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cycling_sasquatch
Regular Member


Date Joined May 2007
Total Posts : 167
   Posted 12/19/2007 2:46 PM (GMT -7)   
I had a c-scope done exactly one year ago that determined UC.  Doctor (a different one) wants to do a flex-sig now.  I understand what it is and how it works, I just am wondering about two things:
1. Prep--I've seen a variety of prep online for flex-sigs and I haven't gotten instructions yet from my GI.  Is it pretty much same as c-scope?
2. Seems like it would hurt.  Does it?
Thanks. 
Dx Left-sided UC Dec. 2006
Currently:
Azathioprine 150mg/day
Prednisone 2.5mg/day- back up to 7.5 (trying to taper-started at 60 6/1)
Lialda 4/day
Multivitamin, B complex vit., fish oil, calcium, fiber supplement, probiotic


expecting226
Regular Member


Date Joined Jul 2007
Total Posts : 402
   Posted 12/19/2007 3:12 PM (GMT -7)   
(1) I didn't have to do any prep for either of my flex-sigs. They just gave me one Fleet enema when I arrived at the hospital for the test each time.

(2) It was completely painless. The only thing was that I had some gas to pass afterward from the air he shot in (like a colonoscopy).
Current Medications:
- Asacol (4 pills, 3x per day)
- Rowasa (1 enema daily, as needed)
- Folic Acid (1 mg, 1x per day)
- Calcium (600 mg, 2x per day)
- Prenatal Vitamin (1x per day)
- Iron (2x per day)


Rio in Maryland
Veteran Member


Date Joined Nov 2007
Total Posts : 891
   Posted 12/19/2007 3:17 PM (GMT -7)   

I have had 2 sigmoidoscopies in the past 18 months (with different doctors).  I didn't have to do any prep for the first one and for the second one I had to take an enema about an hour before the procedure to help clear out the intestines.  Some places recommend being on a clear liquid diet for 12-24 hours before-hand and taking a laxative the night before. 

Both times it didn't hurt but there was some discomfort when the scope touched against the rectum/colon walls and when air was pumped into the colon I felt the embarassingly strong urge to let out a rip-roaring big one (obviously it was just the air that was pumped in needing to get out!).


Rio, 31 yr old male - diagnosed with UC in 07/2006.
 
Alternative therapies for several months (SCD, ayurvedic treatment, VSL#3): didn't work and became anaemic. Canasa, 2 daily: remission for a month then flared-up.
07/07-11/07: 4800mg Asacol (6 x 400mg, twice a day) & Aloe Elite.
Completed first (6 week) tapered course of Pred in 10/07, flaring up since coming off it.
Currently on: 12 x 750mg Colazal
12/07: Started Azathioprene 100mg, Pred 60mg for 3 days then taper to 40mg, Entocort 9mg
 


Lonie
Veteran Member


Date Joined Feb 2005
Total Posts : 6447
   Posted 12/19/2007 6:53 PM (GMT -7)   
Guess my story is different; it hurt like heck! I had the same prep as I would have for a colonoscopy, but the pain could have been because they were just dx'ing me, and didn't think I "really" had any ulcers. Guess they were wrong about that! :-) I'm sure you will be fine as it depends how ulcerated you are. Take care, let us know how it went.

Carol

Remicade - will have my 19th infusion on December 27.
Imuran - 100 mgs....taken before bedtime
Vitamin B-12/Biotin, Probiotics

"Life is short -- make fun of it"
 
Co-Moderator for the UC Forum
 
 


kazygirl
Veteran Member


Date Joined Sep 2007
Total Posts : 955
   Posted 12/19/2007 8:13 PM (GMT -7)   
i had one the first time i went to a GI on the gold coast.

i didnt even know it was coming. we sat in his office and discussed some things and then he just said, "lets take a look".

we went into the exam room and he just got a big glop of lube and put it on this scope thing and some on my starfish and then bam, there he went.

didnt hurt at all, and the air he pumped in felt weird, but that was it.
it was over before i knew it.

maybe he just did a sigmoidoscopy and not a flex one. is there a difference?
not sure, but thats my experience.
steph - 31 year old female - diagnosed UC in 2000
started as proctitis and now is pancolitis..this year long flare is now severe on left side only to splenic flexure.
last 4 days have been fabulous with no UC symptoms at all = remission (yey!) 
tapering pred = now on 20mg prednisone 1x day with breakfast
1000mg mesalazine 2x day - 1/2 endone every 6 12 hours for pain (weaning)
calicim, inner health plus (probiotic), fentalyn patch for pain and to wean off oxycodone
VSL#3 didnt work - Aloe Elite didnt work - Budesonide didnt work
ive lost 40+lbs and my legs look like sticks ... ewww
 
 


Red_34
Forum Moderator


Date Joined Apr 2004
Total Posts : 23549
   Posted 12/20/2007 5:54 AM (GMT -7)   
Yeah, Steph a sigmoidoscopy is the same as a flex.

I've had numerous sigs and all but one without prep. I just had to the Fleet enema before each one. It's a bit uncomfortable but painful? Not really - it depends on how far the doc goes. On my last sig, I was pretty inflammed in there and he was barely able to get to the bend without me yelling at him. And the air afterwards was the most painful in my last one. But the other ones not so much. If you have to do any sort of prep, expect a mild backslide in symptoms but it shouldn't be bad and also if your GI takes biopsies then you might have a little bit of blood for a few days.
 @--->--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~
To help Healingwell - click here: DONATE
http://www.myspace.com/82595818
"The quality of my life depends on the quality of my thoughts."
 
 
 
 

 
 


princesa
Veteran Member


Date Joined Aug 2007
Total Posts : 2198
   Posted 12/20/2007 8:00 AM (GMT -7)   
I'm with Carol. I've had a couple of flex sigs with little or no prep. The first one hurt pretty bad because I was extremely ill and inflamed at the time, but my doc didn't go very far in. The second one was horrible. This may sound overly dramatic, but I felt violated. It was excruciating. After the procedure, I sat in my doc's office and cried while he talked about the results and looked at me like I'd lost my mind. I wasn't given any painkillers or any kind of sedation for either one. Never again.
Diagnosed with ulcerative colitis spring 1999
 
Therapeutic dose sulfasalazine.
Probiotics, l-glutamine and fish oil caps. George's aloe vera juice and Mucosaheal.
 
 


ediekristen
Veteran Member


Date Joined Apr 2007
Total Posts : 1366
   Posted 12/20/2007 8:17 AM (GMT -7)   
I would definitely ask for some sort of pain relievers or sedation. When I lived in Florida, I was always put completely out, even for flex sigs. So you can imagine how horrified I was when I had my first one in Iowa and was COMPLETELY awake for it. They gave me something to make me "more comfortable" but I don't think they gave me enough. Granted, it wasn't excrutiating for me but it was not pleasant. I suppose it does depend on how inflamed you are. The next time I had it done with this doctor, I told him I didn't think I could handle one as awake as I was the last time and they seemed surprised that I hadn't been more sedated, I think they underdosed me. So that time they gave me a lot more and I was awake but didn't feel much and afterwards I ended up forgetting everything.

Oh and I don't think I've ever had a prep for a flex sig except not to eat anything after midnight the night before.
Female, 22, Ulcerative colitis (pancolitis) since 1999; GERD; gastritis; osteopenia in hip & lumbar region of spine from long term prednisone use

Current Meds:
10mg Lexapro (for depression/social anxiety)
125mg Azathioprine
4800mg Asacol (Four 400mg tablets, three times a day)
10meq Potassium
 
 


bk1579
Regular Member


Date Joined Sep 2007
Total Posts : 100
   Posted 12/20/2007 10:54 AM (GMT -7)   
When I had a flex sig done, I had to use two fleet enemas as prep...I can't remember how far apart they were, but I do remember the last one being an hour before my appointment...It cleaned me out pretty good and I was in the bathroom up until the last minute before I had to leave to go to the dr. office...As far as pain during the flex, it was painful for me...I don't know if it was because of the inflamation or what, but it was more painful than I expected!!! If I can help it, there want be another one done unless I have some type of sedation...
28 Yrs old
Dx UC 3/07
4 Asacol 3x/day (when I remember to take them)
5mg Prednisone
Remicade (only had three infusions)
Fish Oil supplements
Multi-vitamine
 


Old Hat
Veteran Member


Date Joined Feb 2007
Total Posts : 5135
   Posted 12/20/2007 7:39 PM (GMT -7)   
What krazygirl describes above sounds like the old, rigid sigmoidoscope, not a flex-sig! As to flex-sig preps, they are usually less involved than colonoscopy requirements because only the lowest section of the colon gets examined. (It could be nothing, it could be a Fleets, or Fleets after liquids-only evening prior to exam.) Likewise, the flex-sig can be done with or w/o sedation. The flex-sig can be extremely painful IF the colon is severely inflamed; otherwise, it is mostly the air pumped in that causes discomfort. A good endoscopist will suction out most of the air at conclusion of procedure. A shot of Demerol should be enough relief/relaxant in most flex-sig situations. I think experienced gastros would not impose a flex-sig on patients they suspect to be in bad internal condition. It's the careless docs who play around & cause real pain, as some posts to this site have discussed. / Old Hat (nearly 30 yrs with left-sided UC ... [etc.])

~ChristieAnn67~
Regular Member


Date Joined Dec 2007
Total Posts : 151
   Posted 12/20/2007 10:04 PM (GMT -7)   
I"ve had 3 flex sigs...the prep kind of depends on the doctor doing it I think.  The first one was along time ago before my UC diagnosis. The prep was with Golightly laxative x 24 hours, and an enema before hand.  I did not have any pain meds or sedative beforehand, but it was not really painful,  just a bit uncomfortable with some cramping.   The 2nd one I had was when I was really inflammed with my first uc flare,  and no prep was done at that time.  It was done on a more urgent basis,  so no time for prep,  but the doctor prescribed some ativan for me.  then the 3rd one was while I was in the hospital and i was on clear liquids x 24hours. but I had the option of getting pain meds. i was already in so much pain with a flare, that I opted for pain meds.  so I was given the same meds that I got for my colonoscopy,  IV fentanyl and versed.   I guess I was awake,  but I'll tell ya,  I don't remember a thing!!  Which based on the pics of my colon, was probably a good thing!     
                                          ~Christie
40 yo RN, happily married, with 2 beautiful daughters, Tianna(14 yo) and Alyssa(10 yo).   Diagnosed L sided Ulcerative Colitis in Jan '04 and Diabetes type 2 in June '05.
                                         Medications
Remicade infusions ~ 11/6/07, 12/6/07, 12/20/07,  6-MP 100mg daily, Pentasa 500mg twice a day, prednisone taper 20mg 10mg 5mg daily, Nexium 40mg twice a day, Lantus insulin 45 35 units daily, Novolog 10 8 units with sliding scale at meals, Amaryl 2mg daily, multi-vitamin daily, Calcium daily, B complex vit daily,  and pro-biotics daily.


legalsec
Regular Member


Date Joined Feb 2007
Total Posts : 30
   Posted 12/20/2007 10:44 PM (GMT -7)   
How often should we have a colonoscopy? I've only had this once, when I was dx'd in 12/06. I go in for a follow-up next week and was just wondering if I should expect my GI wanting to do this again.

Pancolitis - dx December 2006

 

Colazal - 750 mg   9/day

Women's One-A-Day Multi-Vitamin

Calcium +D 500mg - 3x/day

Coumadin 4mg/day (for DVT, dx 2/13/07)

Seasonale (birth control)

cranberry pill - 300 mg  3x/day (urinary tract infec.)

Lovenox injec. 2x/day (for DVT)

Prednisone - 10 mg/day

Folic Acid - 400 mcg x2/day


kazygirl
Veteran Member


Date Joined Sep 2007
Total Posts : 955
   Posted 12/21/2007 12:55 AM (GMT -7)   
yeah, it might have been the old sigmoidoscopy old hat. not sure. it was over a year ago and lasted only like 2 minutes maybe.
he didnt go very far at all so he might have just looked in before he reached the "corner"...

and this was also at the very beginning of my year long flare so it might have been pretty mild then.
steph - 31 year old female - diagnosed UC in 2000
started as proctitis and now is pancolitis..this year long flare is now severe on left side only to splenic flexure.
last 4 days have been fabulous with no UC symptoms at all = remission (yey!) 
tapering pred = now on 20mg prednisone 1x day with breakfast
1000mg mesalazine 2x day - 1/2 endone every 6 12 hours for pain (weaning)
calicim, inner health plus (probiotic), fentalyn patch for pain and to wean off oxycodone
VSL#3 didnt work - Aloe Elite didnt work - Budesonide didnt work
ive lost 40+lbs and my legs look like sticks ... ewww
 
 


ediekristen
Veteran Member


Date Joined Apr 2007
Total Posts : 1366
   Posted 12/21/2007 8:09 AM (GMT -7)   
legalsec,

It really depends on the doctor and your disease- some doctors say once a year, some say every three years or more. Personally, as much as I hate them I'd like to have a colonoscopy once a year especially now that I've been diagnosed for 8 years and the risk of cancer is supposedly higher; I would just feel more peace of mind if I actually knew how things looked in there and had occasional biopsies to rule out any development of cancer. Though, it's been two years now since my last colonoscopy.
Female, 22, Ulcerative colitis (pancolitis) since 1999; GERD; gastritis; osteopenia in hip & lumbar region of spine from long term prednisone use

Current Meds:
10mg Lexapro (for depression/social anxiety)
125mg Azathioprine
4800mg Asacol (Four 400mg tablets, three times a day)
10meq Potassium
 
 


expecting226
Regular Member


Date Joined Jul 2007
Total Posts : 402
   Posted 12/21/2007 9:10 AM (GMT -7)   
My GI says one colonoscopy every 4 years (unless otherwise needed) until you hit the 10 year mark. Once you have had the disease for 10 years, he likes to do one every year after that. The risk for cancer increases after we have had the disease for 10 years.
Current Medications:
- Asacol (4 pills, 3x per day)
- Rowasa (1 enema daily, as needed)
- Folic Acid (1 mg, 1x per day)
- Calcium (600 mg, 2x per day)
- Prenatal Vitamin (1x per day)
- Iron (2x per day)

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