recent colonoscopy experience - page 5

by mat/childnurse

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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 researched all aspects of the... Read More


  1. 0
    Hi bbarbie1, I'm in that boat too. Having a gastroscopy and colonoscopy on the same day soon. With Midazolam and fentanyl IV. Yes I'm a little anxious, the midazolam should take care of that. Reason - low HB, occult blood found in bowel motions. Had a virtual colonoscopy done(Usual bowel prep, rectal tube inserted, air blown into large bowel, and a CT scan performed.) Some moderate cramping felt, could've had buscopan. But held out, as I knew this procedure wouldn't last long. The clinic made a CD of the scan. No abnormalities seen.
    So Dr referred me to a GIT specialist to have a gastroscopy done, as she stated that the bleeding must be higher up. Specialist still wishes to do the traditional colonoscopy as well. He said that all aged 50yrs and again at 60yrs should have this check-up.
    I can say after the number of older ones having partial or total colectomies because of tumours found, has frightened me. I work in Op Suite. I am trying to avoid major surgery, and live 'til I'm 80yrs. Just reminds me, on colonoscopy, no bowel perforations please Will keep you posted. Hope all went well. Cheers
  2. 0
    Barb:
    "Don't worry about it" must be the most useless phrase in the English language. How you feel is just that--how you feel, and no one else can tell you what your feelings should be. My sister is a good listener, which I needed after my experiences with the flex sig and colonoscopy. Hers is next year, so we'll trade roles, I guess!

    In any case--sounds like you have a plan!! I hope it goes well for you--maybe you can go on the 10-yr plan if they don't find anything? That would be great! Write back after it's over and let us know how it went. If it works well for you, maybe next time I'll opt for the Propofol (even though I may have to drive to another state!). Take care. Frankly, it would be worth it.

    Bbarbie1
  3. 0
    Well...now that I am having to have a colonoscopy, this thread is probably the best place to go. I have my consult with my GI dr. next week but until then would like to know if most docs give the option of being put to sleep or just given pain meds? I do not have a very high tolerance for pain and was sexually abused in the past (in the rectum) so it is very difficult for me to endure these procedures.
  4. 0
    I should probably tell you all that I had a sigmoidoscopy with NO meds. at all back in February but it was excruciating when he had the scope all the way in.
  5. 0
    I guess that's how all flex sigs are done (no drugs), although mine was awful, too. No one I've ever spoken to would repeat one, that's how painful they are, not to mention I found it totally humiliating. Somewhere along the line, "mild discomfort or cramps" has come to be substituted for "white knuckle pain", and does a great disservice to all potential patients. A colonoscopy is much better--they see the whole colon, and you can be drowsy-to-sleeping the whole time. And the repeat time is less often!

    It is my understanding that unless general anesthesia is used, you are not technically "asleep". It is conscious sedation, achieved with good doses of pain killer such as demerol, that is most often used unless there are anatomical problems that make even c.s. unfeasible. With c.s. there is a gradient of levels possible, from drowsy to what was for me a nap. The patient can rouse for verbal commands, though. I requested/demanded that I not be aware for the colonoscopy. I had no desire to be aware to any degree(!!) of having that thing shoved up my behind, and was concerned about the pain as well, and would not have used any doctor that wouldn't agree to that level of sedation. My doc was very good and very understanding, and I remember almost nothing. Many people aren't that worried/concerned or whatever, and ask to be awake enough to watch the screen. You need to decide what is right for you, and demand it. You should absolutely make clear in your consult the level of awareness/pain control you want or don't want during the procedure. If the doctor resists your requests or seems uncomfortable, get a new one. I had 100 mg of demerol, which "put me out", and I was told ahead of time that I could ask for more drugs if I was in pain. I would go back to that guy!

    Some people resist the Versed given with the demerol, which induces anmesia. I don't like the idea of it much, because then you could be in terrible pain during the procedure and not remember it. That possiblity really disturbs me. I think the docs use it because they can't always anticipate the colon anatomy, and pain results from trying to get the scope around the corners. I will probably go without it next time.

    Good luck!! Write back and let us know how it goes!

    B
  6. 0
    Thank you for all the information. It will really help when I go in for my consult next week. I was okay with the sigmoid. until he got to the very end and then I almost lost it. I will check back in after the consult and let you know what he said as far as meds.
  7. 0
    I had this done last summer because of the golden 50 year mark. It was not at all bad! They gave me Fentanyl and Versed (Midazolam) and I wasn't aware of a thing! Woke up and it was all done. That was with conscoius sedation. So either they gave me enough, or I react well to the drugs. anyway, it was no- problemo!
    Quote from bbarbie1
    I guess that's how all flex sigs are done (no drugs), although mine was awful, too. No one I've ever spoken to would repeat one, that's how painful they are, not to mention I found it totally humiliating. Somewhere along the line, "mild discomfort or cramps" has come to be substituted for "white knuckle pain", and does a great disservice to all potential patients. A colonoscopy is much better--they see the whole colon, and you can be drowsy-to-sleeping the whole time. And the repeat time is less often!

    It is my understanding that unless general anesthesia is used, you are not technically "asleep". It is conscious sedation, achieved with good doses of pain killer such as demerol, that is most often used unless there are anatomical problems that make even c.s. unfeasible. With c.s. there is a gradient of levels possible, from drowsy to what was for me a nap. The patient can rouse for verbal commands, though. I requested/demanded that I not be aware for the colonoscopy. I had no desire to be aware to any degree(!!) of having that thing shoved up my behind, and was concerned about the pain as well, and would not have used any doctor that wouldn't agree to that level of sedation. My doc was very good and very understanding, and I remember almost nothing. Many people aren't that worried/concerned or whatever, and ask to be awake enough to watch the screen. You need to decide what is right for you, and demand it. You should absolutely make clear in your consult the level of awareness/pain control you want or don't want during the procedure. If the doctor resists your requests or seems uncomfortable, get a new one. I had 100 mg of demerol, which "put me out", and I was told ahead of time that I could ask for more drugs if I was in pain. I would go back to that guy!

    Some people resist the Versed given with the demerol, which induces anmesia. I don't like the idea of it much, because then you could be in terrible pain during the procedure and not remember it. That possiblity really disturbs me. I think the docs use it because they can't always anticipate the colon anatomy, and pain results from trying to get the scope around the corners. I will probably go without it next time.

    Good luck!! Write back and let us know how it goes!

    B
  8. 0
    In my case, I was awake and saw the whole thing on the TV tube. It was a bit uncomfortable in the beginning but it was ok later. I actually saw the polype before the doc and I went "Hey Doc! Is that a polype! Is that a polype!!!!!!" He went something like "Yes... now hold still and let me trying to get it!".

    Three years later, I went in again and I don't remember a thing. Evidently the same doc remembered me and decided to knock me out completely just in case I see another polype before he did

    -Dan
  9. 0
    I had my 2nd colonoscopy done a couple of months ago. I have to say that the worst thing is the prep the night before. This time I got big big horse pills..can't remember the name and had to break them in 1/2 before swallowing then it got to a point I had trouble swallowing the 1/2 size b/c so many every 15 minutes. I was under conscious sedation...I remember my doc administering the drugs and she was rubbing my arm and I was just looking at her as she smiled at me and the next thing I knew I woke up towards the end of the procedure in a bit of discomfort to say the least cos I remember moaning but after that I only remember the recovery room.
  10. 0
    I was so afraid of the flex sig that I brought my own percocet to the procedure. I was conscious enough to view the screen and high enough not to care about the discomfort. I didn't tell anyone until after I had swallowed the pill, but the doctor just laughed when I told him. I would do the sig again, but some pain relief is a must. Later the same day I had a root canal. Quite a day, as I recall.


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