What Is a Colonoscopy?

What is a colonoscopy? This procedure detects early signs of colon, or colorectal, cancer that make your chances of recovery and survival more likely.

A colonoscopy is a way for your doctor to check the health of your colon (large intestine) by viewing the inside through a tiny camera scope. It’s used to screen for colorectal cancer, colorectal polyps, ulcerative colitis, and Crohn’s disease.

The procedure is done with a colonoscope, a long, thin, flexible instrument that magnifies the view of your colon and rectum. Performed in an outpatient setting, patients are comfortable, with minimum inconvenience.

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“Because colonoscopy allows doctors to identify and remove certain types of colon polyps that may develop into cancer, colonoscopy can be a therapeutic and even life-saving procedure,” according to the American Society of Colon and Rectal Surgeons.

Ulcerative colitis and Crohn's disease are also serious diseases that increase your risk of colorectal cancer.

What is colon cancer?

A colonoscopy is part of a screening program designed to detect disease at its earliest stages. It’s routinely recommended for adults starting at age 50. Patients who have a family history of colon or rectal cancer or polyps may be recommended for a colonoscopy earlier and more frequently than those without a family history of cancer. The risk of developing colorectal cancer is increased if you have ulcerative colitis or have a sibling who had colorectal cancer before age 60.

Most colorectal cancers begin as non-cancerous polyps (tiny, fast growing cells that may become cancer). Removing polyps or finding cancer can increase your chances of a full recovery. During a colonoscopy, a doctor can remove any with tiny instruments such as forceps.

You’ll be asked to drink a prep solution that acts as a laxative in order to give the doctor the best view possible of your colon. This is typically done the night before, and most colonoscopies are scheduled for early the next morning.

How long does a colonoscopy take?

You’ll be placed on your side with your knees drawn toward your chest, and you’ll be given medication that helps you relax. You may not fall completely asleep during the procedure, but most patients don’t remember their colonoscopy.

Your doctor will guide a scope that is inserted through the anus with air inserted to open the colon and make viewing even clearer. The tube that’s inserted has a light and camera at the end that sends pictures to a TV screen.

Your heart rate, breathing, and oxygen level is monitored throughout the procedure, which can take about 15 to 60 minutes.

Most patients go home 30 to 90 minutes after the procedure, but may feel groggy and should never work or drive that day.

What to eat after colonoscopy

You may want to eat a large meal after fasting for the procedure, but it’s better to start with light meals and ease into eating more after the first day. You might have minor cramping or gas, which will pass after the air is released.

You should seek immediate medical care if you have severe abdominal pain, fever, continued bloody bowel movements, dizziness, or weakness after a typical colonoscopy, according to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDKD).

There is a type of virtual colonoscopy, or an x-ray test, that takes less time and doesn’t require a doctor to insert a colonoscope into the entire length of your colon. Virtual colonoscopy may not be as effective as colonoscopy at detecting certain polyps, and doctors can’t treat problems during virtual colonoscopy, while they can during colonoscopy. Your health insurance coverage for virtual colonoscopy and virtual colonoscopy may also be different, according to NIDDKD.

Colonoscopies are extremely valuable. Every year, about 150,000 new cases of colorectal cancer are diagnosed in the U.S., and 50,000 people die from the disease. It’s been estimated that increased awareness and screening would save at least 30,000 lives a year.

Yet, one in three adults age 50 and up is not being screened.

“The most common reason patients cite for not getting a colonoscopy is that their doctor did not discuss it with them,” according to the American College of Gastroenterology. “The next most common reason is fear or avoidance of the preparation (‘prep’), which involves taking a laxative which causes temporary diarrhea for several hours. In addition, many people are simply unaware that they need colon cancer screening.”

Everyone age 50 and over should have one.

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