Colonoscopy

Comprehensive care for digestive disorders by Dr. Akeel Alisa

What is a Colonoscopy?

A colonoscopy is a medical procedure that allows a gastroenterologist to examine the inside of the large intestine (colon and rectum) using a thin, flexible tube with a camera and light at the tip. This test provides clear, real-time images of the bowel lining and is one of the most accurate ways to detect abnormalities.

Colonoscopy is commonly performed to investigate symptoms such as rectal bleeding, changes in bowel habit, persistent diarrhoea, constipation, abdominal pain, or unexplained weight loss. It is also used for screening and prevention of bowel cancer, as it enables early detection and removal of polyps before they develop into cancer.

Why is Colonoscopy Important?

  • Gold standard for bowel cancer detection – Colonoscopy is the most accurate test for identifying bowel cancer at its earliest stage.
  • Prevention through polyp removal – Polyps are small growths that can develop into cancer over time. Colonoscopy allows them to be removed immediately.
  • Direct visualisation – Unlike X-rays or scans, colonoscopy shows the lining of the bowel in detail.
  • Biopsies can be taken – Small samples of tissue can be removed painlessly for laboratory analysis.
  • Treatment during the same procedure – Polyps, bleeding points, and some early cancers can be treated straightaway.

Who Should Have a Colonoscopy?

A colonoscopy may be recommended if you have:

  • Rectal bleeding
  • Persistent diarrhoea or constipation
  • Changes in bowel habit lasting more than a few weeks
  • Unexplained abdominal pain or weight loss
  • A family history of bowel cancer or polyps
  • Positive results from a stool blood test (FIT/FOBT)
  • Inflammatory bowel disease (IBD) requiring monitoring

Preparing for Colonoscopy

To ensure clear visibility, the colon must be completely clean before the procedure. Preparation usually involves:

  • A special diet the day before (low fibre, clear fluids).
  • Laxatives prescribed to empty the bowel.
  • Sometimes an enema on the day of the procedure.

Your specialist will give you detailed instructions to make the preparation as smooth as possible.

What Happens During the Procedure?

  • The test is usually performed under sedation and pain relief, so you remain comfortable and relaxed.
  • A colonoscope (a thin, flexible tube with a camera) is gently passed into the rectum and guided through the entire colon.
  • The doctor carefully examines the lining, removes any polyps, and may take biopsies.
  • The procedure typically takes 20–45 minutes.

Afterwards, you’ll be monitored until the sedative wears off and can usually go home the same day.

Risks and Safety

Colonoscopy is a very safe procedure, performed thousands of times each day in the UK.

Complications are rare but may include:

  • Minor bleeding after biopsy or polyp removal
  • Small risk of perforation (a tear in the bowel wall) – very uncommon
  • Reactions to sedation

Your gastroenterologist will explain these risks in detail before the procedure.

Benefits of Colonoscopy

  • Early detection and prevention of bowel cancer
  • Accurate diagnosis of symptoms such as bleeding or diarrhoea
  • Treatment without surgery (e.g., polyp removal)
  • Peace of mind if results are normal

Why Choose a Specialist-Led Colonoscopy?

Having your colonoscopy performed by an experienced consultant gastroenterologist ensures:

  • High detection rates for polyps and early cancer
  • Expert removal of polyps using advanced techniques
  • Access to state-of-the-art facilities for safety and comfort
  • Personalised care before, during, and after the procedure
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What Patients Say About Dr Alisa

Read testimonials from patients who have experienced Dr Alisa's expert care.

My consultation with Dr Akeel Alisa was highly satisfactory and he was very thorough. The Gastroscopy procedure was performed satisfactorily with no pain or discomfort at all. I am very pleased with treatment received so far.

Verified Patient

I was fully vaccinated investigated by Dr Akeel Alisa and I was reassured. My endoscopy and colonoscopy were straight forward and painless. I am very happy with the care I received.

Verified Patient

Dr Akeel Alisa and Nursing team at Cromwell Hospital Endoscopy team offered me great care and all was perfect. Well pleased.

Verified Patient