The second is carried out using a colonoscope device, which makes it possible to examine the entire colon for diagnostic purposes and carry out manipulations in its cavity under visual control.

Indications for colonoscopy

This procedure is prescribed in the following cases:

• Difficulty in defecation (constipation for more than one week, pain, discharge of blood along with feces);
• A sharp change in eating habits (an aversion to meat, loss of appetite, rapid loss of body weight).

An experienced specialist will always take into account the anatomical features of each patient. For some, bowel movements every three days are completely normal and do not require medical intervention. Also, with some psychological trauma, a person stops eating certain foods or changes their eating style radically, which leads to an acceleration of the metabolic process and weight loss. But, as a rule, the patient himself notices abnormal phenomena and consults a doctor.

The causes of such atypical processes in the human body may be:

1. Neoplasms on the walls of the rectum (mainly polyps);
2. Inflammatory diseases of the colon mucosa (nonspecific ulcerative colitis);
3. Diseases of the gastrointestinal tract (for example, Crohn's disease);
4. Intestinal obstruction (so-called volvulus);
5. Erosion of the intestinal walls with bleeding;
6. And the most dangerous case is colon cancer. To confirm the diagnosis, a sample of tumor tissue may be required, which can also be done with clonoscopy.

Most often, the symptoms of these diseases appear in the older generation. Therefore, when treating patients over 60 years of age, a colonoscopy is almost always prescribed. All of the phenomena listed above can lead to the death of the patient. The effectiveness of treatment directly depends on the accuracy of the diagnosis.

Risks of colon examination

Both the doctor and the patient must understand that the need for an in-depth examination of the existing symptoms is undeniable. However, there are some complications after colonoscopy.

They may be related to:

• Doctor's qualifications. This is not only the level of accreditation of the educational institution where the specialist was trained, but also the experience of working and conducting this research in particular;
• Equipment and level of sanitation. The colonoscope must be maintained in proper conditions. Its disinfection is carried out after and before each procedure. At the first signs of damage, such as a bend in the cord, for example, this device must be replaced, since this not only eliminates the effectiveness of diagnosis and treatment, but can lead to damage to the intestinal walls;
• The patient's condition. If the patient has psychological problems, a general serious condition, pregnancy, menstruation, a colonoscopy requires special preliminary preparation or is not performed at all until a certain point, when the level of threat to the body from the procedure is less than from the consequences of ineffective diagnosis.

This is a general description of the risks associated with colonoscomy. Each of the points implies the occurrence of one or another complication. Let's look at them in more detail.

Intestinal perforation

Careless performance of a colonoscopy by a doctor or improper behavior of the patient during the procedure can cause intestinal damage. In this case, a hole appears in the intestinal wall through which its contents enter the abdominal cavity.

The patient's sensations when intestinal perforation occurs are as follows:

• Severe pain that gets worse with movement;
• Abdominal bloating, its asymmetry;
• Vomiting;
• Rapid heartbeat with intense pain (tachycardia);
• Increased body temperature.

The measures that must be immediately taken in case of this complication from the colonoscopy procedure are urgent, since intestinal perforation very quickly turns into inflammation (peritonitis) and can even lead to death.

What does the doctor do in this case?

Firstly, the root cause is removed - the hole is sutured. If necessary, part of the intestine is removed (resection), and then its edges are reunited (anastomosis). Sometimes it is necessary to remove a significant part of the intestine, which does not allow it to be removed to the anus. In such cases, a colostomy is installed. To do this, a hole is made in the peritoneum, into which an overlay is placed, which acts as an artificial anus.

To be fair, it should be noted that in some cases the patient may experience thinning of the intestinal walls, which provokes its perforation. But this is an extremely rare case. To protect yourself from this kind of consequences of colonoscopy, it is better to inquire in advance about the professionalism of the chosen doctor.

If the doctor is insufficiently experienced, the areas of the intestine that border the liver and spleen are usually perforated, since in these places the large intestine has folds. In extreme cases, nearby organs are injured. Very often, to repair damage to the spleen, its complete removal is required.

Bleeding when removing a polyp

Polypectomy also occurs when the process of tumor removal is disrupted. Children and the elderly are at risk because they have the thinnest intestinal walls. But this complication can also affect other age groups if the manipulation is carried out incorrectly: the loop electrode captures the deep layers of the intestinal walls.

Treatment can be two methods. The most commonly used surgical intervention is the so-called laparotomy, which involves cutting the peritoneum to suturing the defect.

The danger is also that bleeding can begin in different time frames:

• Immediately after removal of the tumor;
• Within a week after the procedure.

In case of difficult access to a burst vessel, conservative measures can be applied, such as:

• Hemostatic medications (depending on the location, these can be suppositories or tablets) or cold enemas (water temperature 3-4°C);
• Blood transfusion for severe bleeding after it has stopped;
• Gastric lavage or enemas to remove blood clots from the intestines.

Less serious consequences of colonoscopy

Despite the fact that these complications after this procedure are not significant from a medical point of view, they cause a noticeable deterioration in the patient's condition.

These include:

1. After a colonoscopy, the stomach hurts due to the introduction of air into the intestine;
2. Pain after inserting a colonoscope into the anus;
3. Diarrhea due to enemas or poor nutrition on the eve of the procedure;
4. Pain when removing tumors (polyps, internal hemorrhoids);
5. Increased body temperature;
6. After a colonoscopy, you cannot go to the toilet for quite a long time.

Usually these consequences can be dealt with quickly. For this purpose, ointments, tablets and other relief methods are used. As a rule, these are analgesics and anesthetics. Some symptoms of illness go away on their own.

It is also important to pay attention to the special preparation of the patient before the procedure. This will significantly reduce the risk of complications.

Preparation for the procedure

Before performing a colonoscopy, the doctor advises the patient:

• Diet 2-3 days before the procedure to cleanse the stomach;
• 8 hours before the procedure, it is better not to eat at all, so as not to cause constipation;
• Psychological attitude, since the procedure, although it does not usually cause severe pain, is not the most pleasant.

The diet will reduce the urge to defecate and remove toxins from the body. The consumption of vegetables, fruits, legumes and black bread is prohibited. If this method does not help, then use various laxatives or enemas.

If necessary, pain relief or anesthesia is prescribed. Some specialists even insist on carrying out the procedure using general anesthesia rather than local anesthesia. This reduces the risk of interference and complications due to patient behavior. After all, the pain threshold and psycho-emotional state of each person are different and it is impossible to predict how this or that patient will behave. In a relaxed state, a person will not feel discomfort and even the risk of hematomas on the intestinal mucosa is minimal.

Contraindications to colonoscopy

The general rule for any medical procedure is that the procedure should cause fewer problems than refusing it. The main thing for an aesculapian is not to harm the patient.

The procedure for examining the intestines in itself is not the most pleasant, and if a woman has her period during this period, then often the psychological state of the patient does not allow it to be carried out. However, this does not mean that colonoscopy during menstruation is a priori contraindicated. There are times when treatment of diseases cannot be delayed.

But during pregnancy, any medical manipulations with the expectant mother should be permitted by a gynecologist due to the high probability of injury to the fetus, especially in the later stages. Colonoscopy during pregnancy is often replaced by rectoscopy or postponed for a certain period before childbirth. The use of anesthesia and painkillers is also prohibited.

This procedure is not performed if anal fissures and adhesions, thrombosis of hemorrhoids, or serious problems with the heart and lungs are detected.

Only an experienced specialist is able to determine whether the procedure will give the desired result for the diagnosis and treatment of the patient, and will carry it out as safely as possible.

PROCTOLOG81.RU / Coloproctology (proctology). Treatment. / Increase in temperature after colonoscopy and FGS

Draw your own conclusions, Tatty.

(I’ve long heard from others that medical workers, as a rule, suggest that “their own people” try to arrive first for endoscopic examinations, to make an appointment first). And I don’t believe in coincidences, as you wrote, “such” either.

"KDS CLINIC" - Coloproctology

Still have questions? Call! from 10:00 to 20:00

For Tatty. I never forget the words of one experienced and respected metropolitan urologist. Several years ago I visited him with certain complaints about the functioning of the bladder. And in fact, it was I who insisted that I have a bladder cystoscopy. The doctor did not see any particular need for this. So, he told me: you need to climb less into it (into the bladder), you can get an infection along with the medical instrument (cystoscope). Moreover, this was said to them in a general way, i.e. in relation to various instrumental studies with penetration into the body (into various internal organs). There is a danger of infection. Conduct these instrumental studies (examinations) only if they are truly necessary. And, as ruby ​​rightly wrote, try to come to the examination first. . You know, as they say, take care.

Nutrition after colonoscopy

Restoration of normal bowel function takes place under the supervision of the attending physician. Nutrition after intestinal colonoscopy is a key point in the prevention of complications after manipulation. To restore intestinal function as quickly as possible, a gentle menu with small, frequent meals is introduced. The products used are easily digestible, with a large amount of vitamins and minerals, and are not capable of injuring the intestinal walls. Often, after a colonoscopy and following a diet, patients forget about the sense of proportion, the need to restore normal intestinal functioning gradually, including excluded foods in the diet in small doses. This can lead to complications - constipation, diarrhea, bloating, gas, bleeding.

To eliminate the chance of causing constipation, you should remember to maintain water balance and drink at least 2-2.5 liters of water per day. It is recommended to create a menu taking into account 6-7 meals with an interval of 1.5-2 hours. Before eating, you need to drink 1 glass of water. Food is not washed down with liquid. For the effective functioning of gastric juice and complete digestion of food, it is important to pause for 40 minutes. Food should be warm: the temperature of cold dishes is above 15 degrees, hot dishes - up to 62 degrees.

Authorized products

After a colonoscopy, foods based on easy-to-digest foods are allowed:

• Soups based on broths made from vegetables, lean fish (cod, flounder, pollock, tuna, halibut, blue whiting, mullet, trout), poultry (chicken, turkey);
• Boiled egg, soft-boiled, omelette cooked in a steam bath;
• Boiled fish of lean varieties;
• Fish cooked using a steam bath;
• Porridge made from oatmeal, rice, buckwheat, semolina, without milk;
• Fresh, stewed, boiled, steamed vegetables;
• Curds, kefir, yogurt, fermented baked milk;
• Soaked dried fruits;
• Rosehip infusion, herbal teas, compotes, jelly;
• Marshmallows, marmalade, honey;
• Grain, rye bread.

Prohibited Products

Excluded from food:

• Fried meat products, fish;
• Sausages, canned products, smoked meat, pickles, marinades;
• Whole grain porridge;
• Lentils, chickpeas, beans, peas, rice;
• Confectionery;
• Bakery;
• Pasta;
• Radish, radish, onion, garlic;
• Mushrooms in any form;
• Fried egg;
• Freshly ground coffee;
• Products containing cocoa beans;
• Alcohol;
• Spicy, fatty dishes.

Example menu

As an indicative menu for the week, you can use the following option:

• Breakfast: thin porridge, tea;
• Second breakfast: curd mass;
• Lunch: vegetable puree soup, boiled breast;
• Afternoon snack: kefir;
• Snack: yogurt;
• Dinner: buckwheat porridge, boiled meat.

• Breakfast: cottage cheese casserole, jelly;
• Second breakfast: compote;
• Lunch: chicken broth with dumplings;
• Afternoon snack: kefir;
• Snack: yogurt, banana;
• Dinner: stewed vegetables.

• Breakfast: steamed omelette, tea;
• Second breakfast: fermented baked milk;
• Lunch: milk noodle soup;
• Afternoon snack: curd mass;
• Snack: apple compote;
• Dinner: steamed fish, mashed potatoes.

• Breakfast: rice porridge, compote;
• Second breakfast: peach;
• Lunch: mixed vegetable soup (without cabbage);
• Afternoon snack: jelly, apple pie;
• Snack: rosehip infusion;
• Dinner: zucchini stuffed with meat and rice.

• Breakfast: soft-boiled egg, tea with milk;
• Second breakfast: yogurt, apple;
• Lunch: chicken breast baked with cheese, baked vegetables;
• Afternoon snack: kefir;
• Snack: jelly from yogurt, cottage cheese, fruit;
• Dinner: boiled rice, boiled meat stew.

• Breakfast: oatmeal porridge, tea;
• Second breakfast: stewed apple and carrot salad;
• Lunch: meat baked in sour cream sauce; boiled rice;
• Afternoon snack: fermented baked milk;
• Snack: tea;
• Dinner: boiled fish, baked potatoes.

• Breakfast: steamed omelet, tea;
• Second breakfast: curd mass, banana;
• Lunch: pilaf with fruit, steamed vegetables, bread containing bran;
• Afternoon snack: rosehip infusion, crackers;
• Snack: jelly, fruit;
• Dinner: baked meat with potatoes, boiled meat pilaf, tea.

Portions should be kept small, each meal is calculated based on the total of ready-made dishes, not including tea. Between meals, you should follow the rule: drink a glass of water 40 minutes after eating. The attending physician may recommend other menu options, taking into account the patient’s well-being before the colonoscopy and after the manipulations. The menu option shows that recovery after the procedure can take place with adequate nutrition, without compromising the sense of taste.

Nutrition after colonoscopy under anesthesia

Colonoscopy is an endoscopic method for examining the large and small parts of the intestine. An invasive (internal, performed using the introduction of special instruments) examination is performed, which, for certain indications, involves manipulation under anesthesia. In this case, a diet with a large number of restrictions is prescribed.

A few hours after anesthesia, a few sips of plain water are allowed. If the intake of fluid is accepted positively by the body, without nausea or vomiting, the amount of water drunk gradually increases. You can only drink filtered, bottled or boiled water, with a Vmin range.

In the first days you should not eat or drink:

• Milk;
• Carbonated drinks;
• Products containing large amounts of plant fiber;
• Sugar-containing concentrated syrups.

The correct dietary table includes a phased transition from liquid to more solid foods:

• For the first day or two, it is possible to eat exclusively liquid food (broths made from white poultry meat);
• After a couple of days, the patient is given pureed low-fat soups and broths, low-fat yoghurts, jellies, mousses;
• At the end of the week, pureed dishes are allowed.

Food should enter the body often, in small portions.

Solid food is introduced into the diet gradually and carefully. In the first days after the introduction of solid food, it is advisable to limit it to 1 day per day.

Nutrition after using Fortrans

When the attending gastroenterologist prescribes a colonoscopic examination of the intestines, at the preparatory stage the patient is usually prescribed Fortrans, cleansing enemas. The drug is a strong laxative, used to cleanse the intestines of toxins on the walls and feces before examination. The use of the drug has its own peculiarities; the dosage of the medication is calculated by the doctor based on the patient’s weight.

Preparation for a colonoscopy examination begins 2-3 days before the procedure. The cleansing stage, provided that you refuse to eat a day before the colonoscopy, takes about a day from the moment you start taking Fortrans, the drug begins to act after a few hours, the effect ends after 5-6 hours.

After using Fortrans, restoration of the microflora in the stomach is required, since the drug cleanses of toxins and washes out beneficial bacteria from the stomach and intestines, as a result of which the disease dysbacteriosis may appear.

To restore the intestinal microflora, the doctor may prescribe Linex or Bifidumbacterin. The diet after using Fortrans needs to be gentle, lean, excluding foods high in fiber and drinks with gases to eliminate the possibility of damage to the intestinal mucosa. In the first days, you should start your morning with rice or oatmeal porridge with water, without salt, sugar or spices.

To eliminate the possibility of dehydration, you should drink enough water, because during the cleansing procedure, a significant amount of water is removed from the body, requiring replenishment. Nutrition, as in other cases, is administered in fractional, small portions. It is recommended to prepare dishes from products: meat of chickens, turkeys, rabbits. The diet includes low-fat dairy products: yogurt, kefir, cottage cheese; fresh stewed vegetables, rice or oatmeal, apple and tomato juices.

What symptoms should you keep under control?

After a colonoscopy, stool appears within 2-3 days, provided you follow the diet after the examination procedure and the doctor’s recommendations. If you do not consume enough fiber, the normalization of stool will be delayed, and you will not be able to go to the toilet for an additional 1-3 days.

What symptoms should the patient pay attention to after the procedure? If you are worried about pain, gases in the intestines, or a stomach ache, the reason is the air pumped into the intestines during manipulation, which is pumped back using a colonoscope after the examination is completed. For relief, you can take activated carbon at the rate of 1 tablet per 10 kg of weight. It is forbidden to take laxatives without the consent of a doctor.

Diarrhea usually occurs due to improper use of medications at the preparatory stage or due to a reaction of the nervous system. If diarrhea lasts less than 48 hours, no additional treatment is required. However, the doctor may prescribe medications: Smecta, Loperamide and Hilak Forte.

In case of prolonged diarrhea, if blood is found in the stool, you should immediately consult a doctor for additional advice to restore health.

After surgery on the intestines, performed simultaneously with a colonoscopy, you should pay attention to your health: the lower abdomen may hurt, bleeding during bowel movements. This may be a sign of complications and a reason to return to your doctor.

In addition to proper nutrition and increased attention to well-being, you need to monitor your lifestyle. If possible, eliminate bad habits, stop drinking alcohol, replace sports activities with a walk in the evening or light exercises, yoga. During the recovery period after a colonoscopy, you will need to avoid lifting heavy objects. If due to certain circumstances it is necessary to take medications, it is highly advisable to coordinate their use with your doctor. Upon completion of the recovery period, the patient can eat as before and lead a normal lifestyle.

The recovery period includes, in addition to diet, herbal medicine and an adequate physical activity regimen. This takes into account the patient’s diagnosis, his functional and physical characteristics, the presence of concomitant diseases, and the development of complications.

Consequences of colonoscopy

Negative consequences of intestinal colonoscopy occur extremely rarely, since this procedure is considered a relatively safe diagnostic method. Read more about other methods for diagnosing diseases of the large intestine →

List of possible consequences of colonoscopy:

1. Intestinal perforation is rare, occurring in 1% of cases. A complication after intestinal colonoscopy in the form of perforation requires emergency surgery, during which the damaged tissue of the organ is restored.
2. The development of complications associated with previous anesthesia, for example, respiratory disorders, the treatment of which requires resuscitation measures.
3. Intestinal bleeding, occurring in 0.1% of cases. Blood after a colonoscopy may appear immediately after the procedure or during it. Complications may occur several days after the examination. If bleeding appears during a colonoscopy, help consists of injecting adrenaline into the damaged area of ​​the organ or cauterizing the bleeding vessels; the examination procedure is completely stopped. If bleeding after a colonoscopy appears after a few hours or days, surgical intervention using general anesthesia is necessary.
4. Infection with hepatitis B and C virus, syphilis, HIV and salmonellosis.
5. Pain after intestinal colonoscopy and increased temperature due to inflamed areas of tissue, polyps and other pathological changes.
6. It is extremely rare for a spleen to rupture.

It is important to immediately seek medical help if the following signs of trouble appear several hours or days after the procedure:

• temperature rises to 38°C and above;
• stomach pain after colonoscopy;
• nausea and vomiting of unknown origin appeared;
• discharge with blood from the rectum is observed;
• after a colonoscopy, diarrhea with blood appears;
• weakness, dizziness, and general loss of strength are felt.

Prevention of consequences

The main method of preventing complications of colonoscopy is to perform a diagnostic procedure according to strict indications. If it is possible to diagnose the disease without the use of endoscopic equipment, then colonoscopy is not prescribed.

In addition, a preventive measure is to refuse the procedure if the following contraindications are present:

• infectious pathologies of the intestines and other organs in acute form;
• acute course of ulcerative colitis of nonspecific origin;
• hernia pathologies of any localization;
• diseases of the blood coagulation system;
• complicated ulcerative or ischemic colitis;
• severe heart or pulmonary failure.

After prescribing a colonoscopy to a patient, in order to prevent possible consequences, it is important to properly prepare him for the procedure. Before the procedure is performed, the person is comprehensively examined to detect concomitant pathologies that can cause subsequent complications.

The patient should be informed about the possible consequences of this type of examination and how to prepare for it, for example, when and what to eat after a colonoscopy, etc.

1. Follow a slag-free diet 7 days before the procedure.
2. Refusal to eat 12 hours before the procedure.
3. Cleansing the intestines with an enema the night before - the evening and morning before the colonoscopy.
4. Carrying out tests for allergies to drugs used for anesthesia.

Since there is a risk of infection with pathologies such as hepatitis B and C, HIV and other infectious agents, it is necessary that the instruments used by the specialist for the procedure be sterilized and tested for the presence of pathogens of various diseases. In addition, the examination must be performed in a sterile environment.

Bowel injury is the most common consequence of colonoscopy. To prevent this and other complications, the manipulation should be performed by an experienced, qualified doctor.

Nutrition after colonoscopy

Diet after intestinal colonoscopy is the primary point in preventing the consequences after manipulation, which begins at the preparatory stage - observing a special slag-free diet and conducting a cleansing enema. As a result, during the study the intestines will be as clean as possible and free from decay products, toxins and other factors that provoke infectious and inflammatory complications.

Nutrition after intestinal colonoscopy should be as gentle and fractional as possible in order to avoid increased stress on the digestive tract, in particular the intestines. Food should be easily digestible, rich in minerals and vitamins, which is an excellent preventative against infectious diseases and colon bleeding. Overeating and eating heavy, difficult-to-digest foods after the procedure are excluded.

• soups based on vegetable broths;
• boiled eggs;
• low-fat fish, boiled or steamed;
• fresh and thermally processed vegetables and fruits.

The diet should not include:

• fried meat and fish dishes;
• smoked meats, sausages, preservation;
• whole grain cereals;
• fresh pastries and bakery products, confectionery products.

The attending physician should tell the patient in detail how to eat after an intestinal colonoscopy, based on the root cause of the disease and the patient’s state of health.

Another important aspect is to determine how to restore the intestines after colonoscopy from the point of view of microflora, which is seriously damaged during the manipulation of endoscopic equipment and against the background of the administration of medications.

What can you eat after a colonoscopy to normalize your intestinal microflora? This can be fermented milk products (for example, yogurt, cottage cheese, kefir), it is mandatory to take probiotics (Bifidumbacterin, etc.), which are preferably consumed in soluble form, and not in the form of tablet preparations.

This diet after colonoscopy has a positive effect on intestinal restoration.

What can't you do?

After a colonoscopy, the patient should not immediately leave the hospital; he needs to be under the supervision of medical personnel for several hours, especially if general anesthesia was used as pain relief. If the anesthesia was local, after 1 hour the patient can go home.

There are no restrictions on food and liquid intake after the procedure. But so that the patient does not have a reason to ask the question of what to do for constipation after a colonoscopy, it is important to follow nutritional recommendations, eating mostly easily digestible food in small portions in the first days after the procedure.

If your intestines hurt after a colonoscopy and you clearly feel signs of flatulence, abdominal pain and bloating, this may be a consequence of the air pumped into the intestines, which is used during the procedure. It is usually pumped back out using a colonoscope.

But what to do if you are worried about the symptoms of flatulence and your stomach hurts after a colonoscopy? You can take Activated carbon at the rate of 1 tablet per 10 kg of patient weight. In order to get rid of flatulence, you cannot take laxatives or do an enema after the procedure without consulting your doctor.

It is prohibited to take iron supplements or antiplatelet agents such as Aspirin (inhibit the functional significance of platelets) before and after colonoscopy - it is important to stop taking them after a preliminary face-to-face conversation with the doctor who prescribed these medications.

The same applies to anticoagulants, for example, Coumadin, Warfarin. Blood thinners are dangerous before and after any intervention on the body. If necessary, you can replace them with the drug Clexane - heparin, characterized by low molecular weight.

Any drug treatment should be discussed with your doctor while preparing for a colonoscopy.

Colonoscopy as a diagnostic minimally invasive procedure involves examining the walls of the large intestine for preventive purposes to search for pathological conditions in the organ.

The manipulation is highly informative and is performed using local or general anesthesia. Every fifth procedure becomes therapeutic and diagnostic, since during it the doctor removes detected polyps of the large intestine. Intestinal restoration after colonoscopy requires mandatory adherence to nutritional recommendations.

Temperature after colonoscopy

Colonoscopy is a minimally invasive diagnostic examination of the mucous membranes (inner walls) of the final sections of the intestine (colon). This procedure involves inserting a special flexible endoscopic probe (colonoscope) into the patient's colon through the anus. The colonoscope itself is a thin flexible tube with a diameter of 1 cm and a length of approximately 1.5 m with a small light bulb and a micro-camera at the end. Used to identify diseases of the colon that cannot be detected by other methods or to confirm the diagnosis when a neoplasm is suspected. This study is highly informative and accurate.

Colonoscopy: indications for:

1. Differential diagnosis of inflammatory and tumor processes, determining the prevalence and type of pathological changes in the intestine;
2. Nonspecific ulcerative colitis;
3. Crohn's disease;
4. Rectal bleeding;
5. Pain in the intestines without an established cause, accompanied by flatulence;
6. Prolonged diarrhea with the impossibility of making an accurate diagnosis;
7. Foreign body in the rectum;
8. Acute intestinal obstruction;
9. Constipation;
10. Suspicion of the formation of polyps in different parts of the gastrointestinal tract or tumors;
11. Endometriosis, ovarian and uterine tumors;
12. Anemia of unknown origin,
13. Everyone over 50 should have a colonoscopy, especially if they have a family history of gastrointestinal cancer or Crohn's disease.
14. Colonoscopy also allows you to perform a number of endoscopic interventions - removal of intraluminal polyps, stopping intestinal bleeding, restoring intestinal patency when pathological narrowings (stenoses) are detected, and removing foreign objects.
15. During the examination, a video recording, photographs, and biopsy (tissue removal for further examination) are available.

In order to avoid serious consequences and complications after colonoscopy, the examination should be prescribed strictly according to the doctor’s indications and taking into account the degree of risk of all existing contraindications.

The main contraindications for colonoscopy include:

• Acute infections of the rectum, as well as acute infections of the body of any location;
• Intestinal perforation;
• Crohn's disease and nonspecific ulcerative colitis in acute form;
• Peritonitis;
• Pathologies of the blood coagulation system;
• Ulcerative or ischemic colitis in severe form, associated with the risk of bleeding or perforation of the intestinal wall;
• Severe chronic heart and pulmonary failure;
• Stroke;
• Anal fissures, exacerbation of hemorrhoids, paraproctitis, thrombosis of hemorrhoids.
• Large hernias;
• State of shock.

To prevent complications after a colonoscopy, the patient needs to prepare properly. The patient is carefully examined for concomitant diseases and contraindications that may complicate the procedure and the recovery process after it.

Preparing for intestinal colonoscopy

Before undergoing a colonoscopy, you will need to undergo an important bowel preparation process, which includes the following steps:

1. Following a special slag-free diet 5-7 days before the procedure;
2. On the eve of the procedure, patients are advised to drink at least 3.5 liters of water;
3. Abstain from food and water 12 hours before the procedure;
4. Carrying out a cleansing enema in the evening and morning before the procedure to increase its effectiveness. The volume of the enema must be at least 1.5 liters; it is administered until only clean water begins to come out;
5. Conducting allergy tests to identify allergies to anesthesia drugs.
6. In some cases, on the eve of the study, the patient may be offered to take special laxatives, which are selected by the doctor individually for each patient.

If the patient follows these simple recommendations, the risk of undesirable consequences after the procedure is minimal. There is also no need to use painkillers or local anesthesia. In some cases, a so-called “colonoscopy under anesthesia” can be performed - during the procedure the patient is immersed in a medicinal sleep (therefore, this version of the procedure is also called “sleep colonoscopy”), and wakes up immediately after it. Colonoscopy under anesthesia is performed at the request of the patient if he is too afraid of pain, or when a polyp will be removed or a biopsy taken at the same time as the diagnosis.

One of the most common complications is injury to the intestinal walls. Therefore, an effective diagnostic colonoscopy must be performed by an experienced, qualified specialist in compliance with all the rules for conducting this endoscopic procedure and sanitary and hygienic standards to prevent infection.

Diet after intestinal colonoscopy

After completion of the endoscopic examination, the intestines should resume their normal function. Be prepared that this will take several days. The main place in the prevention of unpleasant consequences of colonoscopy is occupied by proper nutrition and diet.

For quick recovery, frequent split meals are required in small portions. Food must be well digested so as not to burden the intestines. Food products should contain many vitamins, minerals and protein, which allow the body to recover faster after the procedure, and also reduce the risk of infectious complications and intestinal bleeding. Overeating is extremely contraindicated. During the invasive intervention, the mucous membrane of the intestinal walls suffered minor damage, so it is worth paying special attention to taking probiotics to restore the intestinal microflora. Consult with your doctor which drug is best for you to use.

The menu after intestinal colonoscopy during the first days should include such easily digestible dishes as:

1. Steamed lean fish (pike perch, hake, pike, cod);
2. Cottage cheese with a minimum percentage of fat content
3. Natural yogurt
4. Kefir and skim milk
5. Low-fat soups with vegetable broths
6. Vegetables and fruits

The following foods should be avoided after a colonoscopy:

1. Alcohol:
2. Grilled meat
3. Fatty fish
4. Semi-finished products, sausages, sausages,
5. Smoked meats and pickles
6. Fresh pastries, bread and confectionery
7. Canned food
8. Whole grain porridge

Possible consequences of colonoscopy

The colonoscopy procedure, while accurate and informative, is minimally painful. But unfortunately, during the recovery period after it, patients experience certain unpleasant sensations to varying degrees:

The most serious consequences are bleeding in the area of ​​the removed polyp and intestinal perforation.

General malaise, weakness after colonoscopy

In the first hours after the procedure, the patient may experience general malaise, weakness, dizziness, abdominal pain, pain when walking and nausea. These sensations arise due to the fact that the painkillers used during colonoscopy or anesthesia stop working. Also, a state of weakness and nausea can occur due to the fact that a person has not eaten for a long time before and after the procedure - the body requires replenishment of energy and new nutrients. Do not forget about the emotional experiences regarding this examination and the subsequent recovery period. Therefore, after the procedure, the patient is recommended to eat in accordance with the doctor’s recommendations and lie on his side in a relaxed state for several hours. As a rule, these uncomfortable sensations go away on their own within a few days. The following prescriptions can help you regain strength quickly after the procedure:

1. To restore the water-salt composition of the blood and relieve intoxication, physiological solutions are administered
2. Taking vitamins, especially group B and C - they are necessary to strengthen the immune system and the proper functioning of the nervous and muscular systems.

If you have a fever during the first 24 hours after the examination, then it is possible that some kind of inflammatory process has begun in the intestines, caused by an attached infection. This is a complication in the recovery process after a colonoscopy, you should immediately contact your doctor.

Pain after colonoscopy

The occurrence of pain after colonoscopy is due to the fact that during the procedure the mucous membrane of the colon can be injured by the endoscope itself, as well as stretched under the influence of the introduced air. Therefore, mild pain and discomfort after manipulation can occur in many patients and in itself should not cause concern.

If the pain is pronounced and difficult to bear, then there is a possibility of a complication such as intestinal perforation. The likelihood of such a complication is extremely low and is less than 1%. In this case, in addition to pain, symptoms such as vomiting, persistent rectal bleeding, bloating, or abdominal muscle tension may occur.

If these symptoms worsen, this may indicate peritonitis. In this case, urgent surgical intervention is necessary to restore the colon wall.

Discharge from the rectum after colonoscopy

In some special cases, colonoscopy can provoke bleeding caused by endoscopic biopsy (pinching off a piece of tissue for histological examination) or removal of a polyp using an endoscopic loop, as well as trauma to the intestinal wall up to its perforation.

If the bleeding after endoscopic manipulation is moderate, is not accompanied by pain in the abdomen or anus, and does not cause other discomfort in the form of weakness and dizziness, this is considered normal and will go away on its own after the first two to three days.

But you should seek medical help immediately if you experience the following symptoms:

• The appearance of a significant amount of scarlet blood from the anus;
• A sharp drop in blood pressure;
• Severe pain in the abdominal area
• Rapidly increasing weakness, dizziness and loss of consciousness;
• My heart begins to pound.

All these signs may indicate bleeding in the colon, caused in extremely rare cases by intestinal perforation or injury to the spleen; more often, the area of ​​the removed polyp bleeds. Only with timely hospitalization is it possible to control these complications.

Also, after a colonoscopy, purulent discharge may appear from the anus - this is evidence that an infection was introduced during the manipulation, and inflammation began in the colon. As a rule, this condition is accompanied by general malaise and increased body temperature. It is not recommended to lower the temperature on your own, so as not to blur the symptoms. You need to seek medical help to establish the true cause of the fever and stop the inflammation process by administering antibacterial therapy.

Flatulence, bloating after colonoscopy.

During a colonoscopy, the doctor introduces air into the intestines through an endoscope. This is required in order to straighten the intestinal walls and improve visibility, as well as to facilitate insertion of the endoscope into the rectum. After the procedure, this air remains in the intestines for some time, causing discomfort, a feeling of bloating and flatulence.

These undesirable consequences usually go away on their own. If this does not happen for some time, you can take an enterosorbent (for example, 4-5 tablets of activated carbon).

It should be noted that flatulence and bloating practically do not occur after colonoscopy if CO2 carbon dioxide was used instead of air during the procedure. Unfortunately, a special device called an endoscopic CO2 insufflator (UCR) is not available in all clinics.

Problems with bowel movements after colonoscopy

Since colonoscopy is an invasive method, it causes some trauma to the mucous membrane of the intestinal walls and disrupts its microflora. This intervention affects normal bowel function. Constipation or diarrhea may occur in the first days after the procedure. Blood, pus, or mucus may appear in the stool. Medicines prescribed by a doctor according to the indications that arise will help alleviate the condition.

Constipation occurs as a result of spasm of the intestinal walls. Taking the following laxatives will help relax your muscles.

Diarrhea after a colonoscopy occurs due to the fact that during the examination, the process of absorption of water from the stool in the intestines is disrupted, and the feces remain liquid at the exit. The following medications will help alleviate this condition:

1. Smecta
2. Loperamide
3. Hilak
4. Decoctions of St. John's wort, bird cherry fruits and blueberries.

If there are any manifestations of disturbances in the process of bowel movement, you must inform your doctor to select the appropriate medications. It is not recommended to take medications on your own, so as not to harm your health.

Who prescribes a colonoscopy?

Colonoscopy is performed only when indicated. It is usually prescribed by a gastroenterologist.

Where to get a colonoscopy?

Before choosing a clinic for a colonoscopy, be sure to inquire about the qualifications of the receiving doctor, and also read reviews about his work. Pay attention first of all to the latest reviews about the endoscopist.

After a colonoscopy procedure, patients are often worried because small amounts of bloody discharge are found in the stool. Colonoscopy is a low-traumatic procedure, but in the case of a sufficiently advanced pathological process, the mucous membrane may react to external intervention.

Complications after colonoscopy

Blood after colonoscopy It happens extremely rarely and you should still remember the dangers of possible complications. Heavy bleeding may indicate a perforation of the intestinal wall in the case of ulcerative colitis. If it does not occur immediately after the colonoscopy, but after a few days, you need to urgently call an ambulance. You should be alert to the following symptoms:

Heat,
strong pain,
dyspepsia,
bloody diarrhea,
general loss of strength
fainting.

Most likely, we are talking about intestinal perforation or a severe exacerbation of the disease. To avoid complications, it is advisable for the patient not to immediately leave the medical center, but to lie down for about half an hour, especially if anesthesia was administered. At home, it is also advisable to observe semi-bed rest.

Reasons for the normal presence of bloody discharge after colonoscopy

It must be remembered that during the colonoscopy procedure, air enters the intestines, which can also have an irritating effect on the vessels of the mucous membrane of the intestinal wall due to its increase in volume. Some capillaries may even burst, then in the morning the patient may find some blood in the stool. You should be wary if blood is present for several days, especially if there is a rise in body temperature. Most likely, we are talking about an exacerbation of the disease or developed inflammation. Blood after colonoscopy may indicate such consequences of its implementation as:

Difficult-to-heal surface after polyp excision,
mucosal injury
inflammation and infection of the ulcer
allergy,

Complications from neighboring organs.

Proper preparation for colonoscopy is the key to the absence of complications

In order to avoid infectious or inflammatory processes as much as possible, you should properly prepare for a colonoscopy. A complete cleansing of the intestines is mandatory. It can be carried out by giving an enema, which is given until the patient begins to excrete only the injected clean water. For those who are contraindicated for an enema, it is recommended to use medications that are no less effective in cleansing the intestines:

Fortuns,
duphalac,
flit.

A prerequisite is compliance with a special slag-free diet. To do this you need to refrain from:

Meat,
milk,
legumes It is advisable to eat fruits and vegetables, sour-milk products, cereals and broths.

Where is the best place to have a colonoscopy to avoid complications?

Our medical center in Moscow cooperates only with doctors of the highest qualifications. In addition, it is equipped with the most modern technology. Therefore, complications after colonoscopy are extremely rare. Of course, during it, some people, especially those with advanced diseases, experience some pain and discomfort; in general, it passes quickly and does not cause much discomfort. After a colonoscopy, the patient usually does not experience the slightest ailment, except, perhaps, some weakness caused by taking the necessary medications and natural nervous tension.

After a colonoscopy, no special diet is required. Of course, it is not advisable to eat spicy, too hot or salty foods, but most foods are available after this. At our center, we take the colonoscopy procedure very seriously. An individual approach is taken to each patient. Therefore, before carrying out it, the specialist carefully examines him, collects a complete medical history, and prescribes additional laboratory and instrumental tests. The doctor must be informed about all concomitant diseases, pregnancy, and medications taken.

Many people who are scheduled for a colonoscopy ask the question: “Is it possible to replace it with something, or simply not do it?” It is imperative to do this procedure. Colonoscopy is the most accurate examination of the large intestine. It allows you to identify pathological changes throughout its entire length and carry out the necessary operations. The only alternative that exists is to perform a rectoscopy. ? The difference lies in the depth of the research. Rectoscopy does not provide such a depth of examination and allows only the rectum and sigmoid colon to be examined.

The most common reasons for prescribing a colonoscopy are:

1. Long-term constipation;
2. Painful acts of defecation;
3. Severe abdominal pain;
4. Asymmetry of the anterior abdominal wall;
5. Sharp weight loss;
6. Lack of appetite and aversion to meat products;
7. Presence of blood in the stool.

But some symptoms should be distinguished from the characteristics of the body. Some people, depending on their lifestyle and diet, do not go to the toilet for several days. In such cases, there is no need to sound the alarm. But if a person has such severe constipation that he cannot go to the toilet for more than a week, then he should immediately go to the hospital or call an ambulance. All these symptoms are signs of serious diseases, such as:

1. Oncological processes of the large intestine;
2. Rectal polyposis;
3. Atypical ulcerative colitis;
4. Crohn's disease;
5. Volvulus;
6. Bleeding erosions.

These diseases require urgent treatment as they can be fatal.

Also, one of the indications for colonoscopy is age over 60 years. This is due to the fact that in our country at the moment this age group has a high susceptibility to cancer. Timely detection and treatment of them in the early stages ensures the most favorable outcome.

Advice: If your entire abdomen hurts or the pain affects only the lower part, then, regardless of other symptoms, consult a doctor, since abdominal pain is an alarming message from your body.

How the patient is prepared and how a colonoscopy is performed

Preparing for a colonoscopy requires a specific approach, which includes following a special diet (it weakens peristalsis and reduces the formation of waste deposits), the use of laxatives and the use of enemas. Among laxative drugs, one of the most common options is taking. requires the exclusion of vegetables, fruits, legumes, and black bread. Also, the last meal on the eve of the procedure should be 8 hours before it is carried out and, preferably, if it is broth or kefir. You need to eat right to avoid constipation the day before the procedure.

Enemas are prescribed according to the situation. If the prescription of laxatives and diet leads to cleansing of the intestines, then the need for enemas disappears. If constipation has been very long, then you cannot do without them.

Colonoscopy is performed in compliance with all rules of asepsis and antisepsis. Sometimes endoscopists resort to the help of anesthesiologists to carry out. This happens in cases where the patient is very agitated or cannot tolerate this intervention normally. Colonoscopy is not a pleasant manipulation, therefore it also requires psychological preparation of patients.

The examination usually lasts about 30 minutes, but may be delayed due to the need to stop bleeding, remove polyps, or difficult intestinal patency caused by the anatomical features of the body. Some young doctors can do it longer than more qualified ones.

Usually the procedure does not require recovery, except for complications. If any appear after a colonoscopy, then the body recovers depending on their severity.

If you are wondering whether you will feel pain during the procedure, then no. It is performed under local anesthesia, and only discomfort and not pain will be present.

Complications after colonoscopy

The only complications of this manipulation are intestinal perforation and bleeding from the site of the removed polyp. But there are also undesirable consequences, these include:

1. Severe bloating caused by the introduction of air into the intestinal lumen;
2. Pain in the anus with rough insertion of the colonoscope;
3. Diarrhea caused by using enemas the day before;
4. Pain along the intestines after removal of polyps;
5. The above symptoms may be accompanied by high body temperature.

Undesirable consequences are easily eliminated. Sorbents or insertion of a gas outlet tube help relieve bloating. Pain is relieved with the use of analgesics. If the anus hurts, then ointments and gels that contain anesthetics are prescribed. Diarrhea usually goes away on its own, or medications are prescribed to normalize the microflora.

The most serious complication is perforation of the intestinal wall. In this case, the patient experiences severe pain, peritoneal symptoms (irritation of the peritoneum) develop and, with insufficient bowel cleansing, the phenomenon of fecal peritonitis (inflammation of the peritoneum caused by feces entering the abdominal cavity). This complication requires immediate surgery. Most often, the scope of the operation is limited to suturing the resulting hole. But in cases where the doctor does not immediately notice his mistake, this can lead to extensive operations and end with resection of a section of the intestine or removal of a stoma (formation of an unnatural anus on the anterior abdominal wall). This complication occurs extremely rarely, as it requires a combination of many factors:

• Low level of doctor qualifications;
• Thinning of the intestinal wall either by ulcers or degenerative phenomena;
• Insufficient level of intestinal cleansing;
• Strong peristalsis.

Most often, perforation occurs in the area of ​​the hepatic or splenic angles. This is due to the fact that there are natural bends there: the transition of the ascending colon to the transverse colon and the transition of the transverse colon to the descending colon. This poses an additional threat to the patient’s life, since nearby organs are located that can easily be injured during surgery - the liver and spleen. This leads to profuse blood loss and often to removal of the spleen.

Treatment of bleeding from the site of a removed polyp is usually limited to the prescription of hemostatic drugs (aminocaproic acid, dicinone). Occasionally, to stop it, you have to do a second colonoscopy, during which the bleeding site is cauterized using an electrocoagulator. Such consequences do not require surgery.

Advice: A colonoscopy is a serious procedure, so you need to be very responsible in choosing the doctor who will do it.

If your lower abdomen hurts for a long time or the pain covers the entire abdomen, or your body temperature is elevated, or you cannot go to the toilet for a long time, or you have suddenly lost weight, then immediately go to the doctor. There you will be prescribed additional tests, which will help make a preliminary diagnosis. But the appointment of a colonoscopy will help confirm or refute it. Remember that there is no other alternative in terms of the information content of the examination, and, most importantly, if possible, you will be treated immediately (if the cause is polyps or bleeding). You shouldn’t joke with your health, and even more so, delay treatment; early diagnosis can prevent the development of serious diseases.

Video

Attention! The information on the site is presented by specialists, but is for informational purposes only and cannot be used for independent treatment. Be sure to consult your doctor!

The method of endoscopic examination of the large intestine using a fibrocolonoscope is called colonoscopy. The basis of endoscopic diagnosis is the use of an optical system equipped with a camera and a light source. This procedure has many advantages, but it is also possible consequences. After colonoscopy the patient may experience a feeling of fullness of gases and lack of stool for several days, but they pass on their own.

In our medical center in Moscow, the procedure is carried out quickly and painlessly. The technique allows our doctors to examine the mucous membrane in detail, remove biomaterial, administer medications and eliminate the tumor if necessary. Modern equipment allows colonoscopy to be performed without pain, and a person quickly recovers from it.

What are the purposes of a colonoscopy?

Thanks to the procedure, doctors are able to diagnose most intestinal diseases: polyps, neoplasms of malignant origin, Crohn's and Hirschsprung's diseases, colitis, ulcers. The procedure is indicated for:

Painful discharge of blood, pus and mucus from the anus;
Assumptions about the presence of a tumor;
Inflammation processes;
Pathologies of bowel movement;
Sensation of a foreign body in the intestines. The specialist evaluates the shine, shade of the intestinal mucosa, blood vessels, and the process of inflammation of the walls. Recanalization of the narrowed intestinal lumen and removal of the foreign body also occurs.

Colon examination

Before the procedure begins, the person removes clothing below the waist, takes a sedative and lies on his left side, with his legs pressed to the sternum. The endoscope is inserted into the anus and air is pumped moderately to move the tube forward. Sometimes doctors ask you to turn over to make it easier to pass the colonoscope. While overcoming the bends of the organ, the patient may feel slight discomfort. When a specialist discovers pathological processes during the procedure, he removes the biomaterial for histology. In general, the procedure takes up to twenty-five minutes.

Intestinal colonoscopy

The manipulation is performed using an endoscope with one or two balloons, which makes it possible to detect segmental and focal lesions. The doctor lubricates the anus with anesthetic cream if the patient is hypersensitive to pain. An elastic tube is also inserted into the small intestine, and a lighting device operating on a xenon lamp eliminates the possibility of burns.

What to expect during the procedure?

The manipulation does not cause pronounced pain, but the patient may experience a feeling of slight discomfort when air is supplied and the intestinal bends are passed through. The sensation does not cause any particular discomfort. If during the procedure a person feels the urge to defecate, this is normal. It is recommended to breathe deeply to suppress this desire. A clear sensation of pain can develop during a destructive process in the large intestine and adhesions, which is why anesthesia is used. Patients are interested in the question of what consequences after colonoscopy can we expect? Basically, the manipulation takes place without consequences, and among the rare phenomena are the feeling of the presence of gases in the peritoneum and the absence of bowel movements for several days.

Colonoscopy under anesthesia

To ensure maximum comfort for the patient and a more relaxed colonoscopy, the specialist and person are given general anesthesia. Thanks to the fact that the most modern drugs are used today, the patient awakens easily, without nausea or dizziness. The high quality of drugs used by clinics minimizes the risk of complications that anesthesia can provoke.

How to prepare for the procedure?

The purpose of preparation is considered to be an unhindered examination of the intestinal mucosa, and for this it is necessary to carefully clear the lumen of feces. The patient must do the following:

Follow a slag-free diet for several days before a colonoscopy, excluding foods enriched with dietary fiber. These foods can cause bloating.

The day before, cleanse the intestines with enemas and laxatives.

Preparing for a colonoscopy procedure requires a special diet for several days and a thorough cleansing of the intestines from fecal residues; the examination process itself also causes a response from the body. Therefore, recovery after colonoscopy requires time, diet and measured physical activity. The duration of rehabilitation depends on the patient’s diagnosis, concomitant diseases and the presence of complications.

Body reactions to colonoscopy

After the examination, the patient’s general health usually worsens. The consequences of a colonoscopy almost always include:

• weakness, dizziness;
• heaviness when walking;
• bowel dysfunction;
• slight bleeding from the anus;
• pain in the abdomen.

Such reactions of the body are not complications. A correct daily routine, limited physical activity and diet after intestinal colonoscopy without medical intervention will bring the patient’s health back to normal within a day or two.

Weakness and dizziness

Weakness may be a response:

1. For drugs used for general anesthesia.
2. Also, before the procedure and for the first time after it, the person does not eat anything, and therefore becomes weaker due to insufficient intake of nutrients into the body.
3. Feeling weak can lead to illness.

Weakness and dizziness immediately after colonoscopy are not considered a pathology. If symptoms begin to worsen, then the condition is alarming and requires medical intervention.

Defecation disorder

Examination using an endoscope disrupts the normal activity of microflora in the intestine and causes injury to the surface of the mucous membrane. Therefore, patients often complain that their stomach hurts after a colonoscopy and their bowel movements are disturbed. This is manifested by dyspepsia or, conversely, stool retention. Also, the stool may contain a small amount of blood and sometimes mucus.

• Diarrhea after colonoscopy – the result of a temporary disruption in the absorption of fluid from feces in the lumen of the large intestine, so the stool acquires a liquid consistency.
• Constipation– a consequence of slowing down the motor activity of the lower intestines.

Discharge of blood from the anus

Bloody discharge from the rectum in small quantities after the examination should not be alarming. This occurs due to trauma to the intestinal mucosa during examination or is a response to a biopsy or removal of polyps in the intestinal lumen.

If a little blood is released and there are no other symptoms, this is normal. No special treatment is required and it usually goes away quickly without special intervention.

Pain syndrome

Most patients initially complain of abdominal pain after examination. This shouldn't be a cause for concern either:

• This is the body’s reaction to stretching and injury to the intestinal walls by an endoscope.
• Injecting air into the intestinal lumen in order to straighten the folds and get a better view also does not go unnoticed.

Nutrition after colonoscopy

Nutrition after intestinal colonoscopy is prescribed by the attending physician. It takes into account the general condition of the patient, his illness and how the patient underwent the manipulation.

In order for intestinal recovery after colonoscopy to proceed faster, doctors recommend starting to eat small portions of easily digestible foods, but the meals must contain a sufficient amount of protein components. Additionally, you can take comprehensive vitamin and mineral supplements.

• fruits vegetables;
• boiled or steamed fish products;
• boiled eggs;
• soups prepared with vegetable broth, seasoned with vegetable or butter.

Temporarily refrain from eating:

• fried or smoked meat and fish products;
• sausages;
• any type of canned food;
• whole grain cereals;
• sweet confectionery products.

You can eat lightly dried bread that was baked yesterday.

A wide variety of fermented milk products - natural kefir, yoghurts and others - have a beneficial effect on the restoration of intestinal microflora.

You should also take probiotics at the same time. Capsulated dosage forms are the most effective.

If you follow the nutritional rules, stool usually appears within 2-3 days.

What to do in case of various complications

In cases where the above-described symptoms do not go away after a day or two, but intensify, one can suspect that this is how complications after intestinal colonoscopy manifest themselves. You need to urgently consult a doctor to find out the cause of the illness and get qualified help.

For weakness

Help restore normal well-being:

• Intravenous infusion of saline solution. Replenishes fluid lost due to diarrhea.
• Injections of Rheosorbilact or similar agents containing minerals.
• Injections of vitamins from groups B and C effectively stimulate the functioning of the immune system, as well as the nervous and muscle systems.

For diarrhea

From medical means you can use:

• Smecta – 1 sachet three times a day.
• Loperamide. It inhibits the movement of feces through the intestines, while excess liquid is absorbed from it and feces of normal consistency are formed.
• Hilakom forte. Take 40 drops three times a day. An effective remedy for stimulating the growth of healthy microflora in the intestinal cavity.

Self-prepared decoctions also help well with loose stools after colonoscopy:

• from St. John's wort;
• burnet rhizomes;
• blueberries;
• bird cherry fruit.

For constipation

In this case, drugs from the group of laxatives will help:

• Duphalac – stimulates intestinal motility. You need to take 25 ml in the morning with meals.
• Bisacodyl - enhances the secretion of mucous secretion by the glands of the large intestine, thereby facilitating the passage of feces. Take 2 tablets before going to bed.
• Forlax - restores intestinal motility. Take one sachet 1 time per day.

When bleeding

A complication of bleeding after colonoscopy is considered to be a combination of symptoms:

• significant discharge of scarlet blood from the anus;
• progressive drop in blood pressure and increasing weakness;
• increased heart rate.

Such symptoms indicate internal bleeding. The condition requires immediate medical attention before it becomes dangerous.

Assistance is provided in a hospital setting, where hemostatic therapy is carried out. In difficult situations, plasma or blood is transfused.

When pus is discharged

Fever, accompanied by an increase in body temperature, and purulent discharge indicate the onset of an inflammatory process in the lumen of the large intestine as a result of infection during examination.

Treatment consists of the following:

• antibacterial agents;
• detoxification therapy.

For intense pain syndrome

If the patient after a colonoscopy has unbearable pain, which is accompanied by:

• vomiting without relief;
• severe condition with loss of consciousness;
• bloating;
• the patient lies on his side with his legs tucked to his chest;
• the anterior wall of the abdomen is tense and has taken on a board-like shape.

Such symptoms may indicate a very dangerous complication - perforation of the wall of the large intestine. This complication is rare, but urgent measures must be taken, that is, immediate hospitalization and emergency surgery, otherwise the patient may die.

Prevention of complications

Colonoscopy refers to invasive examination methods, that is, it is carried out using a deep penetration of a colonoscope through the lumen of the large intestine. The examination method gives accurate results, but it is prescribed only if there are strict indications.

To avoid complications, you need to conduct a thorough examination of the body before the manipulation and find out whether the patient has contraindications, and then properly prepare for the procedure. After the manipulation, a recovery period is also necessary, which takes several days.