Definition
A colonoscopy is an internal examination of the colon (large intestine), using an instrument called a colonoscope. The colonoscope is a small camera attached to a flexible tube. Unlike sigmoidoscopy, which examines only the lower third of the colon, colonoscopy examines the entire length of the colon.
How the Test is Performed
You will lie on your left side with your knees drawn up toward the chest. After administration of a sedative and pain reliever, the colonoscope is inserted through the anus and gently advanced to the lowest part of the small bowel.
Air will be inserted through the scope to provide a better view. Suction may be used to remove secretions.
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Definition
A colonoscopy is an internal examination of the colon (large intestine), using an instrument called a colonoscope. The colonoscope is a small camera attached to a flexible tube. Unlike sigmoidoscopy, which examines only the lower third of the colon, colonoscopy examines the entire length of the colon.
Considerations
You must sign an informed consent form. Several hours rest is recommended after the test. To replace fluids lost because of laxatives and fasting, drink plenty of liquids after the test.
How the Test will Feel
The sedative and pain medication will provide relaxation and produce a drowsy feeling. A rectal examination usually precedes the test to dilate the rectum and make sure there are no major obstructions. You may have the urge to defecate when the rectal exam is performed or as the colonoscope is inserted.
You may feel pressure as the scope moves inside. Brief cramping and gas pains may be felt as air is inserted or as the scope advances. The passing of gas is necessary and should be expected.
Discomfort may be lessened by taking slow, deep breaths. This will also help relax the abdominal muscles. Mild abdominal cramping and considerable passing of gas may occur after the exam. Sedation should wear off in a few ...
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How to Prepare for the Test
Thorough cleansing of the bowel is mandatory. Instructions for doing this will be given by the provider. This will include using enemas, not eating solid foods 2 or 3 days before the test, and taking laxatives. You may be told to stop taking aspirin or other blood-thinning medications for several days before the test.
To avoid dehydration , drink plenty of clear liquids such as juices and broths. Unless otherwise instructed, continue taking any regularly-prescribed medication. Discontinue taking iron preparations a few weeks before the test, unless otherwise instructed by the health care provider. Iron residues produce a dark black stool, which inhibits the view.
Complete emptying of the colon before the examination requires enemas or other purgatives. These must be repeated ...
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Normal Results
Normal findings are simply healthy intestinal tissues.
Risks
- Bowel perforation (hole), requiring a repair operation (less than 2 out of 1,000 tests)
- Heavy or persistent bleeding from biopsy or polyp-removal sites (1 out of 1,000 tests)
- Adverse reaction to sedative medication, causing breathing problems or low blood pressure (4 out of 10,000 tests)
- Infection requiring antibiotic therapy (very rare)
- Nausea, vomiting, bloating, or rectal irritation caused by medicines, taken by mouth, that cleanse the bowel
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What Abnormal Results Mean
Additional conditions under which the test may be performed:
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