In the first hour after the procedure, the patient will begin to slowly recover from the sedative. The physician will be able to provide the patient with initial results of the colonoscopy. However, the final results of the test, including any biopsies, will take additional time. These results may be discussed with the patient during a follow–up visit.

Patients should have someone drive them home after the procedure as the full effects of the sedative may not wear off for 24 hours. Patients should spend the remainder of the day relaxing. The physician will inform the patient of when it is safe to eat and drink again, as well as when a normal routine can be resumed. Some patients who use anticoagulants (drugs that prevent the blood from clotting) may be asked to suspend their medication routine for a period of time, especially if a biopsy sample was taken or a polyp was removed.

It is normal to feel bloated or to have gas for a few hours following the exam. Taking a pain reliever or walking may help relieve the discomfort. Some patients may experience nausea from the sedation. Patients may have small amounts of blood in their first bowel movement if a biopsy was performed during the procedure. This is normal and should not cause concern. Symptoms that may indicate a problem and the need to contact a physician include:

• Persistent nausea
• Persistent but minor bleeding
• Ongoing bloating or pain in the abdomen

Some symptoms following a colonoscopy indicate the need for immediate medical attention. These symptoms include:

• Severe pain or cramping in the abdomen
• Heavy bleeding from the rectum
• Fever
• Vomiting
• Dizziness
• Weakness