Common Concerns and Misconceptions About Colonoscopies: Clearing the Myths

Christopher Furlong/GettyImages

“The Preparation is Too Difficult”

Preparation is often the most daunting aspect of a colonoscopy, but advances in bowel prep solutions have made the process easier and more manageable. Split-dose prep, where the solution is taken in two parts, can improve tolerance and effectiveness. Drinking plenty of water and following the prep instructions carefully can make the experience smoother than expected.

“It’s Embarrassing”

It’s natural to feel a bit embarrassed about a colonoscopy, but remember that it’s a routine medical procedure that doctors and nurses perform every day. They are highly professional and prioritize patient comfort and privacy, understanding the importance of easing any anxieties related to the procedure.

“Only People with Symptoms Need a Colonoscopy”

Many people think they only need a colonoscopy if they have symptoms, but colorectal cancer often develops silently without noticeable signs in its early stages. Routine screenings catch potential issues before they cause symptoms, allowing for treatment when it’s most effective. For average-risk adults, starting screenings at age 50—or 45, as updated guidelines suggest—ensures health is monitored before problems arise.

“There’s a High Risk of Complications”

While all medical procedures carry some risk, complications from a colonoscopy are rare. Adverse reactions to sedation or minor bleeding from polyp removal are possible but uncommon. Choosing a skilled professional and following post-procedure guidelines reduce these risks significantly.

“It’s Painful”

With sedation, a colonoscopy is generally painless, and many patients don’t remember the procedure at all. Any minor discomfort from bloating or cramping typically resolves quickly after the procedure. For most people, the peace of mind from knowing their colon health outweighs the temporary discomfort of the procedure.