Flexible Sigmoidoscopy in Baton Rouge, LA
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Find a ProviderWhat is a flexible sigmoidoscopy?
A flexible sigmoidoscopy is an endoscopic diagnostic technique where a thin, long, bendable tube, or “scope,” is inserted into the rectum and then progressed through the lower third of the large intestine. Therefore, the technique has some limitations in that not all of the colon will be viewable. The tube has a light and a camera at its end, which allows the specialist to closely inspect the lining of the colon. A sigmoidoscopy might be performed to determine the cause of:
- Loose or watery stools
- Bleeding
- Unusual x-ray results
- Abdominal pain
Additionally, it can also be used as a screening tool for colon cancer and polyps.
Our GI providers routinely conduct flexible sigmoidoscopies for Baton Rouge, LA patients. If you are experiencing any bothersome symptoms related to your gastrointestinal tract, such as the above listed, consult with Gastroenterology Associates to receive help in deciding if a flexible sigmoidoscopy might be of benefit to you.
What should I expect the day before my flexible sigmoidoscopy?
There will be necessary pre-op prep, so your provider will provide you with directions regarding the required bowel prep. Most individuals will be on clear liquids for the entirety of the day, 24 hours before the exam. There are numerous individual options for laxatives to cleanse the colon. It is essential to follow the instructions given to you by your Gastroenterology Associates specialist. In addition, there will be instructions regarding any medicine you are currently taking. In most cases, your medications can be taken as usual. However, in some cases, especially in diabetics and patients prescribed blood thinners (i.e., Coumadin®, warfarin, Plavix®, aspirin, anti-inflammatories), special instructions will be given. Patients will be directed to take nothing orally after midnight except for some medications.
What happens on the day of my flexible sigmoidoscopy?
You'll be asked to arrive for your flexible sigmoidoscopy 1 – 1.5 hours early. This will ensure you have time to complete all forms and get ready for the exam. You will be asked to put on a hospital gown. In most cases, no IV will be started since, in general, sedation is not administered with this exam. You might be connected to technology that will permit your provider and our staff to monitor your oxygen levels, heart rate, electrocardiogram, pulse, breathing, and blood pressure during and after the exam.
Once in the exam room, you'll be directed to lie down on your left on the stretcher. Your gastroenterologist will perform an exam of your rectum. The sigmoidoscope will then be gently inserted just inside the rectum. The scope will be slowly advanced through the sigmoid colon. A tiny amount of air is injected through the tube into the colon to assist in your provider visualization. Any fluid remaining in the colon post-preparation can be rinsed and suctioned out through the scope. Depending on the findings of the test, a number of things can be done during the procedure, including biopsies, removal of polyps, and control of bleeding. At the conclusion of the procedure, as much of the air and remaining fluid as possible is removed from the colon through the scope. Depending on the findings, the exam usually takes 5 – 15 minutes.
Since anesthesia is not usually necessary, once the procedure is finished, you can change back into your clothes and be discharged. Assuming sedation is not utilized, you'll be permitted to perform your normal activities as well as drive. The majority of individuals are able to eat and drink regularly after their release; however, specific guidelines related to activity, eating, and medications will be provided before discharge. After the exam, we will review the findings of the exam with you. You will also be sent home with a written report. We will let you know of any biopsy results within one week.
Are there risks with a flexible sigmoidoscopy?
By and large, sigmoidoscopy is a very safe test. In all, complications are seen in fewer than 1% of patients. Most complications are not serious; however, if a complication occurs, it may result in hospitalization and surgery. Ahead of the procedure, a consent form will be reviewed with you. Should any concerns or questions arise, these may be discussed with your provider before the beginning of the procedure.
Bleeding may happen with biopsies and the removal of polyps. Again, a concerning amount of bleeding, which could necessitate a blood transfusion or hospitalization, is very unusual. However, bleeding can occur during the procedure or up to two weeks after the exam if a polyp is extracted.
Perforation or puncture of the colon may take place. This can be noticed during the procedure, or it may not be obvious until later in the day. In the majority of cases, a perforation will require hospitalization and surgery. This is an unusual complication, even when polyps are removed. It is of the utmost importance that you consult with the specialist's office immediately if symptoms become present after the exam, such as growing abdominal pain, bleeding, or fever.
Just like any other exam, a sigmoidoscopy is not always without error. There exists a small, acknowledged chance that tissue abnormalities, including but not limited to polyps and cancers, can be missed during the exam. It is vital to remain vigilant and to maintain check-ups with your Baton Rouge, LA gastroenterologist as directed and make them aware of any new or ongoing symptoms. Please consult with your Gastroenterology Associates provider if you have any concerns or questions.
Are there alternatives to a flexible sigmoidoscopy?
To a large degree, the alternatives to the procedure will be dependent upon the cause of needing the flexible sigmoidoscopy in the first place. There exist a number of x-ray options which can look at the colon, including a virtual CT scan or a barium enema. These tests are, however, diagnostic exams only. Mitigation of any detected abnormalities will necessitate colonoscopy, surgery, or sigmoidoscopy.
Advanced testing and diagnosis
A flexible sigmoidoscopy could help identify the cause of worrisome gastroenterology symptoms like diarrhea, bleeding, and abdominal pain. In the case that you begin experiencing any of these symptoms, then contact an experienced gastroenterology doctor today. You can locate a local gastroenterologist through Gastroenterology Associates. Our GI specialists aim to provide the highest in patient-centered care and clinical standards. To arrange for your flexible sigmoidoscopy in Baton Rouge, LA, contact your nearest Gastroenterology Associates location.
Flexible Sigmoidoscopy FAQs
What is the effectiveness of flexible sigmoidoscopy in identifying issues in the colon?
Flexible sigmoidoscopy is a reliable method for detecting abnormalities in the lower colon, including polyps, cancer, and conditions like inflammatory bowel disease. It primarily examines the sigmoid colon and rectum. For conditions located in the upper regions of the colon, it does not provide visibility, and a full colonoscopy may be advised to assess those areas more thoroughly.
How frequently should I undergo flexible sigmoidoscopy to screen for colon cancer?
The recommended interval for undergoing flexible sigmoidoscopy for colon cancer screening depends on various personal risk factors, including your age, family medical history, and your own health background. Typically, individuals at average risk are advised to have the procedure every five to ten years, beginning at age 45. Your healthcare provider will tailor the screening schedule to suit your particular needs.
What actions should I take if I notice symptoms following a flexible sigmoidoscopy?
It's not unusual to experience minor symptoms like bloating or gas after undergoing a flexible sigmoidoscopy. If you encounter severe symptoms such as ongoing pain, significant bleeding, or a fever, it is crucial to seek medical assistance promptly. These symptoms could be signs of more serious complications, like perforation of the colon or intense irritation, necessitating immediate medical intervention.
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