Clearing up common concerns about colonoscopies
Ashley Knight
If there is one medical procedure that tends to make people uneasy, it is colonoscopy. For many individuals, the anxiety starts long before the appointment itself. The good news is that colonoscopies are routine, safe and often much easier than people expect. Understanding what really happens before, during and after the procedure can help take away much of the fear surrounding it.
Why
Colonoscopies
Matter
A colonoscopy allows a physician to examine the lining of the colon and rectum to look for polyps, inflammation or early signs of cancer. It is the most effective way to screen for colorectal cancer because it can both detect problems and prevent cancer by removing polyps during the same procedure. For most people, a normal colonoscopy means peace of mind and no need for another screening for several years.
Preparing for the
Procedure
The preparation is often the part people worry about most. In the days leading up to a colonoscopy, clear instructions about adjusting diet and taking a bowel preparation drink to clean out the colon are provided. While this process can be inconvenient, it is temporary and essential for an accurate exam.
Many patients are surprised by how manageable the prep actually is. Staying hydrated, following the instructions closely and planning to stay home the day before the procedure can make the process much smoother.
What
Happens
on the Day
of the
Colonoscopy
On the day of the procedure, patients arrive at the endoscopy center and are greeted by a care team whose job is to keep them safe and comfortable. After a brief check-in and review of medical history, the individual receives medication through an IV that helps them relax and sleep lightly during the procedure.
Most patients do not feel or remember the colonoscopy at all. The procedure typically takes less than 30 minutes. During that time, the physician carefully examines the colon and removes any polyps if needed.
Recovery and Getting Back to
Your Day
After the procedure, patients spend a short time in a recovery room as the medication wears off. It is normal to feel a bit groggy, but most people are back to feeling like themselves later that day. Patients will need someone to drive them home and should plan to rest for the remainder of the day because of the need for sedation.
Many patients are surprised by how easy the recovery is and often say the anticipation was far worse than the procedure itself.
Addressing Common Fears
It is completely normal to feel embarrassed, nervous or uncomfortable about the idea of a colonoscopy. Gastroenterologists and physicians perform these procedures every day, and the focus is always on patient dignity, privacy and comfort. To the health care team, a colonoscopy is not awkward or unusual. It is an important tool that helps keep people healthy.
If you have concerns or questions, talk openly with your health care provider. No question is too small, and understanding the process can go a long way in easing anxiety. A colonoscopy is a short appointment that can have a lifelong impact. Taking that step, even if it feels uncomfortable at first, is one of the most effective ways to protect your health.
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Ashley Knight, PA-C, is with UPMC Gastroenterology and sees patients at UPMC Digestive Health Care centers in Williamsport and Lewisburg. To make an appointment with Ashley at either location, call 570-321-3454, and to learn more about UPMC Gastroenterology services in North Central Pennsylvania, go to UPMC.com/DigestiveNCPA.





