms such as rectal bleeding, unexplained weight loss, or chronic changes in bowel habits occur
  
  

Your gastroenterologist will determine the appropriate follow-up schedule based on your results and overall health.

What to Expect During the Procedure

A colonoscopy is performed under light sedation, ensuring comfort throughout the process. Dr. Buto uses a thin, flexible tube with a camera to inspect the colon for any abnormalities, including polyps or inflammation. If polyps are found, they can often be removed during the same procedure, preventing potential progression to cancer.

Why Early Detection Matters

Colorectal cancer often develops silently—without obvious symptoms in the early stages. That’s why regular screening is crucial. Detecting and removing polyps early not only prevents cancer but also provides peace of mind and long-term protection.

Schedule Your Colonoscopy in Honolulu, HI

At the office of Stephen K. Buto, MD, patients receive thorough, compassionate care backed by years of experience in gastroenterology. Whether it’s your first screening or a routine follow-up, Dr. Buto and his team ensure that your experience is comfortable and informative every step of the way.

Schedule your colonoscopy today by calling (808) 524-7676 to take a proactive step toward protecting your digestive and overall health.