Most patients who are scheduled for a colonoscopy tend to worry about what the procedure is like and how much colonoscopy costs. Aside from worrying about the cost of colonoscopy, many also tend to fixate on what they can expect during the procedure.
Colonoscopies are an important procedure for detecting any issues in the large intestine. While it can be a bit nerve-wracking for some, it is a relatively simple procedure that is often done in a single visit. Here’s what you can expect when you undergo a colonoscopy procedure.
Preparation: Before the procedure, you will be given instructions on how to prepare your bowel by taking a laxative or enema to ensure the colon is empty and clean. You will also need to follow a special diet for a few days before the procedure. This step is important because it allows the doctor to have a clear view of the large intestine during the procedure.
Dietary Changes: Clearing Your System: Patients are often advised to follow a low-fiber diet for a few days before the procedure. This involves avoiding foods that are difficult to digest or that may leave residue in the colon, such as seeds, nuts, and raw vegetables. The day before, most patients switch to a clear liquid diet, drinking only broth, gelatin, tea, or clear juice to avoid any solid residue.
Bowel Cleansing Using Laxatives or Enemas: To thoroughly clean out the colon, a laxative solution or enema is typically taken the evening before the colonoscopy. This solution induces bowel movements that empty the colon entirely. Some people find this step a bit uncomfortable, but it is crucial for a successful procedure.
Sedation: You will be given medication through your vein (intravenous sedation) to help you relax and reduce discomfort during the procedure.
Ensuring Comfort During the Procedure: During the colonoscopy, a sedative will be administered through an IV. This sedative keeps you relaxed and minimizes any discomfort. Depending on the level of sedation, some patients may remain drowsy but responsive, while others may not remember the procedure at all. In either case, you will be monitored closely by medical staff to ensure your comfort and safety throughout.
Insertion of the colonoscope: Once sedation takes effect, the doctor will begin the procedure by inserting a colonoscope through the anus. This flexible, tube-like device is equipped with a small camera, which transmits live images of the colon’s interior to a monitor. The colonoscope is carefully guided through the rectum and into the colon. To expand the colon and improve visibility, the doctor may introduce air or carbon dioxide, which can sometimes cause a temporary feeling of pressure.
Examination of the colon: As the doctor advances the colonoscope, they carefully examine the lining of the colon for any abnormalities. High-definition visuals allow for a detailed inspection of the colon’s walls, making it easier to spot even small polyps, lesions, or other signs of disease. If the doctor identifies any areas that appear abnormal, they may take small tissue samples (biopsies) for lab testing.
Polyp Removal: If polyps—small clumps of cells that can develop into cancer—are discovered, they can often be removed during the colonoscopy. Using specialized tools passed through the colonoscope, the doctor can snip off these growths, which will then be sent to a lab for further examination. Polyp removal is an important preventative measure against colon cancer, as many polyps are precancerous.
Removal of the colonoscope: Once the examination is complete, the doctor slowly withdraws the colonoscope. As the scope is removed, they may conduct a second inspection of the colon lining to ensure no abnormalities were missed. This slow withdrawal is usually painless, thanks to the sedation, and takes just a few minutes.
You can generally return to your normal diet after a colonoscopy, although some people prefer light, easy-to-digest foods immediately afterward. It’s recommended to rest for the remainder of the day, as the effects of sedation can linger. Avoid alcohol, driving, or operating heavy machinery for at least 24 hours after the procedure.
Special Instructions After Polyp Removal: If polyps were removed, your doctor might provide specific discharge instructions. This may include temporarily avoiding certain medications, like blood thinners, to reduce the risk of bleeding. Follow these instructions carefully to ensure a smooth recovery.
Recovery: After the procedure, you will be taken to a recovery area to rest and recover from the sedative. You may experience some mild cramping, bloating, or gas, but these usually go away within a few hours.
Colonoscopies are a safe and effective way to detect any potential issues in the large intestine. While the procedure can be a bit nerve-wracking, the preparation and procedure are relatively simple and are often done in a single visit. Additionally, the cost of colonoscopy is typically covered by insurance, so you won’t have to worry about any additional expenses.
Tips for a Successful Colonoscopy Experience
To help ensure a smooth and effective colonoscopy, consider these additional preparation tips:
Plan Your Schedule
Since bowel preparation can be uncomfortable, you may want to clear your schedule the evening before. Set aside time to rest before the procedure, and arrange for someone to accompany you afterward.
Stay Hydrated
The bowel prep process can lead to dehydration. Drink plenty of clear fluids, like water and electrolyte drinks, throughout the day before the procedure.
Wear Comfortable Clothing
Opt for loose, comfortable clothing to make it easier to relax during the recovery period after your colonoscopy.
What to Expect After a Colonoscopy
If you’ve recently undergone a colonoscopy, you might be wondering what to expect afterwards. While the procedure itself is relatively quick and painless, there are some after effects that you should be aware of.
First and foremost, it is important to note that you will need to rest in the recovery room for at least 30 minutes after the procedure. During this time, the medical team will be monitoring your vital signs and any discomfort you may be experiencing. Once they are satisfied that you are stable, you can resume your normal diet.
It is also common to experience some gas or cramping sensation after the procedure. This is the result of the air used during the procedure, and usually resolves quickly. Your doctor will also give you discharge instructions, which you should follow closely. For instance, if polyps were removed or if biopsies were taken, you may need to temporarily avoid certain medications such as blood-thinning agents.
It is worth noting that complications such as puncture of the colon or bleeding are very rare during colonoscopies. However, if you experience any of the following symptoms, you should visit your doctor right away: fever, chills, severe abdominal pain, or prolonged or excessive rectal bleeding.
Conclusion
After a colonoscopy, you can expect to rest for at least 30 minutes in the recovery room and resume your normal diet. It is also normal to experience some gas or cramping, which should pass quickly. To ensure a safe and successful procedure, you should follow your doctor’s discharge instructions closely and contact them if you experience any concerning symptoms.
