Do not wait for a planned colonoscopy if you have:
- A large amount of blood from the back passage, or black, sticky stools
- Dizziness, fainting or a racing heartbeat with bleeding
- Severe tummy pain, a swollen tummy, or vomiting with no stool or wind passing
Go to the nearest emergency department. In Guwahati: Hayat Hospital Emergency, Kahilipara.
What is a colonoscopy?
A colonoscopy is a test in which a thin, flexible tube with a camera is passed through the back passage to look at the whole large bowel (colon). It takes about 20–40 minutes. Small samples (biopsies) can be taken and polyps can be removed during the same test, so a second procedure is often not needed.
Why is it done?
- Blood in the stool, or a low blood count (anaemia) without a clear cause
- A change in bowel habit lasting more than a few weeks, especially after the age of 40–45
- Long-standing diarrhoea, or suspected colitis (ulcerative colitis or Crohn's disease)
- Weight loss, or a lump or abnormal finding on a scan
- A parent, brother or sister with bowel cancer, or polyps found before
Is a colonoscopy painful?
Most colonoscopies here are done without sedation, and most people manage well. You are likely to feel cramping, pressure and the urge to pass wind while the bowel is gently inflated and the scope goes round the bends. It usually comes in short waves and settles quickly. You can ask for a pause at any time.
If you are anxious, have had a difficult colonoscopy before, or have a lot of abdominal pain, sedation is available on request at Hayat Hospital. With sedation you will need a companion, and you should not drive or make important decisions for the rest of the day.
Is it safe?
Colonoscopy is a safe and common test, but no procedure is completely risk-free. Serious problems are uncommon:
- Bleeding after a polyp is removed — about 1 in 100 to 1 in 200, more often with large polyps. Most stops on its own or is treated through the scope.
- A tear (perforation) of the bowel — about 1 in 1,000 or fewer for a diagnostic test, a little higher when large polyps are removed.
- Reactions to sedation, when it is used.
Your risk depends on your health and what is done during the test, and it is explained before you sign the consent form.
Preparation in brief
- A low-fibre diet for 2–3 days before the test, then clear liquids the day before
- The bowel-cleaning solution, taken exactly as instructed — a clean bowel makes the test quicker, safer and more accurate
- Tell us in advance if you take blood thinners or diabetes medicines
Full preparation instructions, including diabetes and blood thinners →
What does it cost? (approximate)
| Item | Hayat Hospital | Apollo Clinic, Ulubari |
|---|---|---|
| Colonoscopy (without sedation) | ₹4,500 | ₹3,500 |
| Colonoscopy under sedation | About ₹10,500 | Not available |
| Upper GI endoscopy + colonoscopy, one session, under sedation | About ₹16,000 | Not available |
| Biopsy taken during the test | + ₹1,000 | + ₹500 |
| Polyp removal (polypectomy) | + about ₹15,000–25,000, depending on size and number | Ask when booking |
| Histopathology (lab report on the biopsy or polyp) | Charged separately | Charged separately |
Approximate charges as of November 2026, set by each hospital; the billing desk confirms the final amount. Cashless treatment through most insurers and TPAs is available at Hayat Hospital.
After the test
- Bloating and passing wind for a few hours is normal. You can usually eat normally afterwards.
- You are told what was seen before you leave. Biopsy and polyp reports come later, and you will be told when to come back.
- Come back or go to emergency if you have heavy bleeding, severe or increasing tummy pain, fever or vomiting in the days after the test — especially after a polyp is removed.
Common questions
How much does a colonoscopy cost in Guwahati?
Is colonoscopy painful?
Is colonoscopy 100% safe?
Can upper endoscopy and colonoscopy be done on the same day?
How long does it take?
Can a polyp be removed during the same colonoscopy?
Related
Written and medically reviewed by Dr. Mayank Agarwal, MBBS, MD (Medicine), DM (Gastroenterology) · Assam Medical Council Reg. No. 19633 · Last reviewed:
This page gives general information about colonoscopy. It does not replace a consultation — the right tests and treatment depend on your own reports and health. Please do not start or stop any medicine without advice.
Based on:
- Fisher DA, et al. Complications of colonoscopy. ASGE Standards of Practice Committee. Gastrointest Endosc 2011;74:745–752.
- Saltzman JR, et al. Bowel preparation before colonoscopy. ASGE Standards of Practice Committee. Gastrointest Endosc 2015;81:781–794.
- Ferlitsch M, et al. Colorectal polypectomy and endoscopic mucosal resection: European Society of Gastrointestinal Endoscopy (ESGE) Guideline — Update 2024. Endoscopy 2024;56:516–545.
- Patel SG, et al. Updates on age to start and stop colorectal cancer screening: recommendations from the US Multi-Society Task Force on Colorectal Cancer. Gastroenterology 2022;162:285–299.