Sigmoidoscope while flaring?

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Christine1946
Veteran Member


Date Joined Aug 2008
Total Posts : 5975
   Posted 6/3/2009 4:45 PM (GMT -6)   
     I went to my GI doctor today and he wants to do a sigmoidoscope on me Friday.  He knows I am flaring.  So far just mucus and pressure, no bleeding and no diarrhea.  However, I am afraid to take those Fleets enemas.  Guess the real worry I have is perforation of the ulcers.  Anyone else ever have a sigmoidoscope while in a flare?
62 yr old granny. South Jersey
Diagnosed with ulcerative proctitis in 1998 in hospital
Hospitalized (2nd time) in May 2008
Update 11/03/08...finally in remission!!  Hope I don't jinx myself.  Off the prednisone since 11/01/08...now see if I can stay off for longer than two weeks.  Other meds: 6MP (75 mgm), colazal (6 per day), Benicar and Toprol (high blood pressure meds), Probiotic (2 per day), fish oil capsule and multi-vitamin and calcium with vitamin D.


fruitgirl
Veteran Member


Date Joined Feb 2009
Total Posts : 7150
   Posted 6/3/2009 5:00 PM (GMT -6)   
I had a full-on c-scope while flaring (15+ episodes of urgent diarrhea a day) to make my initial diagnosis.
Symptoms began in November 2008, ~4 weeks after giving birth to my son.
Eased for ~3 weeks in December, possibly b/c of probiotic use?
Returned in January 2009 (with a vengeance), diagnosed with pancolitis on January 30.
Currently taking Asacol (400mg 4 pills 3x daily), Rowasa every other night, Culturelle probiotic, and Zoloft (25 mg).


Red_34
Elite Member


Date Joined Apr 2004
Total Posts : 23551
   Posted 6/3/2009 5:02 PM (GMT -6)   
I've had numerous sigs over the years and yes even while flaring. Actually the Fleet enemas made me feel a bit better (for a little while anyway). Sort of "cooled" things off in there. But it did hurt coming out! LOL I'm actually glad to be past the 10 year mark because I no longer get sigs but full scopes. I prefer the colonoscopy over the sigs anytime!
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notsosicklygirl
Forum Moderator


Date Joined Dec 2008
Total Posts : 16728
   Posted 6/3/2009 7:01 PM (GMT -6)   
I had one too during my first flare. I don't even know if that was considered a flare or just longterm inflammation but yeah, I had a sigmoidoscopy and I was ok. Are you getting sedated? I wasn't. It was a bit uncomfortable but not unbearable. The enemas weren't bad on me. I hope you find some answers smilewinkgrin
Diagnosed with mild proctitis in March 2007: Treated with Canasa (as needed)
December 08: Began treating with Asacol 400mg (9/day) + Canasa 2x/day - Anemic
May 09: Off Canasa, taking Asacol (9/day)
Back on Canasa every other night + Asacol (9/day) + Probiotics + Iron
Reducing to 6 Asacol/day + Canasa + Probiotics + Iron - So far so good!!! -SPOKE TOO SOON! Back to 9/day...


kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 6/3/2009 7:56 PM (GMT -6)   

Yes, Christine - last November I had the sigmoidoscopy and was and have been flaring for months.  I did not have a enema.  Took the same Miralax and was sedated.

ElaineNY


 
Senior - New diagnosed with proctosigmoiditis - 6/2008   Tried, Colozal, steroid enemas, etc. - started working but severe side effects occurred. No mesalamines!!
Started on prednisone Feb.7, 2009 - tapering to 20 mg. - upped prenisone to 25mg. on my own (bleeding returned) - 6MP - 50 mg. 2/28/2009 - staying on 10 mg. prednisone also until visit with specialist.
 
Probiotic Align, Prilosec for GERD, Gas-X, vitamins, Calcium/D
Tylenol for knees and arthritis.
 
 
 


storysinger81
Regular Member


Date Joined Jun 2009
Total Posts : 82
   Posted 6/3/2009 9:44 PM (GMT -6)   
Just had one and it set my system haywire for a few days (which I extended to a week through bad dietary choices). Like before he took the biopsy samples, I had no blood in the stools... but I did after for about 3 days.

Also, the enema was one of the least pleasant things I've experienced in my life. I was crying so bad the poor little Korean lady who was watching me ran to get the nurse to let me go to the bathroom after 2 minutes, even though I was supposed to hold it for 10. Seriously, humiliating. And there are no private rooms in Korea. You're out there, the only white person in the room, with a ton of other staff and patients staring at the foreigner.

:(

That said, you probably need it for the doc to know what's going on. Good luck!

notsosicklygirl
Forum Moderator


Date Joined Dec 2008
Total Posts : 16728
   Posted 6/4/2009 6:59 AM (GMT -6)   
I did the enemas at home the night before. I didn't hold them. The doctor said I should try to hold them for a few minutes but the minute I squirted the water in I had to run to the toilet
Diagnosed with mild proctitis in March 2007: Treated with Canasa (as needed)
December 08: Began treating with Asacol 400mg (9/day) + Canasa 2x/day - Anemic
May 09: Off Canasa, taking Asacol (9/day)
Back on Canasa every other night + Asacol (9/day) + Probiotics + Iron
Reducing to 6 Asacol/day + Canasa + Probiotics + Iron - So far so good!!! -SPOKE TOO SOON! Back to 9/day...


ickypoo
Regular Member


Date Joined Dec 2008
Total Posts : 224
   Posted 6/4/2009 7:35 AM (GMT -6)   
I haven't had to use fleet enemas in years for either a sigmoid or a colonoscopy (flaring or not). I had thought about using a couple on my own for my last encounter of the colonoscopy kind because I didn't want to be accused of poor housekeeping down there. Since they are not strictly necessary, perhaps your GI will allow you to bypass the enemas. If you are concerned, it is worth a try.
Diagnosed with UC in 1990.
Current Meds: Sulfasalizine (2 g), Rowasa (now and then), Folic Acid (1 mg)
Supplements: fish oil, flax oil, glucosamine, CoQ10, fiber, aloe vera juice, probiotics.
Other: Raw Milk for breakfast. Currently exploring a raw milk fast one day/week.


princesa
Veteran Member


Date Joined Aug 2007
Total Posts : 2204
   Posted 6/4/2009 1:38 PM (GMT -6)   
I'd be more concerned about being properly sedated during the procedure. I've had an unsedated sig while flaring and it was NOT pleasant.
Diagnosed with ulcerative colitis spring 1999. Have been in remission for years with only a few minor blips.
 
Maintenance dose sulfasalazine. Probiotics, vitamin D, fiber supplement and fish oil caps. George's aloe vera juice and l-glutamine for gut healing. Mostly grain-free and dairy-free low carb diet.
 
 


kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 6/4/2009 3:12 PM (GMT -6)   
I agree!! I told the doctor I would not have it without sedation. They gave me same as for colonoscopy but lower/shorter lived doseage as it doesn't take as long. I was fine and don't remember it - thank goodness!


ElaineNY
 
Senior - New diagnosed with proctosigmoiditis - 6/2008   Tried, Colozal, steroid enemas, etc. - started working but severe side effects occurred. No mesalamines!!
Started on prednisone Feb.7, 2009 - tapering to 20 mg. - upped prenisone to 25mg. on my own (bleeding returned) - 6MP - 50 mg. 2/28/2009 - staying on 10 mg. prednisone also until visit with specialist.
 
Probiotic Align, Prilosec for GERD, Gas-X, vitamins, Calcium/D
Tylenol for knees and arthritis.
 
 
 


AmyWaffle
Regular Member


Date Joined Jun 2009
Total Posts : 173
   Posted 6/4/2009 3:31 PM (GMT -6)   
I agree, unsedated sig while flaring is a bit of an ouchy. Enemas not pleasant but definitely not killer. Go to your happy place! :)

But I can see why they order them--they want to know what's going on. Good luck!!
UC since 1996 (age 20)
Mommy of 2 sweet little girls.
My life is one big flare.


Zippy123
Veteran Member


Date Joined Feb 2009
Total Posts : 735
   Posted 6/4/2009 4:11 PM (GMT -6)   
I was flaring somewhat and them enema's were quite painful for me and caused me to bleed like crazy for days after, but it all depends on the person and where the problem is. I end up diluting the rest of them fleets about half with warm water and it wasn't as bad then. By the way it was a generic fleet brand so maybe that was part of it as well.

Christine1946
Veteran Member


Date Joined Aug 2008
Total Posts : 5975
   Posted 6/5/2009 11:29 AM (GMT -6)   
     Oh great!  LOL!  I am about to go ahead with the enema as soon as I finish this post.  Don't know if I will be able to do the second enema though.  My sigmoidoscope is scheduled for 3:15 this afternoon and it is now 12:30.  Still no blood, but urgency and mucus.  I can just bet the blood will come after this and prednisone will be my next step.  The last time my doctor tried to do a sigmoidoscope my blood pressure went up to 210/110 because  I was so uptight and NO, he never sedates me for a sigmoidoscope...only colonoscopies...I go out for them.  Wish me luck!  I'll give an update later if I survive this..lol.
62 yr old granny. South Jersey
Diagnosed with ulcerative proctitis in 1998 in hospital
Hospitalized (2nd time) in May 2008
Meds as of June 09: Colazal (6 per day), 6MP (50 mgm), Probiotic (upped to 3 per day), Fish oil capsule, calcium, multivitamin, Cort enema nightly, Canasa in morning.  Also taking Benicar and Toprol to control high blood pressure.  Getting old is a b****.


kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 6/5/2009 2:08 PM (GMT -6)   

I am sure you will survive.  However, I would NEVER have either test with sedation and my doctor knows that.  I would refuse - he gives me same for all internal tests!  He knows I am too "NERVOUS" any other way.

ElaineNY


 
Senior - New diagnosed with proctosigmoiditis - 6/2008   Tried, Colozal, steroid enemas, etc. - started working but severe side effects occurred. No mesalamines!!
Started on prednisone Feb.7, 2009 - tapering to 20 mg. - upped prenisone to 25mg. on my own (bleeding returned) - 6MP - 50 mg. 2/28/2009 - staying on 10 mg. prednisone also until visit with specialist.
 
Probiotic Align, Prilosec for GERD, Gas-X, vitamins, Calcium/D
Tylenol for knees and arthritis.
 
 
 


Shelliesv
Regular Member


Date Joined Apr 2009
Total Posts : 208
   Posted 6/5/2009 2:09 PM (GMT -6)   
I had one in the hospital last month with sedation and no prep (just a liquid diet the day before).
37 year old mom of 2.

Diagnosed with Ulcerative Proctitis 1995 (24 years old) / Ulcerative Colitis in 2000 (29 years old)
In remission for 4 years from 2005 - 3/2009 with colazol maintenance only.

Hospitalized for flare 3/23/09 - 3/25/09. Hospitalized 2nd time for same flare 4/17 - 4/22

Current Meds: Apriso 4/day, starting 6MP

Discontinued: Prednisone, Remicade (bad reaction to second Remicade infusion)


fargman
Regular Member


Date Joined Dec 2008
Total Posts : 74
   Posted 6/5/2009 6:12 PM (GMT -6)   
I hope it went well! I can't imagine having no sedation during a flare. I had a full scope and the morning after prep is the worst I have ever felt. It really screwed up my system. I couldn't wait for them to take the pain away. Once they did, it was the best I'd felt in weeks. Didn't last of course.
Diagnosed '93. 
 
Asacol, Prednisone, Remicade, Imuran
 

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