- Preparing and conducting a colonoscopy: the risks and alternatives
- Alternatives
Colonoscopy - a procedure that allows you to inspect the inside of the colon. The procedure is performed using a colonoscope - a flexible instrument with a thick finger at the end of which is the camera and lighting. The tip of the colonoscope is introduced into the anus and slowly pushing it further into the rectum and colon.
Why spend a colonoscopy
Colonoscopy may be done for many reasons. Most often it is necessary to ascertain the reasons for the presence of blood in the stool, abdominal pain, diarrhea, changes in intestinal motility, or abnormalities found with the help of X-rays or computed tomography (CT). People with polyps and colon cancer
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in the personal history and / or certain cancers family history can be recommended for a regular colonoscopy. The frequency of inspections depends on the degree of risk and the results of the previous colonoscopy. Many experts recommend that all healthy people over 50 years of colonoscopy every 10 held. This increases the likelihood of early detection of various cancers.
Preparation
Before the colonoscopy the patient should be thoroughly cleaned intestines. Patients receive detailed instructions on the preparation for the procedure. As a rule, for several days prior to colonoscopy patient must drink a special cleansing solution and / or go on a liquid diet, laxatives or enemas to do. You must precisely follow the instructions of doctors for bowel cleansing
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Otherwise the survey results may be inaccurate and have to repeat the colonoscopy or be assigned to an alternative, less accurate diagnostic procedure.
During the preparation of the patient is not required to give up most of the drugs, but some medications can interfere with the survey. These medications include drugs that contain aspirin, blood thinners (eg, warfarin), drugs for arthritis, insulin
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And iron supplements.
How is colonoscopy
Immediately prior to the procedure, the patient is connected to a monitor, which will be continually displayed his heart rate, blood pressure and blood oxygen levels. The patient is doing intravenous sedatives that during the procedure, he was relaxed and less susceptible to pain. Colonoscopy often causes a feeling of pressure, cramps and bloating
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But with the help of sedatives, it is easily tolerated and rarely causes much pain.
Colonoscopy usually takes 15 to 60 minutes. If for any reason you can not view the entire colon, the doctor may prescribe additional colonoscopy or use another method of diagnostics, such as X-ray and / or CT.
The most frequently used alternative to colonoscopy is a barium enema. During this procedure, most experts do not replace abnormal growths, and if they are found to determine their nature may need a colonoscopy.
If during colonoscopy detected abnormal growths, doctors immediately biopsy - a sample of tissue sampling, which is sent for further study in the laboratory. If you suspect an infection of the intestinal microflora sample is taken for analysis.
If during the procedure revealed polyps (benign tumors that can become cancerous), they are almost always immediately removed. Removing polyps is very important to prevent colon cancer, although most of them are benign.
The patient remains in the hospital for one to two hours after colonoscopy. During this time, the action is over sedation, but get behind the wheel that day is not recommended. Some reflexes and mental functions can be slow during the day after a colonoscopy.
Before a patient go home, your doctor will discuss with him the results of the colonoscopy, although the results of some tests will be known only after a few days.
Complications
Complications associated with colonoscopy are rare, and usually they are minor. After removal of polyps can be observed weak and short-term bleeding; very rarely occurs as a result of colonoscopy perforation of the intestinal wall. More rarely observed various adverse reactions used in colonoscopy sedation.