Procedures (Colonoscopy & Endoscopy)


How long does the procedure take?
A colonoscopy normally takes 30 minutes and an upper endoscopy normally takes 10 to 20 minutes.

Will I be “put to sleep” for my procedure?
You will have sedation for your procedure, deep enough that you will be ‘asleep’ but light enough that you will be breathing on your own.  Our goal is comfort and safety before, during and after your procedure.

What can I expect before and after the procedure?
Before and after the procedure you will see Dr. Medoff.  An IV will be started by the nurse and a history taken.  The anesthesiologist who will be responsible for your sedation will meet with you to determine any special needs you have and to answer questions or concerns.  After the procedure you will be moved to the recovery area where nurses will monitor you as you wake up, remove your IV, and assist you with dressing.  Dr. Medoff will review the findings from your procedure and give you further instructions.

Can my family be with me after the procedure?
Yes. We want your family to be present when Dr. Medoff talks with you in the Recovery Room.

When will I hear about my biopsy report?
Biopsy results are returned to us within days of your procedure.  We ask you to call our office one week after your procedure so that we can share these results with you.

Must I drink the entire contents of the prep for colonoscopy?
Yes. It is very important to drink the entire prep even if you are having clear watery bowel movements to ensure the thorough cleaning of the colon.

What can I do to make the prep for colonoscopy more tolerable?
Refrigerate the prep before drinking or try to drink it through a straw.  Sucking on a hard candy, a popsicle, or lollipop may help.  Also chewing gum or drinking a soft drink in between glasses of solution helps some.  If you are concerned about the prep you may wish to consider hydrotherapy as an alternative method of preparation.

How long after I drink the liquid should I begin having bowel movements?
Everyone is different in the amount of time it takes the prep to work.   Some begin in the first hour, others not for 4 or 5 hours.

Is it normal to be cold or have chills after drinking the prep?
Yes. Be sure to drink plenty of fluids to prevent dehydration which can cause chills.

What if I get nauseated or vomit the prep?
If nausea develops during the prep take a 30 to 60 minute break before resuming.  Once the nausea lets up, resume the preparation at a slower rate, e.g. one glass every 30 minutes instead of every 15 minutes.

What if I forgot to stop my aspirin or NSAID medication?
Discontinue any aspiring or NSAID medicine (Aleve, Advil, Ibuprofen, Motrin, Indocin, Naprosyn, etc.) as soon as you realize your oversight.  Continue your preparation for your procedure as otherwise instructed.  When you arrive for your procedure be sure to tell the nurse when you took your last dose.

Will I need someone to drive me home?
Yes.  You will receive anesthetics to sedate you for your procedure to make it as comfortable as possible.  These are short acting but their effects may linger for a few hours making it unsafe for you to drive.  Your health is just as important to us behind the wheel as it is in the endoscopy unit. By the next day you will be able to return to your normal activities, including driving.

How will I feel after the procedure?
This can vary from being sleepy the remainder of the day to being ready to go out to eat as soon as you are discharged.  If you go to eat after the procedure please eat a light meal.  You may feel bloated from the air pumped into your stomach or colon during the procedure which can take several hours to escape.  A heavy meal may make you uncomfortable after the test.

What do you advise about dentures, clothing, and contact lenses?
Dentures can be worn.  The anesthesiologist will decide if they are safe for you to wear during the procedure.  Contact lenses should be removed and glasses worn to prevent drying of the eyes during the procedure.  Clothing should be comfortable and loose fitting.

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