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← All guides · Endoscopy

Colonoscopy for a child

pediatric colonoscopy · colonoscopy for a child · bowel exam for a child · child colonoscopy

The doctor looks inside your child's large bowel with a thin flexible tube with a camera. For children it is usually done in sleep, under sedation or anesthesia.

For blood in the stool, long-lasting diarrhea, belly pain, anemia, poor weight gain, and to monitor inflammatory bowel disease.

⏱ Duration: the procedure itself usually takes 20 to 60 minutes, plus preparation the day before and time to wake up

Be sure to tell your doctor

How to prepare

  • Diet. For 1 to 3 days, food without fiber. Your doctor will give an exact list. The day before, usually only clear liquids.
  • Cleansing. Your child drinks the cleansing solution as your doctor directs, and the dose depends on weight. To make it easier, it can be chilled and drunk through a straw.
  • Fasting. Before sedation, your child does not eat or drink for a set time. The clinic will tell you the exact hours.
  • Talking. Explain in simple words that your child will sleep while the doctor looks at the tummy.

What to bring

  • The referral and past reports
  • Your child's papers
  • A favorite toy
  • A change of underwear and diapers, if needed
  • Wet wipes

How it goes

  1. Your child changes clothes and a line is put in a vein, often after a numbing cream
  2. A parent usually stays close while your child falls asleep
  3. Your child sleeps while the doctor gently passes the tube and examines the bowel
  4. If needed, tiny tissue samples are taken for testing
  5. Your child wakes up in a recovery room and you are called in

What you'll feel

  • The procedure itself is not felt during sleep
  • After waking, there may be sleepiness, fussiness, and a bloated belly
  • Preparation is the hardest part: frequent loose stools and an unpleasant taste of the solution

Afterwards

  • Eating and drinking are usually allowed once your child is fully awake
  • Bloating from air goes away in a few hours
  • Rest at home for the rest of the day
  • The biopsy result usually comes in 1 to 2 weeks

Contact a doctor straight away if

  • Severe belly pain or a hard belly: call emergency services
  • A fever over 38°C (100.4°F)
  • Heavy bleeding from the bottom or vomiting blood
  • Your child is limp, hard to wake, or not drinking

Common questions

My child can't drink all the solution. What should I do?

Call the clinic. Sometimes another plan is chosen, but the preparation cannot be skipped.

Can I be with my child?

Usually a parent stays until your child falls asleep and is there right after waking. Check the rules with the clinic.