Colonoscopy Screening: Procedures, Risks and Costs (2025)

Understanding Screening Colonoscopy: A Comprehensive Guide to Procedure, Risks, and Costs in Singapore

Young lady with a beautiful set of white teeth due to good oral hygiene practices.
Understanding Screening Colonoscopy: A Comprehensive Guide to Procedure, Risks, and Costs in Singapore

What is a Colonoscopy?

A colonoscopy is a medical test that allows doctors to look inside the large intestine, including the colon and rectum, in real time. During the procedure, a healthcare provider inserts a thin, tube-like device called a colonoscope—equipped with a camera—into the patient's anus. This helps the doctor directly see the inside of the large intestine. Colonoscopies are an important tool for diagnosing many digestive system problems and are considered the best method for screening and treating colon polyps and cancer.

Recommended Guidelines and Risk Factors for Colorectal Cancer Screening

An individual is considered to be at elevated risk for developing colorectal cancer if they have a family history of either cancer or polyps, or if they have been diagnosed with inflammatory bowel disease. However, even in the absence of these risk factors or symptoms, the latest United States Preventive Service Task Force recommends screening for colorectal cancer from age of 45. Although various alternative tests like the Fecal Immunochemical Test (FIT) and CT scans of the colon are available — for which our clinic can advise on subsidy eligibility for Singaporean residents — they are limited by sensitivities and risk of CT related radiation. Colonoscopy therefore remains the most precise method for evaluating colorectal health.

Our colonoscopies are performed by highly trained/skilled partners with multiple years of experience in colonoscopy, dedicated to ensuring a comfortable and medically accurate scope procedure to address your health concerns.

Is Colonoscopy Painful? Understanding Patient Experience and Sedation Options

A colonoscopy is generally a quick and mostly painless procedure for the majority of patients. Sedatives are commonly administered before the procedure to induce a relaxed, sleepy state, and pain levels are continuously monitored throughout. Most patients usually complain little to no discomfort during or after the procedure. If you have particular concerns about pain or discomfort, please feel free to talk to our doctors.

How to Schedule a Colonoscopy: Steps and Considerations

If you are considering a colonoscopy, we recommend first consulting with our family doctors. This initial consultation enables us to assess whether a colonoscopy is the most appropriate procedure for your specific health concerns—since not all abdominal issues originate from the colon. After this evaluation, we can refer you to the appropriate specialists to perform the colonoscopy.

The initial consultation can be conducted either via telemedicine or through an in-person visit at our clinics. Our friendly medical team will guide you through the subsequent steps and provide further details as needed.

Dr Jana Lim of ATA Medical taking blood pressure of her patient.

Preparing for a Colonoscopy: What You Need to Know

Preparing for a colonoscopy involves a few key steps, though the procedure itself is generally straightforward and minimally invasive. Prior blood tests or X-rays are usually not needed for most patients. However, if you have notable medical risk factors such as bleeding disorders or heart failure, our doctors will assess your condition and may recommend additional testing or alternative diagnostic methods.

One of the most crucial components of preparation is bowel-cleansing. This entails consuming a specially formulated liquid designed to clear out the contents of your bowel, thereby enabling a more accurate examination of the intestinal lining. Our medical team will offer specific guidelines for this bowel preparation to ensure optimal results for your colonoscopy.

Frequency of Colonoscopies: Guidelines Based on Individual Risk and Previous Findings

The frequency with which you should undergo a colonoscopy depends largely on the results of your initial examination. For most individuals, the recommendation is to begin colonoscopy screenings in their late 40s to early 50s. If you have a strong family history, screening at an earlier age may sometimes be required. If the examination reveals abnormalities such as polyps or inflammatory growths, your healthcare provider may recommend a follow-up colonoscopy within a 1-5 year time frame. Conversely, if your colonoscopy yields normal results, a subsequent examination is generally advised every 5-10 years.

Cost of Colonoscopy in Singapore: Pricing, Subsidies, and MediSave Options

The cost of a colonoscopy in Singapore can vary quite a bit depending on whether it's done at a public hospital with subsidies or at a private clinic. Typically, prices range from $2,000 to $5,000 SGD.

Keep in mind that subsidies in public hospitals are usually only available for patients showing symptoms; screening colonoscopies generally do not qualify for subsidies.

At ATA Medical, we strive to keep healthcare affordable. Our current price for a colonoscopy is $2,398 SGD (all costs include GST and are not inclusive of any additional charges like biopsies or medications if needed).

If you need more financial advice, please speak with our medical team. We can also provide referrals to specialists based on your needs.

Plus, our colonoscopies can be claimed through MediSave, up to $1,600, subject to approval.