About this Procedure
Flexible sigmoidoscopy is a procedure in which a trained medical professional uses a flexible, narrow tube with a light and tiny camera on one end, called a sigmoidoscope or scope, to look inside your rectum and lower colon, also called the sigmoid colon and descending colon. A sigmoidoscopy covers only the lower part of the colon, also known as the rectum and sigmoid colon. A flexible sigmoidoscopy exam can help your doctor explore possible causes of abdominal pain, rectal bleeding, changes in bowel habits, chronic diarrhea and other intestinal problems. There is a lower risk of direct harm such as perforation with sigmoidoscopy compared with colonoscopy. It is inserted gently into the anus and advanced slowly into the rectum and the lower colon.
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In most instances, you will be lying on your left side while the instrument is advanced through the rectum and the colon under direct vision on a TV monitor. There may be a sensation of fullness, bloating, pressure, or cramping during the procedure. As the instrument is withdrawn, a careful examination is made of the lining of the colon. The procedure usually takes only 5 to 15 minutes. In order to obtain accurate results, the rectum and the lower colon must be completely clean of stool. A health care professional will give you written bowel prep instructions to follow at home before the procedure. Flexible sigmoidoscopy is generally well tolerated and rarely causes any significant pain.