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Can colon polyps turn cancerous?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a 38-year-old male. Before a year, I did a colonoscopy and endoscopy due to low iron, and stomach pain. It showed that I have celiac disease and the colonoscopy was clear except with a small 4 mm polyp. It was removed and tested. It was benign. The doctor told me that my colon is clear and visible.

He told me to come back after five years. I have been on a gluten-free diet for a year, and my iron ferritin levels have gone from 12 ng/mL to 74 ng/mL. My vitamin D levels are normal, and my celiac test has gone from 128 units to 8 units. I suffer from health anxiety and obsessive-compulsive disorder.

I have become obsessed with checking my bowel movements with the torch of my phone, and I have a panic about going to the toilet. I check my bowel movements for blood. How to have relief from this fear? My specialist told me that a small benign polyp takes a time of five years to grow and become cancerous.

Please guide.

Answered by Dr. Rosita Alizadeh Shalchi

Education:

Doctor of Medicine

Professional Bio:

Dr. Rosita Alizadeh Shalchi is a well-experienced Gastroenterologist and Internal Medicine specialist with expertise in digestive disorders, liver diseases, inflammatory bowel disease (IBD), and endoscopic procedures. She combines in-depth clinical knowledge with a patient-centered approach to deliver accurate diagnoses and effective treatments. Dr. Rosita Alizadeh Shalchi is committed to promoting long-term digestive and overall health through compassionate care, preventive strategies, and advanced medical techniques.  

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I understand your concern about your colon polyp. The risk of having a cancerous change in a new polyp is 1 to 2 percent and it takes around 5 years. Your fear has decreased your quality of life. I suggest you avoid minding the number or quality of stool because stress can cause irritable bowel syndrome.

It is a harmless condition but it changes bowel movements and causes more pain and anxiety. You can ask your doctor to do the next colonoscopy in three years from the first one and do an annual stool occult blood test to have some peace of mind.

I hope this help you.

Thank you.

Patient's Query

Thank you doctor,

Do I need to do an annual stool test even when I do a colonoscopy every three years? The thinking of a stool test makes my anxiety worse and so I am avoiding doing it. If I do a colonoscopy once in three years, am I safe to go to the toilet flush, and carry on my day?

Answered by Dr. Rosita Alizadeh Shalchi

Education:

Doctor of Medicine

Professional Bio:

Dr. Rosita Alizadeh Shalchi is a well-experienced Gastroenterologist and Internal Medicine specialist with expertise in digestive disorders, liver diseases, inflammatory bowel disease (IBD), and endoscopic procedures. She combines in-depth clinical knowledge with a patient-centered approach to deliver accurate diagnoses and effective treatments. Dr. Rosita Alizadeh Shalchi is committed to promoting long-term digestive and overall health through compassionate care, preventive strategies, and advanced medical techniques.  

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

You do not require to do an annual test. Forget about it and have fun.

I hope this help you.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At November 23, 2020
Reviewed At June 8, 2026

Education:

Doctor of Medicine

Professional Bio:

Dr. Rosita Alizadeh Shalchi is a well-experienced Gastroenterologist and Internal Medicine specialist with expertise in digestive disorders, liver diseases, inflammatory bowel disease (IBD), and endoscopic procedures. She combines in-depth clinical knowledge with a patient-centered approach to deliver accurate diagnoses and effective treatments. Dr. Rosita Alizadeh Shalchi is committed to promoting long-term digestive and overall health through compassionate care, preventive strategies, and advanced medical techniques.  

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

Doctor of Medicine

Professional Bio:

Dr. Rosita Alizadeh Shalchi is a well-experienced Gastroenterologist and Internal Medicine specialist with expertise in digestive disorders, liver diseases, inflammatory bowel disease (IBD), and endoscopic procedures. She combines in-depth clinical knowledge with a patient-centered approach to deliver accurate diagnoses and effective treatments. Dr. Rosita Alizadeh Shalchi is committed to promoting long-term digestive and overall health through compassionate care, preventive strategies, and advanced medical techniques.  

This doctor is not available for online consultations on the platform anymore.

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