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The latest thinking on colonoscopy prep

Approaches to using laxative solutions for colon cleansing have changed since your last colonoscopy.

Preparing for a colonoscopy isn't fun. Indeed, many people dread the colonoscopy prep more than the colonoscopy itself. Traditionally, you have had to change your diet for a few days, drink quarts of laxative solutions — and then spend hours in the bathroom enduring diarrhea and discomfort as your colon empties. In the past few years, though, the approach to taking laxative solutions has evolved to become a little less unpleasant.

Lower-volume preps

Instead of downing 4 liters of medicated liquid, which was once the standard, most people now need to drink about 2 liters (a bit more than 64 ounces). The reduced volume of laxative fluid is often combined with laxative pills, to help you clear your bowels.

More sexual partners, more cancer?

A study of older adults found that those who had had more sexual partners were more likely to have developed cancer, but that does not mean there is a causal connection, and there are many ways that sexual behavior can affect cancer risk.

Chemotherapy and hearing loss: Monitoring is essential

One of the possible side effects of chemotherapy that is not as well-known is hearing loss. If you are going to undergo chemotherapy, you should have your hearing tested before and after the course of treatment.

Heart disease and cancer risk may be linked

In the journals

People with heart disease also have a higher risk of developing cancer, according to research presented at the American Heart Association's Scientific Sessions in November 2019.

Researchers evaluated data from 12,712 people from the Framingham Heart Study who did not have heart disease or cancer at the study's launch. They used a risk estimator that predicts a person's chance for getting heart disease within 10 years.

Newer skin cancer treatments improve prognosis for those with cutaneous melanoma

Though only about 1% of skin cancers are melanomas, they are responsible for 90% of skin cancer deaths. Recent advances in treatment options have improved survival rates for melanoma, but it’s still best to take preventive steps to protect your skin.

What’s the beef with red meat?

A recent study suggested that eating red or processed meats won't necessarily harm your health. What is the truth?

The news headlines were everywhere: "It's Okay to Eat Red Meat." The source for this statement was a study published online Oct. 1, 2019, in Annals of Internal Medicine.

An international team of researchers conducted five systematic reviews that looked at the effects of red meat and processed meat on multiple health issues, such as heart disease, cancer, diabetes, and premature death.

Can you outrun an early death?

Research we're watching

People who run — even in small amounts — are less likely to die during a given period compared with those who don't run, according to an analysis published online Nov. 4, 2019, by the British Journal of Sports Medicine. The benefit appears even among people who run for less than 50 minutes once a week, at speeds below 6 mph.

Researchers began their review of 14 studies, involving more than 200,000 people, in hopes of determining whether running can stave off deaths from heart disease, cancer, and other causes. They also sought to find out how much running people need to do to benefit. The studies tracked participants for periods ranging from five-and-a-half to 35 years. Over the course of these studies, 25,951 of the participants died. When comparing those people to those who lived until the end of the study, the researchers found that people who ran, no matter the amount, were 27% less likely than nonrunners to die from any cause during the study period. Runners also had a 30% lower death rate from cardiovascular disease and a 23% lower death rate from cancer. While running was linked with longer life and less disease in these studies, this doesn't necessarily prove that it was the running that actually caused better health. But the results suggest that lacing up those sneakers and going for a quick jog might improve your health.

Rural health risks?

Research we're watching

People living in rural areas of the country appear to be more likely to die from preventable causes compared with people in more urban locations, says a CDC report. The report looked at deaths from 2010 to 2017 and found that people in rural locations were more likely to die from preventable conditions, including cancers and heart and respiratory diseases. In 2010, about 29% of cancer deaths in rural areas were potentially preventable, compared with 18% of cancer deaths in urban areas. In addition, 45% of heart disease deaths in rural locations were deemed preventable, compared with 24% of heart disease deaths in urban areas. The authors suggested several strategies to reduce disparities, including better screening programs and initiatives to encourage better eating and exercise habits, as well as smoking cessation.

Image: shaunl/Getty Images

Is there an age limit for a colonoscopy?

On call

Q. I'm 80 and no longer do colon cancer screening. However, I recently noticed some bleeding from my rectum. Does that change my need for a colonoscopy?

A. Screening for a disease means the person has no symptoms. Since you now have rectal bleeding, a colonoscopy would be considered not a screening test, but a diagnostic test. Whether you have it now or wait to see if more bleeding occurs depends upon many factors. The most important question is whether anything found on the colonoscopy will lead to treatment that improves your quality of life.

Beyond heart health: Could your statin help prevent liver cancer?

Statins have been prescribed for decades to lower cholesterol, but a recent study found that one type of statin may provide people with certain kinds of liver disease protection from developing liver cancer.

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