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Colonoscopy during pregnancy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2496 Questions
User :   I just found out I am pregnant, however, I have been having a little blood in my stool for the past 2 weeks. I want to go for a colonscopy, it that something I can do while pregnant
Doctor :   Hi
User :   Hello
Doctor :   Iam.Dr.XXX
Doctor :   let me read your query
Doctor :   How long is your pregnancy?
User :   I am about 5 weeks pregnant
Doctor :   ok
Doctor :   So no risk
Doctor :   as of now
User :   Oh, so you are saying it is safe to go through with the colonoscopy?
Doctor :   Yes ,but you will have to undergo an bowel preparation
Doctor :   Bowel infections are a potential colonoscopy risk, although very rare.
Doctor :   So you will have to discuss with your gastro
User :   great! thank you, I will follow up with my gastro.
Doctor :   The most common side effects are cramping pain and abdominal swelling caused by the air used to inflate the colon during the procedure.
Doctor :   If a biopsy is performed during the procedure, you may also note small amounts of blood in the bowel movements after the examination. This may last for a few days.
Doctor :   Though rare, there is potential for the colonoscope to injure the intestinal wall, causing perforation, infection, or bleeding.
Doctor :   When this test is performed, you will be given sedating medications to make the test more comfortable. Whenever a medication is given, a risk of an allergic reaction or side effect of the medication itself is present. These IV medications are given under medical supervision, and you will be monitored during the procedure to lessen the risk of medication-related complications.
Doctor :   So you will have to discuss this with your treating doctor
User :   from what i gathered in our discussion, i am presuming have the colonoscopy shouldn't affect the pregancy
Doctor :   You will be given a combination of liquid diet, laxatives, or enemas for up to 2 days prior to the test with instructions on how to use them.
Doctor :   Yes provided you have no other health issues with your current pregnancy
Doctor :   And your gynaec doctor has not objected to it
Doctor :   So Do consult your gynaec doctor
Doctor :   because the first two months of pregnancy is very crucial
Doctor :   for organ and brain growth
User :   Thank you! I will follow-up with the doc.
Doctor :   Is there anything else i can help you with?
User :   I am just worried and it is the weekend so I can't talk to my doctor until Monday. Thank you for your feedback
Doctor :   oK
Doctor :   When is your colonoscopy planned?
User :   This Thursday. I got the news yesterday of my pregnancy.
Doctor :   ok
Doctor :   so surely you will have to discuss with them
Doctor :   Colonoscopy during pregnancy, when strongly indicated, may be very beneficial to the mother and the foetus by diagnosing and initiating treatment for serious gastrointestinal disorders, according to a study presented here at the American College of Gastroenterology (ACG) Annual Scientific Meeting.
Doctor :   The procedure was well tolerated in 78% of patients.
Doctor :   Patients were hospitalised for 2.6 days (range 0-20) after index colonoscopy. Maternal colonoscopy complications include hypotension in three patients and minor symptoms in six. Two patients had spontaneous abortions (both in the first trimester; 5 days and 5 weeks after colonoscopy).
Doctor :   There are many theoretical risks to the foetus from colonoscopy.
Doctor :   Patients were hospitalised for 2.6 days (range 0-20) after index colonoscopy. Maternal colonoscopy complications include hypotension and minor symptoms . a few had spontaneous abortions (both in the first trimester; 5 days and 5 weeks after colonoscopy).
User :   Thank you! Good night!
Doctor :   But Experts concluded that colonoscopy appears to be relatively safe and may be performed when indicated during the second and third trimesters of pregnancy.
Doctor :   Is there anything else i can help you with?
Doctor :   Thanks for consulting Bye for now..
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