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Doctor insights on: Getting A Sigmoidoscopy While Pregnant

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Dr. John Lappas
549 doctors shared insights

Sigmoidoscopy (Definition)

Sigmoidoscopy is the use of a flexible fiberoptic camera or specially designed scope to examine the inside of the colon. Because the procedure only examines the left side of the colon (in an area called the sigmoid), it is termed sigmoidoscopy. This is to differentiate it from a colonoscopy, where the entire right and left side of the colon is examined. A sigmoidoscopy ...Read more


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Is sigmoidoscopy safe during pregnancy? I’m in my third trimester and my doctor wants to do a sigmoidoscopy to find out why i’m bleeding. Can it hurt my baby?

Is sigmoidoscopy safe during pregnancy? I’m in my third trimester and my doctor wants to do a sigmoidoscopy to find out why i’m bleeding. Can it hurt my baby?

Flexible : Flexible sigmoidoscopy and even colonoscopy appears to be safe during pregnancy if it is indicated. A study published in 1996 looked at the safety and effectiveness of 48 flexible sigmoidoscopies during pregnancy done at 10 medical centers and showed that sigmoidoscopy does not induce labor or result in congenital malformations, that sigmoidoscopy is not contraindicated during pregnancy, and that sigmoidoscopy may be beneficial in pregnant patients with significant lower gastrointestinal bleeding.
The study included thirteen patients who were in the first trimester of pregnancy, 18 who were in the second trimester, and 15 who were in the third trimester. Twenty-seven patients were found to have significant diagnoses that included colitis and bleeding internal hemorrhoids. No complications occurred in the pregnant patients. Eight colonoscopies were also performed in pregnant patients during this study with no complications to the mother or unborn baby.
You should discuss your particular situation with your doctor before deciding whether or not to have a flexible sigmoidoscopy while you are pregnant.

Reference:
cappell ms, colon vj, sidhom oa. A study at 10 medical centers of the safety and efficacy of 48 flexible sigmoidoscopies and 8 colonoscopies during pregnancy with follow-up of fetal outcome and with comparison to control groups. Dig dis sci. 1996;41(12):2353. ...Read more

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If i was pregnant and had a sigmoidoscopy could I have lost the baby?

If i was pregnant and had a sigmoidoscopy could I have lost the baby?

Probably not: But if the scope was necessary or you didn't know or tell the doctor you were pregnant it could have contributed but if you are still pregnant with a viable fetus, stop worrying about things after the fact. Nothing you can do about it now. ...Read more

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Narrow stools, 4 CT over three years, sigmoidoscopy normal, diverticulosis seen on CT scan. Chance of colon cancer?? Currently pregnant

Narrow stools, 4 CT over three years,  sigmoidoscopy normal, diverticulosis seen on CT  scan. Chance of colon cancer?? Currently pregnant

Narrow stools: Narrow stools are not necessarily a sign of colon cancer and nay be seen with scarring of the colon from prior episodes of diverticulitis. A negative sigmoidoscopy is reassuring in making cancer unlikely but a gastroenterologist is best qualified to evaluate and advise you. ...Read more

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Is it okay to get an endoscopy and sigmoidoscopy?

Is it okay to get an endoscopy and sigmoidoscopy?

Absolutely: Many gastroenterologists, faced with the need to evaluate the upper and lower GI tracts, may choose to perform a "double procedure" under one sedation--this minimizes sedation risk and maximizes the diagnostic yield of testing. Good luck with your results. ...Read more

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Is sigmoidoscopy safe? Is it true that it can detect the majority (70%) of colorectal cancers?

Is sigmoidoscopy safe? Is it true that it can detect the majority (70%) of colorectal cancers?

Yes : It is relatively more safe but will miss proximal colon lesions above the sigmoid. In my opinion Colonoscopy unless contraindicated. ...Read more

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I have to get a flexible sigmoidoscopy (ill be sedated) in a couple days and i'm really scared! what is it? Does it hurt ? Help i'm a 16 y/o girl!

I have to get a flexible sigmoidoscopy  (ill be sedated) in a couple days and i'm really scared! what is it? Does it hurt ? Help i'm a 16 y/o girl!

Remain calm: I just had my first colonoscopy as my 50th birthday present. I am also an anesthesiologist so i know how safe the procedure and sedation truly are. Statistically your car ride to the hospital carries more risk. You will be safe, comfortable and awaken from your sedation quickly. Trust me, i just went through it.. Good luck. ...Read more

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Does a sigmoidoscopy hurt? My doctor told me i won’t get any sedation for my sigmoidoscopy, but my friend had sedation for his colonoscopy. Does that mean a sigmoidscopy hurts less?

Does a sigmoidoscopy hurt? My doctor told me i won’t get any sedation for my sigmoidoscopy, but my friend had sedation for his colonoscopy. Does that mean a sigmoidscopy hurts less?

Less uncomfortable: Different patients have different perceptions of pain. That being said, a sigmoidoscopy is generally less uncomfortable because they insert the instrument not nearly as far as with a colonoscopy. Consequently, they don't have to expand the inside of your colon with as much air during sigmoidoscopy which is generally the uncomfortable part. Sigmoidoscopy is commonly performed without sedation. ...Read more

Dr. Alan Ali Dr. Ali
1 doctor agreed:
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My mum has irritable bowel syndrome and a fissure. She is going for a flexible sigmoidoscopy. Is this safe?

Dr. Alan Ali Dr. Ali
1 doctor agreed:
My mum has irritable bowel syndrome and a fissure.  She is going for a flexible sigmoidoscopy. Is this safe?

Sigmoidoscope: Scope is done quite frequently, and under hands of good gastroenterologist, complications are minimal. ...Read more

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What is a flexible sigmoidoscopy?

What is a flexible sigmoidoscopy?

A colon exam: This is a limited exam of the distal colon and rectum, typically done without sedation in an office setting. This has been used as part of colon cancer screening regimens, but has been largely replaced by colonoscopy which allows a complete colon exam. ...Read more

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What does a flexible sigmoidoscopy involve?

Camera: You get a camera inserted through your rectum to examine the rectum and the sigmoid colon. You may or may not be offered anesthesia for this procedure. You need to at least have an enema before the procedure to cleanse the colon, and sometimes a laxatives preparation the day before. ...Read more

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How do a colonoscopy and a sigmoidoscopy differ?

Longer test: A sigmoidoscopy only sees part of the colon. The traditional sigmoidoscopy was 60 centimeters and saw the sigmoid and descending colon. A colonoscope is 120-160cm and should visualize the entire colon. Usually the sigmoidoscopy is done unsedated while the colonoscopy is done with sedation. ...Read more

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What if the flexible sigmoidoscopy shows something abnormal?

Depends on findings: Flexible sigmoidoscopy looks at lower 1/3 of colon. Better look is with colonoscopy, which looks at entirety of colon. In general, if abnormality seen on flex sig, colonoscopy is recommended. ...Read more

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What is the cpt code for flexible sigmoidoscopy?

45330: 45330 is the cpt code for a diagnostic flexible sigmoidoscopy. ...Read more

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What is the process of sigmoidoscopy with the colon?

What is the process of sigmoidoscopy with the colon?

Sigmoidoscopy exam: The sigmoid colon is the last bend of the gut before food reaches the rectum. Accordingly, examination of the sigmoid & left colon (hence the name "sigmoidoscopy") involves a flexible tube inserted into the rectum (often under sedation if you wish). The procedure takes only a few minutes & typically requires only a limited preparation. On the other hand, "colonscopy" examines the whole colon. ...Read more

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Please tell me about flexible sigmoidoscopy and colonoscopy ?

Please tell me about flexible sigmoidoscopy and colonoscopy ?

Two separate procedu: These are two separate procedures for checking the large intestine. Sigmoidoscope is shorter and can look inside about one half of the( lower) colon. Colonoscopy is done with a colonoscope, which is much longer and can go up all the way into the entire colon and check it out for any internal disease of the colon like cancer or polyps. ...Read more

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Why is a flexible sigmoidoscopy done instead of a colonoscopy?

Screening: A flex-sig is usually done in the office as a preliminary screening procedure. It is also useful as a follow-up if you have had polyps removed in the lower colon. Is is also useful to re-evaluate colitis and you response to treatment. ...Read more

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What is it like to have a flexible sigmoidoscopy or a colonoscopy ?

Depends!: Very few physicians perform sigmoidoscopy anymore (only checks half the colon and no sedation!). Colonoscopy is usually done with sedation or anesthesia. The procedure itself is usually not uncomfortable. The cleaning out preparation can be arduous. Colonoscopy is 50 times more life saving than a mammogram! ...Read more

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Can you tell me about having a flexible sigmoidoscopy or a colonoscopy ?

Both look at: The lower colon but the colonoscopy looks at the entire colon. Preps are different, colonoscopy usually requires sedation and thus someone to drive home, but flex sig can be done in office without sedation and you can resume normal activity right away. Indication are different for each so it depends on the reason you are having the exam in the first place. ...Read more

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What are the differences between sigmoidoscopy prep and colonoscopy prep?

What are the differences between sigmoidoscopy prep and colonoscopy prep?

It is similar: Both procedures require complete cleaning up of the Colorectal area. So the prep is not any different. ...Read more

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What is the difference between a flexible sigmoidoscopy and an endoscopy?

Flex sig is: a type of endoscopy, but generally flex sig looks at the lower third of your colon, an office procedure, and endoscopy usually implies looking down your esophagus into stomach and first portion of small bowel and usually requires outpatient facility and sedation ...Read more

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Would a flexible sigmoidoscopy test include a camera for later evaluation?

Yes: a flexible sigmoidoscopy involves a camera inserted through the rectum. pictures can be taken. ...Read more

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How does the cost of a flexible sigmoidoscopy compare to that of a colonoscopy?

Cost: This is variable. Would contact the facility or provider to obtain more information about the anticipated cost. ...Read more

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How does wearing makeup affect flexible sigmoidoscopy? Form says not to wear it.

How does wearing makeup affect flexible sigmoidoscopy? Form says not to wear it.

Coverup: The makeup might cover the color of the skin of your face which might delay the surgeon or anesthesiologist recognizing an important change in your condition. For example, lipstick might cover "blue lips" which would indicate that you weren't getting enough oxygen in your blood. The makeup has no effect on the procedure. ...Read more

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My dr said i may need an unprepped sigmoidoscopy. will i have to be sedated? can i do it without sedation? what's involved?

Unprepped sigmoid: I would to know more about the reason for at the least not being able to get enemas prior to the procedure. These could include severe cardiac problems making you a higher risk. If these don't exist at the very least enemas could be used. I would advise using sedation as well ...Read more

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Had sigmoidoscopy 55cm in. 1st degree 'roids, everything else normal, what is the chance of any other problems further in? Slim ? Thanks

At age 23...: Relatively slim, depending on symptoms and family history. If procedure done to investigate hemorrhoid symptoms, e.g. Bright red blood, itch, pain, lump, then it is done. If you also have any of abd pain, diarrhea, fever, weight loss, joint or skin or eye issues, etc., then further evaluation is warranted. Strong family history of colon cancer (esp younger than age 50), needs more looking. ...Read more

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I have suspected ibd & have to wait 4 weeks for a sigmoidoscopy to confirm, is there anything I can do to eas symptoms whilst waiting for diagnosis?

I have suspected ibd & have to wait 4 weeks for a sigmoidoscopy to confirm, is there anything I can do to eas symptoms whilst waiting for diagnosis?

Yes: There are many treatments for ibd, but i would not recommend that they be started until a firm diagnosis is made as the medications can often have side effects. A sigmoidoscopy can be useful for one type of ibd (ulcerative colitis), but a full colonoscopy isoften needed to diagnoise crohn's disease, another type of ibd. If you are having diarrhea, and your doctor has ruled out infection, immodium. ...Read more

Dr. William Singer
4 doctors shared insights

Pregnancy (Definition)

When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more


Dr. Kristi Moffat
133 doctors shared insights

Proctosigmoidoscopy (Definition)

Proctosigmoidoscopy is an examination of the rectum and sigmoid colon (just above the rectum) using a narrow, rigid scope with a built-in light. A small amount of air is usually introduced to distend the bowel, allowing for a better view. Generally, a limited prep is helpful, but not always necessary. ...Read more