What is Colonoscopy? - GO.CARE Blog
What is Colonoscopy?
Author: Lan Chi
Review Date: August 6, 2018 | Last Modified: January 14, 2019
What is Colonoscopy?

Definition

1. What is Colonoscopy?

Colonoscopy is a procedure that enables an examiner (usually a gastroenterologist) to evaluate the inside of the colon (large intestine or large bowel).

2. What is the purpose of Colonoscopy?

The purpose of Colonoscopy is to detect changes or abnormalities in the large intestine (colon) and rectum.

Candidates

1. When is Colonoscopy needed?

Your doctor may recommend this procedure to:

  • Investigate intestinal signs and symptoms. Colonoscopy can help your doctor explore possible causes of abdominal pain, rectal bleeding, chronic constipation, chronic diarrhea and other intestinal problems.
  • Screen for colon cancer. If you’re age 50 or older and at average risk of colon cancer — you have no colon cancer risk factors other than age — your doctor may recommend Colonoscopy every 10 years or sometimes sooner to screen for colon cancer. Colonoscopy is one option for colon cancer screening. Talk with your doctor about your options.
  • Look for more polyps. If you have had polyps before, your doctor may recommend a follow-up Colonoscopy to look for and remove any additional polyps. This is to reduce your risk of colon cancer.

2. Who are eligible for Colonoscopy?

However, Colonoscopy is not for everyone. Contraindications include:

  • Ongoing acute infection;
  • Exacerbation of ulcerative colitis;
  • Peritonitis;
  • Pulmonary insufficiency;
  • Cardiac failure;
  • Problems with blood clotting;

Cost

In the U.S, for those not covered by health insurance, the cost of colonoscopy varies by provider and geographic region, usually ranging from $2,010 to $3,764, with an average of $3,081. If polyps need to be removed during the procedure, the cost increases.

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Preparation

1. What should I do before Colonoscopy?

Before the procedure, you’ll need to clean out (empty) your colon. Any residue in your colon may obscure the view of your colon and rectum during the exam.

In order to empty your colon, your doctor may ask you to:

  • Follow a special diet the day before the exam

Typically, you won’t be able to eat solid food the day before the exam. Drinks may be limited to clear liquids — plain water, tea and coffee without milk or cream, broth, and carbonated beverages.

Avoid red liquids, which can be confused with blood during the colonoscopy. You may not be able to eat or drink anything after midnight the night before the exam.

  • Take a laxative

Your doctor will usually recommend taking a laxative, in either pill form or liquid form. Your doctor may instruct you to to take the laxative the night before your colonoscopy, or you may be asked to use the laxative both the night before and the morning of the procedure.

  • Use an enema kit

In some cases, you may need to use an over-the-counter enema kit — either the night before the exam or a few hours before the exam — to empty your colon.

This is generally only effective in emptying the lower colon and is usually not recommended as a primary way of emptying your colon.

  • Adjust your medications

Inform your doctor of your medications at least a week before the exam — especially if you have diabetes, high blood pressure or heart problems or if you take medications or supplements that contain iron.

Also tell your doctor if you take aspirin or other medications that thin the blood, such as warfarin (Coumadin, Jantoven); newer anticoagulants, such as dabigatran (Pradaxa) or rivaroxaban (Xarelto), used to reduce risk of blot clots or stroke; or heart medications that affect platelets, such as clopidogrel (Plavix).

You may need to adjust your dosages or stop taking the medications temporarily.

2. What should I do after Colonoscopy?

After this procedure, you’ll need someone to take you home because it can take up to a day for the full effects of the sedative to wear off. Don’t drive or make important decisions or go back to work for the rest of the day.

If your doctor removed a polyp during your colonoscopy, he or she will also advise you to eat a special diet temporarily. Walking may help relieve any discomfort.

Need further information? Contact GO.CARE manage team to get more details from expert doctors and medical specialists.

Procedure

1. How long does Colonoscopy last?

Colonoscopy typically takes about 30 to 60 minutes. After the exam, it takes about an hour to begin to recover from the sedative.

2. How is the procedure of Colonoscopy?

During a Colonoscopy, you’ll wear a gown, but likely nothing else. Sedation is usually recommended. Sometimes a mild sedative is given in pill form. In other cases, the sedative is combined with an intravenous pain medication to minimize any discomfort.

You’ll begin the exam lying on your side on the exam table, usually with your knees drawn toward your chest. The doctor will insert a colonoscope into your rectum.

The scope — which is long enough to reach the entire length of your colon — contains a light and a tube (channel) that allows the doctor to pump air or carbon dioxide into your colon. The air or carbon dioxide inflates the colon, which provides a better view of the lining of the colon. When the doctor moves the scope  or introduces air, you may feel abdominal cramping or the urge to have a bowel movement.

The scope also contains a tiny video camera at its tip. The camera sends images to an external monitor so that the doctor can study the inside of your colon.

The doctor can also insert instruments through the channel to take tissue samples (biopsies) or remove polyps or other areas of abnormal tissue.

3. What happens after the procedure?

Your doctor will review the results of the colonoscopy and then share the results with you. Colonoscopy is considered negative if the doctor doesn’t find any abnormalities in the colon.

Your doctor may recommend that you have another colonoscopy in:

  • 10 years, if you’re at average risk of colon cancer — you have no colon cancer risk factors other than age;
  • 5 years, when you have a history of polyps in previous colonoscopy procedures;
  • 1 year, if there was residual stool in the colon that prevented complete examination of your colon.

Colonoscopy is considered positive if the doctor finds any polyps or abnormal tissue in the colon.

Most polyps aren’t cancerous, but some can be precancerous. Polyps removed during colonoscopy are sent to a laboratory for analysis to determine whether they are cancerous, precancerous or noncancerous.

Depending on the size and number of polyps, you may need to follow a more rigorous surveillance schedule in the future to look for more polyps.

Additional surgery

If your doctor finds one or two polyps less than 0.4 inch (1 centimeter) in diameter, he or she may recommend a repeat colonoscopy in five to 10 years, depending on your other risk factors for colon cancer.

Your doctor will recommend another colonoscopy sooner if you have:

  • More than two polyps;
  • A large polyp — larger than 0.4 inch (1 centimeter);
  • Polyps and also residual stool in the colon that prevents complete examination of the colon;
  • Polyps with certain cell characteristics that indicate a higher risk of future cancer;
  • Cancerous polyps.

If you have a polyp or other abnormal tissue that couldn’t be removed during the colonoscopy, your doctor may recommend a repeat exam with a gastroenterologist who has special expertise in removing large polyps, or surgery.

When your doctor is concerned about the quality of the view through the scope, he or she may recommend a repeat colonoscopy or a shorter time until your next colonoscopy. If your doctor wasn’t able to advance the scope through your entire colon, a barium enema or virtual colonoscopy may be recommended to examine the rest of your colon.

Need further information? Contact GO.CARE manage team to get more details from expert doctors and medical specialists.

Complications & Side Effects

1. What complications could arise from Colonoscopy?

Colonoscopy poses few risks. Rarely, complications of a colonoscopy may include:

  • Adverse reaction to the sedative used during the exam;
  • Bleeding from the site where a tissue sample (biopsy) was taken or a polyp or other abnormal tissue was removed;
  • A tear in the colon or rectum wall (perforation).

After discussing the risks with you, your doctor will ask you to sign a consent form authorizing the procedure.

2. What are the possible side effects of Colonoscopy?

You may feel bloated or pass gas for a few hours after the exam, as you clear the air from your colon. You may also notice a small amount of blood with your first bowel movement after the exam. Usually this isn’t cause for alarm.

Consult your doctor if you continue to pass blood or blood clots or if you have persistent abdominal pain or a fever. While unlikely, this may occur immediately or in the first few days after the procedure, but may be delayed for up to one to two weeks.

Need further information? Contact GO.CARE manage team to get more details from expert doctors and medical specialists.

GO.CARE does not provide medical advice, diagnosis or treatment.

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