Hi! I keep to an annual schedule for all high risk areas, as well. My biggest issue is my diet. I get along very well with some foods until I don't!! It's a guessing game with some foods, but others are a clear I can't eat that! Gone are the salad days. Anything leafy is problematic. I'm so grateful that I'm relatively healthy at 68. My last lower scope did reveal a "blind loop" at the illiium/rectum connection. From what I understand, it is a spot that can collect stool and may cause some stagnation by pooling the waste. Was given antibiotics just in case of infection. This finding helped make sense of some of my changing symptoms such as feeling gassy and abdominal discomfort. Also, if I have diaherra, it's bile type due to no gallbladder either. I worry about bile related anal cancer, so I try to keep to a diet that bulks up my stool, (bran cereal) amongst other foods that balance me. I do have a lot of irritation in that area, no matter what I do. I tried Metamucil but it caused more stress to my system. I avoid as much as possible getting constipated because I have a lot of abdominal scar tissue from previous surgeries and it hurts when bloated, etc. Sorry about too much info!! I'm just so happy to be living a full life and that I had docs who took all of my GI symptoms seriously over the years. Thankfully, my son only has one mutyh gene. I'm hoping that MAP becomes more well known, especially with more younger people getting colon cancer. Genetics matter! 🙂 I'd be happy to compare notes!