Your Colonoscopy

Information on Colon Polyps and Screening Colonoscopy

We are pleased to present a series of short videos from Dr. Raymond about your upcoming colonoscopy. Click on any of the subjects below depending on whether you have a broadband connection to the internet or dialup connection).

Dr Raymond performs colonoscopy at our accredited outpatient endoscopy facility, Sentara Bayside or Virginia Beach Hospital. Colonoscopy is used to evaluate the lining of the large intestine in order to check for several medical conditions. It is the method of choice for screening patients at risk for colon cancer.

Using a colonoscope, a long, thin, flexible, tube-like instrument, Dr. Raymond can visually inspect the lining of the colon. The scope bends, so she can move it around the curves of your colon. The scope also blows air into your colon, which inflates the colon and helps the physician see better. Color photographs are usually taken, and polyps can be removed by biopsy or using a wire snare that cuts, cauterizes and removes the polyp.

For the procedure, you will lie on your left side on the examining table. You will be given sedation to keep you comfortable and sleepy during the exam. The physician will insert the colonoscope into the rectum and slowly guide it all the way up through the colon to the lower end of the small intestine. Colonoscopy is a relatively simple and painless procedure and usually lasts less than one half hour.

Before you start your colonoscopy prep:

Make certain that you are scheduled for the procedure with Dr. Raymond! Some physicians and patients prefer an office consultation first, others schedule a "Direct Access" endoscopy at our hospital without an initial office appointment or exam until you meet Dr. Raymond on the day of the procedure at the hospital. If you're uncertain which is right for you, speak to our helpful office staff at 757/547-2673 (54-SCOPE)

Colonoscopy Preparation

This part is up to you. We need a clear view during colonoscopy so we can SEE the polyps. If the colon is dirty, it limits our examination.

Clear Liquid Diet: Beginning the day ahead of your scheduled procedure means just that. Clear means not cloudy (no orange or tomato juice which include cloudy pulp, for example), but the liquid may be colored. Please no red drinks or jellos, as the dye may confuse us, the red color may look like an area of your colon is bleeding. Further diet instructions are included in the Patient Prep Handout.

There are several prep methods, information on which is best for your needs is available through the nursing staff of Simply Screening. They include:

Take plenty of liquids during your prep. Most of our preps will dehydrate you, and drinking LARGE AMOUNTS of fluids will help the hospital staff to start your IV before the procedure, keep your kidneys functioning properly, and keep you from being fatiqued or experiencing headaches from lack of fluid.

TAKE ALL OF YOUR USUAL MEDICATIONS including heart, blood pressure, antibiotics and seizure medications both during the prep and with a small sip of water the day of the procedure. If you are diabetic, ask the nurse or doctor if you should reduce or skip your insulin or diabetes tablets on the day of the procedure.

IF YOU ARE ON COUMADIN (Warfarin), aspirin (even small doses for the heart, persantine (Ticlid) or arthritis or pain medications (except for acetaminophen- Tylenol) discuss this with our nursing staff or physician. These medications may need to be stopped for several days before the test to reduce the risk of bleeding should a biopsy be taken or polyp removed during the procedure.

Frequently Asked Questions (FAQs)