The Basics of Colonoscopy
Colonoscopy is an outpatient procedure in which your large bowel (colon and rectum) is examined.
Your doctor may perform the procedure to diagnose and treat, when possible, certain diseases of the lower gastrointestinal (GI) tract, which includes the rectum and colon.
A colonoscopy may be used to screen for colon cancer and evaluate many problems, including:
Colonoscopy is often used to treat certain conditions:
- Bleeding from diverticula or other lesions can be treated by injecting medicine around them or by applying heat to cauterize -- or seal -- them.
- Polyps, some of which may be cancerous, can be removed using a lasso-like device through the colonoscope.
- Narrowed areas or strictures can often be dilated using a balloon.
How Do I Prepare for a Colonoscopy?
Before a colonoscopy, let your doctor know about any special medical conditions you have, including:
Allergies to any medications
- If you have diabetes or take medications that may affect blood clotting. Adjustments to these medications may be required before the colonoscopy. Never stop taking any medication without first consulting your doctor.
To prepare for the test, your doctor will prescribe dietary modifications. You may be asked to limit or eliminate high-fiber foods for a few days before the colonoscopy. You will also be asked to take laxatives by mouth to clean out the colon and may be put on a clear-liquid diet the day before the procedure.
Along with the dietary changes, your bowel must be further cleansed in order for colonoscopy to be successful. Enemas or a special laxative drink may be given before the procedure. Follow your doctor's instructions on how to prepare for your colonoscopy.
Make sure you arrange for a driver to bring you home after a colonoscopy. Because you receive sedating medication during the procedure, it is unsafe to drive or operate machinery for about 8 hours after the procedure.
How Is a Colonoscopy Performed?
The colonoscopy should be performed by an experienced doctor and last approximately 30-60 minutes. You will receive medication to make you feel relaxed. You will be asked to lie on your left side on the examining table. During a colonoscopy, the doctor uses a colonoscope, a long, flexible, tubular instrument about 1/2 inch in diameter that transmits an image of the lining of the colon on a screen so the doctor can examine it for any abnormalities. The colonoscope is inserted through the rectum and advanced to the other end of the large intestine.