MB BCh · FRCS — Consultant General, Colorectal & Gastrointestinal Surgeon

Nuffield Health · The Vale & Cardiff Bay

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Colonoscopy

A thorough examination of the large bowel to investigate symptoms and screen for disease

Overview

A colonoscopy examines the lining of the large bowel using a thin, flexible camera, commonly used to investigate bowel habit changes, bleeding or abdominal pain, and to screen for bowel cancer. Mr Alan Woodward performs colonoscopy for both diagnostic and screening purposes across South Wales and Bristol, drawing on decades of colorectal experience to identify and manage findings appropriately.

How it’s performed

A colonoscopy involves passing a flexible colonoscope through the rectum to examine the full length of the large bowel, with the option to take biopsies or remove polyps during the same procedure.

Recovery & Aftercare

Most patients go home the same day once sedation has worn off enough for safe discharge, with any mild bloating settling quickly. Sedated patients should avoid driving or important decisions for the rest of the day. Results and any biopsy findings are usually discussed straight away or at a prompt follow-up.

Is Colonoscopy Right for Me?

The best way to find out is a consultation. Mr Woodward will review your symptoms and history, explain what to expect and recommend the right next step.

Frequently Asked Questions

What is a colonoscopy used for?

A colonoscopy examines the lining of the large bowel to investigate symptoms such as bleeding or changed bowel habit, and to screen for polyps or early bowel cancer. It allows biopsies to be taken and polyps removed during the same procedure where needed.

Most patients experience mild discomfort rather than pain, particularly with sedation or gas and air available throughout. Some bloating or cramping can occur afterwards but typically resolves within a few hours.

The procedure itself usually takes between 20 and 45 minutes, though patients should allow additional time for preparation, sedation and recovery on the day. Mr Woodward’s team will confirm expected timings when booking.

Yes, bowel preparation is required beforehand to clear the colon so it can be examined thoroughly. Clear written instructions, including dietary changes and preparation medicine, are provided ahead of the appointment.

This depends entirely on individual risk factors, family history and previous findings, so there is no single answer that applies to everyone. Mr Woodward will advise on appropriate timing for future colonoscopies based on personal circumstances.

Yes, small polyps can typically be removed during the same colonoscopy procedure and sent for analysis. This is one of the key benefits of colonoscopy in preventing bowel cancer before it develops.

Quick facts

Procedure type

Day case

Anaesthetic(s)

Sedation or gas and air

Hospital stay

Same day

Recovery

1–2 weeks

Insurers

All major insurers

Book this treatment

Speak to Ceri Hatcher to arrange your consultation — most patients seen within 48 hours.

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