Had scope today - now having pain. Normal?

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Aimee =)
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Date Joined Jun 2004
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   Posted 4/12/2010 7:18 PM (GMT -7)   
I've never had pain after a scope but perhaps it's common. It's sorta sore all over - even into my back - and it hurts. I took a few Ibuprofen and that seems to help some but I'm still uncomfortable. I am also sort of nauseated. When I use the bathroom, I still get some of the clear prep and a little bright red blood. I know he took biopsies.
 
Should I be concerned about the pain? Is it gas pain? How can I get some relief?

pimfram
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Date Joined May 2009
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   Posted 4/12/2010 7:42 PM (GMT -7)   
I usually have a little pain for a short while after the procedure. I've always attributed it to a gas. Walking around is usually a good way to get relief from gas.
Diagnosed with CD July 2007
Currently on Remicade, Imuran, probiotics, folic acid, multivitamin.
Resection December 2009

Amor fati - Nietzsche


denoli82
Regular Member


Date Joined Apr 2010
Total Posts : 35
   Posted 4/12/2010 7:44 PM (GMT -7)   
You didnt mention what type of scope that you had done. Colonoscopy? Endoscopy? When a colonoscopy is done, from my experience they give the patient fentanyl which is an opioid narcotic and can cause nausea. I have had both procedures done and both times I did experience pain post procedure. Ibuprofen is also known to cause irritation to the stomach; therefore I personally would shy away from it, unless it was the only thing I had. Tylenol on the other hand is easier on the stomach, but keep it in the dosage range as stated on the bottle, as it can cause liver problems. They should have sent a pamphlet home with you that tells you what you can expect symptom wise after the procedure. I hope this helped you out.

Aimee =)
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Date Joined Jun 2004
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   Posted 4/12/2010 7:56 PM (GMT -7)   
I had both scopes (upper endoscopy and colonoscopy) done. I will try some Tylenol and avoid the Ibuprofen.

Thanks!

Grandpato2
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Date Joined Dec 2009
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   Posted 4/12/2010 10:01 PM (GMT -7)   
If you get a temperature go to ER as you may have a perforation of the bowel. Probably didn't happen but be on guard.
Male, 54 years old with Crohn's since 15 years old, diagnosed at age 46. Terminal ileum resected 2002. 5 months of remission. Crohn's has now been active since early 2003. Had a gall bladder removed Nov. of 2009. Currently on Remicade every 8 weeks, Nexium, Iron, B-12 injection every 4 weeks,5-asa Asacol, Morphine Sulfate as needed for pain. Cymbalta for long term pain control. 5-asa Salofalk, Entecort, Imuran and Prednisone in the past.


randynoguts
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   Posted 4/13/2010 12:42 AM (GMT -7)   
they fill ya up with air so they can see things better. so you may have lots of air left even if youve been passing gas all day. plus, thats a lot of pushing stuff around and such some it may be sore for a couple days. if you bleed a lot or get a high fever you should call the dr .
randynoguts 



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CrohnieToo
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Date Joined May 2003
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   Posted 4/13/2010 2:59 AM (GMT -7)   
Do you have colon involvement? If your colon is healthy and your Crohn's is in the TI or other areas of the small intestine you should NOT feel discomfort after a colonsocopy. That indicates a person on the other end of the scope who is either not particularly skilled or who just rushes thru the procedure w/o concern for the comfort of their patient. W/a healthy colon but pain after the procedure I would find another doctor to do my scopes.
 
I've had MOST of my colonoscopies done w/o sedation. My first scope was incomplete due to a reaction to Versed. That is the ONLY scope that I had any discomfort after and even that was only a somewhat bruised type of feeling in the abdomen the rest of that day that didn't require even one Tylenol.

Endoscopy 2002 Jun;34(6):435-40

Patient pain during colonoscopy: an analysis using real-time magnetic endoscope imaging.

Shah SG, Brooker JC, Thapar C, Williams CB, Saunders BP.
Wolfson Unit for Endoscopy, St. Mark's Hospital, Harrow, London, United Kingdom.

BACKGROUND AND STUDY AIMS: Colonoscopy is generally perceived as being a painful procedure. Contributory factors are: stretching of the colonic wall and mesenteric attachments from looping of the instrument shaft, overinsufflation, the degree of torque or force applied to the colonoscope shaft, and patient pain threshold. The aim of this study was to determine the frequency of pain episodes experienced during diagnostic colonoscopy and the corresponding colonoscope configuration, utilizing real-time magnetic endoscope imaging (MEI).

PATIENTS AND METHODS: Consecutive outpatients undergoing colonoscopy were studied. Patients with previous colonic resections were excluded. Procedures were commenced with antispasmodics only, and patient sedation was self-administered whenever significant discomfort was experienced, using a patient-controlled analgesia (PCA) syringe pump. All "demands" were correlated with the MEI record, which was subsequently analysed.

RESULTS: A total of 650 demands were recorded in 102 patients. Seventy-seven percent of all demands occurred with the colonoscope tip in the sigmoid colon, 7 % in the descending colon, 6 % at the splenic flexure, 5 % in the transverse colon, and 4 % in the proximal colon. Ninety percent of all pain episodes coincided with either looping (79 %) or straightening of the colonoscope shaft (11 %); presumed overinsufflation being an infrequent cause of pain (9 %). Of the loops encountered during colonoscopy, the N-sigmoid spiral loop was associated with the majority of pain episodes (56 %). Looping was both more frequent ( P = 0.0002) and less well tolerated in women than in men ( P = 0.0140).

CONCLUSIONS: This study is the first to document pain at colonoscopy accurately. Looping, particularly in the variable anatomy of the sigmoid colon, is the major cause of pain, especially in women. Use of MEI may improve pain control by facilitating the straightening of loops within the sigmoid colon, and by enabling the endoscopist to target patient analgesia.

PMID: 12048623 [PubMed - indexed for MEDLINE]


My computer says I need to upgrade my brain to be compatible with its new software.

Post Edited (CrohnieToo) : 4/13/2010 4:03:01 AM (GMT-6)


lamb61
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Date Joined Jan 2005
Total Posts : 1718
   Posted 4/13/2010 3:27 AM (GMT -7)   
Aimee, Didn't you just have surgery? That could be part of your problem. Your body hasn't had time to completely heal from that yet. My GI said no scopes for at least 6 months post surgery -- "to give things time to settle down" as he put it. I'm betting that is at least part of your pain. Hope you feel better soon.

L.
 


Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 4/13/2010 6:43 AM (GMT -7)   
I always have a few days of pain and crampiness after every scope I have done. Randy is right they blow alot of air up there and that alone causes me alot of problems. Also, stay away from Ibruprofen it can cause bleeding and flares for us Crohnies. Hugs!
Gail*Nanners* Co-Moderator for Crohns Disease & Anxiety/Panic
Crohn's Disease for over 34 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium, Vit D, and Xanax prn. Resections in 2002 & 2005. Also diagnosed w/ Fibromyalgia, Osteoarthritis, & Anxiety. Currently my Crohns is in remission, but my joints are going crazy!
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

Angela N
Regular Member


Date Joined Jan 2006
Total Posts : 82
   Posted 4/13/2010 7:48 AM (GMT -7)   
Take Tylenol...not Ibruporfen....hope you are feeling better soon...
Diagnosed with Crohns 15 years ago...After my sugery 15 years ago I havn't had any flare ups until now...I am currently taking Pentasa and the Cimzia shot..I am 43 years old..


leysa
Regular Member


Date Joined Oct 2009
Total Posts : 111
   Posted 4/13/2010 8:17 AM (GMT -7)   
I'm always sore for 2-3 days after a scope. If you just had surgery, I can only imagine that makes it much worse.
30/f
chronic active colitis/possible Crohn's - unspecified IBD
Lialda 2x/day
Entocort 9mg 1x/day
Darvocet or Tramadol as needed


Aimee =)
Veteran Member


Date Joined Jun 2004
Total Posts : 1020
   Posted 4/13/2010 2:56 PM (GMT -7)   
Thanks, all. No fever thankfully and today I'm much better. I think it was mostly gas pain and some soreness. Probably due to the surgery being so recent coupled with the gas they fill you up with. I have had several colonoscopies before and never had pain so it felt weird. Usually I'm back to normal that evening.

Oh - and lucky me - the scope confimed that the disease is active again. I got like a 35 day remission from my surgery.

blacky
Regular Member


Date Joined Mar 2003
Total Posts : 376
   Posted 4/13/2010 3:20 PM (GMT -7)   
sorry I didn't see this until now.
I always get gas pain afterward, and this is what I do, put a pillow on the bed and lay face down with the pillow at your abdomen, so your bum is in the air a bit. This is the position I go in after every bowel resection, this position really gets everything moving. don't know why it just does. Remember for next time
blacky - Donna
Mother of 3, 3 resections from CD


Becky77
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Date Joined Dec 2005
Total Posts : 1768
   Posted 4/13/2010 6:33 PM (GMT -7)   
I'm always a little sore after being scoped. Gas on top of the fact that you've recently had surgery does make sense to me. If the pain starts to worsen, CALL YOUR DOCTOR. If it gradually goes away, it's probably from the scope. Also, as long as you can hold some food down you're doing well also!
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 stopped 3/15/10!!!!


Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 4/14/2010 8:11 AM (GMT -7)   
I have heard its normal for you to see some disease at the reconnection site as that is where it likes to return.
Gail*Nanners* Co-Moderator for Crohns Disease & Anxiety/Panic
Crohn's Disease for over 34 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium, Vit D, and Xanax prn. Resections in 2002 & 2005. Also diagnosed w/ Fibromyalgia, Osteoarthritis, & Anxiety. Currently my Crohns is in remission, but my joints are going crazy!
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*
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