Colon cancer screening, part two

 Colon cancer screening - the colonoscopy.

Here is what happens if you are referred for a colonoscopy. You will be asked to not consume corn or seeds like poppy seeds for a week before your procedure. You will be fasting the entire day before your colonoscopy. That means you may have clear broth (no veggies, no rice or noodles, only broth), jell-o except red or purple, popsicles except red or purple, coffee or tea - sweetener or sugar is allowed but milk or cream is not. You may not eat any other foods for this entire day. You will be asked to drink one glass of water every hour.

You will need to buy a "lyte" prep at the pharmacy. Pro tip, if you are over 50 you probably qualify for a discount at the pharmacy, usually one day a week. The prep costs about $50 so if you get your discount you can save about $10. Plan ahead by buying your prep on whatever day your pharmacy gives discounts in order to save a little money. Mix the prep on the morning you will start taking it and refrigerate it. Drinking the prep is the hardest part of this all and if it is cold it will go down easier.

You will start your bowel prep the day before your appointment, at either 4 pm if you have a morning appointment or 6 pm if you have an afternoon appointment for your colonoscopy. Instructions may vary a little but overall you drink one cup of the bowel prep solution every 15 minutes for two hours. This will be a total of 2 liters. Then you take a two hour break. After two hours you will start drinking one cup of prep every 15 minutes for 2 hours, until you finish the entire container of prep solution. It helps to set a timer to keep on track as you must finish 2 liters of prep within 2 hours. Note, if you have an afternoon appointment for your procedure you will wait until the following morning to drink the second course of prep solution. This solution will empty your bowels so plan on staying home and close to the bathroom. It's not uncomfortable but you will have sudden urges to "go".

The day of your procedure you may consume liquids only, up to 4 hours before your appointment. You may not drink anything after that, and of course no solid food this day until after your colonoscopy.

You will arrive at the clinic or hospital one hour before your scheduled appointment. You will be asked to undress and wear a hospital gown. You will have an EKG depending on your age, your blood pressure and heart rate will be taken. Then they will start an IV line so it is ready to be hooked up when you go into the procedure room. Once you are ready you will be taken in for your colonoscopy. The doctor will review your medical history and reason for colonoscopy. The nurses will hook up your IV and give you sedation. Then the procedure starts but you will be unaware of what is happening. This is not a general anaesthetic, it is conscious sedation. You will be able to respond to staff but you will not remember a thing. Next you will wake up back in the recovery room. It takes 20 minutes or so to fully be aware of your surroundings. You will be hooked up to a monitor and nurses will make sure you are ok. They will call your contact person to come pick you up. You may not drive yourself since you had been sedated. The staff will inform your of your colonoscopy results and will give you a printed copy and send a copy to your doctor. Once you are fully awake you may get dressed and go home.

If you are uneasy with the whole idea, remember that colonoscopies save lives! Polyps can be removed during the procedure so they never turn into cancer. If there are any lesions viewed they can be removed in further surgery or can be treated with medications. The worst part of the whole thing is drinking the prep. You will not have any pain from the colonoscopy nor any memory of it.