partial C-scopy w/o anethesia?

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:)
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Date Joined Feb 2008
Total Posts : 182
   Posted 2/18/2009 4:55 PM (GMT -6)   
I'd assume that Sigmoidoscopies are done without anesthesia. Dr. did a 40 cm. partial Colonoscopy today without any. It was mildly uncomfortable until 25 cm. 30 -40 cm was unbearable. For my one and only full C-scope procedure, he gave me Valium in the arm maybe w/ Demerol. It didn't mitigate the pain, though it put me in a slight fog. I think he skimped on the amount... He said, in the 80's, they'd do a 60 cm w/o anethesia. He got his license in the late 60'w-70'w (he's older). He said, today's young dr.'s ake a full clonoscopy w/ anethesia for the smallest checkups..... Im not arguing that.
 
Is it normal to not give anesthesia for a procedure like a 40 cm?
 
 
 
Dx: Dec. 2006 with UC
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Thank G-d - Prednisone then 6MP, Rowasa and Asacol brought remission
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Reduced to 2tabs 2x a day. Soon had a very mild flare. Upped to 6 tabs 2x a day. Rowasa enemas nightly. Soon replacing that with Cortifoam (generic). Dr. says it's like shooting a mouse with an elephant gun....
 
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notsosicklygirl
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Date Joined Dec 2008
Total Posts : 16277
   Posted 2/18/2009 6:21 PM (GMT -6)   
It is normal to have a sigmoidoscopy without anesthesia. I don't know how many centimeters they can see before it is painful. I had one once and I couldn't stand it after my GI went past the rectum. I remember I felt gassy and uncomfortable the whole time.

Diagnosed with proctitis in March 2007 - Treated with Canasa 2x Daily
Diagnosed with UC December but had symptoms months ago - Treating with Asacol (feel hopeless)


Paul L
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Date Joined Dec 2005
Total Posts : 647
   Posted 2/18/2009 6:35 PM (GMT -6)   
When I had a colon my first GI would not give me any sedation for sigmoidoscopies. They would go in as far as 40 cm. Beyond that I would receive a full colonoscopy with only enough sedation to kill the pain but not to put me out cold.

My second GI wanted to put me right out even for sigmoidoscopies up to 40 cm. Since I was already use to no sedation and I found it not to be too bad I always asked for no sedation. No sedation also allowed me to drive myself home. My first full colonoscopy with him, he put me right out and I didn’t like it. I just love watching on the monitor and asking the doctor questions. Since then I always asked for minimum sedation for colonoscopies.

I have had 6 or 7 colonoscopies and an equal number of sigmoidoscopies. I only had one that was a little painful and that was because it was performed by an intern doctor when supervised by my GI. He kept pulling it in and out irritating my anus.
Paul
Diagnosed in 2000 at age 43 with UC. Colon removed October 20/08.
Bad reaction to Asacol, Pentasa and Dipentum - can’t take any more 5ASAs.
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Mommy pooh
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Date Joined Apr 2008
Total Posts : 131
   Posted 2/18/2009 6:58 PM (GMT -6)   
I told my GI if he was going up, I was going out. He laughed but totally understood. I am sedated for flex sigs and colonoscopies. My husband always goes with me anyway, so the driving thing isn't an issue. My nerves could not take it even if there was no pain. Better safe than sorry.
  • 26 years old, married, Stay-at-home Mommy to 2 year old daughter 
  • Ulcerative Colitis since Sept. 2004
    • 1st flare Sept-Nov 2004
    • 2nd flare Aug. 2007-July 08 
  • Currently taking:75mg 6MP, 4 Lialda, Loestrin 24, Allergy meds., Maxalt for migraines and allergy shots once a month 
  • 10/6/08 Found a 1cm kidney stone in right kidney.  Had the stone blasted and passed the fragments.

 


kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 2/18/2009 8:16 PM (GMT -6)   

I had two full scopes in 2008 - with versid and Demerol.  When I had the sigmoid three weeks ago I told them PLEASE give me same thing - they did - just in smaller amounts and latest shorter.   I heard the doc giving his report at end - I would never have any of them done without sedation.  My husband had a colonoscopy years ago without anything and I heard him scream down the hall  and he is NO wimp!  If it is that simple and I feel fine after - why would I try to do without it.

ElaineNY


68 yr. old granny
New diagnosed with proctosigmoiditis - 6/2008
 Colonoscopy 10/28 showed only few cm. left to heal in rectum - tried Proctofoam for weeks - no luck.
Probiotic Align, Prilosec for GERD
Inderol for hypertension,Xanax,Lipitor, multivitamin, calcium w/D, Tylenol
Tried hydrocortisone for two weeks with no change.
2/3/2009 - sigmoidoscopy showed about 30 cm. involved but mild - starting on prednisone only 40 mg. taper on 2/7/2009.
 
 
 
 
 
 


Sara14
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Date Joined Mar 2007
Total Posts : 4160
   Posted 2/18/2009 8:26 PM (GMT -6)   
I will never again get a sigmoidoscopy without anesthesia. It was the most painful procedures I've ever had and made my flare get much worse.
Diagnosed with UC March 2007; Asacol 4 tablets 3x/day; Rowasa; Canasa; Viactiv; Metamucil wafers; multivitamin; sublingual allergy drops; Ortho Tri-Cyclen


Old Hat
Veteran Member


Date Joined Feb 2007
Total Posts : 5181
   Posted 2/18/2009 8:48 PM (GMT -6)   
My 1st gastro went to 40+ cm. once w/o any sedation-- because the procedure started out as a flex sig, but when she saw that there was inflammation farther up she wanted to keep on looking to get a full picture of what my UC was doing. Basically, I agree with Paul L. I prefer to have minimal sedation during scopes so that I can watch the monitor and/or hear & understand what the gastro says. But what your doctor commented is true, :) --there is more emphasis on total anaesthesia for procedures now than back in the 1970s. I think it's due to the proliferation of newer sedatives like Propofol that the younger doctors like to try out. Also, some state and/or local laws have been applied to scoping during the past decade, which dictate practice requirements. In NYC, for example, the gastro cannot inject sedation unless an RN is present during the scope procedure. / Old Hat (nearly 30 yrs with left-sided UC ... [etc.])

mythmoon
Regular Member


Date Joined Jan 2009
Total Posts : 135
   Posted 2/18/2009 9:05 PM (GMT -6)   
I've had two sigmoidoscopies and both were without anesthesia. I didn't know they could knock you out for those. It was painful and uncomfortable but I guess bearable.
21 yr/old Uni student. Vancouver, BC
Imuran 150 mgs/day

Prednisone is no more! (last dose Feb 16/09)
Diagnosed UC Sept. 2007
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kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 2/18/2009 9:12 PM (GMT -6)   

Possibly could be whether insurance will pay also, etc.  I had all mine done at an outpatient hospital surgical unit - they do all different procedures there and can do whatever is required for medication.  I always have the doc, RN and another nurse present.  Pain is not necessary!  My opinion! Versid makes it so you can follow instructions, move around, etc. but you don't remember a thing - YES!!

ElaineNY


68 yr. old granny
New diagnosed with proctosigmoiditis - 6/2008
 Colonoscopy 10/28 showed only few cm. left to heal in rectum - tried Proctofoam for weeks - no luck.
Probiotic Align, Prilosec for GERD
Inderol for hypertension,Xanax,Lipitor, multivitamin, calcium w/D, Tylenol
Tried hydrocortisone for two weeks with no change.
2/3/2009 - sigmoidoscopy showed about 30 cm. involved but mild - starting on prednisone only 40 mg. taper on 2/7/2009.
 
 
 
 
 
 


Old Hat
Veteran Member


Date Joined Feb 2007
Total Posts : 5181
   Posted 2/18/2009 9:21 PM (GMT -6)   
Not all levels of Versed make the patient forget-- and I prefer the lowest level because I remember 99% of what happens w/o feeling the scope rounding the bends in my colon. / Old Hat (nearly 30 yrs with left-sided UC ... [etc.])

kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 2/18/2009 9:29 PM (GMT -6)   

Sorry Old Hat - I was told that was the reason for using it - they better give me enough so I forget!  I have never heard that before - learn something new everyday - so what is the other reason for it then?

ElaineNHY


68 yr. old granny
New diagnosed with proctosigmoiditis - 6/2008
 Colonoscopy 10/28 showed only few cm. left to heal in rectum - tried Proctofoam for weeks - no luck.
Probiotic Align, Prilosec for GERD
Inderol for hypertension,Xanax,Lipitor, multivitamin, calcium w/D, Tylenol
Tried hydrocortisone for two weeks with no change.
2/3/2009 - sigmoidoscopy showed about 30 cm. involved but mild - starting on prednisone only 40 mg. taper on 2/7/2009.
 
 
 
 
 
 


kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 2/18/2009 9:35 PM (GMT -6)   
Of course, I know it is a sedation - definition....

Midazolam hydrochloride is a synthetic compound manufactured by Hoffman-LaRoche, Inc. and is commonly known by its brand name, Versed. It is used for conscious sedation before surgery to relieve anxiety and/or impair memory.

Just be sure to give me enough to really IMPAIR my memory LOL!!
ElaineNY
68 yr. old granny
New diagnosed with proctosigmoiditis - 6/2008
 Colonoscopy 10/28 showed only few cm. left to heal in rectum - tried Proctofoam for weeks - no luck.
Probiotic Align, Prilosec for GERD
Inderol for hypertension,Xanax,Lipitor, multivitamin, calcium w/D, Tylenol
Tried hydrocortisone for two weeks with no change.
2/3/2009 - sigmoidoscopy showed about 30 cm. involved but mild - starting on prednisone only 40 mg. taper on 2/7/2009.
 
 
 
 
 
 

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