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Doctor insights on: Colonoscopy Risks Perforation

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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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Dr. Charles Cattano
1,990 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 ?

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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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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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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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