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Doctor insights on: Colonoscopy Complications Perforation

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40s male with IBS, with nagging EGR pain 6days post biopsy-free colonoscopy. No fever, blood, some bm. What non-perforation complications are likely?

40s male with IBS, with nagging EGR pain 6days post biopsy-free colonoscopy. No fever, blood, some bm. What non-perforation complications are likely?

IBS may be nervous: Many patients with IBS have it because of automatic brain dysfunction. The bowel has it own nervous system that receives signals from the lower brain, enabling it to function properly. I would guess that your diet is poor because that is the commonest way to affect the control mechanisms. Try shaping up your diet and get rid of all the sugar. ...Read more

Dr. Charles Cattano
2,025 doctors shared insights

Colonoscopy (Definition)

Colonoscopy is the procedure of using a long flexible camera to visualize the entire colon from the inside with the option to take pictures, video, perform biopsies, remove polyps, etc. Generally people are sedated and do ...Read more


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What are the symptoms of a colonoscopy micro-perforation? How is it diagnosed, and does it require intervention ?

What are the symptoms of a colonoscopy micro-perforation? How is it diagnosed, and does it require intervention ?

Microperforation: Though uncommon, this is not a rare problem associated with a very common and important procedure. Pain within a few hours, sometimes with fever, is an indication. Free abdominal air on a plain film is adequate to make the diagnosis. Usually, bowel rest and antibiotics will suffice, but occasionally surgical intervention will be necessary. Good luck. ...Read more

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Had painful colonoscopy yesterday. No pain afterwards. Does the pain felt during procedure increase risk of perforation occuring later? Very anxious.

Had painful colonoscopy yesterday. No pain afterwards. Does the pain felt during procedure increase risk of perforation occuring later? Very anxious.

Relax: Perforation is a rare complication that occurs during colonoscopy and most often in the frail and elderly. In the majority of cases the doctor knows a perforation has occurred right then. You would not have been sent home. In the extremely rare circumstance a perforation occurred and was not detected you would develop abdominal pain that would get increasingly worse with possible fever. ...Read more

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Big risk of bowel perforation during a routine colonoscopy?

Big risk of bowel perforation during a routine colonoscopy?

Very small: The literature quotes rates of 1 in 3000. I have done over 10, 000 with no perforations. The risk increases with age and previous abdominal surgeries as well as nutritional status. ...Read more

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My GI thinks that I have Crohn's disease so I am having a colonoscopy. What are the risks of perforation?? I'm only 20. Can I have it with no sedation

Colonoscopy: These days, colonoscopy is a very safe procedure. Colon perforation occurs in only 0.05% of the procedures, on average. Although it is possible to undergo a colonoscopy without sedation, it can be uncomfortable in that setting, and I don't recommend trying it. The sedation is very safe and easy. If your doctor think you may have Crohn's disease, you should not skip the procedure. Good luck. ...Read more

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What are the possible causes of central ab-stomache pain 5days after colonoscopy? Dr. phys. exam indicates no perforation, as no fever-blood. Help !

What are the possible causes of central ab-stomache pain 5days after colonoscopy? Dr. phys. exam indicates no perforation, as no fever-blood. Help !

Be patient and wait: It is unlikely to be anything serious. If you become impatient and write everyday you will not find any easy answers. Patience is a vitue ....practice it. ...Read more

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If there is past family history of 2 deaths from bowel perforation (1 colonoscopy, 1 cdif) could there be increased risk for other family members?

If there is past  family history of 2 deaths from bowel perforation (1 colonoscopy, 1 cdif) could there be increased risk for  other family members?

Not clear: If i understand what you are asking, there is no risk to have bowel perforation because others had it. Specially from a colonoscopy. Cdiff is an infection and the only risk is to get the infection from the relative that had it. ...Read more

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What is the risk of bowel perforation from CT colonography "virtual colonoscopy"??

What is the risk of bowel perforation from CT colonography "virtual colonoscopy"??

Not invasive.: A traditional colonoscopy is invasive; the fiber optic camera is passed through the colon, and therein causes the low risk of perforation of the colon. A CT colonography is not invasive; it's just a fancier CT scan, so there's nothing to directly cause a perforation. ...Read more

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Colon cancer age 30?? RUQ pain, fecal occult test negative- CT- Normal- (GI tract WNL no obstruction or perforation) should I get colonoscopy for pain

Colon cancer age 30?? RUQ pain, fecal occult test negative- CT- Normal- (GI tract WNL no obstruction or perforation) should I get colonoscopy for pain

Probably: Colon cancer is unlikely in your age group, but other GI and colon diseases can also cause such symptoms. Have you had your gallbladder evaluated? Remember, colon cancer has minimal symptoms and CT is NOT a great test for it. In sum though low yield I would likely recommend colonoscopy to you based on what I've read. ...Read more

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How soon after a colonoscopy would you have symptoms if your colon was perforated?

Need to get checked: Usually a perforation is evident very early in recovery after the procedure, but occasionally if a polyp has been removed perforation can happen within a few days afterwards. Bottom line is that if you are concerned or are having symptoms, you should definitely call your gastroenterologist's office, because the risks could be serious. ...Read more

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My 81 yr old father 3 days post op for perforated bowel from colonoscopy, has not had BP meds since, BP is 174/64. Is this acceptable?

My 81 yr old father 3 days post op for perforated bowel from colonoscopy, has not had BP meds since, BP is 174/64. Is this acceptable?

See your PCP: His systolic is too high (the top number). But on the other hand you don't want his pressure to go too low. It may be the pain he is experiencing causing his top number to be so high. A perforated bowel is no small event. If the BP goes to low ischemia may occur as well. I'm assuming he is still in hospital. Just make the doctors aware which i'm sure they are. ...Read more

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I had a colonoscopy yesterday how long before I can stop worrying about complications? Bowel perforation bleeding infection......etc

I had a colonoscopy yesterday how long before I can stop worrying about complications? Bowel perforation bleeding infection......etc

Stop today: I it was a simple diagnostic study, and you feel fine, you can rest assured that your ok. Even it they performed a biopsy, chances are you'll be just fine. You can't do anything about it anyway, and off you had sifnificant bleeding, you would see blood in the stool. Call your doctor if this happens. Hope this helps! ...Read more

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What are the possible complications of a colonoscopy?

What are the possible complications of a colonoscopy?

Veery rarely: Bleeding and injury to the bowel. In experienced hands the combined risk is less than 1 %. You may have gas and bloating afterward but these should resolve quickly and you can resume normal activity and diet the next day. The risk of having an undiagnosed colon disease or cancer is greater than the risk of the procedure. ...Read more

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Timeline for symptoms of complications after colonoscopy?

Timeline for symptoms of complications after colonoscopy?

Within 24 hours: The risk of any complications is extremely low. So you should not worry about it. If there is any complication in your case you will have symptoms quite quickly. The 2 potential(yet very rare) complications are bleeding or perforation of the bowel. Both will produce symptoms within a matter of hours. So if you are past 24 hours (and feel OK)from the procedure, you can rest in peace! ...Read more

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Had right ovary removal and uterine abasion a year ago- now , lower left pain cyst 1.7 on this ovary and no history of endo. Had colonoscopy.- normal. Do have IBS but this pain is different. Could this be complications of ablasion or could adhesions b

Had right ovary removal and uterine abasion a year ago- now , lower left pain cyst 1.7 on this ovary and no history of endo.  Had colonoscopy.- normal.  Do have IBS but this pain is different.  Could this be complications of  ablasion or could adhesions b

Could be adhesions: It is always a possibili when surgery has been done. If you are still having some issues, your should see your physician. There are other causes of pain, especially in the lower left part of the abdomen. ...Read more