Do I really need an endoscopy?” is one of the most common questions at Dr. Sandeep Pal’s gastroenterology clinic in Chandigarh. The answer is usually: if it’s been recommended, yes. And it is far less daunting than most patients fear.
What Is an Endoscopy?
An endoscopy uses a thin, flexible tube called an endoscope — with a camera and light at its tip — to directly visualise the inside of your digestive tract. The British Society of Gastroenterology confirms the overall complication rate for routine diagnostic endoscopy is less than 1 in 1,000 procedures.
Types of Endoscopy Available in Chandigarh
Upper GI Endoscopy (OGD Scopy / Gastroscopy)
Examines oesophagus, stomach, and duodenum. Recommended for:
- Persistent acid reflux or GERD — full guide: Understanding Acid Reflux
- Difficulty swallowing, unexplained upper abdominal pain, suspected ulcers
- Screening for Barrett’s oesophagus and unexplained weight loss
- Cirrhosis patients (variceal surveillance) — full guide: Living with Liver Damage in the Tricity
Colonoscopy
Examines the entire large intestine. Recommended for rectal bleeding, colorectal cancer screening (from age 45), polyp detection and removal, and IBD evaluation.
Other Types
- Sigmoidoscopy — examines lower colon only; less preparation required
- Capsule Endoscopy — swallowable camera for small intestine
- Endoscopic Ultrasound (EUS) — for pancreas and bile duct evaluation
How to Prepare for Endoscopy in Chandigarh: Step-by-Step
For Upper GI Endoscopy
- Fast from midnight the night before — no food or drink except plain water up to 2 hours before
- Discuss blood thinners, diabetic medications, and iron supplements with Dr. Sandeep Pal in advance
- Arrange for someone to accompany you — no driving for 24 hours after sedation
For Colonoscopy
- 3 days before: Low-fibre diet — moong dal soup, white rice, eggs, clear fluids
- Day before: Complete prescribed bowel preparation solution (PEG or sodium picosulfate)
- Day of: Complete remaining preparation 3–4 hours before procedure
What Happens During the Procedure
Sedation options:
- Conscious sedation (most common) — midazolam and fentanyl; relaxed, often no memory of procedure
- Throat spray only (upper GI without sedation) — well-tolerated by most
- General anaesthesia — rarely required
Upper GI Endoscopy:
Duration 5–10 minutes for standard diagnostic procedure. You lie on your left side. A mouthguard protects your teeth.
Colonoscopy:
Duration 20–45 minutes. CO2 insufflation used — absorbed faster than air, less post-procedure bloating.
Endoscopy Costs in Chandigarh — 2024-25
Upper GI Endoscopy without sedation: ₹1,500 – ₹3,000
Upper GI Endoscopy with sedation: ₹3,000 – ₹6,000
Colonoscopy: ₹3,500 – ₹7,000
Colonoscopy with polypectomy: ₹6,000 – ₹12,000
Endoscopic Ultrasound (EUS): ₹8,000 – ₹18,000
Most insurance policies cover diagnostic endoscopy when medically indicated. Contact Dr. Sandeep Pal’s clinic to confirm cashless availability.
Frequently Asked Questions
Q: Is endoscopy painful?
With conscious sedation, most patients have no memory of the procedure. Without sedation, upper GI endoscopy causes some gag reflex discomfort but is generally well-tolerated.
Q: How long does the whole appointment take?
Allow 2–3 hours total — preparation, procedure (10–45 minutes), and recovery after sedation.
Q: Can I eat after endoscopy?
Light food 1–2 hours after upper GI endoscopy. Light diet for the rest of the day after colonoscopy.
Q: Why do cirrhosis patients need endoscopy?
Cirrhosis causes portal hypertension, leading to oesophageal varices — enlarged veins that can rupture and bleed fatally. Endoscopy detects and treats them early. Full guide: Living with Liver Damage in the Tricity
Q: Can colonoscopy remove polyps at the same time?
Yes. Polyps found during colonoscopy are typically removed immediately in the same session — no additional procedure needed.
Conclusion
Endoscopy is safe, quick, and often essential. The discomfort is temporary. The information it provides can be life-changing — and for conditions like colorectal cancer and liver disease complications, potentially life-saving.
→ Understanding Acid Reflux & GERD
→ Living with Cirrhosis in the Tricity
→ Stress & Lifestyle Related Gut Issues
Consult Dr. Sandeep Pal — Gastroenterologist in Chandigarh
Dr. Sandeep Pal is a leading Gastroenterologist and Liver Specialist in Chandigarh, treating patients across the Tricity — Chandigarh, Mohali, and Panchkula. For personalised consultation on any gut or liver condition, reach out today.
📅 Book Appointment Online: drsandeeppal.com/book-appointment
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