recent colonoscopy experience - page 6

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

  1. Visit  presC. profile page
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    hi there, good thing i found this thread, really helpful such time like this.
    if your doctor informed you that you have rectal polyp along with external hemmorhoids, what are the things to be expected?
    and what are the procedures needed to be done? what are the options?
    i need to clarify things. we consulted a general surgeon yesterday and informed us that my dh got one. (he's 36 y.o. HX: his father died 10years ago due to colonic CA) my husband's really anxious and down about the news. he was adviced for a barrium enema. we're still at awe! help anyone?

    i'm asking comments/info with you guys because i know you have many insights and experiences about this matter.

    thank you.
  2. Visit  bbarbie1 profile page
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    Why is the doc recommending a barium enema rather than a colonoscopy? BEs can be extremely uncomfortable, but you can sleep through a colonoscopy (if you want, anyway). If something is found on the BE you may have to have a colonoscopy anyway. Why not try to get everything done in one procedure? The prep is the same. Won't hurt to ask.

    Good luck and best wishes!
  3. Visit  presC. profile page
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    thanks bbarbie1 for the info/suggestion, i'm having thoughts about it actually, and before i read this we made an appointment to an expert(specialist) doctor yesterday about my husband's condition so that "everything done in one procedure" as you said.

    likewise, good health be upon you..

    i'll keep you guys posted, i hope you won't mind

    thank you!
  4. Visit  PACU R/N profile page
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    :zzzzz [font=Arial Narrow]Hi to all facing up to the 'endoscopy' experience. I also felt anxious about the procedure ie.type of anaesthesia to be used and the complications from Endoscopy. Discussed the type of anaesthesia with anaesthetist(Doctor).
    [font=Arial Narrow]She being empathic to the procedure, stated Propofol(diprivan) was the choice. I'm thankful, as the only discomfort was a deep pain along IV site in forearm. Off to sleep and woke up with very slight drowsiness. The Endoscopist was kind and suctioned the air at end of procedure. No 'nasties' were found, other than signs of reflux oesophagitis.
    [font=Arial Narrow]Lifestyle modification should take care of that. Keep well all...Cheers
  5. Visit  ibnrn profile page
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    I am a sedation nurse in a GI lab. I have noticed that the GI docs, who are more skilled at operating the scopes, do a better job and cause less discomfort than the SURGEONS, who also scope. We use Demerol and Versed, sometimes Fentanyl and Versed. I get so frustrated and angry:angryfire because I have seen many, many patients crying out in pain and they remember the WHOLE thing (usually surgery patients). I am not at liberty to medicate the patient as I would like to; the physician has to tell me how much medication to give. Most of them have NO earthly idea how much Versed and Demerol to use. This, along with inadequate skills in manipulating the scopes, is why so many folks have such a terrible experience with an endoscopy procedure.

    I was fortunate when I had my 'scope. I think I got propofol; a nurse anesthetist did my "sedation" and I didn't remember anything about it, and woke up quickly afterwards. Also I had a GI doc. Which helps greatly.

    Thank you for bringing up this very important issue!
  6. Visit  curleysue profile page
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    I am a difficutl case cause Versed doesn't really work on me. My first colonoscopy they had to use (And I am not kiding) 20 mg of Versed to even get me started. I was awake and talking at 15mg of Versed. I just have a super high tolerance. The doctors and nurses could not beleive how much medicine they gave me and it didn't effect me. I've heard some patient require only 5 mg versed. I wish that was my case.

    So, when I needed an endoscopy, I told the doc my experience and he decided it should be done in the OR with propofol. And boy was that a good idea! I remember nothing.

    Just thought I would share my story. Curleysue
  7. Visit  denverasking profile page
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    First of all, I need to thank the first poster for posting about her experience. I had the same experience recently and thought I was nuts until I saw the post. (3 kids Lamaze and I levitated off the table with the air and I remember it all). The posts about experiences really vary and with so much - then you go to sleep and it's all over - everywhere, I was surprised and dismayed by my experience. I'm a healthy 50 yr old woman who did the screening colonoscopy because it was recommended.

    It took me 2 weeks but I finally called the drs office and a nurse returned the call. She was pretty definite that I was given too little Versed (I got 3 mg Versed & 75 mcg Fentanyl). It really eased my mind - I'm not nuts and I'm not a wimp. I had decided to keep a medical file and notes to myself since 10 years is a long time to just remember. Thanks to all who posted to contact the dr if there were concerns about the procedure - I might have never done it if not for those posts and I would definitely be hesitant to go in 10 years.

    I apologize for intruding since I'm just a patient, not a nurse. This was the most informative place I found, though. A couple of other comments. My husband is a couple of years older and the experience where he went was not great, mostly due to the staff. I picked a different center and doctor and at least going in, had a much better experience. All of that was due to the attitude of the staff. It could have been their 6000th colonoscopy but it was my first and they were really great. All of the contacts including the appt setting & everything were great.

    Even as a rational adult, this is a difficult procedure to sign up for when there is no family history and no symptoms. I'm cleared for 10 years.

    Thank you all.
  8. Visit  teeituptom profile page
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    Sounds like it was a real Pain In The Arse
  9. Visit  Wicket16 profile page
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    Quote from bbarbie1
    To all endoscopy nurses, I could use some reassurance please. In trying to prepare myself for an upcoming colonoscopy, I have been browsing the web for other people's experiences. Some are comforting, some terrifying. Great. How do you get a realistic idea of what to expect? Also, if you are really in pain, will the doc stop if asked? The big question--I came across a very disturbing site, Gastro-Pro.org. I don't know if this is a demo for an instrument or a demo of the procedure, but now I'm really worried. It really seemed like the doc was being very harsh in moving the "thing" around in this poor lady. Several times it seemed like he pushed it into her very rapidly and a long ways, more that would seem safe. I noticed that the attendant kept patting her on the shoulder, so my bet is that she wasn't very comfortable. It this "gentle" treatment? I have never observed a real procedure, and would like the opinion of those who have. It sure seemed like he was more interested in pushing and pulling on her (showing off for the camera) than in being gentle. I'm really beginning to distrust the stuff I read about "gentle insertion of the scope", and all other superficial statements intended to lure people in for screening. I would appreciate any input. Thanks.
    Hi this is my first post. I am not a nurse, but very concerned about having to have a colonoscopy in about a month. My husband just had one and said it was "a piece of cake", but then it doesn't take much to put him completely out...Me, on the other hand need a lot more medication. Can you tell me where in Gastro-Pro.org did you find the information about the woman getting the colonoscopy you mentioned. I am trying to get all the information on this that I can. Thanks!!
  10. Visit  curleysue profile page
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    Quote from Wicket16
    Hi this is my first post. I am not a nurse, but very concerned about having to have a colonoscopy in about a month. My husband just had one and said it was "a piece of cake", but then it doesn't take much to put him completely out...Me, on the other hand need a lot more medication. Can you tell me where in Gastro-Pro.org did you find the information about the woman getting the colonoscopy you mentioned. I am trying to get all the information on this that I can. Thanks!!
    You are just like me. I have had about 1 colonoscopy and 2 endoscopy both requiring concious sedation. But me, I am a different story. Versed, does not work on me. Well they can get it to work but during my colonoscopy they gave me, (I am not kiding!) 23 mg Versed and 100 demerol. That is what it took for me to even go out just a little I still was moaning and so forth, obviously I don't remember it but I do remember the doctors and nurses talking to eachother and the doc kept saying just keep giving her more and the nurse would say "are you sure?" Thats all I remember.

    I have no idea why I am so tolerante to medications like that. Its the same way for narcotics. Maybe its because I was an extremely sick teenager and adult even now and was in the hospital multiple times for painful things like pancreatitis twice, 6 laporoscopies for ovarian cysts and endo, 1 gallbladder surgery, appendectomy, 3 bladder surgeries, open heart surgery. I am a mess. But they have to give me like 2mg of dulaudid or 150mg IV demerol. Its a disaster and then all the doctors and nurses who are not familiar with my past medical history who think I am some kind of drug seeker or I don't know. Its just bad. I am not on narcotics all the time or anything so I don't think I have done something wrong.

    Wicked16- After that experience with the colonoscopy and versed issue my anesthesiologist at our hospital suggested my doctor do the other procedures in the OR where they can give me propofol which if you not a nurse is the white IV medicine that they give you when you go under for general anesthesia. And that will knock anyone out. I don't think they can give propofol in a colonoscopy procedure room without an anesthisiologist at least here you can't. So I had all of my other procedures done in the OR which is not usual. In fact I think you would have to have both the surgeon doing the study and the anesthisilogist agree that doing it in the OR would be best.

    I can see why your so nervous you are like me, need quite a bit of meds. Ask you doc or tell him how concerned you are. Maybe they can give you propofol. Or even a different mixture of medications. I know every surgeon has their own cocktails for colonoscopies. Some use versed and fentanyl, versed and demerol, or I guess versed and morphine and valium. I don't know.

    Just thought I would give you my experience. Just remember they will not start the procedure unless you are properly sedated! They will stop immediately if you feel pain or uncomfortable. Remember they do these colonoscopies all the time. And have many patients who are tolerante to meds for example drug users or people like me who have had just a lot of hospitalizations.

    Take care. I am here for any other questions. Curleysue
  11. Visit  curleysue profile page
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    Sorry I didn't realize that I had already said most of the things in an eariler post. My bad. Sorry Sorry. My mind is somewhere else today.
  12. Visit  Wicket16 profile page
    0
    Quote from curleysue
    You are just like me. I have had about 1 colonoscopy and 2 endoscopy both requiring concious sedation. But me, I am a different story. Versed, does not work on me. Well they can get it to work but during my colonoscopy they gave me, (I am not kiding!) 23 mg Versed and 100 demerol. That is what it took for me to even go out just a little I still was moaning and so forth, obviously I don't remember it but I do remember the doctors and nurses talking to eachother and the doc kept saying just keep giving her more and the nurse would say "are you sure?" Thats all I remember.

    I have no idea why I am so tolerante to medications like that. Its the same way for narcotics. Maybe its because I was an extremely sick teenager and adult even now and was in the hospital multiple times for painful things like pancreatitis twice, 6 laporoscopies for ovarian cysts and endo, 1 gallbladder surgery, appendectomy, 3 bladder surgeries, open heart surgery. I am a mess. But they have to give me like 2mg of dulaudid or 150mg IV demerol. Its a disaster and then all the doctors and nurses who are not familiar with my past medical history who think I am some kind of drug seeker or I don't know. Its just bad. I am not on narcotics all the time or anything so I don't think I have done something wrong.

    Wicked16- After that experience with the colonoscopy and versed issue my anesthesiologist at our hospital suggested my doctor do the other procedures in the OR where they can give me propofol which if you not a nurse is the white IV medicine that they give you when you go under for general anesthesia. And that will knock anyone out. I don't think they can give propofol in a colonoscopy procedure room without an anesthisiologist at least here you can't. So I had all of my other procedures done in the OR which is not usual. In fact I think you would have to have both the surgeon doing the study and the anesthisilogist agree that doing it in the OR would be best.

    I can see why your so nervous you are like me, need quite a bit of meds. Ask you doc or tell him how concerned you are. Maybe they can give you propofol. Or even a different mixture of medications. I know every surgeon has their own cocktails for colonoscopies. Some use versed and fentanyl, versed and demerol, or I guess versed and morphine and valium. I don't know.

    Just thought I would give you my experience. Just remember they will not start the procedure unless you are properly sedated! They will stop immediately if you feel pain or uncomfortable. Remember they do these colonoscopies all the time. And have many patients who are tolerante to meds for example drug users or people like me who have had just a lot of hospitalizations.

    Take care. I am here for any other questions. Curleysue
    Thanks a lot for the information and help. I really appreciate it. I am very nervous about this as you can probably tell. I guess I build things up in my mind to make them worse than they really are, but after reading some of the posts in here....... Anyway thanks again.
  13. Visit  RN2Bn2006 profile page
    0
    Quote from daniellern
    I was reading your message and felt so bad for you. I am a Registered Nurse working in an Endoscopy Center. Our patients come in so nervous and leave with a big smile on their face and can not believe what a pleasurable experience they have had. We no longer use Demerol and Versed. We use an anesthetic agent called Propofol (Diprovan). We now have Anesthesiologists on board with us who administer the drug and within seconds, the patient takes a nap. The drug has such a short half life, so is administered prn throughout the procedure to keep the patient comfortable. So, on your next visit for your colonoscopy, ask about Propofol. It works so well for the patients, especially females who have had abdominal surgeries and have many adhesions. Good luck. Any questions, let me know.
    Wow that's good to know. thanks for posting about the new drug. I'm 35, and due to personal health issues, I've had 2 very painful colonoscopys - I remember it very plainly - crying and begging for pain medicine. I am due for another procedure this month. When I talked to my doc after my last one - she said my BP had dropped, and they couldn't give me anymore medication, so next time it will be general anesthesia. So I will definately ask her about this one you've posted. I even felt when they cauterized where they removed a polyp. Very very traumatic. I too have had numerous abdominal surgeries, so am sure there is alot of adhesians.

    Thanks for the advice.

    OP - You are not alone. Just don't do what I did, and do it again the same way. If you know it didn't work for you last time, don't subject yourself to the same thing again - there are others ways to go about it.

    PB

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