Colonoscopy

A colonoscopy is an outpatient procedure that is done to examine the inside of the large intestine (colon and rectum).

The examination uses an instrument called a colonoscope. This flexible instrument, is very long and includes a camera and the ability to remove tissue. A colonoscopy is commonly used to evaluate gastrointestinal symptoms, such as bleeding, abdominal pain or changes in bowel habits.

colonoscopy

Your healthcare team will give you plenty of time to prepare. You will get instructions at least two weeks before the procedure. It is important to read and follow all of the instructions given to you. If your bowel is not empty, your colonoscopy will not be successful and may have to be repeated. The cleaner your colon, the better chance your provider will have at finding all of your polyps and cancer, which sometimes can be small or hidden. The time of day or night that you will have to start drinking the solution will depend on when your procedure is scheduled. You will be asked to consume the entire amount of liquid within a specific time period. There is also something called “split-dosing.” In split dosing, you will be asked to drink half of the bowel preparation the night before and then stop. You will get up in the morning and do the other half of the dose in the morning, finishing up at least four hours before the procedure itself. In general, split dosing results in cleaner bowel preparations. If you are having a colonoscopy with conscious sedation or twilight, and you have not been given split dosing instructions, ask your provider if you can do the split dosing.

  • You are asked to wear a hospital gown and an IV will be started.
  • The procedure can be done with conscious sedation, often referred to as “twilight,” or deeper sedation referred to as “general anaesthesia.” You are given a pain reliever and a sedative intravenously (in your vein). You will feel relaxed and somewhat drowsy. This step means that the colonoscopy will not hurt.
  • You will lie on your left side, with your knees drawn up towards your chest.
  • A small amount of air is used to expand the colon so the doctor can see the colon walls.
  • You may feel mild cramping during the procedure. Cramping can be reduced by taking slow, deep breaths.
  • The colonoscope is slowly withdrawn while the lining of your bowel is carefully examined.
  • The procedure lasts about 30 minutes. It takes about 12 minutes to move the scope five or six feet and another 12 minutes to take it out. If there are polyps to remove, the procedure will take longer.

What happens after a colonoscopy?

  • You will stay in a recovery room for observation until you are ready for discharge.
  • You may feel some cramping or a sensation of having gas, but this should pass quickly.
  • Your responsible family member or friend will drive you home.
  • Avoid alcohol, driving and operating machinery for 24 hours following the procedure.
  • Unless otherwise instructed, you may immediately return to your normal diet. It’s recommended that you wait until the day after your procedure to resume normal activities.
  • The doctor performing your colonoscopy will tell you when it’s safe to resume taking your blood thinners or any other medications you might have stopped.
  • If polyps were removed or a biopsy was done, you may notice light rectal bleeding for one to two days after the procedure.

Consult with our experienced Doctors

JNU is home to some of the most eminent doctors in the world, most of whom are pioneers in their respective arenas and are renowned for developing innovative and revolutionary procedures
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