Having a colonoscopy in hospital - Patient Guide

Summary

This video script offers a comprehensive guide to the colonoscopy process, emphasizing its importance in detecting and preventing serious health issues like cancer. It outlines the preparation steps, including dietary adjustments and the use of laxatives, and explains the procedure itself, from sedation options to the roles of healthcare staff. Patients are reassured with details about the procedure’s safety, potential risks, and post-procedure care. The script aims to alleviate anxiety by presenting the process as manageable, highlighting the caring environment and the value of the procedure for early detection and treatment.

Takeaways

• 😀 Colonoscopies can save lives by detecting issues early, even though they may be slightly uncomfortable for a short period of time.
• 😀 Patients are provided with appointment details through a letter and a leaflet that explains the procedure in a reassuring, non-frightening way.
• 😀 Pre-assessments are conducted for patients with complex medical histories, or those on blood thinning medications, either over the phone or in person.
• 😀 A light diet and laxatives are recommended prior to the procedure to ensure a clean bowel for clearer results.
• 😀 The laxative regimen involves drinking two liters, one the day before and the other on the morning of the appointment, depending on the appointment time.
• 😀 Patients are given a detailed outline of the hospital, including transport options, to help them navigate their visit.
• 😀 During the procedure, patients undergo an admission process, including consent, vital signs monitoring, and receiving a wristband for safety checks.
• 😀 Sedation is usually recommended for colonoscopies, though patients can choose not to have it. If sedation is used, someone must accompany the patient.
• 😀 The procedure itself may take anywhere from 10 minutes to over an hour, depending on whether polyps or other issues are found.
• 😀 After the procedure, patients may feel bloated due to air used to inflate the bowel during the procedure. This sensation typically subsides over time.
• 😀 Patients are advised to rest, avoid driving, and refrain from making major decisions for 24 hours after sedation. A responsible adult should stay with them during this period.

Q & A

What is the purpose of a colonoscopy?

A colonoscopy is a medical procedure that can save lives by detecting potential problems in the colon, such as polyps or cancers, which can be treated if found early.

What is the role of the booking team after a colonoscopy referral?

The booking team provides patients with details about the appointment, including the time, location, and a leaflet with a brief overview of the procedure to help them prepare.

What dietary advice is given before the colonoscopy procedure?

Patients are advised to follow a light diet for 48 hours before the procedure, ideally a low-fiber diet, to ensure a clean bowel for better accuracy during the colonoscopy.

How should patients prepare for the bowel cleanse before the procedure?

Patients are required to take two liters of a prescribed laxative. The first liter should be consumed the day before the procedure, and the second liter is taken either the same day or the day before, depending on the timing of the appointment.

What happens during the colonoscopy procedure?

During the colonoscopy, a small camera is inserted into the colon to inspect for abnormalities. The patient may experience some discomfort as the camera turns corners, but the procedure is generally well-tolerated.

What are the potential risks associated with colonoscopy?

There are some risks, such as perforation (puncturing the bowel), bleeding, especially if polyps or biopsies are taken, but these risks are relatively low.

What is sedation during the procedure, and why is it used?

Sedation helps relax the patient during the procedure, making it more comfortable. It is a conscious sedation, meaning the patient is awake but relaxed, and may need to change positions during the procedure.

What should patients expect immediately after the colonoscopy?

After the procedure, patients may feel bloated and may experience some cramping or discomfort due to the air inflated into the bowel during the procedure. They will be monitored in the recovery room and offered food and drink once they are stable.

What aftercare instructions are given to patients post-procedure?

Patients are advised to rest for 24 hours after sedation, avoid driving or making important decisions, and be mindful of any remaining laxative effects. They are also given a discharge leaflet with guidance on what to expect and who to contact if any issues arise.

How does the colonoscopy help in detecting and preventing bowel conditions?

A colonoscopy can detect early signs of bowel conditions, such as polyps or cancers, that may be treatable if caught early. It is an essential tool in preventing more serious health issues, including colorectal cancer.