Is it possible to do a colonoscopy for hemorrhoids: doctor's appointment, features of the procedure, methods of administration, indications and contraindications

Hemorrhoids per se can be both an independent disease and a symptom of various problems in the rectum. For a complete study of the condition of the body, doctors prescribe various procedures. One of them is colonoscopy. To date, the method is the most effective in accurately determining the diagnosis. This article will consider in which cases it is prescribed, is it possible to do a colonoscopy for hemorrhoids. We will also tell you what contraindications are and how it is performed.

What is this procedure, what is its purpose?

With a colonoscopy, the doctor evaluates the condition of the rectum using an endoscope that is inserted through the anus. The tube is quite elastic, the possibility of injury is excluded during the procedure. There is a micro camera on the endoscope, with its help you can immediately see on the screen the state of the rectum and the presence of deviations (you can also see in the recording). Along with the procedure, an analysis of the mucus or damaged area is additionally taken for a complete study.

With hemorrhoids, a colonoscopy is done in the following cases:

1. To clarify the diagnosis.
2. To determine the presence of cancer cells.
3. Before surgery, to clarify the exact area of ​​surgical intervention.
4. To determine the depth of spread of hemorrhoids into the rectum.
5. To take samples for analysis.
6. For relief of bleeding in the rectum.

With the help of colonoscopy, you can be 99% sure of the correct diagnosis and the appointment of further treatment.

Indications

Many patients often have doubts about whether colonoscopy can be done with hemorrhoids, especially when the disease is at an acute stage. The procedure is not canceled even with this form of the course of the disease. The nuance of conducting a colonoscopy in this case is the use of painkillers.

Direct indications for the procedure:

1. Discomfort and abdominal pain.
2. In the feces there is blood or purulent discharge.
3. Pain, itching and burning in the anus.
4. When there are problems with bowel movements (long constipation) and suspicions of obstruction in the rectum.
5. There is no normal feces, diarrhea is replaced by constipation.
6. A sudden and sharp decrease in weight.
7. If Crohn's disease is suspected.
8. If there is a predisposition to colorectal cancer and the first symptoms of the disease occur.
9. It is impossible to raise the level of iron, despite the different methods of treatment.
10. For collecting tests from the rectum.
11. To clarify the location of the tumor or bleeding before surgery.
12. Unpleasant and even painful sensations in the umbilical region.
13. If the bleeding is slight, you can stop it by cauterization of the vessel during the diagnosis.

Sometimes a hemoscopic colonoscopy may not be prescribed to the patient immediately, but only if it is not possible to establish the cause of the malaise by other methods, such as ultrasound or tomography. Of course, if material sampling for analyzes is not required. But there are reasons why the procedure may be contraindicated.

Contraindications

Now let's talk about whether it is possible to do a colonoscopy for hemorrhoids, if the patient has other diseases. As with any other method of intervention in the body, this type of study also has limitations. What contraindications are there:

1. The presence of an infectious disease in a patient.
2. When the body is poisoned by toxins (food or chemical).
3. Disturbances in the work of the heart and lungs.
4. The presence of a hernia in the umbilical region or in the inguinal. There is a high risk of pinching muscle tissue.
5. When there are problems with blood coagulation.
6. The acute phase of the course of diseases of the gastrointestinal tract.
7. There are quite deep cracks in the anus.
8. Inflammation in the rectum or in the anal area.
9. You can not carry out the procedure for pregnant women.
10. When the disease is severely inflamed and accompanied by heavy bleeding.
11. In the postoperative period after removal of hemorrhoids.
12. If suspected of appendicitis or peritonitis.
13. When there are epileptic seizures.
14. With mental disorders.
15. Nervous and physical exhaustion of the body.

If there are obvious contraindications to colonoscopy, the doctor may suggest other methods for examining the rectum.

What are the benefits of the procedure?

Many people are shy about this procedure, although compared with others, it has several advantages:

1. With colonoscopy, thanks to a powerful light bulb and a video camera, you can visually assess the condition of the rectum. And also look at the record to make sure that everything was accurately identified during the inspection. The disease can be detected even at the initial stage.
2. Often patients are worried about whether colonoscopy can be done with hemorrhoids, because there is a high risk of mucosal injury. This opinion is erroneous. The procedure is completely safe. Air is introduced into the rectum along with the endoscope so that the tube passes freely through the passage. If there is a slight inflammation, then the anus can be anesthetized with ointments.
3. During colonoscopy, small vessels that cause bleeding can be cauterized, and cancer cells and infections can be tested.
4. After the procedure, a person does not need to stay in the hospital, you can immediately go home. The patient may stay in hospital if general anesthesia has been used or moxibustion has been used. This is done to further monitor the patient's condition after the procedure.
5. Short duration of the diagnosis. Takes no more than 30 minutes.
6. The correct diagnosis after colonoscopy is 99.9%.

Therefore, if the doctor, evaluating the situation, given the indications and limitations, prescribes a colonoscopy, it is better not to refuse it. The diagnosis process will take less time and treatment will be faster.

What preparation for the procedure is needed?

The procedure itself causes discomfort in a person both physically and morally. Therefore, the doctor pre-negotiates with the patient all the technique of conducting a colonoscopy, thereby preparing the patient. Sometimes general or local anesthesia may be prescribed.

Before a colonoscopy, the doctor tells the patient what preparation is needed. If you do not follow the recommendations in this case, then the procedure will be useless or will not give a complete picture of the disease. This stage consists in following a diet and cleansing the intestines.

Food before the procedure

All products that may cause bloating and increased gas formation are excluded from the menu:

• fruits and vegetables with a high content of dietary fiber (apples, dates, apricots, cabbage, radish, carrots and so on);
• beans, beans, peas;
• kvass and bread products from rye flour;
• carbonated drinks and dairy products;
• nuts (any), seeds and mushrooms.

When colonoscopy is done with hemorrhoids, only lean meat and fish can be consumed during the preparation period. Any products from flour need to be prepared without yeast. All food should be easily absorbed by the stomach. On the last day before a colonoscopy, red foods and beverages are prohibited. This is because they can be confused in the rectum with blood. Diet takes four to five days.

Rectal cleansing before the procedure

Colonoscopy with internal hemorrhoids is carried out only after cleansing the rectum. For this, two enemas are made in the evening with a break of 2-3 hours, the third - in the morning. If the procedures are carried out correctly, then only water will be released during bowel movements. The volume of enemas should be an average of 1.5 liters.

Sometimes a doctor prescribes Fortrans. These are those cases when there are contraindications for enemas. The drug in the form of a powder has a strong laxative effect. It is used in the evening before the procedure. The rules of admission are indicated in the instructions. It is advisable to use a laxative at a time. But can be divided into two servings. Then the second is drunk no later than three hours before the procedure.

How is a colonoscopy performed?

In order for the diagnosis to show more accurate results, it is desirable to carry out the procedure in the morning. It is carried out in a hospital. The patient changes into special clothes and lies on his left side, knees bent. If necessary, the anus is anesthetized and treated with a disinfectant.

The tube is inserted into the anus in a circular motion (it is as if twisted). The passage of a fibrocolonoscope in the rectum promotes air injection. This can cause discomfort and discomfort. If pain occurs, then you need to talk to your doctor. Then the amount of air will be reduced, and you may have to change position.

At the end of the colonoscopy, air is extracted from the intestine along with the tube. For a better procedure, anesthesia may be recommended. With its use, the rectum is in a relaxed state, which facilitates the diagnosis process.

Is it possible to do a colonoscopy with bleeding hemorrhoids, depends on how much the pathology manifests itself, what caused it, and whether there is an inflammatory process.

Sensations after the procedure

After the procedure, discomfort may occur in the rectum, but it lasts several hours. Your doctor will advise you to lie on your stomach so that any remaining air can escape. Sometimes patients ask: "After a colonoscopy for hemorrhoids, can drugs be taken to alleviate the condition?" Doctors usually recommend activated charcoal. This remedy reduces bloating and flatulence. If there were any interventions during colonoscopy, for example, cauterization of bleeding, then you may have to refrain from eating for some time.

What can be side effects?

Although the procedure is not dangerous, several side effects may occur after it:

1. Slight discomfort in the anus.
2. Possible residual air in the rectum.
3. If there was a removal of neoplasms, then pain may remain, which will manifest after a departure from anesthesia.
4. Headache can also be the result of drugs.
5. Sometimes possible: nausea with vomiting and loose stools. This is most often the result of improper preparation for the procedure with enemas or medications.
6. Rarely, there is an increase in body temperature and infection in the intestines.
7. If the doctor is a novice and did not correctly enter the tube, then a slight damage to the rectal mucosa with bleeding is possible. When such a side effect is manifested, then you need to go to the hospital again, and preferably to another doctor.

Therefore, whether a colonoscopy is necessary for hemorrhoids, of course, is up to the patient himself. If it is chosen in favor of the procedure, then you need to make sure the qualifications of the doctor. With proper diagnosis, you can immediately determine the condition of the rectum, the cause of hemorrhoids, and exclude the presence of cancer in the patient.

Conclusion

So we found the answer to the exciting question: "Is it possible to do a colonoscopy with hemorrhoids?". The procedure will be effective with proper preparation for it. It is also important to obey the doctor while the colonoscopy is going on, not to neglect the advice. This approach eliminates the risk of injury to the mucosa and the walls of the rectum. And if there are doubts whether a colonoscopy is done for hemorrhoids, especially if it bleeds heavily and causes unbearable pain, then the doctor will decide on contraindications. Sometimes this method is the only way to solve the problem.