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!

  • Hi ,I would take any painkillers or gas n air you can get. I found the process quite painful and wished Id had at least gas n air. It was just left at one side of the trolly that I was on without much attempt to offer it ,infact when I asked for it was told process was nearly over and to hang on. Ive given birth three times and it was less painful. I would like to put the nure through what I went through Im sure she would be more understanding about offering pain relief

  • Hi mine worked immediately.

    I am sorry to hear you feel like a 'big baby' and think others may think the same of you.

    It is called 'informed choice/consent' because it is your choice to make.

    I see you are concerned they may start the procedure before your sedation has taken effect, this should not happen.

    However I would tell them of your concerns and the staff will respect them.

    Please remember the staff are there to support you and not to inflict any added anxiety, if you explain how you feel they will listen.

     Best wishes

  • I had a colonoscopy today with no sedation. The after effects of sedation sounded grim and as it happened my husband wasn't available to collect me so that settled matters. I found the colonoscopy considerably less painful than the pain I used to get with periods. The only painful part was the initial insertion and thereafter some cramping which was nothing compared to what I used to get with periods. The gas and air worked well for that.

  • This has eased my mind a bit. Thankyou x I see this was last year. I hope your outcome was good x

  • Hi Annie_einna

    first of all thank you for posting such a positive article.  I stopped reading all the scary ones and just read yours a few times to help me prepare and get through it.  I am 58, so closer to to the" at risk" age group.

    Your advice is sound.  Moviprep does not taste that bad.  The first litre was easy to chug down in the way you described.  I guess the reaction to is is going to be individual, so I started with the diarrhoea within 30 minutes of the last 250 mls.  It was always controllable and I just had the feeling of a full bowel each time.  Yes you are right to just stay sitting on the toilet with a book or something once it starts.  My protocol was to take the 2nd litre four hours after the first one at 10 pm.  That one was more difficult to get down, partly because the first dose was still working.  Also, the actions continued all night, so I didn't get much sleep.  No cramps, no pain, just increasingly watery diarrhoea.  My other advice is just keep drinking as much as you can to avoid dehydration. The liquid diet (not a fast) during the day before you take Moviprep also helps pre-hydration.

    I am jn Portugal, so they sedate everyone here (at least at the clinic I attended).  Probably the best choice for me as I was scared.  They found a large (20 mm) villous polyp which was partially excised.  Reading Dr Google I see that these are the worst polyps to have and there is a high chance of it already being cancerous.  However, I must wait for the biopsy results and visit my gastroenterologist again.  He already told me that I will need to be hospitalised to have the rest of it removed, but the treatment will depend on the results.

    I went to my GP with bright red blood from my anus.  That is likely from some haemorhoids that they also found.  However, my bowel movements had been gradually changing from normal stools to daily diarrhoea (or very soft stool) over several years.  No sudden changes, no pain and I had been able to persuade myself that this was normal for me because I have a high fibre diet.

    All I can say to everyone else, don't kid yourself about what is normal and go see your GP if you have any concerns; that is why the health service exists.  You can likely opt for sedation or not depending on your own circumstances.

     

  • Hi had colonoscopy yesterday I had sedative and Etonox I honestly don’t think it made a difference. I was awake and lucid and can remember everything. I was having a coherent conversation with the nurse the whole way through. The pain I would describe as a gassy cramp no more worse than what I get anyway.  I honestly thought it was a breeze. And I’m a massive wimp with a low pain threshold. 

  • Wow! Sedation plus Entonox must have really taken the edge off. No wonder you thought it went so well.

  • Ah no problems! 

    Yes, thank you, I was fortunate enough for this to be negative, just had to alter dietary requirements accordingly, but other than I'm peachy! X

  • it doesn’t matter does it if it worked or not. My view is still the same. If it didn’t work. Then I didn’t find it painful. If it did work then bonus it still didn’t hurt??  I’m not sure the sedation kicked in 

  • Hello Annie, thank you so much for taking the time to post such a detailed report of your experience, it has been so helpful.  I had to go for a morning Gastroscopy and Colonoscopy today but ended up only having the Gastroscopy.  I had that solution to drink and I actually found it hard to get down, so after half a litre I was struggling and knew that if I had one more mouthful I would vomit what I had already had consumed. It took 3 and half hours before the first movement but of course I did not complete the other one and half litres so a no go area for me.  And on saying that, please don't let that drink put anyone else off because we all have our own taste levels and I do not like sweet things so that was the only difficulty for me personally. I don't do deserts, cake etc etc, don't have a sweet tooth, so that was the reason it was difficult. However! This morning I explained the circumstances and they were amazing by saying don't worry we will sort out another prep solution for you to take and they were actually going to cancel the whole procedure.  But I had got myself there, a friend had taken me so I did not want to waste her time, my time and the time of the Hospital so requested could they at least do the Gastroscopy.  They checked and that procedure went ahead and the staff were just AMAZING!  I was looked after so well, but had experienced this procedure before 3 times and a Sygmoidoscopy 11 years ago.  A Colonoscopy I believe is just a little bit more involved.  So I have that procedure to come.  At least my Gastroscopy results were clear of any Cancer, just revealed the Hiatus Hernia that I have had for a few years now.  But this evening I thought I would look at just what is involved in the Colonoscopy, and found a wonderful video of the procedure, the Consultant giving full detailed information  on the NHS Site at Cheltenham Hospital.  I then found your post explaining everything regarding your personal experience of procedure and how at ease you have made me feel about this forthcoming event!!!  So THANK YOU for taking the time to explain this and know you have at least put my mind at rest along with a few other posts I see that have commented and also appreciated your post.  Half an hour of feeling uncomfortabe may save one's life or at least reveal the problem if there is one!  I wish you a long and healthy life dear lady, bless you. xxx