Post-Colonoscopy Pain: When to Seek Medical Attention - Gastroenterology and Hepatology

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After undergoing a colonoscopy, it is not uncommon to experience some discomfort or pain in the abdominal area, particularly around the navel. This discomfort can be attributed to several factors related to the procedure itself. During a colonoscopy, air is often introduced into the colon to expand it for better visibility, which can lead to temporary bloating and discomfort. Additionally, the manipulation of the colon during the procedure can cause soreness in the abdominal muscles and tissues.

In your case, the pain you are experiencing above the navel, described as a bruised feeling when pressed, could be due to a few reasons:
1. Post-Procedure Discomfort: As mentioned, the introduction of air and the physical manipulation of the colon can lead to soreness. This discomfort typically resolves within a few days as your body adjusts and recovers from the procedure.

2. Residual Gas: After a colonoscopy, residual gas can remain in the intestines, leading to bloating and discomfort. This can sometimes cause localized pain, especially if the gas is trapped in a specific area.

3. Muscle Strain: The position you were in during the procedure, along with any tension or strain in your abdominal muscles, can also contribute to post-procedural pain.
4. Infection or Complications: While less common, it is important to be aware of the possibility of complications such as perforation or infection, which can occur after a colonoscopy. Symptoms of these complications may include severe abdominal pain, fever, or changes in bowel habits.

Given that you have been experiencing this pain for three days, it is advisable to monitor your symptoms closely. If the pain persists, worsens, or is accompanied by other concerning symptoms such as fever, vomiting, or changes in bowel movements, you should seek medical attention promptly.
In terms of follow-up, if the pain is mild and gradually improving, it may not be necessary to return to your doctor. However, if you have any doubts or if the pain is significantly affecting your daily activities, it is always best to err on the side of caution and consult with your healthcare provider. They may perform a physical examination and, if necessary, imaging studies to rule out any complications.

In conclusion, while some discomfort after a colonoscopy is normal, persistent or worsening pain should not be ignored. Always feel empowered to reach out to your healthcare provider with any concerns, as they can provide the best guidance based on your specific situation.