Colonoscopy sedation

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Bluize
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Date Joined Mar 2005
Total Posts : 635
   Posted 4/30/2009 9:53 AM (GMT -7)   
I had the oppy to have the colonoscopy done Friday.  Then I find out that my new doc administers the light sedation which will make me sleepy, but I will be awake and not remember much of the procedure.  There will be no anesthesiologist.
 
WHAT???
 
I've had colonoscopies done before and I was sedated with propofol.  It puts you out although it's a quick reaction and you wake up quick too.
 
They are using versed and demerol.  Demerol never works on me.
 
So I called them back and now it's rescheduled for May 18 because they have to get an anesthesiologist.
 
The doctor thought it would be fine.
 
Is it fine?  Did I over react?  I would much rather be out and since I had it before the doc agreed since it would make me more comfortable.
 
Has anyone done the "light sedation?"  it's too late for tomorrow now but now my appointment is May 18 at 3pm.  Yuck. 
 
Good thing about this doc is the prep allows yogurt, milkshakes, ice cream, coffee..etc..  along with clears the day of.  I can have creamy stuff the day before.  Then miralax in a ton of gatorade then nothing but clears after the prep.
 
I'm still thinking about this though.  I thought that the days of you being awake were over.  Now I'm thinking I'm a big baby.
 
Good news about the CT Enterography though.  It showed nothing.,not even inflammation.  Doc says they can see much better in a scope especially if there is bowel wall thickening.
 
I know something is up since I have symptoms. 
 
 
 
Susan
 
28 years with Crohns in the term ileum.  Feb 07 Resection.  No meds currently..but there will be some I'm sure. Taking acidophilus.


tall girl
Regular Member


Date Joined Apr 2009
Total Posts : 68
   Posted 4/30/2009 10:05 AM (GMT -7)   
I had light sedation for my last colonoscopy. I do not remeber anything at all but was awake. My husband joined me in the recovery room right afterwards and he says I kept asking him the same questions over and over agian. I do not remeber talking to the doctor or anything else up intill about 30 minutes after the proceedure. It was no problem for me and I think you will be fine too.
25/ Female DXed Crohn's 1/09
Many diet restictions
Entecort, Pentasa, Zantac, Fish Oil
Still confused and sometimes angry/frustrated
However I am learning to laugh at all this more often


HabsHockeyFan
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Date Joined Jan 2006
Total Posts : 3130
   Posted 4/30/2009 10:10 AM (GMT -7)   
You are not being a big baby! Light sedation is not for everybody. I had demerol with my last scopes and I react well...as in I go completely out with it (meds either have no effect or extra effect on me). My first scope they did a different med (so long ago I can't rem what). it was meant for me to be awake during it. i was awake and hated it....I thought it would be cool cause I like to watch the pics, but I was inflamed and it was painful and I felt it all.

So...you know you. Do what is best for you
Dx'd '90 (emergency rupture), symptoms ignored long before that, '03 fistulas and bad flagyl reactions, B12 weekly, Pentasa [until I surrender to the bigger meds]
I'm riding on the escalator of life....


Rider Fan
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Date Joined May 2008
Total Posts : 1445
   Posted 4/30/2009 10:17 AM (GMT -7)   
I had light sedation and it was fine. They used fentanyl and versed. But you have to do what you feel comfortable with, so don't sweat it.
32 y/o male. Dx'ed in 1999. No surgeries.

Current meds: Humira 2/27/09. 12.5mg prednisone. Udo's Choice Probiotics (30 billion). Can't tolerate any iron supplements or infusions.

Tried SCD, didn't work, now avoiding gluten and dairy.


Go Saskatchewan Roughriders!


Bluize
Veteran Member


Date Joined Mar 2005
Total Posts : 635
   Posted 4/30/2009 10:28 AM (GMT -7)   
I've never had the other sedation but I have perianal issues now and when the gi surgeon tried to put a scope in there to take a look he got 2 inches in and I told him to stop.  It's not that bad now, but I'm still somewhat sore in that area.
 
This doc is also doing the endo at the same time. 
 
I just thought I was going nuts.  My other gi doc always put me out with an anesthesiologist.  I'm going to call my insurance company to be sure it's covered of course..at 90%.
 
It's being done at Cornell. 
Susan
 
28 years with Crohns in the term ileum.  Feb 07 Resection.  No meds currently..but there will be some I'm sure. Taking acidophilus.


catpower
Regular Member


Date Joined Nov 2008
Total Posts : 192
   Posted 4/30/2009 10:37 AM (GMT -7)   
I opt for no sedation b/c the sedation actually makes me nauseous and makes me vomit. With no sedation, I can get up and leave right after the procedure, and go to work if I am feeling up to it. For me, there was just a few seconds of intense pain while they were taking a turn, but otherwise I felt nothing.

If you are really anxious about this, can you stress to your doctor that you really want to be put under (if you haven't already done this)?

Good luck and I'm sure you'll get through it just fine!
Dx with Crohn's Colitis; Meds: Pred and Imuran; female in late 20s.


Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 4/30/2009 11:13 AM (GMT -7)   
My doctor uses the Fentanyl and Demerol mix. I have to tell them that I have a high medication tolerance so they have to use more than the normal person. I have had experiences where they didn't give me enough and I was in horrible pain, so now anybody can call me a baby or whatever, but you better knock me out good.

Props to those who do without meds, but its not for me. So you are not alone.

Hugs
Gail *Nanners*
Gail*Nanners* Co-Moderator for Anxiety/Panic Forum
Been living with Crohn's Disease for 33 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, and Calcium and Xanax as needed. Resections in 2002 and 2005. Also diagnosed with Fibromyalgia and Osteoarthritis and Anxiety. Currently my Crohns is in remission.
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

onthecan
Regular Member


Date Joined Mar 2009
Total Posts : 318
   Posted 4/30/2009 11:30 AM (GMT -7)   
Hi all i don't know were you guys are from but down here there is never an antheseologist that comes in and knocks us out god i wish there was the only thing we get is morphine and another drug i'm not sure of the name of it some times i'm laying there with tears rolling down my face wishing i was dead but they always stop thank god but that means another scope to find out the problem i go for mine the end of the month not looking forward to it at all. Jenn cry
Had Crohns 17 years had numerous bowel resections,fistulas,fissures,hemmies,kidney problems,fibro,arthritis,dignosed at 13 had GI feeding tube,nasal feeding tube,cental lines,ports,4 ruptured bowel emergency surgeries,TMJ,depression,current meds are Hydromorphone,30 ,Hydromophome,8 ,Ketoprofen,100 ,Trazadone,50 ,Lorazepam,10 ,Zopliclone,5 ,atriplyine,75 ,Losac,50 Tylenol Athritis ,B-12 injections ,Iron injections ,Gravol,75 Predisone,5mg ,Humira,40mg once a week.Still looking for the doctor with all the answers if you find him forward him to me please.P.S my bathroom is the nicest room in my house cause i spend so much time there,i am thinking about installing the computer and maybe a hot-dog stand.


Bluize
Veteran Member


Date Joined Mar 2005
Total Posts : 635
   Posted 4/30/2009 12:06 PM (GMT -7)   
Sorry to hear that.  I wouldn't have it any other way.  I want to be knocked out.  I guess I am more compliant that way. tongue
Susan
 
28 years with Crohns in the term ileum.  Feb 07 Resection.  No meds currently..but there will be some I'm sure. Taking acidophilus.


Julie1014
Veteran Member


Date Joined Oct 2005
Total Posts : 1245
   Posted 4/30/2009 12:40 PM (GMT -7)   
I have tried so many different types of anesthesia, and have bad reactions to them. My last four colonoscopies were done wide awake, and I left after it was over. It's no picinic.....
Diagnosed with Crohn's March 2006, Fibromyalgia Nov. 2008, Anxiety Disorder since childhood
Asacol 3 times a day, Remicade 10mg/kg every 4 weeks, Prednisone 10 mg, Miralax,  Prevacid 30mg, Vit B12, Vitamin D, Slow-FE (Iron), Hydrocortisone enemas
Imuran stopped 9/8/08 (possible Pancreatitis)
Paxil 40mg daily (for Panic disorder)
Xanax .5mg three times a day, 1mg at bedtime (for anxiety attacks)
 
 
 
 
 


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 4/30/2009 12:54 PM (GMT -7)   
I'm a big baby and I need to be completely knocked out for even a sigmoisdoscopy but it's mainly cuz of my perianal crohn's skin tags and I don't let any doc do a "simple" anal/rectal exam on me with their finger either...if I'm not out cold then forget it.

:)
My bum is broken....there's a big crack down the middle of it! LOL :)


lovepink
Regular Member


Date Joined Sep 2007
Total Posts : 182
   Posted 4/30/2009 1:08 PM (GMT -7)   
Of course you are not a baby! You need to do what is best for you and you know your body more than anyone.

Wow, I don't eat any of that stuff when I prep for colonoscopy. Interesting. But maybe ever doctor is different!

Good Luck!
I have had Crohn's since I was 21 years old and I am now 28!!
Unfortunately, nothing has worked for me. But I will keep on going and trying everything possible!


Bluize
Veteran Member


Date Joined Mar 2005
Total Posts : 635
   Posted 4/30/2009 1:52 PM (GMT -7)   
I know...I never had those things either.  Happy about it though.  At least I can really test my lactose intolerance!
 
pb4..I have the same.  Why would I not be knocked out?  My original Gi suggested that some tolerate it ok.  Unless his patients don't want anesthesia he always uses propofol of course if they have never had a reaction to it.
 
 
Susan
 
28 years with Crohns in the term ileum.  Feb 07 Resection.  No meds currently..but there will be some I'm sure. Taking acidophilus.


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 4/30/2009 1:56 PM (GMT -7)   
I had surgery done on mine when they were mistaken for hemmies they did a hemheroidectomy on them while they were in a flare (large and hard as well as painful), by them banding them (hemheroidectomy) it left them in a flaring state ever since (18 yrs now) which is the reason why any exams in that area have to be done only if I'm totally sedated, its not worth the un-necessary pain for me.
 
:)


My bum is broken....there's a big crack down the middle of it! LOL :)


Bluize
Veteran Member


Date Joined Mar 2005
Total Posts : 635
   Posted 4/30/2009 2:48 PM (GMT -7)   
holy painful batman! shocked
 
I have some skin tags and had a peri-anal flare (brand new symptom) and an abcess.  I'm still sore from the whole thing but not as bad.
 
I certainly don't want anything to cause me pain.  I'm the type that will be fine to have a baby with all of the necessary drugs.  No natural for me.
 
This doc is doogie in a skirt.  Still not trusting her 100%.  I don't trust any doc 100%.
Susan
 
28 years with Crohns in the term ileum.  Feb 07 Resection.  No meds currently..but there will be some I'm sure. Taking acidophilus.


Chasity102304
Regular Member


Date Joined Nov 2007
Total Posts : 165
   Posted 4/30/2009 3:21 PM (GMT -7)   
I've never been given the option of being completely knocked out with anesthesia. I have only ever had versed and demerol for all 7 of my colonoscopies and I only remember about 10 seconds of all of it. The last one I had, I started to wake up and moaned so they gave me more med and I was back out of it. It hasn't ever been painful or anything with the demerol and versed I basically feel like I'm out but I think I'm still able to move if needed as once I started on my side but ended on my back because they did the upper endoscopy the same time.
 
Everyone is different. Do what is right for you!
 
GOODLUCK!
Fibromyalgia DX March 2003
Crohn's DX Jan 2006 (Symptoms since 96-Misdiagnosed as "female" problems-Major flare during pregnancy in 05 which lead to DX)
1st resection July 2007
Currently on Remicade/8 weeks


Valerie3
Veteran Member


Date Joined Feb 2009
Total Posts : 529
   Posted 4/30/2009 6:56 PM (GMT -7)   
I've only had one, but I had the light sedation, and even with the maximum dose, I was still fully alert and awake. I watched the whole thing and kept up a normal conversation with my doctor as it was done. I was able to leave 30 minutes after, but I was totally normal right after (even my dad confirmed that I wasn't acting weird). I still remember it all! Honestly, though, I didn't find the pain to be bad. I baasically sat there and kind of held my stomach a bit when it hurt, but it was no worse than the pain my Crohn's gives me.

njmom
Veteran Member


Date Joined Apr 2006
Total Posts : 1884
   Posted 4/30/2009 8:36 PM (GMT -7)   
I need to find out what my daughter was given. She was asleep and then, in the recovery room, for more than an hour afterward, it was very hard to wake her. She also developed bright red patches on her chest and neck, which turned into a rash - I pointed it out to the nurse and the conclusion seemed to be that it was an allergic reaction, so she was given some bendaryl through the IV.

mtgman
Veteran Member


Date Joined Mar 2005
Total Posts : 1289
   Posted 4/30/2009 9:12 PM (GMT -7)   
knock my ass out!!! everytime. no need for me to be awake while they stuff a tube in me. i'm not sure what my doc uses but the anesthesiologist was awesome. he even gave me a shot of something to settle me down while i was waiting to be wheeled into the procedure room.
35 year old male living in AZ.  Diagnosed with Crohns at age of 15.
Currently tapering prednisone (15 mgs) and I've been on 6_MP for 2 months.
In the middle of a bad flare now for 6 months...lost almost 30 lbs.


Bluize
Veteran Member


Date Joined Mar 2005
Total Posts : 635
   Posted 5/1/2009 8:43 AM (GMT -7)   
yeah, I'm with the knock me out camp.
 
I've seen my guts before...no need to see them again.  Let Dr. Doogie see them.  That's what she went to med school for.
 
Who needs to be awake for any of it?  I don't want to feel any discomfort whatsoever.  The prep is bad enough.
 
Since I have some scarring in the anal area she did mention that she could use a small tube.  I'm not taking any chances.  I don't want to feel a thing.
 
 
I appreciate everyone's opinions and experiences.  It made me feel better about my decision. smilewinkgrin
 
Susan
 
28 years with Crohns in the term ileum.  Feb 07 Resection.  No meds currently..but there will be some I'm sure. Taking acidophilus.

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