What To Know About Post-Colonoscopy Recovery Care

For most patients, a colonoscopy is a routine and safe procedure, but understanding what to expect afterward is just as important as colonoscopy prep. Post-colonoscopy recovery involves a few considerations to help you feel your best and stay safe.

How Long Does a Colonoscopy Take, Including Recovery?

The actual colonoscopy procedure usually takes 20 to 40 minutes. However, the full experience—checking in, undergoing the procedure, recovering from sedation, reviewing the procedure with the doctor, and then leaving the facility —typically takes about 2 to 3 hours. Recovery time after a colonoscopy varies depending on the type of anesthesia used and your overall health.

Most people feel well rested and awake within 20 minutes after the procedure, but the effects of sedation can linger. It is very important not to drive, make major decisions, or return to work the same day. Plan to take it easy the rest of the day.

What to Expect After a Colonoscopy?

Mild side effects are common and usually short-lived. Common colonoscopy side effects may include:

  • Bloating or cramping from the air introduced into the colon during the procedure. This typically improves over a short period of time as the body begins to release the excess gas. Passing gas after a colonoscopy is completely normal—and actually quite important. While it may feel a little embarrassing, the recovery area is one place where doctors and nurses are genuinely glad to hear it. Releasing gas helps relieve bloating and abdominal discomfort and is a sign that your body is beginning to recover.

  • Sleepiness from the sedative medications. Feeling drowsy after a colonoscopy is completely normal. Most patients today receive Diprivan (Propofol), a fast-acting sedative that wears off more quickly than older medications. Even so, it's common to feel a bit sleepy or groggy for a short time afterward. That’s why it’s important to rest, avoid driving, and use the rest of the day to relax and recharge.

Post-colonoscopy side effects usually completely resolve within a few hours. However, if you experience heavy bleeding, severe abdominal pain, dizziness, or fever, contact your doctor immediately.

When Can I Eat and Drink After a Colonoscopy?

Most patients can resume drinking clear liquids as soon as they’re awake and alert in the recovery room. Many facilities will provide water, tea, or coffee for you once you are awake.  

Eating can often resume very soon after. 

What Should You Eat After a Colonoscopy?

After your colonoscopy, it’s best to ease back into eating with light, easily digestible foods. Because your digestive system has been empty for several hours, your first meals should consist of light, bland foods. Many patients do well starting with foods such as:

  • Applesauce

  • Mashed potatoes

  • Bananas

  • Yogurt

  • Scrambled eggs

  • Toast or crackers

  • Plain rice or pasta

  • Oatmeal

  • Steamed or boiled chicken

  • Soup 

If you tolerate these foods well, you can typically then resume your normal diet —unless your doctor advises otherwise.

It’s also advised to avoid alcohol for at least 24 hours after your colonoscopy, as your body is still recovering from sedation.

Activity and Medication Restrictions After a Colonoscopy

Because sedatives remain in your system for several hours, do not drive, operate machinery, or sign legal documents for at least 24 hours. You are also advised to avoid heavy lifting or strenuous exercise until at least the next morning.  Most people can return to all normal activities the following day.

If you take blood thinners or other specific medications, your doctor should provide customized instructions on when to restart them—especially if polyps were removed.

Key Takeaways for a Smooth Colonoscopy Recovery

Colonoscopy recovery is generally very smooth and uneventful, but knowing what to expect helps you plan the rest of your day and protect your health. After the Colonoscopy start with a light meal, avoid high-risk or strenuous activities, and listen to your body. When in doubt, follow up with your Gastroenterologist with any concerns after your procedure.

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Colonoscopy Procedure: What to Expect