I also have my scopes w/o sedation at my request and w/my gastro's (at first) reluctant agreement. In addition my gastro allows me to have the monitor video taped. Some of the more progressive gastro labs are actually able to provide a video taken during the scope by the equipment itself.
Women do tend to be a little more difficult for passage of the scope thru the transverse colon as ours is a bit longer than a man's and a bit more flexible. Our "extra interior organs" have nothing to do w/it.
It has been proven via "active" imaging procedures during colonoscopy that any pain encountered is caused mostly by the flexible scope shaft looping back on itself and by over-insuflation. The interior of the colon has no "sensory nerves", the pain encountered is from STRETCHING the circumference of the colon.
The colon is similar to the flexible vent hose on our clothes dryers. So there is quite a bit of lengthwise stretching as the scope moves thru as well. This doesn't cause discomfort. The scope can suction some fluids or small bits of debris out as well as the air that is insuflated during the procedure and in the suctioning process pulls that section of stretched colon back thereby shortening its length at that point again.
I also occasionally experience some mild nausea at the transverse colon, usually just about the time the scope is approaching the hepatic flexure. That is the vagus nerve getting a bit ticked off. There has been once or twice I've asked for and received a little phenergan in my IV at that point.
Number of procedures done by the doctor doing the scope isn't as important to their skill in doing them as is patience to take the time whilst passing the scope. Most all pain encountered doing a colonoscopy is a direct result of an overly aggressive doctor. Taking the time to pull back the scope sufficiently to undo the looping back on itself is important. Not over insuflating to make it easier for the scope to pass thru also requires a little more time than just going gung ho w/a lot of air to widen the "tunnel" of the colon.
I've posted these URLs several times thru the years but they bear repeating from time to time. I wish there was a way to post them as stickies,
A Study of Pain During Colonoscopy<http://www.e-health-questions.info/html/board/index.php/action=displaythread&forum=boweldisorders&id=12&realm=default>Why Colonoscopy Is More Difficult In Women<http://www.e-health-questions.info/html/board/index.php/action=displaythread&forum=boweldisorders&id=13&realm=default>
Colonoscopy How Tohttp://www.rcsed.ac.uk/journal/vol47_2/4720010.html
Post Edited (CrohnieToo) : 10/18/2007 1:02:31 PM (GMT-6)
I'm a male, age 37.
I had a sigmoidoscopy, with no sedation, before I ever had a colonoscopy. And the sigmoidoscopy was horrible. I was crying, dry heaving, clenching my teeth, moaning, just flat out miserable. I was grabbing the rails of the hospital bed so hard that I almost broke it. It was by far the worst medical procedure I've had done, and I've had lots of medical procedures.
So there was no way I was going to do a colonoscopy without sedation and painkillers. For my colonoscopy I was given the max dose of versed and the max dose of fentanyl. And apparently it still didn't go very well. I say "apparently" because I have no memory of the procedure. But according to my GI, who had to stop without completing it, I was ready to kill him! I guess I was screaming in pain and threatening them - though, like I said, I don't remember a thing.
For my next colonoscopy, I have to get complete anesthesia, like in surgery.
Post Edited (beave) : 10/18/2007 8:58:22 PM (GMT-6)