An endoscope examines the large intestine as well as a portion of the smaller. Polyps, cancer, and inflammation are detected in these areas during a Colonoscopy treatment. The tissue can be examined endoscopic ally using polypectomy (polypectomy), and endoscopic mucosal extraction (EMR).
This test is important to detect and prevent colorectal carcinoma. This test should be done once every 40 years. An anus is used to place an endoscope with a thickness of 10 to 13 mm into the large intestine to examine it for any abnormalities, such as tumor inflammation. It will depend on the purpose of the inspection and the number and size of any polyps found. Other anomalies may also impact the time required to inspect the area. It can take between 10-30 minutes.
Colonoscopy procedure
A colonoscopy takes between 20 to 30 minutes on average. It is important that patients allow enough time for recovery and preparation. Before the procedure, the patient will be given a sedative. The patient will be wearing a hospital gown during the procedure. The patient will lie on his left side on the examination table. The doctor will then insert a colonoscopy into their rectum.
After the procedure
The doctor will complete the exam and the patient will be taken into a recovery area where the sedative effects of the medication will end. It is not recommended to drive or work after a colonoscopy.
- After the procedure, most patients can resume drinking and eating. After the procedure, patients may be able to resume their normal lifestyle.
- A doctor will take a biopsy of your skin and notify you when results are available. You will be advised if further testing is necessary. If the abnormal tissue has been removed, your doctor will recommend temporary changes to your diet.
- Mild discomfort likes gas, bloating, and cramping can be expected after a colonoscopy. These symptoms should resolve within 24 hours. Walking or passing gas can help reduce pain.
- After the first stool movement, doctors will expect to see a small amount of blood. Doctors will only expect small amounts to be present in the first stool movement. It is important to see a doctor if the bleeding persists or the stool contains large blood clots.
Colonoscopy preparation
To have a high-quality colonoscopy, you must clean your bowels. Your doctor will direct you.
They may recommend:
- Clear liquids are recommended for the day prior to Colonoscopy. It will be forbidden to eat any dairy products or other solid foods.
- Clear liquids are not allowed: Before the procedure, the doctor will instruct the patient to drink only water, broth, tea and coffee.
- Colonoscopy: Laxatives they may also be required by patients to be taken the morning of Colonoscopy.
Talk to your doctor if you are taking medication or supplements. Your doctor might advise you to stop taking certain medications or to alter the dosage.
Inform your doctor about any medication:
- Thin your blood (such Aspirin and Warfarin).
- These are used for high blood pressure (hypertension) or diabetes.
- contain iron
What is the purpose of a colonoscopy?
A coloscopy allows the doctor examine lower gastrointestinal symptoms like:
- Bleeding starting from the rectum
- Chronic constipation
- Chronic diarrhea
- Abdominal pain
Coloscopy has also been deemed the gold standard for the Gastrointestinal Community screening and diagnosis of colorectal cancer.
Before symptoms develop, a colonoscopy can diagnose early-stage colorectal carcinoma. Doctors can remove pre-cancerous tumors. Early detection can improve treatment outcomes.
For those who want:
- A first-degree relative with a history colon polyps/colon carcinoma
- Their medical history puts them at greater risk.
- 45 years and older.
Colonoscopy risks
The American Society for Gastrointestinal Endoscopy lists potential complications in approximately 2.8 out of 1,000 procedures (0.28% for patients at average risk).
Colonoscopy may pose greater risks if there are abnormal tissue removals or bleeding or tears in the rectum.
Sedation can also pose risks, like:
- A decrease of the patient’s respiration rate
- Heart rate changes
- Patients may feel nausea or vomiting.
Is it difficult?
The patient is usually under sedation during a colonoscopy. This makes it painless. They become sleepy, forgetful, and relaxed. Patients should not drive home due to possible side effects.
Mild discomfort may occur for up to 24 hours following the Colonoscopy. After the Colonoscopy, patients may experience mild abdominal cramping, gaspains, and bloating.
Your doctor may perform a biopsy to remove any abnormal tissue or cause mild discomfort.
When should a colonoscopy be performed?
Any patient can have a colonoscopy. All adults aged between 45-85 years must be screened for colorectal cancer. This includes a colonoscopy every ten years.
Incidents Relating to Coloscopy
- Colonoscopy can result from intestinal perforation. This is a hole in your intestine.
- Coloscopy can cause bleeding (melena), and intestinal perforation.
Bleeding
An ulcer can be caused by a colonoscopy. Bleeding may last up to one week. About 1 in 100 cases of it occurs. The stool will not become bloody after treatment. The toilet bowl may become reddened from blood.
An endoscope is required to stop bleeding if you continue to experience bleeding.
Injections of analgesics and sedatives
Our center uses analgesics as well as sedatives for anxiety and tension relief during examinations. Analgesics and sedatives can cause drowsiness, poor judgment, or a combination of both. If you are older than 65, your family members should be there. At the discretion of your doctor, you may have to reduce or discontinue certain sedatives/analgesics.
Driving forbidden after Colonoscopy
- Do not drive your vehicle, motorcycle, or bike for 24 hours after the inspection. Your judgment may be impaired by using sedatives and painkillers.
- Three days after a colonoscopy you are unable to drive a motorcycle or car. The same cannot be done for seven days. Anemia due to bleeding can lead to an accident. It has two functions: it keeps you at rest and prevents blood loss.
Bleeding tendency drugs
- If you are taking medicine that causes blood clots to become more severe, you may not be capable of performing the treatment.
- If your doctor has advised you to stop taking medication,
Pain during Colonoscopy
Most pain cases are located in the sigmoid and transverse colons.
Because the transverse and sigmoid colonies are flexible, they can move around squishy. It changes in form and location constantly. If you apply pressure to your intestinal tract, it will become inflamed.
To avoid pain, it is important to expand the scope and to straighten the meandering intestinale
- It will be difficult to pass a wire through a bent sprinkler hose. It is possible to imagine the hose moving freely if you hold its ends in your hands. It can cause pain if it resists in the large intestine.
- The second problem is the large intestine that expands too much and causes pain.
- To move the colonoscopy backwards and forwards. We will inspect the colon to determine the direction of the airflow. If you put too much pressure on the intestinal tract, you will feel discomfort.
- If you blow the balloon too high, you’ll hear a hum. Imagine what it would feel like to have the same effect on your stomach.
- The pain caused by air entering the intestinal tube. Air entering the large intestinal tube (or putting it there) causes the pain. It looks like a balloon about to burst.
- Thin people tend to have smaller bodies or more constipation. Thin people will have more continuous S-shaped curves because the large intestine is thicker than normal.
- Pushing the endoscope into a bend or sharp curve with force will create unnecessary tension in your intestines and cause pain.
Individuals with sensitive intestinal nerves
It can also occur in patients with irritable or inflammatory intestinal conditions (ulcerative colitis/ Crohn’s disease). It is more common than normal, but it is easier to feel the discomfort.
Individuals with a history or abdominal surgery (adhesion) such as Cesarean sections or gastric surgery
- Adhesions may occur after surgery to open the abdomen such as a Caesarean Section. One portion of the large intestine attaches to surrounding tissues. The adhesion will be strengthened by an additional force. It will cause pain.
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