Endoscopy Test: Why It Is Required and When It Is Done

January 21, 2026by user0

Endoscopy test is a commonly recommended medical procedure used to examine the food pipe, stomach, and upper part of the intestine. Many patients feel anxious when advised an endoscopy test, but it is actually a safe, quick, and highly effective diagnostic tool that helps doctors identify digestive system problems accurately and at an early stage.

In this blog, Dr. Kiran KJ explains what endoscopy is, why it is required, and when it becomes necessary, so patients can make informed decisions without fear.

What Is Endoscopy?

Endoscopy is a medical procedure in which a thin, flexible tube with a camera and light (endoscope) is passed gently through the mouth to examine the:

  • Food pipe (esophagus)

  • Stomach

  • Upper part of the small intestine (duodenum)

The camera sends real-time images to a screen, allowing the doctor to directly see the inner lining of these organs.

Why Is Endoscopy Required?

An endoscopy test is recommended when symptoms related to the stomach or food pipe do not improve with medication. Unlike scans, an endoscopy test allows doctors to directly visualize the inner lining of the digestive tract. This helps in diagnosing conditions such as gastritis, ulcers, acid reflux, bleeding, infections, and early-stage cancers.

Common Reasons Endoscopy Is Required

  1. Persistent stomach pain or burning

  2. Acidity or acid reflux not improving with medicines

  3. Difficulty or pain while swallowing

  4. Repeated vomiting or nausea

  5. Unexplained weight loss

  6. Black stools or blood in vomit

  7. Chronic indigestion

  8. Suspected ulcers or infections

  9. Long-standing gastritis

  10. Follow-up of known gastric conditions

👉 Endoscopy allows doctors to see the exact cause, rather than treating symptoms blindly.

Why Is Endoscopy Done Instead of Scans?

Many patients ask, “Doctor, can’t CT scan or ultrasound show this?”

The answer is NO — because:

  • Scans show only the outer structure

  • Endoscopy shows the inner lining directly

  • Small ulcers, erosions, infections, and early cancers cannot be seen on scans

Endoscopy is the gold standard for diagnosing stomach and food pipe problems.

What Conditions Can Endoscopy Detect?

Endoscopy helps diagnose:

  • Gastritis

  • Stomach ulcers

  • Duodenal ulcers

  • Acid reflux disease (GERD)

  • Hiatus hernia

  • Food pipe narrowing

  • Esophagitis

  • H. pylori infection

  • Polyps

  • Early stomach cancer

  • Bleeding sources

Early detection through endoscopy can prevent major complications.

Is Endoscopy Painful?

No. Endoscopy is NOT painful.

  • The procedure usually takes 5–10 minutes

  • A local anesthetic spray is used for the throat

  • In some cases, mild sedation is given

  • Most patients feel only slight discomfort, not pain

Patients can usually go home the same day.

How Should You Prepare for Endoscopy?

Basic preparation includes:

  • Empty stomach (6–8 hours fasting)

  • Inform the doctor about:

    • Diabetes

    • BP medicines

    • Blood thinners

  • Avoid smoking and alcohol before the test

Dr. Kiran KJ and team ensure complete patient comfort and safety during the procedure.

Is Endoscopy Safe?

Yes ✅
Endoscopy is a very safe procedure when performed by an experienced specialist.

Complications are extremely rare and may include:

  • Mild throat irritation

  • Temporary bloating

  • Very rarely, bleeding or injury

The benefits of early diagnosis far outweigh the risks.

When Should You NOT Delay Endoscopy?

You should not delay endoscopy if you have:

  • Black or tar-colored stools

  • Blood vomiting

  • Severe upper abdominal pain

  • Difficulty swallowing food

  • Sudden weight loss

  • Anemia without clear cause

Delaying diagnosis can lead to serious health complications.

Conclusion

Endoscopy is a powerful diagnostic tool that helps identify digestive problems early, accurately, and safely. If you have persistent stomach symptoms, ignoring them can lead to complications.

👉 Timely endoscopy can save lives.

If advised by your doctor, do not fear the test — understand it, trust the process, and take charge of your health.

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Dr Kiran KJ

Dr Kiran KJ is an expert surgeon and hands on medical professional, Dr. Kiran K J is an expert in laparoscopic, Bariatric and laser surgeries.

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