What is it like to have a Colonoscopy? A step by step chronology

Worried about having a colonoscopy? I took the time to recount my colonoscopy procedure.  Prepping my body, medications, eating, how I felt, and the procedure itself.  Give it a read and you will be more prepared for the next 48 hours.

Prologue

I wrote this post a few years ago and sit here laughing as I reread my words, not at what I wrote but the fact that I think I have lost count as to the number of times I have prepared for a colonoscopy.  If I hold the numbers noted in this post as accurate, I had my 7th scope in February 2017. What is even more humorous, is asking myself how can one forget about a tiny camera being snaked deep through your digestive tract? Then again, with a hint of sarcasm, not bad for a guy that is in his early 40’s? In comparison, I think my stepfather just had his first scope at the great age of seventy-four.

Putting all kidding aside, I hope you find this recount of my my preparing for and the colonoscopy procedure helpful and more importantly reassuring.  I would love to hear your comments so feel free to add any at the bottom of the page.  Truth be told, having a colonoscopy isn’t as bad as my opening paragraph made it out to be, promise!, we will make it through the next 48 hours together.

My Story …

Monday I am off to have my 5th Colonoscopy (circa 2011) as a check up from last years hospitalization and a recent flare-up of my Crohn’s Disease.  So why not recount the steps in preparing for a colonoscopy  and if nothing else, hopefully put some people’s minds to ease.

For Crohn’s sufferers, 5 Colon scopes is certainly not a record but for a guy that has yet to hit 40, it is still ahead of the curve.

So what is a Colonoscopy?

The doctor will use an instrument called the colonoscope to perform a colonoscopy. It is a long (about 3 ft), thin (about 1 in), flexible fiberoptic camera that allows the doctor to visualize your entire colon.

A colonoscopy is the main way to check for diseases of the colon, such as crohns, colitis or colon cancer, and to identify or remove colon polyps.

• A polyp is a mushroom-like growth on the inside wall of the colon or rectum.
• Polyps grow slowly over many years.
• Some polyps become cancerous, others do not

I actually found a fun video on YouTube of a healthy Colon as viewed through the colonoscope that you can take a look at:

[youtube=http://www.youtube.com/watch?v=6kg5wZQfADQ&w=570]

Preparing for the Colonoscopy

I think most people would agree, the preparation for the colonoscopy or scope (cleaning and emptying your bowels) is far worse than the procedure itself.

Every Gastroenterologist is a bit different on the preparation procedure they would prescribe (follow your doctor’s directions), however in short, your doctor needs to clean/ empty out your colon, small bowel, and stomach to give him or her an unobstructed view of the colon’s and small intestine’s surface.  What that basically comes down to is cleaning or emptying the bowel with the help of over the counter medications and a mild laxative to get your body rolling.

Each of the colonoscopy procedures I have had (with two different doctors, although both sets of instructions were generally the same) involved being under a mild sedative, so basically you sleep through the colonoscopy procedure, and wake up in the hospital recovery room, overall pretty simple.   However, as the doctor fills your bowels with air to get a better view, you may feel a little “bloated” following the scope but otherwise, generally, the procedure is painless.

Preparing for the procedure on the other hand, my body has always put up a bit of a fight and I would consider this the worst part of having a Colonoscopy.

Although each doctor has a bit different procedure to prep for the scope, mine have typically followed the following three steps to prep for a colonoscopy

• Step 1 – Mild Laxative (2 days before procedure) at 5 PM
• Step 2 – Only clear fluids the day before the procedure; and through to the procedure (yes, no food however clear fluids, including soup broth)
• Step 3 – An aggressive flush of the bowels which usually starts late afternoon the day before the procedure.

HINT: Drinking plenty of clear liquids is important to ensure you do not get dehydrated, and I would highly recommend liquids high in electrolytes such as those found in many sports drinks or ginger ale.  Unfortunately, beer does not qualify as a clear liquid, however, the goal is to drink one cup per hour while up are awake after starting the liquid prep (i.e. Pure-oDan).

My 5th Colonoscopy Procedure – A journal of the next 48 hours.

Well I am not sure how to keep this section up to date but will give it a try to keep tabs on the “preparation for my colonscopy” with a bunch of edits to the post:

Saturday June 11, 2011

• Mid-afternoon – Well I made my trip to the pharmacy to pick up my bag of goodies – one box Dulcolax (Stimulant Laxative) and a box of Purg-oDan (Oral Purgative) or Pico-Salax.
• 5 PM – Took two Dulcolax, now let the fun begin.  Also had a nice steak dinner with BBQ vegetables to tied me through the next 48 hours.
• Evening – Feel a little crampy and bloated.  Once I get the kids to bed I can relax a little.
• 2 Bowel movements by bed time. Then again, as a Crohn’s survivor – a piece of cake.

Sunday June 12, 2011

• Hardest part with today was making breakfast for everyone and not being able to eat it.
• Consistent feelings of slight nausea and very bloated stomach – thank you laxatives
• Overall, bowels have been quiet; just waiting until 5 pm when I need to start taking the Purg-oDan.I am not looking forward to that one as it is always a challenge for me to keep it down.  HINT: One thing I have learned over the past few scopes, “Follow the Instructions“.  As terrible as the stuff taste, it is NOT better to dilute it with more water – more water means, more to drink!  Use the 125 ml that it recommends and simply “get-er-done”.  Otherwise it is just pure torture.
• 5:45 PM – A little late but otherwise on track however the verdict is in, this stuff “Purg-oDan” is pure torture and defiantly exemplifies why the preparation is the worse part of the entire procedure.
• 6:30 PM – Similar to breakfast, it is hard to make dinner without eating or nibbling.  The BBQ Chicken turned out great – figures!
• 9:00 PM – Still pretty quiet, but a general unwell feeling.  I thought I remembered the “Purg” taking a little less time to do it cleanse.  Just wasted a bit of time on the Play Station 3.
• 10:00 PM – Ok, three tips to the bathroom in 10 minutes