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Procedure

Sigmoidoscopy

Focused examination of the lower colon and rectum.

Overview

A sigmoidoscopy examines the lower portion of the colon and the rectum. It's a shorter, simpler procedure than a full colonoscopy and is useful when symptoms point specifically to the lower bowel. It requires less preparation and no sedation in many cases.

When it’s recommended

  • Bright red blood in stools
  • Pain in the lower abdomen or rectum
  • Changes in bowel habits affecting the lower bowel
  • Follow-up of known conditions in the lower colon
  • Evaluation of haemorrhoids or anal fissures

What to expect

The procedure takes about 10–20 minutes and is often done without sedation. A short flexible scope examines the rectum and lower colon. Most patients tolerate it well.

Preparation

Usually just an enema on the morning of the procedure to clear the lower bowel. No fasting required in most cases. We'll give you specific instructions when booking.

Recovery

You can return to normal activities immediately. Some mild gas or cramping is normal for a short time after.

This is general information, not a substitute for medical advice. For guidance specific to your case, please consult Dr. Ch. Saikumar or another qualified specialist.

Patient questions

Sigmoidoscopy — common questions

Answers to the questions we hear most often about sigmoidoscopy.

How is sigmoidoscopy different from colonoscopy?
Sigmoidoscopy examines only the lower part of the colon (sigmoid colon and rectum), while colonoscopy examines the entire colon. Sigmoidoscopy is shorter, needs less preparation, and often doesn't require sedation.
Do I need full bowel prep?
Usually just an enema on the morning of the procedure to clear the lower bowel. No fasting is needed in most cases.
Is sedation needed?
Most patients tolerate sigmoidoscopy without sedation. We can offer light sedation if you prefer or if anxiety would otherwise prevent a thorough exam.
How long does sigmoidoscopy take?
About 10–20 minutes. You can usually return to normal activities immediately afterwards.