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!

  • Had mine done two weeks ago without sedation or gas and air .was so nervous when arrived . But the staff were fantastic . Believe me it wasn't at all bad , I watched it on the screen very interesting . The uncomfortable bit is when they put the air in , but no pain didn't take long , it wouldn't bother me to have it again .best wishes
  • Hi, I had a colonoscopy this afternoon and now back home.  I was dreading the procedure as I'd heard so many horror stories. I did opt for sedation as I'm a wimp but I can honestly say the procedure was fine and if I have to have it again. I'll go without the sedation.  The waiting and the anticipation is the worst part. Moviprep, though necessary, wasn't awful. Fantastic to watch the screen. I was fully awake and constantly asking questions about what part of the bowel they were at, at each stage. I did ask if I could have a copy of the film but wasn't possible.

    So anyone who is thinking of cancelling, please don't. It's half an hour out of your life.

     

  • Hello I have mine on Thursday I am so scared ngl keep having break downs about it as of my anxiety . But I am having sedation for that reason I just hope when I feel more alive I pray I had nothing to worry about at all .

  • Hi, thanks so much for posting this Annie, it was pretty much my experience, including the moviprep not working until the next day.

    It seems that most people report it being mild to moderate discomfort but 20% report more. So, I asked to have it without sedation but with the option of having it if I was in the unlucky 20% and it got to much during the procedure. It never occurred for me to ask for it - it wasn't anything like as bad as I thought and certainly nothing that I would report as pain. I used the entonox but not sure it made any difference really. The worst bit was moviprep and I just sipped Sprite in between each glass to take away the taste (I think it's more the thought than anything - it wasn't so bad)

    Being vegan I also found the link that someone posted to a hospital Low Fibre Diet document really useful. So thanks everyone! Definitely don't put it off!

  • Wow! I think you were very lucky with several things that will not be available to many people. Firstly the MoviPrep, this is the Gold Standard but unfortunately not all hospitals offer it. Instead, they prescribe an old-fashioned mixture that is potentially toxic. To get around this, they insist on a blood test to see if you can stand it! So to save a couple of pounds, they expect you to make a trip to a phlebotomist, then they have to pay for the test so that negates any cost saving. Of course, if they did not order the toxic prep mix, none of this would be necessary. Have I missed something? Next, not everyone will receive the same level of care you did. Most importantly, your pain experience was not typical. You will know that at least 10% of colonoscopies are aborted, generally because the poor patient is unable to continue.  My experience (and others I have spoken to) is that Entonox is pants. If you have a steady level of pain, or pain that comes at regular intervals, I can see the utility but for the random, severe stabbing pain produced by this procedure it is of very little use. Your excellent experience paints an excessively rosy picture. I do urge people to have this inspection if there is family history or other good reason. As a screening tool for the apparently-well individual, it is questionable. A friend who has to have it done regularly insists on anaesthesia. My feeling is that if you need the procedure but are very anxious about handling the usual level of pain, discus the possibility of doing it this way. Yes, it costs much more but may allow you to have it done rather than putting it off indefinitely.  One last point, if you opt for sedation, a very useful side-effect is amnesia! Trust me, this is well worth having. I was talked into having Entonox, but rapidly came to regret it. The memory of the pain remains with me!

  • i have mine a week on tuesday. i haven't received any insructions about diet before? or any  way of clearing bowels? is this something they would sort out when i arrive for my appointment or does it have to be done the day before?

  • i have mine a week on tuesday. i haven't received any insructions about diet before? or any  way of clearing bowels? is this something they would sort out when i arrive for my appointment or does it have to be done the day before?

    If you are having the quicker from of colonoscopy (sigmoidoscopy), there might not be a diet, just an enema 2 hours beforehand. You should contact the colonoscopy clininc if you have not received any instructions.

  • thankyou, i'll try phone them tomorrow

  • Yes, and don't take any crap (appropriate!) from them. They will probably try to give you the toxic stuff. Settle for nothing less than Moviprep . As a bonus, no blood test is needed unless you are clearly unwell. The others are somewhat, or very, alkaline & will try to dissolve the skin on your backside when it pours out. Remember you have been paying for this all your adult life, you want the good stuff. And, I beg you, do not accept gas/air. However much you dislike needles, a competent operator, yes there are many, will have it in quickly plus you are already lying down if/when you faint! Hoever much they try to dissuade you, get the Emla cream well in advance, it takes half an hour to work. My people told me they had never heard of it. This is clearly untrue. One last word on the the gas/air, they may try to tell you this is the easy option & if it gets all too much, they will sedate you. Another example of being economical with the truth!  This is a production-line process, they want you in & out of there, not holding things up for a change of plan. If you are sufficiently motivated to have this check, you will see it through.

  • Just to balance Wimpy's post, not everyone has a bad or distressing experience. I was give 'KleenPrep' (whatever that is), with no 'blood test' required. My backside was in fine condition afterwards (although a bit of vaseline was applied beforehand!).

    I was cannulated before the procedure and offered the option of a sedative during it. Entonox (gas and air) was sufficient for me but I felt confident that a quick-acting sedative would have been provided if needed. Not having taken a sedative, I was able to leave straight after the cuppa and biscuit and was back at work (after a good meal) the same day.

    I do agree with Wimpy that you should be proactive throughout the whole process, ask for whatever you think you need and don't get rushed into anything that you do not want.