UPPER GI ENDOSCOPY

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angel429
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Date Joined Mar 2006
Total Posts : 28
   Posted 4/8/2006 9:09 PM (GMT -7)   
 I am schedualed for a upper gi endoscopy the 14th of this month.
 
My sypmtoms are bloating, constipation and swelling in legs and arms.
 
Could anyone give me some info on what to expect from this procedure.
 
I thought with my symptoms the would do a colonscopy.
Can they pin point to what is causing this by doing the upper gi?
 
 
any info would be great
 
thanks Angel
GOD BLESS EVERYONE

dbab
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   Posted 4/8/2006 9:14 PM (GMT -7)   
Hi angel,
Because a lot of symptoms can affect both upper and lower GI tracts, your doc probably wants to rule everything out. Did he mention scheduling a colonoscopy also? Most docs that I know of will just do both procedures in one shot since they have you sedated, its also less money on your insurance for both at one time so they like that better as well. I would definitely bring that up. I'm concerned about the swelling because thats not a normal symptom of IBS. Did he say what he thinks might be causing this also?

If he wants to go with the upper too I say let him IMO. If not just for peace of mind.

Take Care
Hugs, Des
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angel429
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Date Joined Mar 2006
Total Posts : 28
   Posted 4/8/2006 9:53 PM (GMT -7)   
The only thing that he told me was that i could have a small infection going on in stomache. He also told me that my symptoms would go away if i would just stop eating!.
I am like how can I stop eating. I barley eat now the way it
is, I have no appetite most of the time. So its not normal for the swelling in IBS?...I was never told that before. And that is the first symptom i noticed when first going to the doc about it, and then came alone the bloating and constipation. I was put on zelnorm and it made the constipation worse so he told me to throw them away and put me on reglan, and told me that it would take away the bloating. I have been on it for about a week now and the bloating is still here.
 
I did mention about the colonscopy and he told me  that it wasn't needed. that is what i thought needed to be done.
 
Angel

dbab
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   Posted 4/8/2006 10:04 PM (GMT -7)   
IMO, you really need to question the route this doctor is going in. An infection in your stomach is not IBS. If an infection in your stomach is what he is thinking then yes an upper endoscope is appropriate since your stomach is viewed with this type of test. I think that maybe he is taking these symptoms seperately and saying that the symptoms you listed (minus the swelling) are the cause of IBS and the swelling is caused by an infection. If you don't have any other symptoms that would suggest an inflammatory bowel disease (Crohn's, UC) then maybe he is thinking that a colonoscopy is not necessary (note: some docs dx on symptoms only). The main thing though is to ask him about everything. I know its kind of hard to question doctors but its a total necessity. If they don't like it then you need to find another one, a good doc will always be open to many questions and take the time to explain.
Hugs, Des
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angel429
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Date Joined Mar 2006
Total Posts : 28
   Posted 4/8/2006 10:25 PM (GMT -7)   
I had an KUB done 3/4/06 and it states that there is a 3 mm calcification within the bowel. I had ask the doc and he told me that it was normal to have this. just wondering if maybe this could have somthing to do with it. I am not understanding the calcifications, I also have a 4 mm calcification next to my ovary and never got anymore info on that.
 
Could you give me some info on the calcifications? are they normal?

angel429
Regular Member


Date Joined Mar 2006
Total Posts : 28
   Posted 4/8/2006 10:31 PM (GMT -7)   
Just wanted to let you know in the past 6 months my white blood count has been elevated from 12.5 to 18 and my RBC have been running low, and my blood pressure for years stayed at 117/70 and for the past few months it has been 145/88 to 98. 
 
I have been staying really tired and sleepy most of the time with could be due to the LOW RBC. 

dbab
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   Posted 4/8/2006 10:33 PM (GMT -7)   
Angel to be honest its very hard to say whether your calcifications are normal or not. What I understand about calcification is that it can be normal unless it is an issue in certain organs, I'm thinking the brain, kidneys, lungs, and your vitals to your heart. Calcification can be normal but that would be your doctors call. I'm not sure if the size that you mention would impede the function of your bowel or ovary. Did your doctor tell you to stay away from calcium supplements since you are more prone to this?
Hugs, Des
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dbab
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   Posted 4/8/2006 10:36 PM (GMT -7)   
The increased WBC count could be to this infection in your stomach. I would also suggest that you see your primary doc too about getting any autoimmune tests done. Your WBC could be elevated by inflammation caused by these disorders. Your swelling does definitely sound like an infection and you need to get down to the cause of that because letting an infection run in your body for too long can cause problems. JMHO, keep in mind I have no medical training.
Hugs, Des
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angel429
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Date Joined Mar 2006
Total Posts : 28
   Posted 4/8/2006 10:42 PM (GMT -7)   
He has never told me to stay away from calcium.
what is autoimmune test?

dbab
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   Posted 4/8/2006 10:49 PM (GMT -7)   
These are blood tests that check for autoimmune antibodies. These are usually tested if inflammation is suspected (since your WBC count is high). Usually a sed rate blood test is taken to see the amount of inflammation in your body and based on your symptoms they will do these tests to rule it out. Keep in mind other things can cause a high WBC (infections) so if your doc suspects an infection, than he may not find it necessary to do the other tests. I was just curious in your case.
Hugs, Des
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angel429
Regular Member


Date Joined Mar 2006
Total Posts : 28
   Posted 4/8/2006 10:54 PM (GMT -7)   
I want to thank you. You have helped me a great deal

GOD BLESS

dbab
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Date Joined Jan 2004
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   Posted 4/8/2006 11:08 PM (GMT -7)   
Sure anytime. :) Just to clarify though since I just read my response and it can be a little confusing, the inflammation is what can cause the increase in WBC not necessarily to autoimmuntiy itself, in fact an autoimmune disease can cause a decrease in WBC count.
Hugs, Des
Co-Moderator ~ IBS Forum
 
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Canyonbabe711
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   Posted 4/9/2006 12:39 PM (GMT -7)   
What is a KUB? Calcium also causes constipation so that is another reason to stay off it for a while and see if that helps there. I think the blood test for autoimmune disease (ANA) would be a good thing. The endo will tell alot plus they can take biopsies for H. pylori among other things.

Keriamon
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Date Joined Jun 2005
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   Posted 4/10/2006 2:49 PM (GMT -7)   
Enoscopy is a very simple procedure. They give you a sedative that some people refer to a "conscious sleep" because you don't remember anything (although some lighter sedated people remember bits and pieces, like a dream) but you're still conscious enough they can give you instructions like "open your mouth" and you'll do it. They put a scope down your throat and into the stomach. They may take a sample of your stomach acid. I don't know if they can take a tissue sample in there like they do for a colonoscopy, but they might. I don't think you have to do any prep but to avoid food for several hours beforehand. I had my colonoscopy and endoscopy done at the same time, so I had to fast and drink laxatives, but there's no reason for you to have to do that too. They sedated me so heavily I couldn't wake up for like 12 hours afterwards, except to stumble out of the hospital, but I have heard others say that they woke up right afterwards and were fit to drive (although all the literature they will give you says not to drive yourself). Depends, too, I guess, on how you react. You'll need to arrange to have someone to pick you up (or in my case, my mother had to dress me because I kept falling back asleep, lol).

7Lil
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   Posted 4/10/2006 3:38 PM (GMT -7)   
They will also spray a numbing spray into your mouth to suppress the gag reflex.  It tastes like rotten bananas.    tongue
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Canyonbabe711
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   Posted 4/10/2006 3:43 PM (GMT -7)   
Yes, they can take tissue biopsies in an endo and will check for various bacteria, h. pylori, giardia,etc. I am always out by the time the dr. comes in so I don't remember any spray. They say turn on left side, be quiet and that is all I know. I usually wake up in the same room quickly and the Dr. is already gone. My dr. will not do both together as he doesn't like to keep people sedated that long and because of pumping in the air both ways it can get uncomfortable. I asked about it since it seemed like it would save a trip. He said as far as he knew now that only Kaiser was doing them together, no one at this hospital.

7Lil
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   Posted 4/10/2006 3:48 PM (GMT -7)   
I had both scopes done together (EGD & colonoscopy). I wasn't out completely until they went in for the colonoscopy. Even then I remember waking up a couple times.
All in all it wasn't a terrible experience. And, I got to get them both out of the way on the same day.
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Keriamon
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   Posted 4/11/2006 8:40 AM (GMT -7)   
Since I slept about 12 hours during and after my scopes, I don't remember my throat spray either. If, God forbid, I ever have to have both again, I'm going to tell them that I seem to be easily sedated, so don't drug me up too much. I thought I was never going to be able to open my eyes again!

Canyonbabe711
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Date Joined Mar 2006
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   Posted 4/11/2006 3:21 PM (GMT -7)   
7Lil, did you have that done at Stanford. My friend that is a nurse in outpatient said she would never have them done together. For me because of my emphyesma they don't like to keep me out long. It is a pain being their twice and having to get someone to take me and pick me up.

You don't need that much sedation. They will have a record of how much they used if you go to the same place and if not I would get a copy and give it to them next time. Your Dr. will have it.

7Lil
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   Posted 4/11/2006 9:52 PM (GMT -7)   
Canyon, my Stanford doc went to O'Connors Hospital (in Santa Clara) to do it.  I saw 2 GI's and neither of them hesitated on suggesting both procedures.  I was mildly sedated for the upper and then more so for the lower.  I didn't mind because it meant only starving once and only taking 1 day off of work.  tongue


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CathyA
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   Posted 4/12/2006 3:43 AM (GMT -7)   
Angel......if your doctor has tolerated swelling in your arms and legs, and a white count of 18,000 for several months, with no diagnosis, you need to find a different doctor ASAP.

Canyonbabe711
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Date Joined Mar 2006
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   Posted 4/12/2006 11:00 PM (GMT -7)   
Interesting cause I suggested it to both my gastro Drs. and neither said they would do it that way. Guess it is not the way it is done in Fremont except at Kaiser. I have to endo every year but colonscopy every 2 to 3 years.

I agree, Angel, you really need a second opinion.

Terps19
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Date Joined Jul 2005
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   Posted 4/14/2006 10:15 AM (GMT -7)   
I got both done in one shot. They knock you out, and you wake up with no memory of anything with tubes etc.
Is it UC or MC?
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