sedation for a sigmoidoscopy

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legalsec
Regular Member


Date Joined Feb 2007
Total Posts : 30
   Posted 3/7/2008 10:17 AM (GMT -6)   
Will I be sedated for a sigmoid if it is done in the doctors office? I do not want to be awake for this.

Pancolitis - dx December 2006

Colazal 750 mg - 9/day (generic)

soon to start prednisone 60 mg & 6-MP

Canasa 1000mg 1/day (???)

Women's One-A-Day Multi-Vitamin

Calcium +D 500 mg - 3/day

Coumadin 2.5 mg/day (for DVT, dx 2/13/07)

Asacol (bad reaction); mesalamine enemas (bad reaction); Seasonale (birth control) caused DVT; cranberry pill - 300 mg  3x/day (urinary tract infec.) can't take with Coumadin;

Lovenox injec. 2x/day (for DVT); Folic Acid - 400 mcg x2/day


kb5
Veteran Member


Date Joined Jan 2007
Total Posts : 1015
   Posted 3/7/2008 10:25 AM (GMT -6)   
Usually no. But you can ask to be sedated. Usually my GI only sedates for full scopes but last month i asked for sedation with my sig and he had no problem with it. It's worth asking.
Kelly, 29

Left sided UC diagnosed 1/98 age 19, Pan colitis diagnosed 1/07
Currently on 4x3 Asacol, started at 60 mg 1/07, 15 mg pred, down to 10 mg 1/11/08...down to 10/5...
75mg Imuran starting 8/23/07---bumped to 100mg 10/8/07--bumped to 125 11/14/07...
Taken off of Imuran temporarily 1/11/08-back on 1/16/08 now at 150mg imuran
waiting to be scheduled for remicade.
Prontonix once daily for acid reflux, zofran twice daily for nausea, darvocet for pain
antispasmodics didn't work.


legalsec
Regular Member


Date Joined Feb 2007
Total Posts : 30
   Posted 3/7/2008 10:31 AM (GMT -6)   

kb5,  Was it done at your doctor's office? What kind of sedation?


Pancolitis - dx December 2006

Colazal 750 mg - 9/day (generic)

soon to start prednisone 60 mg & 6-MP

Canasa 1000mg 1/day (???)

Women's One-A-Day Multi-Vitamin

Calcium +D 500 mg - 3/day

Coumadin 2.5 mg/day (for DVT, dx 2/13/07)

Asacol (bad reaction); mesalamine enemas (bad reaction); Seasonale (birth control) caused DVT; cranberry pill - 300 mg  3x/day (urinary tract infec.) can't take with Coumadin;

Lovenox injec. 2x/day (for DVT); Folic Acid - 400 mcg x2/day


kb5
Veteran Member


Date Joined Jan 2007
Total Posts : 1015
   Posted 3/7/2008 10:57 AM (GMT -6)   
My doc has a little hospital/clinic in his office. He has an anastesiologist there as well. I had a combo of two drugs that i can't recall the name of (sorry, i'll look for my paperwork). I think it depends on your docs office but with sedation he may have to do it in a hospital. I've had about 8 sigs done without sedation and it's not horrbile but i much prefer the sedation!!
Kelly, 29

Left sided UC diagnosed 1/98 age 19, Pan colitis diagnosed 1/07
Currently on 4x3 Asacol, started at 60 mg 1/07, 15 mg pred, down to 10 mg 1/11/08...down to 10/5...
75mg Imuran starting 8/23/07---bumped to 100mg 10/8/07--bumped to 125 11/14/07...
Taken off of Imuran temporarily 1/11/08-back on 1/16/08 now at 150mg imuran
waiting to be scheduled for remicade.
Prontonix once daily for acid reflux, zofran twice daily for nausea, darvocet for pain
antispasmodics didn't work.


quincy
Elite Member


Date Joined May 2003
Total Posts : 30587
   Posted 3/7/2008 11:36 AM (GMT -6)   
You could ask for a shot of valium or Demerol rather than the amnesiac.

The s-scope shouldn't be as bad as the c-scope since it doesn't have as many bends to go around.

If he has a monitor, why not take advantage of the "show" to see what's going on in there....it's something a actually look forward to.

The 2 meds are usually Versed and Fentanyl. My last c-scope, I got one mg more of Versed than the previous year and was ticked because I don't remember much of what I saw on the monitor. I much prefer remembering than not.....but I've had 7 so far....

do what you feel is best for you....

quincy
*Heather*Status: mini flare Dec 28... tapered to every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....zymactive 3 - 5x daily
~Ranitidine,Pariet (reflux) Effexor XR 75mg;  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!


Old Hat
Veteran Member


Date Joined Feb 2007
Total Posts : 5182
   Posted 3/7/2008 11:58 AM (GMT -6)   
In the U.S. the states are legislating more & more about what kind of procedure can be done where. It is supposed to make the process safer. I don't think it's a problem to administer Demerol for a flex-sig at the office, but with a real knock-out sedative the doctor probably has more restrictions imposed as to location/staffing where it can be administered. That could mean hospital ambulatory unit rather than doctor's office, if his is not equipped in accordance with applicable legal regulations. Best to ask what is available to you beforehand. / Old Hat (nearly 30 yrs with left-sided UC ... [etc.])

suebear
Forum Moderator


Date Joined Feb 2006
Total Posts : 5698
   Posted 3/7/2008 12:50 PM (GMT -6)   
The only type of sedation I have heard about for a sigmoidoscopy in the US is an anxiety reducing pill such as Xanax taken at home prior to leaving for the doctor's office. I have never heard of full sedation. Nevertheless, for any type of sedation you need to work it out with your GI in advance of the procedure and be sure to bring a driver to your appt. They will not let you drive home after it if you have been medicated.

Sue
dx proctitis in 1987
dx UC in 1991, was stable until 1998

1998 started prednisone, asacol, pentasa, nortriptylene, ativan, 6MP, rowasa enemas and suppositories, hydrocortisone enemas, tried the SCD diet, being a vegetarian, omega 3s, flax, pranic healing, yoga, acupuncture, probiotics

2000 lost all my B-12 stores and became anemic

2001 opted for j-pouch surgery- now living life med-free


Red_34
Forum Moderator


Date Joined Apr 2004
Total Posts : 23551
   Posted 3/7/2008 2:27 PM (GMT -6)   
Heck, if they are going sedate me, I would much rather just have the whole scope. I've had numerous sigs all without sedation. Some hurt and some not so much. The scope itself didn't hurt me but the air that is inserted. However, if you don't feel comfortable doing the sig without sedation, then you need to ask your doc about it.
 @--->--SHERRY--<---@
Moderator for Allergies/Asthma and Co-moderator for UC
~Left sided Uc-'92-Colazal(9 daily),6mp(50-100mgs),Prilosec,Biotin,Forvia,Pro-Bio**Unable to tolerate Asacol, Rowasa or Canasa**~Allergies-Singulair
~Secondary Reynauds Syndrome-'04-Norvasc~Fibromyalgia-'06~Sacroiliitis-epidural injections
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