When is a sigmoidoscopy enough?
A flexible sigmoidoscopy examines roughly the last 50-60 cm of the large bowel. Many causes of fresh bleeding, such as haemorrhoids, fissures, proctitis and polyps in the rectum, are found in this segment, so a sigmoidoscopy is often enough to explain the symptoms. Because it needs only an enema and usually no sedation, it is quicker and simpler than a full colonoscopy.