Pain-Free Colonoscopy: Simple, Life saving

Yes, a screening colonoscopy could save your life!


  • Greater than 50,000 deaths occur each year in the United States due to colon cancer
  • More than 150,000 new cases of colon cancer occur each year
  • More than 1 in 5 persons over age 50 have colon polyps, the leading cause of colon cancer
  • Colonoscopy removes polyps, thus preventing nearly all colon cancer




  • All healthy persons over age 50
  • Anyone whose mother, father, sibling, or child had colon cancer

It is our mission to complete your colonoscopy with utmost convenience for you and your Primary Care Provider. We provide maximal safety with no discomfort during your colonoscopy.

How can we help you schedule your colonoscopy?


Patients will require a pre-colonoscopy office visit with Dr. Sekhon.  If medical records are needed, our office will contact your PCP.


Without a colonoscopy, you may not know if you are among the 150,000 Americans this year who will develop colorectal
cancer, America's number #2 cancer killer.


  • Colonoscopy is recommended for everyone age 50 or older.
  • Colonoscopy can identify colon polyps before they become cancerous.  We can also detect cancer in its early stages when it is most curable.
  • When diagnosed early, 90 percent of colorectal cancers are completely curable.


To ensure you are pain-free and comfortable during all procedures we use propofol, a safe and proven anesthesia.  We understand that no one looks forward to a colonoscopy, but you may rest assured that your dignity will be preserved.  We are sensitive to the intimate nature of GI procedures and maintain strict privacy during your procedure.

Procedures are performed at the Advanced Surgery Center or at Shady Grove Adventist Hospital.



Overview: The Basics

A colonoscopy is a visual examination of the entire large intestine (colon) using a lighted, flexible

colonoscope. To be certain you are comfortable and relaxed, you will be sedated through an I.V.

In fact, most patients are asleep during the entire process and remember little to nothing about it.


What to Expect: During the Screening

When it’s time to start the screening, you will be asked to lie on your side. Once sedation takes

effect, the colonoscope is inserted through the rectum and moved gently around the bends of the

colon. As the colonoscope makes its way through the colon, the physician can see the lining of the

colon on a television screen. Typically, the physician looks all the way to the end of the large intestine,

and back, for anything unusual. The entire scoping process typically takes between 15 and 30 minutes.

When complete, your nurse will take you into a recovery area, where the sedation quickly wears off.

Your physician will talk to you about your test and any findings.


What can be found?

If polyps (very small growths of tissue) are found, your doctor can perform a biopsy immediately.

The biopsy involves passing an instrument through the scope to remove the polyp, which is sent to

a laboratory to be analyzed.


You should feel nothing when a biopsy or polyp is taken, and you should experience no recovery pain.

While the overwhelming majority of polyps are harmless, your physician will have it tested and confirm

your results with you, usually within 24-72 hours depending on the day of the week of the procedure.

Furthermore, since most colon cancer starts as a benign polyp, when these are removed, the possibility

of them growing into cancer is removed as well.


What happens afterwards?

Once your recovery nurse determines that most of the effect of the sedation has worn off, you will be

released, however, you cannot drive. Even though you will feel fine, the lingering, subtle effects of the

sedation will make it dangerous for you to drive, so a responsible adult must be there to take you home.

You should be able to resume normal activity the next day.


How to Prepare

Thorough cleansing of the entire bowel is essential for effective results so there will not be a need for

retesting. Instructions for doing this will be given by your physician, but this can include a combination

of the following: enema, restriction from eating solid foods a day or two before the test and taking

pill-form and/or liquid laxatives. You may be told to stop taking aspirin or other blood-thinning

medications for several days before the test as well.


To avoid dehydration, patients should drink clear, fat-free bouillon or broth, gelatin, strained fruit juice

(no grape juice or any liquid with red color), water, plain and unsweetened coffee or tea, or diet soda.

Unless otherwise instructed, continue taking any regularly-prescribed medication. Your physician may

also ask you to stop taking iron preparations a few weeks before the test if you are on them. Finally,

you need to arrange for someone to drive you home afterward because lingering, subtle effects of the

sedation will make it unsafe for you to drive until the next day.


Your doctor will also want to know if you have heart disease, lung disease, or any medical condition

that may need special attention.