Colonoscopy — FAQs
Why is colonoscopy recommended at age 45?
Most people should start screening at 45 because colorectal cancer and precancerous polyps become more common with age. Early removal of polyps prevents cancer and saves lives. Your provider may advise earlier screening if you have higher risk.
Will I be asleep?
Most patients receive sedation to keep them comfortable and typically remember little or nothing. You will need a driver the day of the procedure.
How long does it take?
The procedure itself is usually 20–40 minutes. Plan for about 2–3 hours total including check‑in, recovery, and discharge.
What about the bowel prep?
Follow the exact prep instructions provided for you—they can vary by prescription and appointment time. A clean colon helps your doctor find and remove small polyps safely.
Upper Endoscopy (EGD) — FAQs
What symptoms can an EGD evaluate?
Common reasons include heartburn or reflux, trouble swallowing, persistent nausea, ulcers, anemia, or upper‑GI bleeding.
Can biopsies be taken?
Yes. Small tissue samples are often obtained to check for inflammation, H. pylori, celiac disease, Barrett’s esophagus, or other conditions.
How should I prepare?
Do not eat or drink for the period specified in your instructions (often 6–8 hours). Some medications may be adjusted—follow your individualized plan.
Advanced Endoscopy — FAQs
What falls under “advanced endoscopy”?
These are specialized procedures such as endoscopic ultrasound (EUS), ERCP for bile/pancreatic ducts, and advanced polyp removal (EMR/ESD). Your physician will explain which technique fits your situation.
Do these procedures replace surgery?
Often, yes—many conditions can be treated endoscopically without incisions. Your care team will review risks, benefits, and alternatives.
Barrett’s Esophagus & Ablation — FAQs
What is Barrett’s esophagus?
A change in the lining of the lower esophagus usually related to chronic reflux. It can increase the risk of esophageal cancer, especially if dysplasia is present.
What is ablation therapy?
Techniques like radiofrequency ablation remove or destroy abnormal cells so healthy tissue can regrow. Multiple sessions may be required.
Will I need ongoing surveillance?
Yes. Regular endoscopic follow‑up is important even after successful ablation, based on your physician’s schedule.
High Resolution Anoscopy (HRA) — FAQs
What does HRA look for?
HRA examines the anal canal with magnification to identify abnormal cells or lesions. It may include gentle swabs, application of solutions, and targeted biopsies.
Is HRA painful?
Most patients feel pressure or mild discomfort. If biopsies are needed, local anesthesia is used to improve comfort.
How do I prepare?
Preparation is usually simple (e.g., avoiding certain products or using an enema if instructed). Follow the written directions provided by your care team.
Breath Testing — FAQs
What conditions can breath tests evaluate?
Common uses include lactose intolerance, small intestinal bacterial overgrowth (SIBO), and other carbohydrate malabsorption issues.
How should I prepare?
Preparation often includes a short dietary restriction and avoiding certain antibiotics or probiotics beforehand. Exact instructions are provided with your order.
How long does it take?
Most tests last 2–3 hours with timed breath samples. You can relax between samples; bring a book or device.
Reminder: This information is educational and not a substitute for medical advice.
Your preparation steps may be individualized based on your medications and health history.
Always follow the specific instructions provided by your Salem Gastro care team.
