Colonoscopy counselling

Question 1

focussed hx

Answer 1

abdo pain

change in bowel habits (melaena/haematochezia)

weight loss

anorexia

Question 2

before

Answer 2

3 days - no roughage (unrefined cereals, wholemeal flour, fruit, vegetables, nuts, seeds and pulses such as peas, beans and lentils)

1 day - clear fluids only + laxatives. sachet morning & afternoon –> stay near toilet)

4hrs - NBM

Question 3

during (time, discomfort, procedure)

Answer 3

takes 30-60 mins

midazolam sedative

air passed through tube - bloating

width of little finger

Question 4

benefits & risks of colonoscopy

Answer 4

allows to visualise bowel // take biopsies + treat

risks: bleeding, infection, perforation (<1/2000)

Question 5

after

Answer 5

no driving/alcohol for 24hrs

have someone for 24hrs

results in <3wks