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!

  • I don’t usually write reviews but thought I would write about my experience having a colonoscopy on 26/06/19. I am 32 / female. I was very anxious about this procedure so much so that I nearly cancelled my appointment. 

    Before my appointment I surfed the internet looking for reviews of what to expect and found a mix of responses. YouTube was the most beneficial to me as you could see the procedure so knew what to expect. 

    Moviprep is what it is. It cleanses your bowel so expect lots of tummy grumbles and water flushing through. I was nervous taking this as I suffer from piles and a fissure but it was ok. I used wet wipes to wipe and Vaseline after every bowel movement which kept it comfortable. Taste was ok! 

    I was so stressed about having the sedation as I hate the feeling of drowsiness and feeling out of control so debated having this right until I was in the theatre room. I was advised by the specialist doing my colonoscopy to have sedation as I have endometriosis and also had a c-section which encourages adhesions that can stick the bowel to other areas of the body. Adhesions can make the bowl stiff and painful in those areas which is what I struggle with so I do suffer with quite a bit of pelvic pain. 

    Due to being anxious I decided to start with a painkiller via cannula only and no sedation. The specialist said he could top up the painkiller or give sedation during the procedure if it got painful. I had 25ml Fentanyl (opiate painkiller) to start. I then upped it to 50ml as felt some discomfort from the gas which totals to half of the allowance they could give me. It it took away the discomfort. The whole procedure was performed with this dose. I completely felt myself (no feelings of drowsiness etc) and I had no sedation. I could feel the tube inside me which felt like pressure even when turning the bends. It was totally manageable. 

    Please don’t let this procedure freak you out. I spent days stressing about it and it was over in 15 mins. Where as I know everyone is different I hope you can take comfort from this post as I suffer with pelvic pain and this procedure was performed on me with minimal pain killers. I hope this review helps.

  • Hi 

    Thanks so much for your post. Some of it really made me laugh. I’m having my procedure in 4 hours. My poo is still not clear so I hope it works ok. Can’t wait for some pizza later!!!!  

    Rod xx

  • Hi,

    Just wanted to share my positive experience with gas and air (Entonox) for colonoscopy. I had a Monday morning 9am appointment, I had Moviprep at 5pm, then the second litre at 8pm on Sunday. I had low fibre diet on Saturday, good breakfast of white toast and eggs on Sunday then nothing but liquid until the procedure. I didn’t feel hungry, I think drinking all the fluids all day kept me feeling full. I added squash to the moviprep, it’s lemony like lemsip and glugged it down. Bovril drink afterwards took away the aspartame sweetness. Took about 2.5hours to start working, then was on the loo on and off until midnight. Woke at 5.30 am, on and off loo for another hour, was worried how I would travel to hospital, but then bowel movements just stopped. Phew. Was also worried that I was still passing yellow but cloudy liquid but no need to worry, bowel was clean as a whistle . Consultant also said don’t worry we have the equivalent of a jet wash here so that made me laugh.

    I had decided to have gas and air after two fellow nurses had colonoscopy without sedation and declared it to be absolutely fine. I had previously had a sigmoidoscopy without sedative so I knew the drill so was not especially anxious. Nurse explained gas and air and I had a few breaths before we started and I felt my body relax , I think this is important to literally take a deep breath and relax your muscles. Yes it was a bit uncomfortable around the bends, sucked heavily on gas and air and felt myself smiling then realising why they call this stuff laughing gas. Watched screen whole way round, no pain on removal on way back from small intestine, no gas and air required or when taking biopsies. Wheeled into recovery, given drink of water, got up after 15 minutes, given results and discharged. Straight to hospital canteen for full breakfast with coffee. No cramps, no wind, no drama. Relieved, very!

  •  Good to hear about your positive experience. I feel it is important to realise that not everyone will have the same. It is always better to prepare for the worst then if things turn out fine, all well & good. Unfortunately not all of us are built the same way, either physically or in response to pain. More importantly, not all of the staff are as good as your account. If you have an operator who would be better employed by Dyno-rod & an anaesthetist who does not brief you correctly, the chances are that you will experience what medical folks call ‘discomfort’. This can range from what the rest of us call mild pain to really shocking, agonising bursts of pain. There is no warning when this pain will hit you! My assessment of Entonox (and that of others I have spoken to) is that it is nigh-useless except for a constant pain level. I now realise that most of the ‘discomfort’ I experienced was due to over-inflation. Although it is easy to introduce too much gas, there is no way to release it. This seems to be a serious flaw in the procedure, not helped at all by the theatre Sister leaning on me with her elbows in a genuine but misguided attempt to reduce the local pressure. My message to others is to go for the sedation because, unless you have had the procedure before, it is impossible to know just how bad it can be. It is unrealistic to expect that sedation will be given on demand though I understand some patients are told this. I have mentioned the number of patients who can’t handle the pain & have to stop. Don’t add yourself to this list, have the sedation at the start! We really should not need this forum, the procedure is well established but like most things NHS, learning from past mistakes & adopting best practise is not always what happens. 

  • Thank you so much for posting this accurate and helpful description of the colonoscopy process, from start to finish. I was really anxious about mine yesterday, but your post reassured me and as a result I was well informed and so more relaxed. I too opted for gas and air and would again, although to be honest I could have managed without. I did not find it at all painful at any point, and the 'discomfort ' ust felt like when I was pregnant and a baby moving . My procedure took longer than usual as I apparently have a very bendy, wriggly bowel, but it was fascinating to watch on screen and I had a good laugh with the nurses, who distracted me throughout. For anyone reading this, don't be worried. I felt no pain or even discomfort. Throughout the whole process, the worst I felt was mild cramps and a gurgling tum. I will not be anxious at all if o have to go through it again. It's absolutely pain free. 

  • Hi I have a Colonoscopy procedure in 5 days, I'm really struggling with anxiety about it to the point i I have to take anxiety medication, I understand everything what's going to happen and I am going to have sedation because I don't think I can do it without but this is a bit of a personal question but do you feel the scope go in and is it uncomfortable? 

  • Hi I can understand how anxious you feel as I felt the same before my colonoscopy but I can honestly say, it was ok, nothing like I’d imagined it. I chose not to have sedation simply because I don’t like the woozy feeling and I’m glad I didn’t have it because it was fine without. You can feel the scope but only when it’s going around the bends and even then it’s only a second or two, by the time you think ‘oh that’s a bit uncomfortable ‘ it’s moved on. The whole procedure took 15 minutes max and there’s a nurse at your side the whole time talking to you. Then when it’s over you are taken into a small ward and given a cup of tea and a biscuit and you wonder why you had built it up so much in your mind, I know I did! The worse part for me was the solution I had to drink. Hope this helps . 

  • Hi I had a colonoscopy and endoscopy recently with sedation, which came via a small injection in the back of my hand.

    I woke up feeling absolutely fine, with no memory of the procedures whatsoever, so no feeling of any scope going it or anything else.

    I think you have made the right choice to have sedation.

    I appreciate it may not be suitable for some people, but was very suprised at the pressure I was put under not to have it, being told people do not have it initially, but can ask for it if they feel the need, which I presume means they are in pain.

    As someone who has worked in the NHS for nearly 40 years, I understand sedation has time and resource implications, but feel very strongly that people should not be pressurised into not having it if they so wish.

    I do hope you have the same positive experience as I did and will be thinking of you 

    Best wishes

     

     

  • When they give you the sedation do they wait until your sedated before starting the procedure as I've heard it takes a few minutes to start taking effect but I don't know because I've never had sedation before. Thank you for your message it has put my mind at ease a little but I don't think I will feel any less anxious until it's over and done with but I do appreciate your advice I was always going to do it sedated I dont care if they think I'm a big baby even though I feel like one I've been put on anxiety tablets because I'm struggling I'm not exactly going to be able to go through with a procedure without sedation that has caused so much fear in me. I've been through labour without any pain relief but I'm more anxious about this than I was of that and that was extremely painful. I'm just hoping I have an experience like yours I don't really want to remember it or feel it but it is what it is.

  • Thanks for sharing this experience. In my case, the medical folks totally misread the report of needle phobia in my notes. I explained repeatedly that if I were to faint, at least I would a. Be in a hospital & b. Already lying down, not in a heap on the floor, as has happened before! They went to great lengths so say how good Entonox is. I later realised why they oversold this fanciful notion as no-one in the position of being subject to sudden agonising pain would ever agree to have Enronox if they knew the true position. Entonox takes st least 30 seconds to have any effect at all. If the staff had a crystal-ball accurate to 30s they would be able to administer the stuff in good time. This is clearly not going to happen. Sedation, if they overdo it (this sounds ideal to me!) or anaesthesia does require some degree of monitoring or after-care, which many hospitals are unwilling or unable to provide. I get that but on the other hand, turning an exam room into their version of a torture chamber is not the way to go IMO. No-one can gauge another’s anatomical quirks or response to pain in advance. Fortunately for the NHS, pain memories are short-term. Nature has arranged things this way. So apart from recalling they had a bad time, many people reading this will be completely unable to reproduce the feeling, if they had no sedation. I fully appreciate that contributors here feel an obligation to not put others off having the procedure but I have no doubt whatsoever that urging sedation is the correct approach. I have heard time & again that patients are fobbed-off with promises of sedation if/when things get too bad. This is the kind of white lie we tell to children. Does anyone really believe that everyone involved will just twiddle their thumbs while the anaesthetists gets to work on you? No, it won’t happen. Get the cannula in before you are subject to pain. Before I realised I was to be denied sedation, I asked 3 times for the Emla  cream local anaesthetic to be applied in good time. I got laughed at. If you are down for colonoscopy, Do not let anyone talk you out of sedation. Any medical procedure has risks, agreed but if you have a reaction to the sedation, you are in the right place for treatment & anyway this is rare. However, pain avoidance is a fundamental right. If you don’t need it, fine but you can’t say in advance that this will be the case. My advice, again, is to say do not put off having the investigation but be prepared.