Colonoscopy without sedation

Hi everyone, I’m writing this to reassure anyone that may be going for a colonoscopy and is wondering what the the prep is like, how does it feel and what to expect.

I went to the GP with changed bowel habits and some blood in my stool, she referred me down the two week cancer route, so I was scheduled for a colonoscopy within a fortnight after my initial consultation as I had similar symptoms as a person with bowel cancer would have.  Now I’m a 32 year old female so it’s unusual for someone of my age to have bowel cancer as a rule of thumb it usually affects older people (not always the case but you may take some comfort in that!), even knowing that I was still petrified why they had sent me down this quick cancer route - did they know something I didn’t, I was really worried about it to a point I nearly cancelled the whole thing - ignorance is bliss and all that!

I didn’t cancel, I got given my prescription for the MoviPrep collected it and arranged the time off with Work.  Now my appointment was at 2pm, so the day before I ate as normal, avoided red meat, and kind of stuck to the guide they gave me.  I was meant to stop eating at 1pm the day before and I was literally cramming a chicken baguette into my mouth at the last minute.  I got home around 5ish and began my prep at 7pm, I had a split dose, one litre the night before and one in the morning.  Now I’ve heard real horror stories about MoviPrep, and let me tell you I didn’t experience any.  The taste really isn’t that bad, it’s a bit like salty lemon, I wouldn’t go buy it from a shop if I had the choice, but it’s really not that bad, I just chugged a glass of it every 15 mins until the litre was gone.  Now then even after 3 hours I only had one bowel movement and that was it.  I had a bit of stomach cramp (it does make you bloated!) and I went to bed with the idea in my head to call and cancel in the morning if the second lot of prep didn’t work!  The bonus with MoviPrep is it fills you up so you’re not hungry either, I went to bed woke up at 6 and began my second litre, now during the second litre is when movement began to happen.  For me I found it easier to just sit on the toilet for a solid hour, I didn’t get any stinging as some people do, but by the end when you know the MoviPrep has done it’s job it is literally like having a wee through the other end where nothing but clear liquid comes out.  Now I was concerned because I didn’t get rid of that much and still  convinced it hadn’t worked, but reset assured it had worked and I just didn’t have a lot in my bowel in the first place! 

The moviprep finished about 8:30am then I started to get hungry around 9:30am.  By then everything is out and you’re just waiting, I wasn’t allowed water after midday so I kept my stomach full by drinking plenty of water!  On a side note prior to no liquids and during the time of no food you can have clear liquids, so I treat myself to a glass of white wine (not red it’ll stain your bowel and may be mistaken for blood) the night before. So all in all the prep wasn’t bad.

I arrived at hospital for my appointment, waited 30 mins saw the nurse who explained everything checked my vitals that I’d had my prep, no food or water etc. I then get handed these shorts with a opening in the back, get changed into them, put my pants back over the top and wait again, I reckon by 3pm the doctor came out, introduced himself, went through the consent and asked if I wanted sedation (I didn’t) and said when you’re ready come in. 

So I went in, took my pants off, they keep everything under your bed, there’s a monitor so you can watch and nurses there checking your vitals etc.  So they hand me Entonox (gas and air) and insist you take 5 breaths before starting so you know how to use it, after 5 I was already light headed.  So this is where it begins, you can feel it; it’s uncomfortable and rightly so as it’s not a daily occurrence but it was not painful, at some points especially the corners you can feel it, he asked if I could lie on my back at some point and my front to make the camera round into smaller corners, and the sensation I imagine (I don’t have kids) would be what a baby kicking would feel like.  In total it lasted 30 mins, I was watching and chatting to the nurses during it, I think I hit up the Entonox 3 more times (singular times) but that was it and I probably could have done without it.  So rest assured it is not that bad at all, now everyone’s pain threshold is different and all bowels are different so it may be more difficult to navigate through other ones.  But if you’re scared about it and in debate over sedation then I hope this eases your mind a bit!  I think the Entonox would be sufficient enough for me it was anyway.  So we’re at the end, during he says the moviprep worked really well, had a clean bowel and there was no anomalies, they didn’t find anything what so ever!  He explained that he’s taken routine biopsies as he may expect to find a minimal trace of IBS but that’s it, and that can be remedied with diet.

Afterwards they wheeled me out into the recovery ward, I get dressed straight away, go sit down to a glass of water and cheese and crackers (the best cheese and crackers I’ve ever had after 28 hours not eating!).  They do say if your bowel is full of air release it as it’ll cause discomfort later on, now I know during the procedure he was pumping air in for a better view so i was expecting some, but nothing.  I felt 100% fine just hungry and thirsty.  After 30 mins the nurse went through my report, explained a few things, asked how I felt, checked my vitals and I was free to go.  You can drive after, I went home had a pizza, drinks and went to bed.  Woke up fine the next morning and went back to work.  I had no discomfort afterwards, I wasn’t in any pain it was like it never happened.

As I said everyone is different, but I read so many horror stories before mine which probably didn’t help prior to having mine, but if you’re trying to scour the internet for information as I was I hope this helps! Any questions just ask!

  • Do it! You’ll be fine with just gas and air. I have a low pain threshold and had strong epidurals for all 3 children, but had no problem without sedation. The worst bit is drinking the Moviprep. It’s actually quite a fascinating experience to watch. Good luck!

  • Thank you. The first dose of Moviprep didn’t work! About to begin round 2 as my appointment is at 4pm today. Still thinking I will go ahead without sedation if the doctor lets me. Will update later. Currently pretty nervous

  • I had my colonoscopy without sedation at 5pm today. I began the first dose of Moviprep last night and expected to be awake and on the toilet all evening but nothing actually happened. When I started the second dose this morning the results were almost immediate, I would say I was on the toilet for about 2 hours until it ran clear. Overall not a bad experience, and the taste was bareable too. Then I had a 2 hour nap as I was feeling very hungry and had a headache. The colonoscopy itself was not too bad, it was more uncomfortable than it was painful. I used gas and air at times when it was slightly painful. But overall the experience caused me far more worry and anxiety than was warranted. It really was ok and over pretty quickly, about 20 mins. If I had to do it again I would do it without sedation. I liked being aware of what was going on and able to speak to the nurse. My stomach is slightly tender now and I’m tired but otherwise I’m fine. I ate straight afterwards. I hope this post helps to reassure someone as earlier posts really helped me. 

  • RE VEGAN DIET:
    I'm not vegan, but whilst looking for what one could/couldn't eat pre colonoscopy, I came across this info:

    www.royalsurrey.nhs.uk/.../PIN1086_Low_fibre_diet.pdf

    This is NHS advice, so is probably fairly sound and is much more comprehensive than the leaflet I was given.  I would also point out that I was given a phone number to ring, if I had any questions and the nurse who answered was very helpfull and happy to give advice etc.

    Good luck

  • Hi, just wondering can anyone help me with the questions that I posted before..

    Is a colonoscopy without sedation (other than gas and air) much worse than a flexi sigmoidoscopy?

    Has anyone had both a colonoscopy and an OGD together?  Which do they do first?

     

    Thanks

  • The camera down the throat came first

  • Thank you for posting this, really helpful and reassuring. I’m having a colonoscopy next Thursday and absolutely petrified about the whole thing. I’m not usually a wimp but I am with this. Can do with all the positivity I can get. 

  • Try to relax. I really did work myself up unnecessarily. I was actually calmer during the procedure than I was in the week leading up to it. Good luck. I’m sure you will be fine. 

  • Thank you so much for your kind words, much appreciated x

  • I found this thread very helpful whilst waiting for my colonoscopy and so I wanted to add my experiences as well. I had my colonoscopy about 2 hours before writing this.

    I had a flexible sigmoidoscopy a month earlier. A small polyp was removed by the colonoscopist and a largish polyp was found that could not be easily removed. A full colonoscopy was arranged at a time which suited me - I had a flight booked meaning that I had to wait a few weeks. During the sigmoidoscopy, I felt some mild discomfort but did not need Entonox. The self-administered enema was tricky but I got there in the end!

    For the full colonoscopy, I was on a low-residue (no fibre) diet for 5 days, which was pretty boring, then 4 litres of 'KleanPrep' the evening before. This was not very nice, and I may not be able to eat vanilla ice cream for a few weeks without thinking about the taste! The actual cleaning was OK, but required vaseline to keep things from getting sore. After a reasonable night's sleep (helped by a glass of white wine), I had the colonoscopy at 8:30am.

    The full colonoscopy was no more uncomfortable than the shorter version, although I was cannulated and offered the chance of sedation at any time during the procedure. The staff were great, and kept me chatting throughout, and advised on the use of Entonox (I tried it and it eased the least comfortable moments). The large polyp was removed and I have a 2 week wait for the pathology results. The consultant thought the chances of serious disease requiring any more intervention quite low but did not guarantee anything. After a quick clean-up, I was back in the car in just over 1 hour, and having a delayed breakfast not long after that.

    I hope that everyone reading this has a similar experience to mine. Try not to get too stressed, and always remember that you can opt for more pain relief or sedation even during the procedure. If it is not offered, make sure that the staff know that you might want this.