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!

  • It's weird as they used suction on the end of the scope to remove most of my air and I was left with not trapped wind ect afterwards. I literally felt completely normal afterwards. I'm wondering if it depends on the person performing the colonoscopy too as I had a consultant and he seemed very good and quick at the whole procedure. I didn't have to move positions at all and didn't have to have a nurse ect pushing on my stomach. All in all if I had to have another I wouldn't be worried this time. Sorry to hear that you had a different experience.

  • Interesting that your operator had a different tool. It does seem blindingly obvious to me that if you can pump in gas, it should be possible to let it out again! But then, so much of what happens in the NHS is inexplicable & could not happen elsewhere. I am sure you are right that a great deal depends on the luck of the draw in who you get to perform the procedure on the day. For example, the initial total misunderstanding about sedation or not in my case should never have happened. At the assessment I was told one thing, only to be made to look a total twit in front of the rest of the waiting room when I arrived for the procedure. 

  • Hi guys, 

    I just wanted to say thank you to Annie for starting this thread and all of the feedback given. I came across it when I was feeling quite nervous pre colonoscopy but it gave me the courage to 1. Go ahead with it and 2. Have it with just gas and air. 

    I'm SO glad I did - I know everyone's different but for me it was no more uncomfortable to the sigmoidoscopy I'd had previously. Although it's never comfortable as such being in that position, I had no pain at all and I was out super quickly after the procedure. I like to just get things over and done with as quickly as poss so not having to stay in the hospital for hours after was ideal.

    The moviprep is 100% the worst part and by the morning with not much sleep I felt as if I had a hangover but at least you're in the comfort of your own home for that bit.

    if anyone has any questions let me know but if you're unsure about going ahead with it, please stick to it! It's nowhere near as bad as what you worry about in your head and could save your life. Xx

  • Reading your experience about your colonoscopy was very interesting.

    I had mine 2 days ago and was very very anxious so much so I nearly didn't go through with it. However after talking with the consultant he allayed any fears I had.

    The team at the hospital were great.

    During the two weeks previous I'd become more and more anxious to put it mildly.!

    The prep was the worst part for me The actial procedure wasn't too bad, I did have sedation and gas and air.

     

    Afterwards I felt fine, relieved too.

    I'd advise anyone to go through with if possible as it may save your life.

     

  • Good to hear you returned to the fold after all. I know many people say the prep is the worst part but I disagree. I found it was a good time to catch up with some reading although I could have done with a better seat. Also, you are in slightly the wrong forum, this one is for people who were confident enough or sufficiently ill-advised to not have sedation. I see you were sensible enough take everything that was offered!

  • Thank you so much for this post. I was so worried but you have taken me through the entire procedure and i feel so much better.

  • Hi, 

     

    how did you find the prep? I'm due to take it this evening but I am so nervous about it. Did you get anything other symptoms? 

  • The prep? It is just boring. If they gave you the good stuff it is just bland so hard to drink much at once. Then you take your tablet (device) & try not to drop it down the toilet while you are sitting there & nod off. That's all there is to it. Tomorrow you sit on a pile of newspapers while you get to the hospital then you demand every kind of sedation they have. Trust me, if you do not do this, they may terminate the procedure then you have to go through it all again at some future date. Gas & air is very nearly useless.When you have sedation, not only will you not be in pain, you are unlikely to even remember it afterwards. Also, the staff look after your welfare while you recover. So it's win win win with sedation. 

  • Hello, I found this thread when I was researching colonoscopy in preparation for my own. I have quite bad health anxiety and need to do as much reading.. both good and bad experiences so I can feel fully prepared. Before I share my experience, I had my colonoscopy yesterday and I actually found it a really positive experience and not as bad as I thought! My sister has crohns so has had 3 and I knew if she said it was okay then it probably was. I was very nervous for the prep but the worst bit was the taste of the moviprep. I found chilling it in the fridge and drinking with a straw worked well and mixing with some orange squash helped. I gagged a lot towards the end but I managed the 2 litres. Sucking on a mint after seemed to help too. The first prep took an hour or 2 to work and wasn't uncontrollable. I took it at 7pm and went to the loo a few times before I fell asleep at 11. Second dose at 6am worked quickly and between 6 and 1 I was going to the loo regularly. It really wasn't as bad as I expected. I watched tv in bed and was able to get to the loo down the hall in time. The procedure in its self was not scary in the slightest. I work in healthcare so hospitals don't make me nervous so that helped. They did my obs then I got changed into some sexy open backed shorts :laugh: and then they sited the cannula as i chose sedation. My sister and friend recommended sedation as they tried without and couldn't cope. Women are known to have twisty long bowels and I don't react badly to sedation so why not?! I had the sedation and it made me feel quite sleepy for about 5-10 minutes but I Could talk and remember it all. The endoscopy nurse struggled at the end of my bowel so I spent about 10 minutes moving to my back, front and side and repeated that again. They gave me iv buscopan as my bowel was having a spasm. This was the most uncomfortable bit. It did hurt but it felt like severe period pain on my lower stomach and really bad trapped wind in my upper stomach. I could feel the probe too, maybe what it feels like when a baby moves inside! They had to press on my stomach a bit too which was sore but manageable as it didn't last too long ! They said I had quite a good pain threshold and I think I do also so maybe that's why I didn't think it was as bad as others have reported . I'm not sure the sedation helped as I didn't feel drowsy at this point. Went into recovery for 10-15 mins and then got picked up and went home. Treated myself to a McDonald's after as I hadn't eaten in 28hrs (I think that's the worst part!) Some slight stomach ache today and my bowels are making very weird noises but I feel absolutely fine and no abnormalities were found other than piles which is ever better! Please don't be scared for this procedure! The staff do this day in and day out, they were lovely and helped me maintain my modesty. I'm a midwife so I kept reminding myself that I never judge my patients so why should they laugh at my bottom!! Mine wasn't easy and straightforward either and I still class it as a positive experience with minimal pain. I just wish I hadn't spent so much time worrying over the last few weeks! 

  • Hi! This is very reassuring. I'm having one on Monday with a gastroscopy too and I'm not looking forward to it! I will definitely be sedated for both. How long did the procedure take?

    best wishes x