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!

  • Thank you so much for writing this - im due to have mine on thursday - and have been debating between sedation and gas & air - i now think i will go with gas & air after reading this - you have really reassured me & help me relax a bit more about the whole thing now - well done you & glad your ok  

  • Thank you so very much for your post. It has really helped me to make the choice to have it done next week..I am the same age as you. We are bound to be a bit scared..but someone else wisely said its our life and so we need to be brave and look after ourselves..thank you for all you said.x
  • Hi all, sorry to bring down the positive mood but I had the procedure very recently without sedation. It was completely traumatic and excrutiating and I had to stop the procedure a third of the way in. Very frustrating considering the prep. I don't consider myself a wimp - I've given birth to  two children without fuss. But this left me feeling upset and with a sense of failure. Doctors were not impressed but the nurses lovely. Good luck to anyone having it done - it is a very important screening tool but why can't they get the pain relief right?

  • I'm having my colonoscopy on Sunday I can't have sedation because I live on my own and have nobody to sit with me for any amount of time how painful is the treatment going to be I've just read a load of bad experiences on line so I'm starting to panic I don't no weather to pull out or not I've had no blood for weeks what should I do thanks for listening.

  • I've had 3 without sedation. I've had painkillers and it was fine. My daughter has had a colonoscopy this morning with the pain killer they give she's just messaged saying it was fine. Not the best experience in the world but it's doable. It will take approx 20 mins. But please have it done you'll be glad you did. Hope all goes well for you. Xx

  • Sorry to hear you have this problem but there should be a way round it. First off, contact the PALS (Patient Liaison) at your hospital & tell them your situation. I don't know about your area but ours has an answer phone service and they do reply quickly. If they can't help directly, ask who can. There are 'befriending' services & volunteer drivers available in most areas. Do not give up on this, IMO sedation is the only way to go. Other contributors hold other views but the problem is that you don't know how it will go until the colonoscopy starts by which time the medical team will not give better pain relief. Whatever happens, good luck & I hope the results put your mind at rest. 

  • Hi Annie and everyone who has posted here!  I was called up for a colonoscopy because a routine poo test found blood.  So they fast track you into the Bowel Cancer Screening programme (I'm 70 and live in the UK).  This was scary.  And the more I was told about the procedure the more I was terrified of the whole thing. My husband was away in the days I had to take the 'drain cleaner' (thank you someone below for that description!) MoviPrep, and I was in floods of tears at how I would cope with that, with 24 hours fasting, and the invasiveness of the procedure and was absolutely conflicted about sedation or not.  I desperately wanted to cancel.  That's when I started reading here, and thank you folk for your posts.

    My husband was very good at saying steadying things on the phone, and back in time to take me into hospital.  Sedation was an option for me, and I dithered and dothered for days, never having experienced anything remotely like this before. 

    I texted a few friends who'd had something similar and asked them to wish me luck.  I did a lot of pre-planning and organising (I'm keen on that!) and set up the bathroom with towels, books and clean knickers, and set myself up on the landing outside the bathroom with a comfy chair and little table, so I could binge-watch feelgood TV boxsets on the iPad, and knit, while the worst of the drain cleaner action was happening.

     I also bought some nice things to look forward to when it was all over – a new gardening book, some spring bulbs to plant, a new coat for winter off ebay :-)

    The MoviPrep experience was vile and the feeling of losing control of your bowels horrendous and humiliating.  For the record:  first dose started working within half an hour, and then it was about 8 visits to the loo, but it all stopped after about 4 hours and I felt safe then to go to bed.

    The second dose at 6am on the day of procedure was similar.  I was really upset at the thought of losing control of my bowels in the car on the drive to the hospital, but by midday on the Saturday nothing more was happening, so that wasn’t an issue.  The procedure was booked for 4.15 in the afternoon.

    My husband could drive me into hospital and back so I did decide on sedation.  Sedation, as the nurses explain, is ‘conscious sedation’ (fentanyl plus midazolam in my case) so I could watch the screen and see what was going on, and talk.  I watched the surgeon find a large polyp and lasso it with a wire and show me some diverticula in my bowel and it was all quite interesting but quite honestly it's now a bit of a blur but that's fine by me! 

    I spent about an hour in the recovery area while the nurses kept an eye one me, and a printed report on everything, surgeon's name, drugs given, findings etc came out which was very detailed with pictures! So I didn't have to try and remember everything.  A hospital tuna sandwich and cup of tea has never tasted so good.

    You come out not believing you’re really sedated – but take it seriously! – the nurses and my husband knew I was still under the influence, and It does take 24 hours to clear your system.  I didn’t sleep the first night home because my brain was still fluttering around with the sedative, but I didn’t really care, It was just nice to be back home and listening to my husband snoring next to me :-). I spent 24 hours farting and burping like a trooper as the carbon dioxide gas they dilate the bowel with found its way out.  And it took a couple of days for meals to find their way out again.  But these were nothing beside the relief of having been brave enough to go through with it.

    A couple of days ago (so 10 days after the colonoscopy) they rang me to say the polyp wasn't cancerous, but was a villous adenoma, and had been a good risk of turning cancerous in the future.  I’d had absolutely no symptoms like bleeding, diarrhoea, so top marks to the Bowel Cancer Screening Programme.  That test kit sent routinely in the post has probably saved my life.

    Hope this might help others, and sending best wishes to anyone, like me, facing this for the first time.