Cleveland Clinic Colonoscopy?

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Mac_Gyver
Regular Member


Date Joined Aug 2007
Total Posts : 350
   Posted 3/1/2008 9:26 AM (GMT -7)   
I was reading through my prep info today and it appears from what Im reading is that Ill be awake!!! The other one I had done locally I was put out. I don't want to be awake, I don't want to remember this at all.
Symptoms Of Crohn's June of '06 (21 years old 285lbs). Colonoscopy in Jan '07 no sign of Crohn's.
Surgery for a Fistula in April '07, diagnosed suggestive Crohn's in May '07. August '07 small bowel follow
through, diagnosed with Crohn's (23 years old 165lbs). On HUMIRA, Prednisone

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CrohnieToo
Veteran Member


Date Joined May 2003
Total Posts : 9448
   Posted 3/1/2008 10:52 AM (GMT -7)   
Call the gastro department at CC and ask if you will be sedated or not. Tell them you do not want to do the colonoscopy w/o sedation. Remind them of that again when you arrive for the scope. I'm sure they will accomodate you and provide sedation if you request it. CC didn't achieve the status of #2 gastro department in the USA by "torturing" their colonoscopy patients!!! If you need or want sedation I'm sure they will provide it.


Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.


MikeB
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Date Joined Mar 2006
Total Posts : 1169
   Posted 3/1/2008 12:10 PM (GMT -7)   
Colonscopies are not done with you asleep. They are done under mild sedation with an amnesiac drug that makes you forget the whole thing. You will be responsive to the instructions to change positions, etc., but will likely have no memory at all. A few people -- I am one -- do scopes with no sedation at all, and the discomfirt is very minimal, but those with a lot of inflammation and women (due to all that other plumbing in there) would likely have more discomfort. However, for all patients the "pain" element in a colonoscopy is molre a matter of fear and apprehension than reality. They are after all simply passing a flexible tube that is narrower than much of what goes out the other way every day. It ain't a torture rack . . . relax and you will do fine with the level of sedation and amnesiacs they routinely use.

potatoqwn
Regular Member


Date Joined Jan 2006
Total Posts : 355
   Posted 3/1/2008 12:33 PM (GMT -7)   
Mike B is correct. You are not totally asleep like if you have surgery. Sometimes I am very aware of what is going on and other times I felt as though I was "asleep" through the entire thing. The first few I had, I would fall asleep for a several minutes and then wake up and and watch the whole thing. I'd ask questions, but then I'd forget the answers. Fortunately I had someone in there to remind me of the answers later. If you ask me, the procedure is no big deal at all. It's the prep that I dread.

Sharann
Veteran Member


Date Joined Sep 2005
Total Posts : 778
   Posted 3/1/2008 1:14 PM (GMT -7)   
I have to disagree here with those who say there is minimal discomfort with a colonoscopy. I have had major discomfort with past scopes and while I am sure part of it is the person doing the procedure, some of us have more pain. I have been both sedated and conscious and given general anesthesia for scopes and I prefer the one where I am put out. My problems are pain after the scoping too.
The pain comes from the AIR the insufflate into the bowel, not from the "flexible tubing".
IF I could be awake I would love it, so I could see what the heck they are doing in there.
So, son't be afraid to ask for more medication, this is not a contest to see who can take it.
I am a Certified Doxie Lover(Weinerdogs)


Mac_Gyver
Regular Member


Date Joined Aug 2007
Total Posts : 350
   Posted 3/1/2008 4:28 PM (GMT -7)   
This first one I had I was told it was a twlight sleep, did not remember a thing. This is what I want. As far as prep I'm doing the phosphosoda instead of the go-lyightly, so Im hoping the prep will be better this time.
Symptoms Of Crohn's June of '06 (21 years old 285lbs). Colonoscopy in Jan '07 no sign of Crohn's.
Surgery for a Fistula in April '07, diagnosed suggestive Crohn's in May '07. August '07 small bowel follow
through, diagnosed with Crohn's (23 years old 165lbs). On HUMIRA, Prednisone

============================================


hukleberrie
Regular Member


Date Joined Jan 2008
Total Posts : 491
   Posted 3/2/2008 7:38 AM (GMT -7)   
I did the phosphosoda, not the go-lightly, but I am going to another GI who give the go-lightly stuff, so I am curious what the difference is. I also had to do 2 enemas before the procedure, and I don't think you have to with the go-lightly.

I didn't remember a thing from my scopes, but my husband heard me screaming from the waiting room & started to freak out. I later found out because I had both the EGD & colonoscopy done at the same time, the air going in both ways can be very painful. I was sick for 6-7 days later, horrible cramps. I will NEVER do them at the same time again. (it was to save $ since I don't have insurance).
Live for today, for tomorrow you might just get hit by a semi.


CrohnieToo
Veteran Member


Date Joined May 2003
Total Posts : 9448
   Posted 3/2/2008 8:46 AM (GMT -7)   
Oh horsepuckies! Yes, the prep is the worse part of the procedure. Especially if you've got some gastro who insists on overdoing the prep. If you do the prep correctly, which means drinking LOTS of FLUIDS, not just the prep yech itself, that is sufficient unless perhaps you are one who is constipated a lot. Once you are running clear, no sand, no bits and pieces, just clear, maybe slightly yellow liquid you are squeaky clean. The other key besides the LOTS of liquids is the timing. A prep timed for EARLY morning scope, isn't QUITE as effective if the scope isn't until LATE morning or noon.

And horsepuckies to air being the principal cause of pain. The primary cause of pain during colonoscopy is the scopist. It takes TIME to do a pain free scope. That flexible scope shaft often loops back on itself (try running a thick string or cord thru a horizontal straw from end to end). The looped scope shaft stretches the colon width-wise and that causes the pain. Too much insuflated air is the second most common cause of pain during the scope and again it is the stretching width-wise of the colon and both are due to the scopist not taking enough TIME. The "wider" the colon due to the air insuflation the easier and faster the scope can be passed thru. The faster one tries to advance the scope the more likely the looping of the shaft and the more looping that occurs before the scopest stops to pull the scope back a bit and proceeds again. Real time imaging during a colonoscopy has proven this.

Colonoscopy does tend to be more uncomfortable in women, NOT because of the "extra organs" but because they tend to have a slightly longer and more flexible transverse colon. That baby can drop down almost to or to the pubic area!!!!

I've posted the URLs several times thru the years to two med journal abstracts from which I gained this information (and my own experience bears it out). I'm female, have most of my scopes done w/o sedation, just a little Demeral, and the ONLY area of discomfort my gastro and I have encountered is my transverse colon and my ICV area where I have narrowing and some malformation (not due to surgery, my resection was of the mid-ileum and the ICV is still intact). The ICV is a difficult area to penetrate w/the scope and there is a percentage of scopes in perfectly healthy individuals where the ICV can't be penetrated by the scope.
Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.

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