Dr. Devendra Talera
Senior Consultant - Surgical Gastroenterology
at Sterling Hospitals

Persistent digestive issues, such as unexplained lower abdominal pain, chronic changes in bowel habits, or rectal bleeding, require detailed clinical evaluation to determine the underlying cause. A colonoscopy is an essential diagnostic tool that allows physicians to examine the inner lining of the large intestine directly.
At Sterling Hospitals, Vadodara, our gastroenterology team provides comprehensive diagnostic and therapeutic colonoscopy services. Equipped with high-definition video endoscopes and dedicated sedation monitoring, our specialists perform thorough visual assessments, tissue biopsies, and preventive polyp removals in a safe, clinical environment.
A colonoscopy is an endoscopic procedure used to examine the inner lining of the rectum and colon. It is commonly performed to investigate unexplained digestive symptoms or as a routine screening test for colorectal cancer based on age or risk factors.
During the procedure, a gastroenterologist uses a thin, flexible tube equipped with a light and camera (a colonoscope) to view real-time images on a monitor. This helps the doctor check for inflammation, ulcers, polyps, or bleeding. If needed, small tissue samples (biopsies) can be collected or polyps can be removed during the same session.
A colonoscopy may be recommended when symptoms, screening requirements or previous investigation results indicate a need to examine the colon and rectum. The decision depends on the patient's symptoms, medical history, age, risk factors and clinical assessment.
A colonoscopy may be used to investigate persistent changes in bowel habits, unexplained abdominal discomfort or other symptoms that suggest a problem involving the large intestine. The examination helps identify abnormalities that may explain the symptoms, and tissue samples may be collected if further testing is required.
Colonoscopy may be recommended for colorectal cancer screening based on a person's age, family history and other risk factors. It allows the doctor to identify polyps and other abnormal growths that may require removal or further investigation.
Certain types of colorectal polyps can develop into cancer over time. Removing suitable polyps during colonoscopy can help reduce this risk. The appropriate screening schedule depends on individual risk factors, previous findings and the doctor's recommendations.
Colonoscopy may be used to investigate or monitor inflammatory bowel diseases such as ulcerative colitis and Crohn's disease when the colon is involved. It helps assess inflammation, ulcers and other changes in the intestinal lining. Tissue samples may also be collected to support diagnosis or evaluate inflammation.
A colonoscopy may be recommended when bleeding from the lower digestive tract is suspected. Symptoms may include bright red blood in the stool or other changes that warrant investigation. The procedure can help identify possible causes, including polyps, inflammation, diverticular disease and colorectal tumours. In selected cases, the doctor may also perform an endoscopic intervention to manage a bleeding site.
Key Symptoms and Risk Factors That May Warrant Colonoscopy
A gastroenterologist may consider colonoscopy when a patient has:
These symptoms do not always indicate colorectal disease or cancer. However, persistent symptoms or unexplained rectal bleeding should be assessed by a medical professional. Severe bleeding, fainting or significant weakness requires urgent medical evaluation.
Colonoscopy provides a direct view of the inner lining of the colon and rectum, helping doctors investigate symptoms and identify abnormalities that may require further evaluation or treatment.
Key benefits include:
The benefits depend on the reason for the procedure and the findings. Colonoscopy does not detect every abnormality, and some patients may require additional investigations or treatment.
The initial assessment includes a review of the patient's symptoms, medical history, current medicines, allergies and previous investigation results. The gastroenterologist determines whether colonoscopy is appropriate and provides instructions for preparing the bowel.
Bowel preparation is an important part of the process. Patients are usually prescribed a bowel-cleansing solution to empty the colon before the examination. Dietary instructions may include consuming clear fluids for a specified period and avoiding certain foods. The exact preparation schedule depends on the prescribed product, appointment timing and the patient's medical condition.
Patients should inform the treating team about significant medical conditions, including diabetes, kidney disease, heart disease or a history of bowel obstruction. The team should also be informed about medicines such as blood thinners, antiplatelet drugs and diabetes medications, as these may require specific instructions before the procedure. Patients should not stop or change prescribed medicines without medical advice.
If sedation is planned, the patient receives instructions about fasting and arrangements for returning home. Someone may need to accompany the patient after the procedure.
Colonoscopy may be performed with sedation, depending on the patient's needs and the clinical setting.
The patient is positioned on an examination table, and the colonoscope is gently inserted through the anus into the rectum and colon. Air or carbon dioxide is introduced to expand the colon sufficiently for examination. Images from the camera allow the gastroenterologist to inspect the intestinal lining.
If polyps or other abnormalities are identified, the doctor may collect tissue samples or remove suitable polyps using specialised instruments. Certain interventions to manage bleeding may also be performed when clinically appropriate.
The examination commonly takes around 20 to 60 minutes, although the duration varies according to the findings and whether additional interventions are required. After the examination, the colonoscope is removed, and the patient is monitored during recovery, particularly if sedation has been administered.
Patients may experience temporary bloating, mild abdominal discomfort or increased gas following colonoscopy. These symptoms generally settle as the gas introduced during the procedure passes.
Patients who receive sedation are monitored until they are sufficiently alert for discharge. They may need to avoid driving, operating machinery, drinking alcohol or making important decisions for the remainder of the day, according to the medical team's instructions. An accompanying adult may be required to take them home.
If a biopsy has been collected or a polyp removed, the doctor explains any additional precautions and how the results will be communicated. The treating team also provides guidance about resuming normal food intake, medicines and daily activities.
Seek prompt medical assessment if severe or worsening abdominal pain, significant rectal bleeding, fever, persistent vomiting or fainting occurs after the procedure. Heavy or persistent bleeding should not be ignored.
Colonoscopy is generally considered a safe procedure, but complications can occur. The likelihood depends on the patient's health, the reason for the examination, the interventions performed and the use of sedation.
Possible risks include:
The medical team reviews the patient's history and relevant risk factors before the procedure. The benefits, potential complications and necessary precautions should be discussed before consent is obtained.
At Sterling Hospitals, Vadodara, the gastroenterology team evaluates patients before colonoscopy and explains the risks relevant to their condition. Patients should follow the prescribed bowel preparation and post-procedure instructions and report concerning symptoms promptly.
The cost of a colonoscopy in Vadodara varies based on whether the procedure is strictly diagnostic or involves active intervention.
A routine examination typically differs in cost from a procedure that includes biopsy sampling, polyp removal (polypectomy), or treatment of bleeding. Additional factors—such as the type of sedation used, pre-procedure evaluations, and post-procedure monitoring—also influence the final price.
Key factors that determine the total cost include:
For a cost estimate, patients or their families can contact Sterling Hospitals, Vadodara. The hospital team can provide information about the expected charges based on the planned procedure, clinical requirements and any additional interventions anticipated.
Colonoscopy requires appropriate bowel preparation, careful examination of the intestinal lining and the ability to investigate or manage abnormalities identified during the procedure. If you are considering a colonoscopy in Vadodara, here are some factors to consider at Sterling Hospitals.
The gastroenterology team can perform indicated therapeutic interventions, such as endoscopic polypectomy, tissue biopsy and haemostasis (control of bleeding), during the diagnostic procedure where clinically appropriate. This may reduce the need for a separate endoscopy to perform these interventions.
To support patient safety and comfort, procedures are conducted with qualified anaesthesia support. Sedation is tailored to the patient's medical profile, with vital signs monitored throughout the procedure and recovery period.
When complex abnormalities, suspicious lesions or significant pathology are identified, clinical management may involve coordination with pathologists, gastrointestinal surgeons and oncologists, as appropriate. This can support further investigation, treatment planning and follow-up care within the hospital network.
Infection prevention relies on appropriate cleaning and disinfection of endoscopic equipment. Flexible endoscopes require high-level disinfection, which may be carried out using automated endoscope reprocessors (AERs), in accordance with applicable infection prevention protocols.
Care surrounding a colonoscopy includes pre-procedure bowel preparation instructions, monitoring during recovery from sedation, review of the procedure findings and recommendations for further investigation or surveillance where indicated. Follow-up requirements depend on the colonoscopy findings and the patient's clinical condition.
If you have been advised to undergo a colonoscopy or are experiencing persistent digestive symptoms that require investigation, consult the gastroenterology team at Sterling Hospitals, Vadodara. A specialist evaluation can help determine whether colonoscopy is appropriate, explain the bowel preparation process and discuss what the procedure may involve based on your condition.
Call +91 98989-87878 to book an appointment with a specialist.
You can also book your appointment online through the Sterling Hospitals website.
Surgical Gastroenterology / GI Surgery Doctors
Senior Consultant - Surgical Gastroenterology
Discomfort varies between individuals. Sedation may be used to help minimise discomfort, although some patients experience temporary pressure, cramping or bloating during or after the examination.
The examination commonly takes around 20 to 60 minutes. The duration depends on the findings and whether a biopsy, polyp removal or another intervention is required. Preparation and recovery take additional time.
Preparation generally involves following a prescribed bowel-cleansing regimen and dietary instructions to empty the colon. Patients should also follow the treating team's instructions about fasting and regular medicines, including blood thinners and diabetes medications.
Yes. Suitable polyps can often be removed using specialised instruments passed through the colonoscope. The tissue may then be sent for laboratory examination. The removal method depends on the polyp's size, location and characteristics.
Most patients recover relatively quickly after an uncomplicated colonoscopy, although temporary bloating or mild abdominal discomfort may occur. Patients who receive sedation should follow the medical team's instructions regarding driving, work and other activities. Recovery guidance may differ if an intervention is performed.
The cost depends on the type of procedure, the use of sedation, whether a biopsy or polyp removal is required, laboratory tests and any additional care. Contact Sterling Hospitals, Vadodara, for an estimate based on the planned procedure and clinical requirements.
Potential complications include significant bleeding, perforation of the colon, infection and sedation-related complications. Seek prompt medical assessment if severe or worsening abdominal pain, significant rectal bleeding, fever, persistent vomiting, dizziness or fainting occurs after the procedure.
The time required depends on whether tissue samples have been collected and the laboratory processing involved. Patients should ask their treating team when and how the results will be communicated.
A follow-up colonoscopy may be recommended depending on the number, size and type of polyps removed, the quality of bowel preparation and whether the examination was complete. The treating specialist will recommend an appropriate surveillance interval based on these findings.
This depends on the medicines taken and whether a biopsy, polyp removal or another intervention was performed. Patients should follow the treating team's instructions, particularly for blood thinners, antiplatelet medicines and diabetes medications.
