# The Importance of Colonoscopy: A Personal Journey and Reflection
Written on
Understanding the Need for a Colonoscopy
Recently, I underwent my first colonoscopy at the age of 51. According to the US Preventative Task Force's 2021 guidelines, it's recommended that "adults aged 45 to 75 should undergo screening for colorectal cancer." Amidst the chaos of the post-pandemic world, with my first child preparing for college and my primary care physician retiring, I had missed this crucial information.
Even as a health and wellness professional, I hadn’t fully grasped its significance. So, when my wonderful new gynecologist recommended a colonoscopy, I readily agreed. She had already transformed my life by providing access to hormone replacement therapy (I opted for bio-identical options). If you find your health and mental well-being in disarray, I urge you to seek out a gynecologist trained in menopause care. More on this journey later; for now, I recommend checking out the North American Menopause Society.
Preparation for the Colonoscopy
Back to the colonoscopy topic. I attempted to find easier alternatives. I inquired about the stool sample kit, but my doctor clarified that this could only follow an initial colonoscopy. I also asked about alternative medications to the prep drink, only to learn that those could pose risks to the liver and kidneys and might not effectively cleanse the bowels.
As a result, I found myself with no simpler options and prepared for the necessary cleanse and examination. My procedure was set for Wednesday. While coordinating plans with friends for a walk, I mentioned my week’s agenda, clearly indicating I was unavailable on Wednesday, but possibly free on Thursday, depending on how I felt.
The range of responses I received was enlightening. One friend, grieving her mother who succumbed to colorectal cancer at a late stage, expressed her fear of the procedure. Another had long procrastinated due to anxiety. Meanwhile, one friend shared that she chose to be partially sedated so she could observe the procedure on the monitor!
I was fortunate to hear from many who reassured me that the experience wasn’t as daunting as anticipated. They emphasized that the preparation was the toughest part, and once it was completed, relief followed. Now that I have completed the process, I echo both sentiments.
The Challenges of Preparation
Fear can be a substantial barrier, and in this case, the dread of the unknown is particularly perilous. I intend to share my experience, and I encourage you to comment with your own.
The preparation involved having a light breakfast the day prior, followed by a switch to a clear liquid diet. At 4 PM, I began drinking the prep solution, which I had chilled for better taste. It primarily resembled saltwater, but sipping it through a straw made it manageable. As the solution moved through my system, I made numerous trips to the bathroom, which was oddly interesting. By bedtime, the process had completed, allowing for a restful night.
I awoke early, ready to continue the morning prep. This is where things became challenging. After two glasses (the goal was to consume 8 oz every 15-20 minutes), I felt nauseous and began to vomit. Despite my efforts, I couldn’t keep the fluid down. By 7 AM, I managed a few sips of water, but was then advised to stop drinking altogether. I arrived at the surgery center hoping they could still proceed.
The Experience of the Procedure
Upon checking into the center, I was met with friendly nurses who informed me of what to expect and provided warm blankets. My doctor was reassuring, and as they wheeled me into the procedure room, he exuded confidence, anticipating a smooth process.
They added something to my IV (the specifics escape me), and during the procedure, all I felt was a sense of pressure in my colon. I recall making some sounds, but the experience was surreal—neither painful nor uncomfortable.
After waking up, I was informed that they had removed a polyp from the top of my colon and that I had a slightly twisted colon due to childbirth, which made the procedure a bit more complex, but everything was fine.
Recovering After the Procedure
My husband picked me up, and I felt groggy, needing to pause on the way home to vomit—a common side effect of the anesthesia. Once home, I rested, rehydrated, and had some papaya and yogurt. Overall, I felt mostly fine, albeit quite tired.
Reflecting on My Experience
Today, as I write this, I recall when Katie Couric underwent a colonoscopy on live television after the untimely death of her husband from colorectal cancer. I was too young at the time to fully appreciate its significance, but it has stuck with me.
With an increasing number of younger individuals being diagnosed with various cancers, it is essential to prioritize screenings that can catch potential issues early. If even one person reads this and decides it’s time to book their colonoscopy, then my time spent writing has been worthwhile. Have you scheduled yours?