Procedures · Hayat Hospital & Apollo Clinic, Guwahati

Colonoscopy in Guwahati — cost, comfort and safety

What a colonoscopy involves, how it feels without sedation, the real risks, what it costs at Apollo Ulubari and Hayat, and how to prepare.

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)

ItemHayat HospitalApollo Clinic, Ulubari
Colonoscopy (without sedation)₹4,500₹3,500
Colonoscopy under sedationAbout ₹10,500Not available
Upper GI endoscopy + colonoscopy, one session, under sedationAbout ₹16,000Not available
Biopsy taken during the test+ ₹1,000+ ₹500
Polyp removal (polypectomy)+ about ₹15,000–25,000, depending on size and numberAsk when booking
Histopathology (lab report on the biopsy or polyp)Charged separatelyCharged 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?
With Dr. Mayank Agarwal it is ₹3,500 at Apollo Clinic, Ulubari and ₹4,500 at Hayat Hospital without sedation, or about ₹10,500 under sedation at Hayat. Biopsies, polyp removal and the lab report are extra.
Is colonoscopy painful?
Most people feel cramping, pressure and wind rather than sharp pain, and it settles quickly. Most tests here are done without sedation; sedation is available on request at Hayat Hospital.
Is colonoscopy 100% safe?
No procedure is 100% risk-free, but serious problems are uncommon: bleeding after polyp removal in about 1 in 100–200, and a bowel tear in about 1 in 1,000 or fewer for a diagnostic test.
Can upper endoscopy and colonoscopy be done on the same day?
Yes. When both are needed, they are usually done in one session, which saves a second visit and a second preparation. Ask when booking.
How long does it take?
The test itself takes about 20–40 minutes. Plan for 2–3 hours at the hospital, or longer if sedation is used.
Can a polyp be removed during the same colonoscopy?
Usually, yes. Most polyps are removed during the same test. Very large or difficult polyps may need a planned second procedure.

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:

  1. Fisher DA, et al. Complications of colonoscopy. ASGE Standards of Practice Committee. Gastrointest Endosc 2011;74:745–752.
  2. Saltzman JR, et al. Bowel preparation before colonoscopy. ASGE Standards of Practice Committee. Gastrointest Endosc 2015;81:781–794.
  3. Ferlitsch M, et al. Colorectal polypectomy and endoscopic mucosal resection: European Society of Gastrointestinal Endoscopy (ESGE) Guideline — Update 2024. Endoscopy 2024;56:516–545.
  4. 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.