It’s everyone’s worst nightmare to go in for a routine test only to find that he or she is now worse off than before, yet that’s exactly what happened at VA hospitals in Murfreesboro, Tennessee; Augusta, Georgia; and Miami, Florida. Out of 10,000 patients who had colon cancer screening, 6 veterans tested positive for HIV, 34 tested positive for hepatitis C and 13 tested positive for hepatitis B following their routine procedures. One could argue these people may have needed a hepatitis treatment prior to their colonoscopy treatments; that these were just isolated incidents. However, there are a few risks of colonoscopy procedures that should be discussed beforehand.

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Occasionally, there are more severe risks of colonoscopy procedures. Sometimes excessive bleeding occurs if larger colon polyps are removed. There is a 30 to 50% chance that bleeding will occur for the 2 to 7 days following colon polyp removal. In rare cases, the colon lining may be torn, requiring hospitalization or surgery. Another risk is radiation exposure from the CT scan machine used during a virtual colonoscopy, where the 5 MsV rays are said to be 2,000 to 3,000 times’ more potent than a dental x-ray and 2 to 3 times’ more toxic than radiation exposure from a dirty bomb (3 MsV).

In a 2005-2006 study, 110 patients in Chapel Hill, North Carolina were asked about the side effects from their colonoscopy procedures. Of the 110, 17% of the patients reported side effects from their screening colonoscopy process, which included abdominal pain, cramping, vomiting, lightheadedness, sharp pains in the right hip and fatigue. On average, people spent 21 hours prepping for the procedure, which involved 16.5 hours flushing their system, 0.8 hours traveling, 1.4 hours in the waiting room, 12 minutes undergoing sedation, 20 minutes for their colonoscopy procedure and 47 minutes of on-site recovery.

“Overall, the risks are quite low,” Joan L. Warren from the National Cancer Institute says of colonoscopy procedures. “However, there are some groups of people for whom the risk was significantly elevated.” She added that older patients with a history of stroke, diabetes, heart failure, high blood pressure and atrial fibrillation should be cautioned about potential colonoscopy risks. Warren added, “For people 85 and over, risk [of serious complications] is more than twice that of people 66 to 69. For people 80 and over, the risk is about 50% greater. Somebody who is older and not in great health might benefit from a fecal occult blood test instead; if the result is positive then a colonoscopy may be needed.”

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