Colonoscopy Phoenix is the most effective screening for colon cancer and other problems. They’re routinely covered by insurance and save thousands of lives every year.
The procedure is done in a hospital, medical office or outpatient surgery center. Most people receive sedatives or anesthesia for comfort. It may take several days for the results to come back.
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Your doctor will tell you how to prepare for your colonoscopy, either by phone or in person. You will be advised about the type of laxative to take and a liquid diet for the day before your exam. This preparation helps your physician view the inside of your large intestine more clearly. You may be told to buy your prep supplies over-the-counter or prescription, depending on your doctor’s instructions and where you live. The instructions also will include a list of medicines you should avoid or use sparingly because they can interfere with the bowel cleansing process or the procedure. These include aspirin, other arthritis medications, antacids and any medicine that contains iron.
You will not be able to eat solid food the day of your colonoscopy, and you must drink only clear liquids. Examples of acceptable liquids are water, Gatorade, tea and coffee without milk or creamer, and broth. You should not drink red liquids because they could resemble blood and make it difficult for your doctor to see the inside of your colon. Your doctor may recommend that you use an over-the-counter laxative the night before your procedure and then follow up with a prescription-strength laxative on the morning of your procedure. Your nurse will check your heart, breathing and blood pressure while you are using the laxatives to ensure that you are comfortable and safe.
Once your bowels are empty, the doctor will insert the colonoscope into your rectum. He or she will look carefully at the lining of your colon and identify any polyps or other abnormalities that need to be removed. Polyps are small growths in your colon that, if not removed, can develop into cancer. If a polyp is found, your doctor can remove it right through the scope and send it to a laboratory for examination.
A colonoscopy is a painless test, but you may feel stomach cramping or bloating because of the air that is introduced into your colon during the examination. This should quickly pass when you pass gas. You may also feel a sensation of fullness after the examination because your intestines are inflamed, but this should go away if you continue to pass gas.
Procedure
A colonoscopy is a test that gives doctors a view of your large intestine (colon) and rectum. It is usually done to help diagnose and treat conditions such as:
If you have polyps or other abnormal growths, a biopsy may be performed during the colonoscopy. A small piece of the growth is removed and sent to a laboratory to see if it is cancer or a benign (non-cancerous) growth.
You lie on your back or side during the procedure. The doctor inserts the flexible tube (colonoscope) into your rectum and into your colon, then pumps air or carbon dioxide into the colon to inflate it so they can better see its lining. A camera attached to the end of the colonoscope transmits a video image to a monitor. The doctor watches the screen and moves the colonoscope around to check for problems like polyps, abscesses and other abnormalities.
During the exam, your doctor can also use the colonoscope to remove small tissue samples for testing. For some people, this is the only way to find out if a small abnormality is cancer or not.
Some of the most common reasons for a colonoscopy are:
Crohn’s and ulcerative colitis are inflammatory diseases that damage your colon lining and can cause other serious health problems such as malnourishment, weight loss and intestinal blockages that may need surgery. Colonoscopies can identify these diseases early and prevent long-term damage. Diverticulosis is a condition that causes pockets to form in your colon’s lining. When a doctor finds these pockets during a colonoscopy, they can often make simple dietary changes to prevent them from getting bigger and causing pain.
Before your colonoscopy, your gastroenterologist will give you specific dietary and laxative instructions. Follow all of these instructions closely to ensure the best results from your colonoscopy. You should tell your gastroenterologist about any health problems you have and any negative reactions to anesthesia or sedation. Also tell your doctor about any over-the-counter and prescription medications, vitamins and supplements that you take. This information helps your doctor avoid complications such as bleeding during the exam or an allergic reaction to the sedative used during the colonoscopy.
Recovery
If you choose to have light or minimal sedation for the colonoscopy, you will probably spend most of the procedure lying on your back with your knees pulled up toward your chest. A lubricated tube with a camera and light on the end will be passed through your anus, rectum and colon. The specialist will use the tube to see inside your bowel and send a video image to a monitor. They may also inflate your abdomen with air for a better view. You should expect some pressure, discomfort and bloating during the procedure.
After the procedure, your gastroenterologist will discuss the results with you. If they removed polyps or took tissue samples for biopsy, you will likely need to wait a few days for those results. You should also be given a copy of the written report, which your gastroenterologist will review with you.
The day before the procedure, follow your doctor’s instructions for eating and drinking. You will be asked to drink clear liquids, such as water, Gatorade, broth and coffee without milk or creamer. You will also take a laxative, either pills, powder that you dissolve in a liquid or an enema. These laxatives can cause diarrhea, so be prepared to stay close to a bathroom.
On the day of your colonoscopy, leave any valuables at home. You will be asked to remove your jewelry for the procedure, and you don’t want to have to worry about losing anything. You should also arrange to have someone drive you home after the procedure. The sedatives used during the colonoscopy might make it unsafe for you to drive.
You should plan on resting for the rest of the day after the procedure. You might feel groggy from the sedatives, so you should avoid engaging in strenuous activities or lifting heavy objects. You should also stay hydrated to prevent dehydration, which can contribute to post-colonoscopy discomfort. Avoid alcohol and caffeinated beverages, which can make your symptoms worse. You should also try to get a good night’s sleep to aid in the recovery process.
Follow-up
A follow-up colonoscopy is performed to remove any precancerous growths, or polyps, identified during the previous procedure. This prevents cancer from spreading and possibly causing new, advanced, cancer. The procedure is important because it is the only way to detect colorectal cancer, which is the second leading cause of cancer-related death in high-income countries.
New research underscores the importance of getting a follow-up colonoscopy after a positive (abnormal) result on an at-home stool test used to screen for colorectal cancer, known as the fecal immunochemical test (FIT). The study found that people who received a FIT test result and did not have a subsequent follow-up colonoscopy were twice as likely to die from colorectal cancer as those who had a follow-up colonoscopy.
The FIT test looks for traces of blood in the stool, and a positive result means that cells in the large intestine may be dividing abnormally, or developing into cancer. However, the FIT test cannot distinguish between a normal or cancerous bowel. In the new study, the researchers followed over a decade of patients who either had a FIT test result and underwent a follow-up colonoscopy or did not have a FIT test and did not have a follow-up colonoscopy. The researchers found that the number of new cases of colorectal cancer increased sharply in the group who did not get a follow-up colonoscopy, but then leveled off. The researchers say this suggests that a colonoscopy lowers the risk of future cancer because it removes any precancerous lesions, or polyps, that may have been causing early and silent tumors.
The Task Force previously recommended that individuals with 1 to 2 small tubular adenomas should undergo surveillance by a colonoscopy every 3 years, but has recently recommended a longer interval of 10 years. This change is based on new evidence suggesting that people with only low risk adenomas are at very low risk of metachronous advanced neoplasia or incident CRC on follow up, even if a significant percentage of their adenomas have histologic features of SSP. Additional studies are needed to elucidate whether individuals with more than 10 adenomas are at low risk of a similar pattern, but the current data support the longer surveillance interval.