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Colonoscopy

Colonoscopy in Iran

What is Colonoscopy?

A colonoscopy is an exam used to detect changes or abnormalities in the large intestine (colon) and rectum.

During a colonoscopy, a long, flexible tube (colonoscope) is inserted into the rectum. A tiny video camera at the tip of the tube allows the doctor to view the inside of the entire colon.

If necessary, polyps or other types of abnormal tissue can be removed through the scope during a colonoscopy. Tissue samples (biopsies) can be taken during a colonoscopy as well.

Colonoscopy

Before Colonoscopy

Why it’s done

Your doctor may recommend a colonoscopy to:

. Investigate intestinal signs and symptoms. A colonoscopy can help your doctor explore possible causes of abdominal pain, rectal bleeding, chronic constipation, chronic diarrhea and other intestinal problems.

. Screen for colon cancer. If you’re age 50 or older and at average risk of colon cancer — you have no colon cancer risk factors other than age — your doctor may recommend a colonoscopy every 10 years or sometimes sooner to screen for colon cancer. Colonoscopy is one option for colon cancer screening. Talk with your doctor about your options.

. Look for more polyps. If you have had polyps before, your doctor may recommend a follow-up colonoscopy to look for and remove any additional polyps. This is done to reduce your risk of colon cancer.

Risks

A colonoscopy poses few risks. Rarely, complications of a colonoscopy may include:

. Adverse reaction to the sedative used during the exam

. Bleeding from the site where a tissue sample (biopsy) was taken or a polyp or other abnormal tissue was removed

. A tear in the colon or rectum wall (perforation)

After discussing the risks of colonoscopy with you, your doctor will ask you to sign a consent form authorizing the procedure.

How you prepare

Before a colonoscopy, you’ll need to clean out (empty) your colon. Any residue in your colon may obscure the view of your colon and rectum during the exam.

Read more about : colorectal cancer treatments

Colonoscopy

To empty your colon, your doctor may ask you to:

. Follow a special diet the day before the exam. Typically, you won’t be able to eat solid food the day before the exam. Drinks may be limited to clear liquids — plain water, tea and coffee without milk or cream, broth, and carbonated beverages. Avoid red liquids, which can be confused with blood during the colonoscopy. You may not be able to eat or drink anything after midnight the night before the exam.

. Take a laxative. Your doctor will usually recommend taking a laxative, in either pill form or liquid form. You may be instructed to take the laxative the night before your colonoscopy, or you may be asked to use the laxative both the night before and the morning of the procedure.

. Use an enema kit. In some cases, you may need to use an over-the-counter enema kit — either the night before the exam or a few hours before the exam — to empty your colon. This is generally only effective in emptying the lower colon and is usually not recommended as a primary way of emptying your colon.

. Adjust your medications. Remind your doctor of your medications at least a week before the exam — especially if you have diabetes, high blood pressure or heart problems or if you take medications or supplements that contain iron.

Also tell your doctor if you take aspirin or other medications that thin the blood, such as warfarin (Coumadin, Jantoven); newer anticoagulants, such as dabigatran (Pradaxa) or rivaroxaban (Xarelto), used to reduce risk of blot clots or stroke; or heart medications that affect platelets, such as clopidogrel (Plavix).

You may need to adjust your dosages or stop taking the medications temporarily.

During Colonoscopy

During the procedure

During a colonoscopy, you’ll wear a gown, but likely nothing else. Sedation is usually recommended. Sometimes a mild sedative is given in pill form. In other cases, the sedative is combined with an intravenous pain medication to minimize any discomfort.

You’ll begin the exam lying on your side on the exam table, usually with your knees drawn toward your chest. The doctor will insert a colonoscope into your rectum.

The scope — which is long enough to reach the entire length of your colon — contains a light and a tube (channel) that allows the doctor to pump air or carbon dioxide into your colon. The air or carbon dioxide inflates the colon, which provides a better view of the lining of the colon.

When the scope is moved or air is introduced, you may feel abdominal cramping or the urge to have a bowel movement.

The colonoscope also contains a tiny video camera at its tip. The camera sends images to an external monitor so that the doctor can study the inside of your colon.

The doctor can also insert instruments through the channel to take tissue samples (biopsies) or remove polyps or other areas of abnormal tissue.

A colonoscopy typically takes about 30 to 60 minutes.

Read more about: Early symptoms of colon cancer

After Colonoscopy

After the procedure

After the exam, it takes about an hour to begin to recover from the sedative. You’ll need someone to take you home because it can take up to a day for the full effects of the sedative to wear off. Don’t drive or make important decisions or go back to work for the rest of the day.

If your doctor removed a polyp during your colonoscopy, you may be advised to eat a special diet temporarily.

You may feel bloated or pass gas for a few hours after the exam, as you clear the air from your colon. Walking may help relieve any discomfort.

You may also notice a small amount of blood with your first bowel movement after the exam. Usually this isn’t cause for alarm. Consult your doctor if you continue to pass blood or blood clots or if you have persistent abdominal pain or a fever. While unlikely, this may occur immediately or in the first few days after the procedure, but may be delayed for up to one to two weeks.

Seek care right away

If you have any of the following symptoms after a colonoscopy, seek medical care right away:

. Severe pain in your abdomen

. Fever

. Bloody bowel movements that do not get better

. Bleeding from the anus that does not stop

. Dizziness

. Weakness

Colonoscopy

Results

Your doctor will review the results of the colonoscopy and then share the results with you.

Negative result

A colonoscopy is considered negative if the doctor doesn’t find any abnormalities in the colon.

Your doctor may recommend that you have another colonoscopy:

. In 10 years, if you’re at average risk of colon cancer — you have no colon cancer risk factors other than age

. In five years, if you have a history of polyps in previous colonoscopy procedures

. In one year, if there was residual stool in the colon that prevented complete examination of your colon

Read more about: Colorectal surgery

Positive result

A colonoscopy is considered positive if the doctor finds any polyps or abnormal tissue in the colon.

Most polyps aren’t cancerous, but some can be precancerous. Polyps removed during colonoscopy are sent to a laboratory for analysis to determine whether they are cancerous, precancerous or noncancerous.

Depending on the size and number of polyps, you may need to follow a more rigorous surveillance schedule in the future to look for more polyps.

If your doctor finds one or two polyps less than 0.4 inch (1 centimeter) in diameter, he or she may recommend a repeat colonoscopy in five to 10 years, depending on your other risk factors for colon cancer.

Your doctor will recommend another colonoscopy sooner if you have:

. More than two polyps

. A large polyp — larger than 0.4 inch (1 centimeter)

. Polyps and also residual stool in the colon that prevents complete examination of the colon.

. Polyps with certain cell characteristics that indicate a higher risk of future cancer

. Cancerous polyps

If you have a polyp or other abnormal tissue that couldn’t be removed during the colonoscopy, your doctor may recommend a repeat exam with a gastroenterologist who has special expertise in removing large polyps, or surgery.

Problems with your exam

If your doctor is concerned about the quality of the view through the scope, he or she may recommend a repeat colonoscopy or a shorter time until your next colonoscopy. If your doctor wasn’t able to advance the scope through your entire colon, a barium enema or virtual colonoscopy may be recommended to examine the rest of your colon.

How painful is a colonoscopy?

“The truth is that most colonoscopies in the United States are done with sedation,” he says. “The procedure is painless,” and most patients aren’t even aware it’s taken place. … After a colonoscopy, you may feel some discomfort (gas pains) from having air inserted into your colon

How long will it take to recover from a colonoscopy?

What’s the recovery time like? After a colonoscopy, most people are back to work and “normal life” within 24 hours, or after the sedation wears off. It is recommended to refrain from flying for 48 hours after the procedure

How is a colonoscopy done?

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 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

Are you put to sleep for a colonoscopy?

His hospital routinely uses moderate sedation, also called “twilight sleep” with sedatives like Valium or Versed. Most people don’t remember the procedure, and experience little or no discomfort. (Some people have colonoscopies and other medical procedures with no sedation at all, but that’s a story for another day.)

Does colonoscopy clean your colon?

Cleaning out the colon is sometimes necessary— for example, before a medical procedure, such as a colonoscopy. … One method involves taking bowel-clearing laxatives, powders or supplements; using enemas; or drinking herbal teas topurportedly release colon waste and discharge toxins.

Do you get colonoscopy results immediately?

Immediately after the colonoscopy, the specialist will tell you if they have removed any tissue samples or polyps. If tissue samples are removed during your colonoscopy, you should receive the results in three weeks. There are three types of results that you could receive. … the colonoscopy

Can you be left alone after a colonoscopy?

You should go home and rest today. If you have had sedation and live alone, we recommend that you try to arrange for someone to stay with you overnight. For 24 hours after the sedation you must not: drive

Are you fully sedated for a colonoscopy?

Minimal to Moderate or “Conscious” Sedation – usually involves intravenous (IV) doses of sedatives and pain medications. You should be comfortable, but not totally unconscious. Deep Sedation and General Anesthesia – usually involves an anesthesia professional administering propofol with a pain medication

How long does a colonoscopy last?

How long does a colonoscopy last? The entire procedure should take between 20 and 30 minutes. You’ll stay in a recovery room for about 30 minutes to an hour to wake up from the sedative.

Can I wear makeup to my colonoscopy?

Do not wear makeup or jewelry on the day of your procedure. The GI technician or the doctor will answer any questions you may have. You will be given medication to make you drowsy and comfortable during the examination. Most people do not remember much, if anything, about the procedure.
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