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Ashworthml
Regular Member


Date Joined Jan 2010
Total Posts : 222
   Posted 5/19/2010 3:39 PM (GMT -7)   
I am due to have a colonoscopy soon and will let my work know but I would like to know what sort of time period to tell them I will be off work for.I am having my scope on a wednesday and obviously the day before is a prep day and from what I gather will be on the toilet for most of it,but what about afterwards?? I am due to do a night shift on the saturday night, should I be alright to go in then or wait until my next shift which is on the following monday?
I don't want to go to work and feel rough as I am dealing with a patient with challenging behaviour and if I don't feel right it would not be safe for the patient or myself!
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


Matthew
Veteran Member


Date Joined Oct 2004
Total Posts : 3932
   Posted 5/19/2010 4:19 PM (GMT -7)   
I'd take a couple of days, if I were you. With me, though, its how much disease is active. If you are not in Full Flare, one day might be sufficient.

Matthew

WriterMum
Regular Member


Date Joined Apr 2009
Total Posts : 166
   Posted 5/19/2010 5:29 PM (GMT -7)   
I think it depends what sort of work that you do. If you are having your procedure in the morning on Wednesday you should be fine to go back to work on Thursday, and certainly by Saturday. The only problem will be your reaction to the sedation. You don't want to make any decisions within 24 hours of the sedation, because it takes a bit to get out of your system. The prep should only be bad the night before. You should be able to work on Tuesday during the day. All of this is dependent on the condition of your Crohn's also. If you are flaring badly it may take Thursday to feel better too. You know your body, and should see how you feel. I am sure that your doctor will write a
note if you need one.
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.


tsitodawg
Veteran Member


Date Joined Sep 2006
Total Posts : 845
   Posted 5/19/2010 11:04 PM (GMT -7)   
I am a little confused, have you ever had a colonoscopy before? I am assuming you have because you were diagnosed with CD but am not sure if I am reading your post right. I would take the whole day off before or atleast from the time that you start prepping. I know that I always have to sign a statement saying that I will not drive or sign important documents for 24 hours due to the sedation so that may be the same if you are dealing with other patients. The liability factor may be responsible of you to take off the rest of the day of your scope even if you are feeling fine. You should be fine to go to work the next day.

Ashworthml
Regular Member


Date Joined Jan 2010
Total Posts : 222
   Posted 5/20/2010 2:49 AM (GMT -7)   
This is the first colonoscopy I have had in the 5 years of being diagnosed with Crohns.I only had a flexible sigmoidoscopy a couple of months back as well, they diagnosed my Crohns through CT scan,then had a resection about 6 months after being diagnosed.I am in the UK, they dont like doing scopes and things if they can get away with it as it costs the NHS money!!!!! I am glad in some ways I have avoided them but as my crohns isn't really settling down any more they deem it necessary now to all these tests. It's the same as medications here too, the go by the cheapest ones first, if you are lucky they will help but if they don't you end up fighting to get put on what does actually help!
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


tsitodawg
Veteran Member


Date Joined Sep 2006
Total Posts : 845
   Posted 5/20/2010 3:04 AM (GMT -7)   
That is amazing that in 5 years of being diagnosed you have never had a colonoscopy. This is honestly the first time that I have heard of someone being diagnosed without having one and I hope that you do not take offense to my asking. Please do not be afraid and please give yourself plenty of time to prep and recover. Your assumption about the prep is very correct and you will be tied to the bathroom(or as you may call it the loo jk) all day and night. What kind of prep are you using? If possible I would go for the golightly or the miralax prep. There is another that many G.I.s use that has you drink about a gallon of prep over the course of 8 hours and it really gets me sick. The prep will be the worst part of the procedure.
Are you being fully sedated or are you going to be awake for the scope? If given the option I would take the full sedation (twighlight meds) and you will not remember a thing. I have had probably 25+ scopes both endoscopy and colonoscopy over the course of 7 years and have had some good ones and some bad ones. If you are in pain afterwards due to the gas, make sure that you tell them. For most of my scopes I am usually pretty groggy for a few hours afterwards and I suggest that you take the night off. The next day I am completely back to normal and usually feel better because my system seems to be completely cleared of all the gunk and the inflammation opened a bit from the scope. I usually have some bleeding for a couple of days due to internal hemorrhoids being irritated but it really depends on where your disease is located.

Ashworthml
Regular Member


Date Joined Jan 2010
Total Posts : 222
   Posted 5/20/2010 3:29 AM (GMT -7)   
I'm not sure what prep I will be using yet,still waiting for it to come in the post,but it's a while til I have it,only having it June,thats another thing about the NHS they don't speed things up at all!! I have asked to be 'knocked' out so to speak and the GI has said they will sedate me and give me pain killers at the same time, He did say its not the same as a general anaesthetic where you are a sleep properly, its a sedation that you are still able to know whats going on so if they have to move your position it is easier for them to do it,and you can respond to them. I asked for this as when i had my sigmoidoscopy I was very uncomfortable as I had no sedation at all for that and only just about beared it!
I have hemorrhoids on the outside but think I might have some internally as well so when they put the tube in ,is not very comfortable at all and very tender! even after the sigmoidoscopy I was very sore afterwards for the whole day and as the enema didnt work was also going to the bathroom a lot with a lot of cramping too. So not sure what the colonoscopy will be like after wards as I know I should have an empty bowel and probably will still have a lot of gas and I know will feel uncomfortable the day I have it done. Hopefully they will be able to get a full picture this time though, and the doctor has said he would recommend I did a liquid diet for atleast 2 days before and then the prep day too, to make sure my bowel is completely empty. I'm glad I haven't had to go through so many scopes etc, just the thought of them gets me all worked up!! I am a terribly nervous person when it comes to hospital procedures!
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


Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 5/20/2010 6:01 AM (GMT -7)   
I think you will be fine for your Saturday shift. I take the day before and the day of off. I usually try to schedule it on a Friday if all possible, as I usually have a day or two of cramping afterwards from the gas they blow up there and the irritation from the prep. I work Monday to Friday, so if I do the test of Friday, I have the next two days to rest and recover. Good luck on your test.

Hugs
Gail*Nanners*
Gail*Nanners* Co-Moderator for Crohns Disease 
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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