The main purpose of a colonoscopy is to screen for colon cancer and identify any precancerous growths called polyps. It can also be used to investigate symptoms like unexplained abdominal pain, changes in bowel habits, or rectal bleeding.
During the procedure, if polyps are found, they can be removed and sent for further examination. Also, colonoscopies can help diagnose conditions like inflammatory bowel disease (IBD) or diverticulosis.
The procedure is typically done under sedation to make it more comfortable for the patient. Read more about what is involved during colonoscopy on this page: https://alpinesurgical.sg/procedure/colonoscopy/.
Colonoscopy prep is thought to be one of the most difficult aspects of the assessment and that’s why we created this guide. Read on for an in-depth look into what is involved during colonoscopy prep and what to expect among other basics.
Is Colonoscopy Prep Painful?
Before your colonoscopy in Singapore, you will need to go through a colonoscopy prep routine to cleanse the colon and rectum of stool so that the doctor can clearly see the lining of the colon during the procedure. This thorough cleansing is essential for the doctor to detect any abnormalities like polyps, ulcers, or tumors, and to ensure an accurate examination of the colon.
A clean colon also reduces the risk of complications during the procedure. Many people who inquire with us about colonoscopy in Singapore frequently ask; is colonoscopy prep painful?
The answer is yes, colonoscopy prep can be a little uncomfortable. Colonoscopy preparation involves taking medications to cleanse the intestines, which can lead to various degrees of discomfort and pain. Common symptoms include severe vomiting, which may require medical attention, and in some cases, can be mixed with blood.
Nosebleeds during colonoscopy preps are rare but can occur. Weakness has also been observed in some patients and fainting or unconsciousness may occur which may even lead to head trauma in some cases. Abdominal pain, sometimes severe enough to require painkillers, is also reported.
Acute diarrhea caused by laxatives can lead to bleeding from hemorrhoids. In some cases, this situation may require urgent medical attention.
There have also been reports of patients experiencing sub-obstruction or full-blown obstruction during preparation. Such incidents may demand further examinations or even urgent surgery.
Though rare, heart rhythm disturbances, like palpitations or rapid heartbeat for example are reported in some patients. Weakness may be accompanied by shortness of breath or retrosternal pain.
Interestingly, many patients who visit our clinic for colonoscopy in Singapore say it wasn’t as bad as they thought. This means that even though the prep can be bad, everybody is different.
So, there is no guarantee that you will also experience bad experiences. At Alpine Surgical Practice, we’ll be involved fully and guide you in the best way possible to ensure your colonoscopy prep goes as smoothly as possible.
Will I be Up All Night with Colonoscopy Prep?
First off, the effectiveness of your bowel prep for a colonoscopy depends on the type of solution used. If you’re using PEG-based preps, it will take about one to three hours for the bowel prep to kick in.
On the other hand, if you’re on NaP-based preps, it may take three to six hours to kick in. Many people do ask; will I be up all night with colonoscopy prep?
The answer is, if you follow the prep schedule as advised, you will most likely not be up all night. We have to clarify that individual experiences do vary considerably though. However, in the vast majority of cases, people finish the cleansing process before bedtime.
If your prep is split, you might need to wake up early for the second dose on the day of your colonoscopy. However, you should be able to sleep in between.
Just be keen to start the process early enough to allow for a restful night. Also, make your bathroom stay as comfortable as possible with items like wet wipes, magazines, or soothing music. You should call your provider if you experience the following with your colonoscopy prep;
- Illness: You may need to reschedule your colonoscopy in Singapore if you develop an illness, such as a cold, flu, or stomach virus during the prep. This is important as illness can affect the quality of the prep and the procedure itself.
- Severe Reaction: You shouldn’t experience severe abdominal pain, cramping, or bloating during the prep. If you experience such signs, please contact your provider immediately. Such signs could be indications of a severe reaction that needs medical attention.
- Difficulty Finishing Prep: If you find it challenging to finish the bowel prep solution, let your provider know. They may offer tips or alternative solutions to help you complete the prep effectively.
- Missed Timing: If you forgot to stop eating or drinking at the designated time, or if you didn’t start the prep at the recommended time, inform your provider. They can advise you on how to proceed and if rescheduling is necessary.
- Ineffective Bowel Response: If your bowels are not responding to the colonoscopy prep as expected, contact your provider. They may need to adjust the prep or schedule to ensure a successful procedure.
- Vomiting: If you are unable to keep the prep solution down and continue vomiting, contact your provider. They can advise you on how to proceed and whether additional steps are needed.
- Dehydration: If you are unable to keep fluids down or if you are experiencing signs of dehydration, such as dizziness, rapid heartbeat, or dark urine, contact your provider immediately. Dehydration can be serious and may require medical attention.
What not to do During Colonoscopy Prep?
As you now understand, to prepare effectively for a colonoscopy, you must follow specific guidelines. That said, it is normal if you’re wondering; what not to do during colonoscopy prep?
It is simple. Three days before your colonoscopy prep, stick to a low-fiber diet and avoid foods like seeds, nuts, corn, and popcorn. The day before, focus on clear liquids and avoid solid foods and red liquids. Finally, in the two to four hours leading up to your colonoscopy, avoid consuming any liquids.
A good provider will break down these recommendations in the simplest way for you to understand. Please, adhere to the recommendations to ensure that your colon is thoroughly cleaned and ready for the procedure.
The Bottom Line
Colonoscopy prep shouldn’t be severely painful. In fact, inform your doctor if you get severe reactions. All in all, follow the prep guidelines exactly as explained to you to ensure thorough cleansing of your colons and allow for accurate assessments.
Have any questions about colonoscopy prep or wish to engage an experienced doctor for guidance? Drop us a line below or visit us any day of the week and our friendly staff will be very happy to assist. Details below;
Alpine Surgical Practice – Colorectal Screening | Colonoscopy | Piles & Haemorrhoids Surgery | Gallstones Removal
MOUNT ELIZABETH (ORCHARD)
3 Mount Elizabeth #14-06
Mount Elizabeth Medical Centre
Singapore 228510
+65 6322 7323
+65 8875 0080
+65 6602 8086
PARKWAY EAST
319 Joo Chiat Place #04-07
Singapore 427989
+65 6589 8160
+65 8875 2149
+65 6871 8870
