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âIf you have a first-degree relative with colon cancer, exams should start between ages 35 and 40,â says Fuchs. Colonoscopy is the most reliable test, because doctors can visually study the entire colon and rectum, Fuchs says.
High Risk. The recommended age for a colonoscopy for people in this category is sometimes as young as 20 to 25 years. People at high risk for colon cancer are normally under the care of a specialist who makes the recommendation for a colonoscopy on the basis of careful monitoring and observation.f a family member was younger than age 50 when diagnosed with colon cancer, you should have the colonoscopy 10 years earlier than the age of that person when diagnosed.