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Colonoscopy

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Persistent changes in bowel habits, rectal bleeding, unexplained iron-deficiency anaemia, or ongoing digestive symptoms may require further investigation. Colonoscopy in Faridabad allows a gastroenterologist to examine the inner lining of the colon and rectum, identify abnormalities, collect tissue samples, and remove suitable polyps when necessary.

Dr. Ram Chandra Soni, MBBS, MD (Medicine), DM (Gastroenterology), is Chairman – Gastroenterology & Hepatology at Accord Superspeciality Hospital, Faridabad. His practice includes diagnostic and therapeutic colonoscopy for the evaluation of digestive disorders.

A colonoscopy is recommended according to a patient’s symptoms, medical history, family history, and individual risk factors. Not everyone with digestive complaints requires this procedure.

What Is a Colonoscopy?

Colonoscopy is an endoscopic procedure that uses a thin, flexible tube equipped with a camera and light. The gastroenterologist gently inserts the colonoscope through the rectum to examine the lining of the rectum and colon (large intestine).

The procedure can help detect:

  • Colon polyps and suspicious growths
  • Inflammation and ulcers
  • Possible sources of intestinal bleeding
  • Changes associated with inflammatory bowel disease
  • Abnormalities that may require further investigation for colorectal cancer

If necessary, the doctor can collect small tissue samples for laboratory examination or remove suitable polyps during the same procedure.

When May You Need a Colonoscopy?

A gastroenterologist may recommend colonoscopy for several reasons.

1. Rectal Bleeding or Blood in Stool

Blood in or on the stool can result from haemorrhoids, anal fissures, inflammation, polyps, or other conditions. Colonoscopy may be recommended to investigate the source when clinically appropriate.

2. Persistent Changes in Bowel Habits

Ongoing diarrhoea, constipation, or a noticeable change in bowel frequency or stool pattern may require evaluation, especially when accompanied by abdominal pain, weight loss, or bleeding.

3. Unexplained Iron-Deficiency Anaemia

Iron-deficiency anaemia can sometimes develop because of slow blood loss from the gastrointestinal tract. Depending on the patient’s circumstances, colonoscopy may help identify a possible source.

4. Suspected Inflammatory Bowel Disease

Conditions such as ulcerative colitis and Crohn’s disease can cause diarrhoea, abdominal discomfort, bleeding, and inflammation. Colonoscopy with biopsy may help establish a diagnosis or assess disease activity.

5. Colorectal Cancer Screening and Surveillance

Colonoscopy can identify colorectal polyps and suspicious lesions before symptoms develop. It may be recommended for screening according to age, personal and family history, and other risk factors.

Patients with previous polyps, colorectal cancer, or certain inflammatory bowel conditions may require surveillance at intervals determined by their clinical history and previous findings.

There is no single screening schedule suitable for everyone. Discuss the appropriate starting age and testing interval with your doctor.

How to Prepare for a Colonoscopy

Good bowel preparation is essential because stool remaining in the colon can hide polyps and other abnormalities.

  • Dietary instructions: You may need to follow a low-fibre diet or a clear-liquid diet for a specified period before the examination, depending on your doctor’s instructions.
  • Bowel-cleansing medication: Your doctor will prescribe a bowel preparation solution or medication to empty the colon. Take it exactly as directed.
  • Fasting: Follow the instructions about when to stop eating and drinking, particularly if sedation is planned.
  • Medication review: Tell your doctor about blood thinners, diabetes medicines, iron supplements, and all other medications. Do not stop prescribed medicines without medical advice.
  • Transport arrangements: If sedation is used, arrange for a responsible adult to accompany you home.

Follow the preparation instructions provided by your endoscopy team. Inadequate bowel preparation may require the examination to be repeated.

What Happens During a Colonoscopy?

Colonoscopy is usually performed in a hospital or endoscopy unit.

  1. Pre-procedure assessment: Your doctor reviews your symptoms, medical history, medications, bowel preparation, and consent.
  2. Positioning and monitoring: You generally lie on your side while the team monitors your condition.
  3. Sedation: Sedation may be offered or recommended to improve comfort, depending on your health and the planned procedure.
  4. Examination: The colonoscope is gently advanced through the rectum and colon while images are displayed on a monitor. Air or carbon dioxide may be introduced to improve visibility.
  5. Biopsy or polyp removal: Tissue samples may be collected, and suitable polyps can often be removed during the procedure.
  6. Recovery: You are monitored until the care team considers it safe for you to leave.

The examination commonly takes around 20–45 minutes, although the duration varies depending on bowel preparation, anatomy, findings, and any treatment performed. Your total visit will take longer.

Biopsy and Colon Polyp Removal

A biopsy involves collecting a small tissue sample for laboratory examination. It may be recommended when the doctor identifies inflammation, an abnormal area, or features requiring further investigation.

Polypectomy is the removal of a colon polyp using instruments passed through the colonoscope. Many suitable polyps can be removed during colonoscopy, potentially preventing some from progressing to colorectal cancer.

Not every polyp can be removed during the initial procedure. Larger or more complex lesions may require specialised treatment or referral.

Learn more about Colonic Polyps and Colorectal Cancer.

Recovery After Colonoscopy

Mild bloating, gas, or temporary abdominal discomfort may occur after colonoscopy and usually improves as the gas passes.

If sedation was used, you will generally need someone to take you home. Avoid driving, alcohol, operating machinery, and activities requiring full alertness for the period advised by your care team, commonly the remainder of the day.

Your doctor may explain the initial findings before discharge. Biopsy and polyp analysis results take longer and may require a follow-up appointment.

Risks and Warning Signs

Colonoscopy is generally safe, but potential complications include bleeding, reactions to sedation, and, rarely, perforation of the bowel. Bleeding risk may be higher after polyp removal.

Seek urgent medical attention if you develop severe or worsening abdominal pain, heavy rectal bleeding, fever with significant pain, persistent vomiting, or dizziness or fainting after the procedure.

Screening Colonoscopy vs Diagnostic Colonoscopy

Screening colonoscopy is performed in people without symptoms to assess colorectal cancer risk and detect precancerous polyps when screening is appropriate.

Diagnostic colonoscopy investigates symptoms or abnormal test results, such as rectal bleeding, persistent bowel habit changes, unexplained anaemia, or suspected intestinal inflammation.

Surveillance colonoscopy monitors patients with a relevant history, such as previous polyps or certain forms of inflammatory bowel disease.

The timing and need for colonoscopy depend on individual risk factors and clinical findings. Your gastroenterologist can help determine the most suitable approach.

For a comparison of upper GI endoscopy and colonoscopy, read Endoscopy and Colonoscopy in Faridabad: What a Gastroenterologist Can Diagnose.

Why Choose Dr. Ram Chandra Soni for Colonoscopy in Faridabad?

  • Specialist qualifications: MBBS, MD (Medicine), and DM (Gastroenterology).
  • Gastroenterology experience: More than 15 years of experience, according to his official profile.
  • Diagnostic and therapeutic procedures: Evaluation of bowel disorders, colon polyps, bleeding, and other gastrointestinal conditions.
  • Individualised recommendations: Assessment of symptoms, family history, previous test results, and screening needs before recommending a procedure.
  • Consultation in Faridabad: Available at Accord Superspeciality Hospital, Sector 86, and his gastroenterology clinic in Sector 17.

Learn more about Dr. Ram Chandra Soni.

Book a Colonoscopy Consultation in Faridabad

If you have rectal bleeding, persistent bowel changes, unexplained iron-deficiency anaemia, or have been advised to undergo colorectal cancer screening, consult a gastroenterologist to discuss your options.

Appointment: +91 98114 46141 | 24×7 Emergency: +91 88005 01960
Hospital: Accord Superspeciality Hospital, Sector 86, Greater Faridabad
Clinic: SCO 91, Sector 17, near Indian Bank, HUDA Market, Faridabad

Website: www.drramchandrasoni.in

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Frequently Asked Questions About Colonoscopy

1. Is colonoscopy painful?

Some patients experience pressure, bloating, or cramping. Sedation may be offered to improve comfort. Your experience depends on the procedure and the approach used by your care team.

2. How should I prepare for a colonoscopy?

Preparation generally involves dietary changes, bowel-cleansing medication, and fasting instructions. Follow your doctor’s directions carefully to help ensure a clear examination.

3. How long does a colonoscopy take?

The examination often takes around 20–45 minutes. Preparation, recovery, and additional procedures may increase the total time at the facility.

4. Can polyps be removed during colonoscopy?

Yes. Many suitable polyps can be removed during the procedure. Larger or more complex polyps may require specialised treatment.

5. When can I eat after a colonoscopy?

Many patients can resume eating once the care team confirms it is safe. Follow any specific dietary instructions, particularly if a therapeutic procedure was performed.

6. Is colonoscopy only used to detect cancer?

No. It can also investigate rectal bleeding, persistent bowel changes, suspected inflammatory bowel disease, anaemia, and other colon conditions.

7. At what age should I have a screening colonoscopy?

The appropriate starting age depends on the screening guidelines followed, family history, personal medical history, and other risk factors. People at increased risk may need earlier or more frequent assessment. Ask your doctor for an individualised screening plan.

8. What symptoms after colonoscopy require medical attention?

Severe abdominal pain, heavy rectal bleeding, fever with significant pain, persistent vomiting, or fainting require urgent medical assessment.

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