Bhupinder Anand, MD
In this Article
What should I expect during colonoscopy?
Prior to colonoscopy, intravenous fluids are started, and the patient is placed on a monitor for continuous monitoring of heart rhythm and blood pressure as well as oxygen in the blood. Medications (sedatives) usually are given through an intravenous line so the patient becomes sleepy and relaxed, and to reduce pain. If needed, the patient may receive additional doses of medication during the procedure. Colonoscopy often produces a feeling of pressure, cramping, and bloating in the abdomen; however, with the aid of medications, it is generally well-tolerated and infrequently causes severe pain.
Patients will lie on their left side or back as the colonoscope is slowly advanced. Once the tip of the colon (cecum) or the last portion of the small intestine (terminal ileum) is reached, the colonoscope is slowly withdrawn, and the lining of the colon is carefully examined. Colonoscopy usually takes 15 to 60 minutes. If the entire colon, for some reason, cannot be visualized, the physician may decide to try colonoscopy again at a later date with or without a different bowel preparation or may decide to order an X-ray or CT of the colon.
What if there are abnormalities detected during colonoscopy?
If an abnormal area needs to be better evaluated, a biopsy forceps can be passed through a channel in the colonoscope and a biopsy (a sample of the tissue) can be obtained. The biopsy is submitted to the pathology laboratory for examination under a microscope by a pathologist. If infection is suspected, a biopsy may be obtained for culturing of bacteria (and occasionally viruses or fungus) or examination under the microscope for parasites. If colonoscopy is performed because of bleeding, the site of bleeding can be identified, samples of tissue obtained (if necessary), and the bleeding controlled by several means. Should there be polyps, (benign growths that can become cancerous) they almost always can be removed through the colonoscope. Removal of these polyps is an important method of preventing colorectal cancer, although the great majority of polyps are benign and do not become cancerous. None of these additional procedures typically produce pain. Biopsies are taken for many reasons and do not necessarily mean that cancer is suspected.