recent colonoscopy experience - page 16
I had my first colonoscopy last Friday. I am 46 and my mother has had two surgeries for colon CA, so I felt pretty good about being so responsible. I went to every website I could find and... Read More
Sep 5, '08They use Propofol where I work...People seem to do well with this.
I think the redhead stuff just has to do with the fact that most (generally speaking...not all), are more sensitive to pain/nausea and require more medication to control it. Don't know the whys.
Sep 8, '08I did not get my bad reactions to Versed right away, it was after years of procedures under sedation that I developed my reaction; not during the procedure, but deep depression for the rest of the day after the procedure.
Now that I know what it is, I can better deal with it. But it's hard.
Sep 11, '08I had 4 mg of Versed before the procedure and then propofol during the procedure which totally knocked me out. I had the worst feelings of depression for about a day and a half after. I don't know if it was caused by the Versed or the Propofol or what. I felt like I had been intimately violated or raped or something.
Sep 13, '08People respond differently to Conscious Sedation. If you have had any abdominal surgery, have IBS, or a loopy colon all can contribute to discomfort. It can also depend on the skill of the physician. I would suggest you look for a facility that gives Propofol. Patients remember little; have a better recall of physician talking afterward; have less "hangover effect", and leave within 30 minutes or so post procedure.
Sep 17, '08Booty Nurse:
I added some links to the front page of Versed Busters.
Check out the first three, Colonoscopy Warning, Brad Ideas, and Askapatient.com.
Apr 8, '10I am scheduled to have a colonoscopy soon and have been told I will be sedated. I am a very modest person and am wondering if anything other than my bottom will be exposed during the procedure or prep. Is there ever any frontal exposure before the procedure starts or during it? I am so worried about being exposed in front of everyone in the room other than the doctor. Can anyone who may have been awake the whole time of their colonoscopy answer this for me? This is making me a nervous wreck. I know I will not have any recollection of what happened if I am sedated and that just makes it worse.
Apr 8, '10You will be okay, JeanArt. I've had multiple colonoscopies w/o sedation so that I could watch the monitor. You are well covered aside from your backside. My nurses have been very good about even keeping as much of my backside covered as possible. And my gastro and all the staff have been women. Once in a while one of the nurses may have to reach under your gown from the slit in the back to gently press on your belly to help the scope slide thru. Not often, but occasionally. Usually just having you roll to your back or from your back to your side is all that is needed to ease the scope thru.
Apr 9, '10Thanks for your reply. It makes me feel a little better. I just am nervous because I may have a male anesthesiologist and don't like the idea of having the procedure done in front of anyone, let alone a man. I hate being put "under" and not knowing what will be done to me. I wish I would have talked to my doctor more about sedation choices because her standard is to use propofol and I feel like that will put me entirely under. I would rather be aware of what is being done to me but the doctor will not do the procedure unsedated. Thanks again.
Apr 9, '10You will LOVE propofol. You are awake and aware almost immediately after they stop administering it unlike Versed or Valum where you take awhile in recovery to wake up and be able to stay aware and you sure aren't alert for quite some time afterwards!!! If I remember correctly whilst you are laying on your left side the anesthesiologist is standing more to the left as well so I don't think he ever gets a peek at your rear end even if he was interested in it.
Apr 9, '10I know I am being overly curious but I have so many questions and my doctor didn't spend any time with me before having me scheduled. I will be having biopsies and stool studies done because of symptoms. I am wondering how and when they do stool studies during the procedure?? If your colon is cleaned out how can they get a sample? It all just seems so embarrassing. It almost makes me just not want to do it. Do most people have "overflow" or soiling from leftover colon prep or does the doctor remove it while scoping so that it doesn't expel from the rectum? Any experience with this?
Apr 9, '10Bite me on the stool studies bit. Unless it has been more than 6 hours (I think it is 6 hours anyway) since your last dose of the prep you colon should be squeaky clean. There "might" be some small clumps of yellow "slime" called chyme here and there thru out the colon. This is suctioned out thru the scope to enhance the visual field in the colon. As our food is digested in the small intestine nutrients are absorbed and waste collects as this slime they call chyme. The chyme enters the colon at the ileocecal valve into the cecum which is the beginning of the colon. Maybe this chyme is what they will be doing the stoo studies on.
One seldom has "leaks" during or after the procedure unless the procedure is done very close to the last dose of prep (w/in 2 hours, I think it is). I don't know of anyone that has happened to. That doesn't mean it hasn't happened but it would be very unlikely.
May 20, '11I just had my first colonoscopy yesterday and it was a nightmare. They gave me a sedative(not sure what it was) and it had a slight effect on me. Unfortunately not enough of an effect because I was in pain from the word go. They got through the descending colon and across the transverse with me barely able to stand it. When they started to make the turn into the ascending colon the pain was so excruciating they had to stop. They said they gave me enough sedative that should not have even been aware of what was happening but it barely had any effect on me whatsoever. SO, now I have to go through it again fully anesthetized. Not a happy camper to say the least.
May 20, '11Was this "just" a routine colon cancer screening or have you had something going on that indicated a scope would be in order?
The major source of pain during a colonoscopy is due to the flexible scope shaft looping back on itself and stretching the walls of the colon. Another source is an "air-happy" scopist inflating the colon so that the walls are stretched. A skilled scopist willing to take the time will not cause a patient much pain or even much discomfort even w/o sedation.
Of course, if someone has something like active Ulcerative colitis or Crohn's disease going on at the time that could account for some pain during a scope.
More than likely this first time they used Versed, possibly Valium. This next time they will most likely use Propofol (diprivan) as these are the most commonly used for scopes.
This may be of interest to you:
Endoscopy 2002 Jun;34(6):435-40
Patient pain during colonoscopy: an analysis using real-time magnetic endoscope imaging.
Shah SG, Brooker JC, Thapar C, Williams CB, Saunders BP. Wolfson Unit for Endoscopy, St. Mark's Hospital, Harrow, London, United Kingdom.
BACKGROUND AND STUDY AIMS: Colonoscopy is generally perceived as being a painful procedure. Contributory factors are: stretching of the colonic wall and mesenteric attachments from looping of the instrument shaft, overinsufflation, the degree of torque or force applied to the colonoscope shaft, and patient pain threshold. The aim of this study was to determine the frequency of pain episodes experienced during diagnostic colonoscopy and the corresponding colonoscope configuration, utilizing real-time magnetic endoscope imaging (MEI).
PATIENTS AND METHODS: Consecutive outpatients undergoing colonoscopy were studied. Patients with previous colonic resections were excluded. Procedures were commenced with antispasmodics only, and patient sedation was self-administered whenever significant discomfort was experienced, using a patient-controlled analgesia (PCA) syringe pump. All "demands" were correlated with the MEI record, which was subsequently analysed.
RESULTS: A total of 650 demands were recorded in 102 patients. Seventy-seven percent of all demands occurred with the colonoscope tip in the sigmoid colon, 7 % in the descending colon, 6 % at the splenic flexure, 5 % in the transverse colon, and 4 % in the proximal colon. Ninety percent of all pain episodes coincided with either looping (79 %) or straightening of the colonoscope shaft (11 %); presumed overinsufflation being an infrequent cause of pain (9 %). Of the loops encountered during colonoscopy, the N-sigmoid spiral loop was associated with the majority of pain episodes (56 %). Looping was both more frequent ( P = 0.0002) and less well tolerated in women than in men ( P = 0.0140).
CONCLUSIONS: This study is the first to document pain at colonoscopy accurately. Looping, particularly in the variable anatomy of the sigmoid colon, is the major cause of pain, especially in women. Use of MEI may improve pain control by facilitating the straightening of loops within the sigmoid colon, and by enabling the endoscopist to target patient analgesia.
PMID: 12048623 [PubMed - indexed for MEDLINE]