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.