Separate evidence-based guidelines developed and revised during the past 8 years by the US Preventive Services Task Force, a consortium of medical and surgical gastrointestinal (GI) societies, and by the American Cancer Society, all strongly recommend that physicians screen their patients over the age of 50 years for colorectal cancer (Pigone et al, 2002; Winawer et al, 2003; Smith et al, 2001). The guidelines also recommend that before beginning screening, each patient first should be examined for any special risks of col-orectal cancer that might indicate the need for more intense examination and surveillance, rather than the use of standard screening meant for asymptomatic, average-risk individuals. If a screening test is positive, appropriate diagnostic evaluation and treatment of detected neoplasia is essential. If screening is negative, repeat screening should be arranged appropriately for the method used. This chapter will include the advantages and disadvantages of current screening options. I will also present my preferred methods to accomplish these objectives and discuss the reasons for their selection from the menu of options contained in the guidelines.
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Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.