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What Happens During a Colonoscopy?
Preparation Before the Procedure
Before undergoing a colonoscopy, patients in the UK need to follow specific preparation instructions to ensure the bowel is clear for the procedure. A few days prior, you will be advised to adhere to a low-fibre diet. The day before the procedure, you'll need to take a strong laxative. It’s also crucial to keep hydrated with clear fluids. Your healthcare provider will give you precise guidelines.The Day of the Procedure
On the day of your colonoscopy, you’ll be asked to arrive at the hospital or clinic well in advance. After checking in, you'll be given a hospital gown to wear. Many patients are also offered a sedative or pain reliever to ensure comfort during the procedure. Standard monitoring equipment will be used to keep track of your vital signs throughout the process.The Procedure Itself
During a colonoscopy, the patient is asked to lie on their side on an examination table. The doctor then inserts a long, flexible tube called a colonoscope into the rectum. The colonoscope has a tiny video camera at its tip, which allows the doctor to view the inside of the entire colon. The tube also pumps air to inflate the colon slightly, which improves the visibility of the colon walls.Identifying and Addressing Issues
As the doctor navigates through the colon, they will look for abnormal tissues, polyps, or signs of colorectal cancer. If polyps are found, they can often be removed using tiny instruments passed through the colonoscope. Tissue samples (biopsies) can also be taken to be analysed later. The whole process generally takes about 30 to 60 minutes.Post-Procedure Care
After the colonoscopy, patients are moved to a recovery area where nurses will monitor them until the effects of the sedative wear off. You may experience some bloating or cramps due to the air introduced into the colon. Discharge instructions will be provided, advising against driving or operating machinery for the rest of the day. Most people can resume normal activities the following day.Receiving Results
Initial results from the colonoscopy might be discussed immediately after the procedure. However, if biopsies were taken, the detailed results could take a few days or even a couple of weeks. Based on the findings, your healthcare provider will discuss any follow-up care or additional procedures necessary. It is important to remember that while a colonoscopy can be uncomfortable, it is a crucial tool for identifying and preventing serious illnesses. Always follow your healthcare provider's instructions for the best outcomes.Frequently Asked Questions
What is a colonoscopy?
A colonoscopy is a medical procedure where a long, flexible tube with a camera at the end (called a colonoscope) is used to examine the inside of your large intestine (colon) and rectum.
Why is a colonoscopy performed?
A colonoscopy is performed to investigate symptoms such as abdominal pain, rectal bleeding, or changes in bowel habits. It is also used to screen for colorectal cancer and other conditions.
How do I prepare for a colonoscopy?
Preparation typically involves following a special diet and taking laxatives to empty your colon. Your doctor will provide specific instructions.
Can I eat or drink before the procedure?
You will need to follow a clear liquid diet the day before the procedure and avoid eating or drinking anything a few hours before the colonoscopy.
Will I be sedated during a colonoscopy?
Yes, you are usually given a sedative to help you relax and make you comfortable during the procedure.
How long does the procedure take?
A colonoscopy usually takes about 30 to 60 minutes, but you should plan to be at the clinic for 2 to 3 hours to allow for preparation and recovery.
What happens during the procedure?
During the procedure, you will lie on your side. The doctor will insert the colonoscope into your rectum and slowly guide it through your colon to examine the lining. Air may be pumped into your colon to expand it for better view.
Will it hurt?
You might feel some pressure or cramping, but the sedatives help reduce discomfort. Most people do not remember the procedure afterward.
What should I expect after the procedure?
You may feel bloated or pass gas as air leaves your colon. You will need to rest until the sedatives wear off, and someone should drive you home.
Are there any risks associated with a colonoscopy?
While generally safe, there are some risks, including bleeding, perforation of the colon, and reactions to the sedatives. These complications are rare.
Will I get the results immediately?
Your doctor may discuss initial findings right after the procedure, but if biopsies were taken, you may need to wait several days for the results.
Can a colonoscopy detect colon cancer?
Yes, a colonoscopy can detect colon cancer as well as polyps, which can be precursors to cancer.
How often should I have a colonoscopy?
Screening recommendations vary, but typically, people aged 50 and older should have a colonoscopy every 10 years, or more frequently if there are risk factors.
What if polyps are found during the colonoscopy?
If polyps are found, they can often be removed during the colonoscopy. The polyps will then be sent to a lab for analysis.
Do I need to follow any special instructions after the procedure?
You should avoid driving, operating heavy machinery, and making important decisions for the rest of the day due to the sedation. Follow any additional instructions provided by your doctor.
Useful Links
Useful links from: What happens during a colonoscopy? | NHS
- Colonoscopy - NHS Comprehensive guide from the NHS detailing what to expect before, during, and after a colonoscopy, including preparation and potential risks.
- Colonoscopy - Bowel Cancer UK Information from Bowel Cancer UK on what a colonoscopy involves, how to prepare, and what the test results mean.
- Colonoscopy Information - Cancer Research UK Detailed information on colonoscopies from Cancer Research UK, including why it's done, how to prepare, and what happens during the procedure.
- Having a colonoscopy - Macmillan Cancer Support Macmillan Cancer Support's guide on having a colonoscopy, including what to expect, benefits, and possible side effects.
Useful links from: What to expect at your colonoscopy
- NHS - Colonoscopy The NHS provides detailed information on what a colonoscopy involves, how to prepare, what happens during the procedure, and aftercare.
- Cancer Research UK - Colonoscopy Cancer Research UK's guide on colonoscopy, including why it is done, what happens during and after the procedure, and possible risks.
- Bowel Cancer UK - Colonoscopy Bowel Cancer UK's section on colonoscopy discusses the importance of the procedure in detecting bowel cancer, preparation tips, and what to expect.
- Macmillan Cancer Support - Colonoscopy Macmillan Cancer Support provides a comprehensive overview of colonoscopy, covering reasons for the test, the procedure itself, and recovery.
Useful links from: Having a colonoscopy in hospital - Patient Guide
- NHS - Colonoscopy This NHS page provides an overview of what a colonoscopy is, including why it's done, how to prepare for it, the procedure itself, and what to expect after the examination.
- NHS Inform - Colonoscopy NHS Inform gives comprehensive information about colonoscopies, including the purpose, preparation, procedure details, recovery, and potential risks and complications.
- Bowel Cancer UK - Colonoscopy Bowel Cancer UK offers a detailed guide on colonoscopies, focusing on their role in diagnosing bowel cancer, what to expect during and after the procedure, and tips for preparation.
- Cancer Research UK - Colonoscopy Cancer Research UK's page on colonoscopies explains how the test works, why it might be needed, how to prepare, and the risks and benefits of undergoing the procedure.
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