All painless anesthesia examinations in this department are performed by experienced anesthesiologists. A detailed anesthesia risk assessment will be conducted before the operation. If the risk is mild and there is no serious valvular damage or cardiopulmonary function abnormalities, the operation can be performed with the doctor′s evaluation and consent.

Flexible Sigmoidoscopy: A flexible sigmoidoscope is inserted through the anus into the rectum, sigmoid colon, and part of the descending colon—areas where colorectal cancer most commonly occurs. If colorectal cancer or polyps are detected during flexible sigmoidoscopy, a full colonoscopy is required for further examination. Colonoscopy enables a more comprehensive examination of the entire colon, including the rectum, sigmoid colon, and the remainder of the large intestine. If polyps or tumors are discovered during a colonoscopy, the performing physician will decide whether to remove the polyps immediately or to take a small tissue sample for pathological testing. Proper bowel preparation is necessary before a colonoscopy to avoid obstruction of lesion detection and treatment. Colonoscopy can be uncomfortable, so painless (sedated) colonoscopy is usually performed to help patients relax. Generally, painless colonoscopy uses conscious sedation, in which short-acting sedatives and painkillers are administered intravenously to reduce the patient’s anxiety, discomfort, and pain during the procedure. This type of sedation slightly suppresses consciousness, so most patients can still maintain normal breathing and respond to the physician. Patients can even watch the procedure on the monitor without feeling unbearable pain. After the exam, they remain clear-headed but typically cannot recall the procedure. The vast majority of patients report a pleasant experience and high satisfaction. Proper sedation requires careful administration by experienced anesthesiologists and the presence of monitoring equipment to ensure adequate oxygenation, stable blood pressure, heart rate, and respiration. The level of sedation must be adjusted to ensure safety and allow the patient to complete the endoscopic procedure comfortably. Painless colonoscopy carries a very low risk. The clinically significant complication rate is less than 0.1% and is considered a very safe examination. It can also help build confidence for future screenings, so patients are less likely to avoid important early detection opportunities. Regarding whether painless colonoscopy increases the risk of intestinal perforation, studies show that regardless of technical advances or sedation methods, the average chance of perforation during a complete colonoscopy is between 1 in 5,000 and 1 in 10,000. However, when performed by experienced endoscopists, painless colonoscopy does not increase the risk of perforation.

Polypectomy is to remove the entire polyp by inserting a polypectomy snare through the colonoscope. Polypectomy is also to insert a slicing clip through the colonoscope to sample the surface of the polyp. The latter obtains less tissue. Generally speaking, the entire polyp will be removed as much as possible, but if the polyp is too large or the position is too large or there is a risk of performing a complete removal, it is very likely that only slicing will be performed. It depends on the actual situation.

An important concept to understand is that a health checkup cannot be defined as a “complete” examination. Each test has its appropriateness and limitations; it should be arranged according to an individual’s needs, rather than simply assuming that the more expensive, the better. Only by selecting appropriate checkup items based on personal needs can we achieve a “tailor-made” effect. If you are generally healthy, have no physical discomfort, and have no special personal or family medical history, choosing a basic health checkup package will meet your needs. However, if you have a special personal or family history—such as cancer, cardiovascular disease, cerebrovascular disease, diabetes, high blood pressure, etc.—you may consult professional healthcare staff at the health examination center to add necessary tests as needed. For example: Patients with chronic hepatitis B or C should add an abdominal ultrasound. If there is a family history of colorectal cancer, you may consider adding a colonoscopy or sigmoidoscopy. If there is a family history of early-onset ischemic heart disease, an exercise ECG can be added. Age is also a factor to consider. In general, the younger you are, the fewer health checkup items you need, and the less frequently you need to get examined. As age increases, more tests are needed, and the intervals between examinations should be shortened. Age also affects the choice of screening tools. Take breast screening for women as an example: before the age of 40, breast ultrasound is mainly used; after the age of 50, mammography becomes the main tool. This is because young women have denser breast tissue, making it difficult for mammography to provide clear images. Breast ultrasound offers better results in such cases. After menopause, the fat content in breast tissue increases, making mammography more effective, so it becomes the primary screening tool. The individual condition of the examinee must also be considered. For example, colonoscopy is the best tool for diagnosing colorectal cancer. However, some people may find the procedure uncomfortable. In such cases, a barium enema X-ray can be considered as a substitute, or a painless (sedated) colonoscopy can be performed.

Not everyone needs this check. It depends on personal needs. Generally, it is recommended that women over 30 years old, those in menopause or those with back pain should undergo this check. The check is mainly for the waist.

Most tumors in the limbs are caused by metastasis from internal organs. If the patient is not a cancer patient, routine examination is not necessary.

It is recommended that adults over 40 years old have a full-body health check-up at least once every three years; for adults over 65 years old, it is recommended that you have a full-body health check-up once a year.

The pre-marital health check-up items are relatively simple, so you only need to register for a physical examination at a general outpatient clinic.

Advanced health check-ups require advance travel arrangements and are not appropriate on the day.

For breastfeeding women, coming for a health check-up will not affect future breastfeeding or the baby, and the examination can be done painlessly. However, if you are concerned about the residual anesthetic drugs in your body, you can stop breastfeeding for a few days.