You have had a Colonoscopy/Flexible Sigmoidoscopy.
An EMR is a technique to remove a larger than average flat polyp found on the inside of your large bowel. Some polyps are easy to remove, but in your case, the polyp has been found to require the EMR technique. (The flat polyp is raised by injecting a solution before removing)
Following an EMR, you could expect some slight bleeding for up to 48 hours and this is noticeable when bowels are opened. The bleeding should lessen over this period of time.
Unless otherwise instructed by your doctor, you may resume your normal diet. You are advised to have a plain diet for the next 24 hours, as you might experience diarrhoea until the bowel settles down from the procedure.
There may be some slight soreness where the instrument has been. this shouldn’t last long.
Some bloating may be experienced if air has remained in your bowel. This is not something to worry about; it will resolve itself naturally over the next few hours. However, if it gripes you, having a hot drink, or taking some peppermint water/tea and walking around, might help to provide some relief.
You will need to avoid strenuous activities or heaving lifting for 48 hours.
You have had sedation today; it is essential that someone accompanies you home and stays with you for the next 24 hours. You should not drive a car, operate machinery, drink alcohol, sign any legally binding documents or look after small children or other dependants for 24 hours.
Side effects to look out for
Side effects are extremely rare but we need to make you aware of symptoms to look out for.
Things to report to your doctor:
- Moderate abdominal pain that is increasing
- Moderate bleeding (more than an egg-cup’s worth)
- Mild Fever
- Redness, tenderness and swelling at the site of the IV injections that, persists for more than 48 hours.
Attend Accident and Emergency department if you have the following symptoms:
- Severe pain, nausea or vomiting
- Persistent/continuous bleeding; if the bleeding continues or is excessive, especially when bowels are not opened.
- Temperature greater than 100°F / 39 °C
- Weakness or dizziness
Please bring your Colonoscopy report with you to Accident and Emergency department
Further information and advice
If you have any urgent medical queries between the times of 1800-0800 relating to the symptoms that we advise you to look out for on your discharge leaflet – Please use our new dedicated Out of Hours Hot-Line. This will put you in contact with our partners at the L+D Gastro-Enterology Ward. They will not have access to your report so please have this handy when you make your call.
07815178199.
If you have any further questions or concerns, please contact your GP or NHS 111 for medical advice .
Bedford Hospital Endoscopy unit: (Monday to Sunday 8am to 6pm)
01234 355122 ext. 6445
For appointment queries: 01234 792269
FOLLOWING THIS PROCEDURE YOU MUST NOT DONATE BLOOD FOR 4-6 MONTHS
The reason for this is that your ability to donate blood in the future is dependent upon your diagnosis and the possibility that you might need to undergo further investigations or complete treatments. (British Society of Gastroenterology, 2019)
National guidance recommends that you do not fly for 2 weeks following this procedure