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Gastroscopy and Colonoscopy: Preparation, Consent and Aftercare

Prepare safely for an endoscopy, understand sedation planning and recognise symptoms that need help afterwards.

Surgery · 7 min read

Published · Updated

Editorial note: This article was prepared for this website from the sources listed below. Unless a named clinical reviewer is shown, it has not been attributed to or clinically reviewed by an individual KPMC clinician.

Know why the test is proposed

Gastroscopy examines the upper digestive tract, while colonoscopy examines the large bowel. Ask what question the procedure aims to answer, whether biopsies or treatment may occur, important risks, alternatives and how results will be provided. Consent can be revisited before the procedure.

Follow your own preparation instructions

Preparation differs by procedure. Colonoscopy usually requires bowel preparation; incorrect timing or incomplete preparation can limit the view. Tell the team about blood thinners, diabetes medicines, allergies, kidney or heart problems, pregnancy possibility and previous sedation problems. Do not stop medicine unless instructed.

If sedation is planned, confirm fasting, transport, adult supervision and restrictions on driving, alcohol, legal decisions or machinery. These instructions may continue after discharge.

After the procedure

Mild temporary bloating or throat discomfort can occur, but follow the discharge information for your exact procedure. Ask whether samples were taken, when results are expected and who will discuss them.

At a glance

Key takeaways

  • Preparation quality affects whether the examination is useful.
  • Clarify blood thinner and diabetes medicine instructions in advance.
  • Arrange transport and supervision when sedation instructions require them.

When to seek care

  • Seek urgent care after endoscopy for severe or increasing chest or abdominal pain, breathing difficulty, repeated vomiting, fever, black stools, heavy bleeding or collapse.
  • Contact the endoscopy team if preparation cannot be completed or required medicine instructions are unclear.

General information only. This article does not replace medical advice, diagnosis or treatment. If symptoms are severe or rapidly worsening, seek urgent medical care. In Malaysia, call 999 for an emergency or go to the nearest emergency department.

Source notes

Article sources

  1. NHS: Gastroscopy
  2. NHS: Colonoscopy

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