Endoscopy vs. Colonoscopy: Which GI Test Do You Need?

If you’re experiencing digestive issues like chronic stomach pain, acid reflux, or irregular bowel movements, your doctor may recommend an endoscopy or colonoscopy. Both are vital diagnostic tools, but they serve different purposes. At Alina Medical Centre, Nairobi’s leading gastroenterology clinic, we help patients understand which test they need—and what to expect.

Key Differences at a Glance

FeatureEndoscopyColonoscopy
Area ExaminedUpper GI (esophagus, stomach, duodenum)Lower GI (colon, rectum)
Duration15–30 minutes30–60 minutes
Prep RequiredFasting (6+ hours)Liquid diet + laxatives
Common UsesUlcers, gastritis, GERDPolyps, colorectal cancer

When Do You Need an Endoscopy?

An endoscopy (also called gastroscopy) is recommended if you have:
✔ Persistent heartburn/acid reflux (possible GERD or Barrett’s esophagus)
✔ Difficulty swallowing (strictures or tumors)
✔ Unexplained vomiting or nausea
✔ Black, tarry stools (signaling upper GI bleeding)

“Many patients ask, ‘Is endoscopy painful?’ The answer is no—you’ll be under mild sedation and feel nothing during the procedure.” — Dr. Eric Murunga, Gastroenterologist at Alina Medical Centre

When Is a Colonoscopy Necessary?

colonoscopy is critical for:
✔ Screening for colorectal cancer (recommended starting at age 40–50)
✔ Blood in stool (hemorrhoids, polyps, or cancer)
✔ Chronic diarrhea/constipation (inflammatory bowel disease)
✔ Family history of colon cancer

Note: At Alina, we use gentle sedation so you sleep through the procedure.

Cost Comparison in Nairobi

While prices vary, here’s a general range:

  • Endoscopy cost: KES 15,000–30,000
  • Colonoscopy cost: KES 25,000–50,000
    Why the difference? Colonoscopy requires more prep time and longer monitoring.

Which Test Is Right for You?

Your gastroenterologist will consider:

  1. Symptoms: Upper vs. lower GI issues.
  2. Age/History: Colonoscopies are routine after 40; endoscopies are symptom-driven.
  3. Risk Factors: Family history, smoking, or diet.

Why Choose Alina Medical Centre?

As Nairobi’s top-rated gastroenterology clinic, we offer:
Expert gastroenterologists
Painless procedures with sedation
Same-day results for most tests
Affordable pricing and payment plans

Still unsure? Book a consultation with our specialists to discuss your symptoms:
📞 +254 758-777-444

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