flexible sigmoidoscopy

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Ashworthml
Regular Member


Date Joined Jan 2010
Total Posts : 222
   Posted 2/26/2010 1:26 PM (GMT -7)   
Well after nearly a week of bleeding, I finally ended up in A&E, after being referred there from the GP this morning, who thought I should be admitted!
After 5 and a half hours of sitting around, being poked and prodded I am relieved to be at home, but not relieved that I have to now have a flexible sigmoidoscopy.
I am really nervous as I have not had any invasive testing as yet other than a MRI scan and a CT scan which doesnt involve anything being inserted anally.
PLEASE if any of you have had this done , what is it like? IS it really sore? what do I have to do to prepare for it?Do they give you a local to numbe the area first or what?
Michelle 40 years old
Diagnosed with CD 2004 (undiagnosed correctly +- 3 years, wrongly diagnosed with IBS)
Bowel resection 2005
medication: pentasa 500mg , Co-codomol 500mg/32mg codeine
loperamide 2mg (prn - take as many as 10-20 a day)
calcium tablets, multivitamin tablets, Omega 3
Ferrous sulphate(anaemia)
levothyroxine (thyroid)
questran light (3 sachets/day), 3 monthly B12 Injections


dodger84
Regular Member


Date Joined Jan 2008
Total Posts : 37
   Posted 2/26/2010 1:38 PM (GMT -7)   
I've had a two.  One was without notice (they decided while I was there to do one).  Obviously there was no prep or warning for this.  I was not numbed in any way.  It was not pleasant but it was fast and I was not sore afterwards.  The second was much better - I was sedated through the whole thing so didn't have to experience or remember anything.  Unfortunately, I had to do a colon cleansing prep for this one.  That's never fun, but again there was no pain afterwards.  It's not so bad - your doctor should let you know if you need to do anything ahead of time.  Some places may give the option of whether you want sedation or not.  I think it varies depending on where you are.

WriterMum
Regular Member


Date Joined Apr 2009
Total Posts : 166
   Posted 2/26/2010 2:47 PM (GMT -7)   
I have had several. Only one was uncomfortable, and that was because I was very sick. I had sedation after a few minutes and it was absolutely fine. All the others I had without sedation. It is obviously just a little awkward, but remember that the doctors and nurses spend all day doing procedures like this. Your bum is no worse than anyone else's!!! The important thing is to relax, and breathe. Good luck with it, and feel better soon.
45 years old. Diagnosed with moderate to severe Crohn's in April 2005. Hiatus hernia diagnosed in 2008. Had Crohn's under control until March last year when I had a major flare up and ended up in hospital. Diagnosis is now CD and IBS. Getting it under control again.
Currently taking: Salofalk 2000 mg, Nexium, Calcium and Vitamin D, Matamucil, Yogurt for probiotics, Salofalk suppositories as needed.


Becky77
Veteran Member


Date Joined Dec 2005
Total Posts : 1768
   Posted 2/26/2010 3:50 PM (GMT -7)   
Just curious, but why would they only do a sigmoidoscopy instead of doing a prep and doing a full colonoscopy? Do you only have activity in the rectum and/or sigmoid area?

I've only had colonoscopies, so I don't know what one is like.

Maybe you can ask your doctor to give you something to help you relax? Sometimes if you ask, you can get something. I would think being relaxed during the procedure would make it easier to deal with.
Becky

32 yr old female-dx with Crohn's in '97 after emergency resection and appendectomy, 2nd resection '05, Bilateral pulmonary emboli 10/09
Currently on Humira, Omeprazole, Effexor, Seroquel, Calcium, Vit D, Coumadin


Ashworthml
Regular Member


Date Joined Jan 2010
Total Posts : 222
   Posted 2/26/2010 4:03 PM (GMT -7)   
I don't know why they aren't doing a colonoscopy....I have been flaring for over a month and have begin to bleed with bowel movements and it looms like fresh blood, and they said thats because it it coming from lower down, so presume from the rectum area,I have in the past had a resection, but it is all too confusing for me of where the crohns actually is, but he did say something about ulcerations maybe causing the bleeding?
Michelle 40 years old
Diagnosed with CD 2004 (undiagnosed correctly +- 3 years, wrongly diagnosed with IBS)
Bowel resection 2005
medication: pentasa 500mg , Co-codomol 500mg/32mg codeine
loperamide 2mg (prn - take as many as 10-20 a day)
calcium tablets, multivitamin tablets, Omega 3
Ferrous sulphate(anaemia)
levothyroxine (thyroid)
questran light (3 sachets/day), 3 monthly B12 Injections


Becky77
Veteran Member


Date Joined Dec 2005
Total Posts : 1768
   Posted 2/28/2010 8:03 AM (GMT -7)   
Have you had a colonoscopy recently? If it were me, I'd rather they just put me to sleep and look at the entire colon and my surgical area (mine is at the terminal ileum and cecum) to make sure there's nothing going on there as well.

It might be helpful for you to have them remind you where exactly your disease activity has been. Some of the posts here, people describe their symptoms based on where their disease activity is, and symptoms and possible solutions, from what I've seen, differ based on where your crohn's has been active. Also, just in case of emergency it would be good for you to know where exactly you have had surgery.

If it is more in your colon, especially if it is in the sigmoid or rectal areas, a sigmoioscopy would make perfect sense, just to peek in there and make sure nothing is going on there.

Also, if you've had other tests that showed nothing explaining your symptoms, maybe that's the reason for the choice of test. I like to understand why my doctor makes the choices she does before testing...that's why I asked.

How soon is the test scheduled? I'd like to know how the test is, just in case I should ever have to have one in the future.
Becky

32 yr old female-dx with Crohn's in '97 after emergency resection and appendectomy, 2nd resection '05, Bilateral pulmonary emboli 10/09
Currently on Humira, Omeprazole, Effexor, Seroquel, Calcium, Vit D, Coumadin


Ashworthml
Regular Member


Date Joined Jan 2010
Total Posts : 222
   Posted 2/28/2010 8:32 AM (GMT -7)   
I know my resection was done in the lower part of the intestines, in the ileum as they also removed a small section of the large intestine where they join? I dont know why they are doing a sigmoidoscopy now, I presume because of the bleeding and they said its flesh blood which would indicate lower down.Plus I have quite alot of pain in my rectum area at the moment, but not sure if that is where I am flaring or just from passing mixed stools.BUt my right side has been quite painful recently as well so not sure if the disease is active in more than one place.
They said they would try and schedule it for next week , or as sson as possible so they can get things under control more.
Michelle 40 years old
Diagnosed with CD 2004 (undiagnosed correctly +- 3 years, wrongly diagnosed with IBS)
Bowel resection 2005
medication: pentasa 500mg , Co-codomol 500mg/32mg codeine
loperamide 2mg (prn - take as many as 10-20 a day)
calcium tablets, multivitamin tablets, Omega 3
Ferrous sulphate(anaemia)
levothyroxine (thyroid)
questran light (3 sachets/day), 3 monthly B12 Injections


Ashworthml
Regular Member


Date Joined Jan 2010
Total Posts : 222
   Posted 2/28/2010 9:17 AM (GMT -7)   
Also all my medical history form says is ileocaecal bowel resection.
Michelle 40 years old
Diagnosed with CD 2004 (undiagnosed correctly +- 3 years, wrongly diagnosed with IBS)
Bowel resection 2005
medication: pentasa 500mg , Co-codomol 500mg/32mg codeine
loperamide 2mg (prn - take as many as 10-20 a day)
calcium tablets, multivitamin tablets, Omega 3
Ferrous sulphate(anaemia)
levothyroxine (thyroid)
questran light (3 sachets/day), 3 monthly B12 Injections

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