Colonoscopy is a procedure used to examine or inspect the bowel and may also include a variety of minor operations such as taking small tissue samples (biopsy) and removal of polyps. An alternative method of examining the large bowel is by a barium enema x-ray. Colonoscopy has the advantage over a barium enema x-ray of allowing tissue samples or biopsies to be taken.
How are you prepared?
Prior to the colonoscopy you will be provided with a preparation kit containing full instructions. See the Preparation Sheet regarding Picolax or Colonlytely and follow the instructions: If you have diabetes, please contact your doctor and discuss your medication prior to starting the preparation. If you have asthma, bring your inhalers in case you need to use them. Please bring all your medications with you.
You will be given a sedative through a vein in the arm before the procedure to make you more comfortable and for this reason you should not drive after the procedure.
You should advise the nursing staff if you are sensitive (allergic) to any drug or other substance.
You should cease iron tablets and drugs for diarrhoea at least three days before the procedure. It is also desirable to avoid taking aspirin or NSAIDs (arthritis tablets). If you are on these medications, you should discuss the matter with your Doctor. You should also inform your Doctor if you are taking blood thinning tablets or if you have heart problems such as heart valve disease or a pacemaker.
What do we do?
The colonoscope is a long and‚ highly flexible tube about the thickness of your index finger. It is inserted through the rectum into the large intestine‚ to allow inspection of the whole large bowel.
A cancer of the large bowel arises from pre-existing polyps (a benign wart-like growth), it is usual practice to remove any polyps, which are found during the procedure. Most polyps can be removed by placing a wire snare around the base and applying an electric current.
Safety and risks
For inspection of the bowel alone, complications of colonoscopy are extremely rare. If you have polyps removed there is a very small risk of bleeding from the bowel and perforation (creating a hole) in the bowel. Occasionally, these complications may require treatment by blood transfusion or by surgery. If you wish to have full details of all possible complications discussed, please contact your doctor.
The sedative and painkiller you are given before the procedure is very effective in reducing discomfort.
However, it may affect your memory for some time afterwards. Even when the sedative appears to have worn off, you may find you are unable to recall details of your discussion with the Doctor. For this reason, you must have a relative or friend collect you from the unit and they must remain with you until the next day. You should not travel alone on public transport after the procedure.
You must not operate machinery (including driving a car), sign any legally binding documents or carry out any demanding tasks for the remainder of the day.
Some patients, especially those with irritable bowel or diverticular disease, notice some discomfort for a few days afterwards, which should-settle on simple measures such as Panadol and adequate fibre in the diet.
If you have any severe abdominal, bleeding from the back passage, fever, or other symptoms that cause you concern, you should contact your Doctor immediately or go to an Emergency Department.