Wait, hold up, I work in gastroenterology.... you will be fine! First of all, don't google stuff on the internet, as all that info you stated above is wrong about the info you found on colon cancer. You have no family history of first degree relatives with CRC so you should get your first screening colonscopy age 50. Hemoccults CAN be positive if the patient eats a lot of red meat, broccoli, or is on iron supplements. Your blood counts are fine, meaning hemoglobin is fine, so you are not anemic. It is probably just hemorrhoids, be it external or internal hemorrhoids. A lot of people that get colonoscopies have internal hemorrhoids and they don't even know it. Another cause of positive hemoccult would be severe gastritis (inflammation of stomach) or stomach ulcer. If you had a stomach ulcer, you would know it, it would hurt pretty bad, and you would probably be anemic, you would have black tarry stools, so my hunch is it is internal hemorrhoids. Also, at your age you probably have diverticulosis, which basically everyone has by the time they are 50. It's from eating too many processed foods and not enough soluble fiber (creates too much intraluminal pressure, so weak spots form in the colon, then they form little pockets called diverticula). In regards to polyps, there are 3 main types. Hyperplastic polyps are always benign (about 95% of the time) so they are no biggy. Inflammatory polyps occur in people with ulcerative colitis and crohn's disease. Adenomatous polyps (tubular adenomas) are the ones that can turn into cancer but they take about 10 years to grow in to cancer. If you had cancer, you would be getting night sweats, fatigue, cough, and the big one would be weight loss of over 10 lbs for no reason. Now, let's say worst came to worst and they found a cancerous polyp, your next step would be to get that few inch section of the colon removed, then they would resect the colon and attach it back together, then you are fine, but i highly doubt that would even remotely happen to you. I understand your fears, I hear these fears all the time, and I can honestly tell you that you should in no way worry about cancer. Do you get constipated a lot, or do you strain to have a bowel movement? Men should have about 25 grams of fiber at least per day, but you have to slowly work your way up over a few weak period. There are 2 types of fiber, soluble and insoluble. Miralax is soluble, vegetables are insoluble. You should eat 4 or 5 small meals a day and drink lots of water. In regards to getting the colonoscopy, it's a piece of cake! I had one done. Your butt will not hurt. Your stomach will not hurt. The prep wasnt bad, i took 2 dulcolax tabs at 4, then at 6 i drank 64 ounces of gatorade with a bottle of miralax. Around 7, i had finished half the prep and still hadn't gone to the bathroom. I finished the prep by 7:30 ( i decided to just get it over with). Then i had watery poop for about an hour and a half, and it just comes right out, it doesn't hurt and you don't get cramps like how you would feel if you had diarhhea from a stomach virus. So you just grab something to read and stay in the bathroom for that 1-2 hour period and let it all come out. Then i went to sleep. Then the next morning i woke up and only went to the bathroom one time. Went in for my procedure, they gave me propofol by IV and you fall asleep within 3 seconds of getting that stuff. The actual procedure only takes about 15 minutes. Then you wake up about a half hour or so later not even realizing it was done. You will be farting non-stop after the procedure, that is because they insert air to expand the colon a little for better visualization. I went home, ate a big cheesesteak, and slept all day. Next day felt totally fine and went back to work with no troubles. (i had to get a colon to rule out colitis). So you have nothing to worry about... trust me!!!