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Dr. Desk B Sharma, MD Board Certified Gastroenterology & HepatologyDirect Colonoscopy/EGD Form Patient Name: DOB: //Patient Phone Number: () Pharmacy Information: () Referring Physician: Have you
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How to fill out direct colonoscopy

How to fill out direct colonoscopy
01
Start by fasting for at least 24 hours before the procedure. This involves avoiding any food or drink apart from clear liquids.
02
Take the prescribed laxatives or bowel cleansing agents as instructed by your doctor. These medications help empty the colon and ensure a clear view during the colonoscopy.
03
Follow any dietary restrictions given by your doctor. This may involve avoiding certain types of food or medications that can interfere with the procedure.
04
Arrive at the medical facility on the scheduled time. You may need to check in and complete any necessary paperwork.
05
Change into a hospital gown and remove any jewelry or accessories.
06
The doctor or nurse will insert an intravenous (IV) line to administer sedatives or anesthesia, depending on the type of colonoscopy.
07
During the procedure, you will be asked to lie on your side on an examination table. The doctor will insert a long, flexible tube with a camera (colonoscope) into your rectum and guide it through your colon.
08
Air may be pumped into the colon to provide a better view. This can cause a bloated or full feeling, but it should not be painful.
09
The doctor will carefully examine the colon and may take tissue samples (biopsy) or remove polyps if necessary.
10
Once the colonoscopy is complete, the doctor will slowly withdraw the colonoscope. You may experience some gas and discomfort as the air is released.
11
After the procedure, you will be monitored in a recovery area until the effects of the sedatives wear off. It is important to have someone accompany you for the ride home.
12
Follow any post-procedure instructions provided by your doctor. This may include dietary restrictions or medications to aid in the healing process.
Who needs direct colonoscopy?
01
Direct colonoscopy is typically recommended for individuals who:
02
- Are at average risk for colon cancer and are due for routine screening.
03
- Have a family history of colon cancer or polyps, placing them at higher risk.
04
- Have experienced symptoms such as rectal bleeding, changes in bowel habits, unexplained weight loss, or abdominal pain.
05
- Have been diagnosed with a gastrointestinal condition, such as Crohn's disease or ulcerative colitis.
06
- Need follow-up monitoring after a previous colonoscopy with abnormal findings.
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What is direct colonoscopy?
Direct colonoscopy is a medical procedure used to examine the inside of the colon and rectum.
Who is required to file direct colonoscopy?
Direct colonoscopy is typically performed by gastroenterologists or colorectal surgeons.
How to fill out direct colonoscopy?
Direct colonoscopy is filled out by the healthcare provider who performed the procedure.
What is the purpose of direct colonoscopy?
The purpose of direct colonoscopy is to screen for colorectal cancer, investigate gastrointestinal symptoms, or remove polyps.
What information must be reported on direct colonoscopy?
The report must include details of the procedure, findings, and any abnormalities detected.
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