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Home »  Disease & Conditions »  Diagnostic Tests » Colonoscopy

Colonoscopy

Colonoscopy is a screening test to view the interior lining of the large intestine (rectum and colon) through a thin, flexible tube fixed with a fibre optic camera called a colonoscope.  This test is used to detect problems or  diseases of the anus, rectum, or large intestine. This test is usually performed for evaluating the causes of abdominal pain, bleeding or pus in the stool, anemia, prolonged constipation or diarrhea and as a screen test for colon cancer or polyps.  During a colonoscopy, tissue samples can be collected and abnormal growths can be removed.  

Care before the test
This generally involves taking some kinds of laxatives prescribed by the doctor to cleanse out the colon one day prior to the test. It is better to avoid eating solid food and drink only clear fluids one or two days before the test. Inform your doctor whether you are taking medications like insulin, iron pills and any blood thinners, you are allergic to any medications, you have had an X-ray test using barium contrast material within the past 4 days, you are or might be pregnant and about any prior surgeries in the abdomen or a heart-valve infection that you have had. You may be advised to avoid taking aspirin or nonsteroidal anti-inflammatory drugs for several days before the test to reduce the risk of bleeding if any biopsy sample needs to be taken. 

How the test is done
Before colonoscopy is done sedatives will be given to make the person more comfortable during the procedure. The person is made to lie on one side with knees flexed toward the abdomen. First a rectal exam with the finger is done and then the colonoscope is inserted through the anus into the large intestine. The instrument is advanced through the colon until it comes to the place where the colon meets the small intestine, on the right lower part of the abdomen.  Then air is passed through the colonoscope to gently inflate the colon for a clear view of the entire circumference of the wall of the colon on a TV monitor. Additional sedatives may be given if needed. 

If any abnormalities are seen, photographs and a biopsy or a tissue sample may be taken. Colonoscopy is  also used to remove small colorectal polyps.  

Risks
Complications from colonoscopy are rare. There is a slight risk of puncturing the colon or causing severe bleeding by damaging the wall of the colon and cardiac, respiratory and blood pressure problems. There is also a slight risk of causing a colon infection.

Age for testing 
Screening test for colon cancer is recommended after age 50. Colonoscopy once every 5 or even 10 years is one way to have this screening done.

Questions of
 Questions & Answers
 1.  Posted on : 9.1.2012  By  :  Vibha , Jodhpur Post Answer
 

Since 2 years i am suffering from dysmenorrhea. Every month i have to inject injection[under doctor's consultency] i have met 12 doctors for this but today also the pain is on the top...It remains for 4-5 days..But my ten days are wasted as the pain starts before....Can you suggest me of something better treatment for this....Please

 
 2.  Posted on : 18.12.2011  By  :  Prabhanjan Mandal , sonarpur,kolkata Post Answer
 

Since last 2 years I am getting senseless & also I have been suffering from digestive problems, vomiting, headache, feeling fear etc. after medical test found thyroid and pre cervical spondylosis, but pressure, sugar are normal. Now both are within limits, but I feel headache, digestive problems, stool problem etc. Reports are below: TSH-3.72 µIU/ml, Normal Range (0.3 – 5.5); FT4-1.13 ng/dl, Nr. 0.7-1.80.Potassium 5.5mEq/L , NR. 3.5 – 5.5, Total Cholesterol: 142 mg/dl,Nr 130 to 250. HDL Cholesterol: 48 mg/dl,Nr 30 to 70. LDL Cholesterol: 59 mg/dl,Nr 65 to 175.VLDL Cholesterol : 35 mg/dl,Nr 20 to 30.Triglycerides : 175 mg/dl,Nr up to 150.LDL/HDL Cholesterol : 1.2 ,Nr. 1.5 -3.5. TC/HDL Cholesterol: 2.95, Nr, 3.0-5.0. Last here months back, I feel itchiness in my penis when intercourse with my wife. After one month I have seen rash in my penis head. First time it is itching but now it is silence. What is the best solution for me?

 
 3.  Posted on : 26.11.2011  By  :  KR Babu , Coimbatore Post Answer
 

It seems there was a bing hole in my right ear drum and I had a mild earing loss (conductive losses). As advised by the ENT Surgeon, I underwent CT scan too. He suggested me to undergo surgery by which my mastoid bone has to be open and all infection there has to be removed. I had the hole in the ear drum for the past 25 years and so far I had no problem except mild hearing loss. No ear discharge for the past 15 years. Even earlier also I used to have ear discharge very rarely. ENT surgeon suggested me to undergo the surgery what is called Mastoidectomy. I unable to take a call whether I should undergo surgery now or postpone to a time when I notice any further problem. I would like to know whether the problem gets aggravated if I do not undergo surgery. Whether it prevents further deterioation and improves the hearing? Kindly advise.

 
Ans:  hi babu, as u told that you have a hole in your ear drum, which is a connection between the external and the middle ear, thus making the middle ear prone to repeated infections. middle ear infections can become very severe when they become chronic which can also lead to permanent and conductive hearing loss. so it is advisable for you to not to wait and undergo mastoidectomy. gud luck.
  Posted by Dr. Noopur Gupta, chandigarh
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