Introduce Yourself and Build Rapport

What Is a Colonoscopy?:

A test to examine the inside of the large bowel using a camera on a flexible tube.

Why Is It Needed?:

To investigate symptoms like rectal bleeding and detect polyps, inflammation, or cancer.

What Happens During the Procedure?

• The colonoscope is gently inserted into the rectum and advanced through the colon.
• Air or carbon dioxide is used to inflate the bowel, improving visibility.
• Small samples (biopsies) may be taken, and polyps can be removed if found.
• Sedation or pain relief is given to keep him relaxed.
• The procedure usually takes 20–40 minutes.

Preparation:

• Dietary Changes: Follow a clear-liquid diet the day before the procedure. The day before the colonoscopy, have a light breakfast, then do not eat anything before the test.
• Laxatives: Take a prescribed bowel preparation medication to clean out the bowel completely.
• Stress that the preparation is essential for accurate results.

Risks and Benefits:

• Benefits: Early detection of polyps or cancer, removal of polyps to prevent progression, and obtaining biopsies for diagnosis.
• Risks:
  • Common: Abdominal discomfort, bloating, or cramping.
  • Rare: Bleeding (especially after polyp removal), perforation of the bowel, or risks related to sedation.

Post-Procedure:

• He may feel bloated from the air used during the test.
• Because of the sedation, he’ll need someone to take him home, and he should avoid driving or operating machinery for 24 hours.

Address Concerns:

• Ask if he has any specific fears or questions about the procedure.
• Reassure him that the team will prioritise his comfort and safety.

Obtain Consent:

• Confirm his understanding of the procedure, preparation, risks, and benefits.
• Ensure he agrees to proceed and document his written consent.