Things to know before a colonoscopy

Discussion in 'Fibromyalgia Main Forum' started by CanBrit, Oct 5, 2005.

  1. CanBrit

    CanBrit Member

    This is not meant to alarm, but just some info I wish I'd known before my colonoscopy.

    1. If you take the oral fleet (or PMS Sodium Phosphate)in the evening, my recommendations is to make yourself comfortable in the bathroom for the night. I had laundry to do the next day! Should've slept in the tub!

    2. Find out if the specialist performs the colonoscopy at the hospital or in his office. Most small offices are not able to provide full sedation without specialized staff. In my case, he gave me valium. Nice....but not enough. They just raised the volume on the radio in the waiting room! I guess didn't want to scare my husband or the other patients.

    3. If you have ever had stomach surgery, hysterectomy, etc or have problems with endometriosis, ask your referring doctor to send you to someone who provides full sedation.

    In my case, when I had my hysterectomy 15 years ago, I was told then that I had a lot of adhesions and scar tissue. They weren't sure from what, but thought it was likely severe endometriosis. These cause problems when they try pass the tube through the colon.

    I now have to have a barium enema done as he was unable to get very far.

    Forewarned is forearmed!!!!

    Regards,

    Eileen
  2. TXFMmom

    TXFMmom New Member

    EXCELLENT POINTS HERE.

    I would NOT HAVE IT DONE IN AN OFFICE. While I do not take a whole lot of sedation, it should be available WITH APPROPRIATE MONITORING.

    VALIUM IS A CRAPPY DRUG FOR THIS. It lasts a long time, leaves a fairly significant hangover and is a lousey drug.

    VERSED is so much better, easier to manage, doesn't have the hangover, and can be potent for the procedure but be gone in an hour.

    A little fentanyl will take care of the discomfort. SEDATION, WHILE SOOTHING, DOES NOT COVER UP PAIN, AND GIVING MORE SEDATION IN THE PRESENCE OF PAIN MAKES IT WORSE.

    I know, I was a CRNA for 26 years.

    The best combination for a Colonoscopy is Versed and Fentanyl, one of each or two and almost anyone should be able to manage it. Even if more is required, recovery is very fast from both, but MONITORING BY A CRNA OR AN ANESTHESIOLOGIST IS A MUST.

  3. matthewson

    matthewson New Member

    I just had my first colonoscopy last Friday and I had the full sedation. Woke up feeling like I had had the best sleep of my life! I felt great afterwards and did not have the cramping that they said I might have from the gas they use to expand your colon. I did fart like a champ afterwards though!

    The worst part WAS the prep beforehand! I had to drink the gallon of golightly! It was horrible, thick and salty tasting. I put some gingerale in it and got through about 3/4 of the gallon and just could not drink anymore! By then my bowel movements (SORRY!) were pretty clear, so I quit drinking it!

    I do highly recommend anyone over the age of 50, bite the bullet and have this done! My husband's father died of colon cancer and my husband actually had a polyp removed after his colonoscopy that could have developed into cancer had he not had this done! You can basically ensure that you do NOT get colon cancer by having them done every 5 years!

    Take care, Sally
  4. Mikie

    Mikie Moderator

    Whether the office is set up as a surgical suite with an anesthetist or nurse anesthetist. My doc does them in his office and they put everyone completely out.

    Only problem I had last time was the inability to pass the air which is blown up the colon when they scope it. I was in agony until I got home and in bed and was able to pass it. I asked them for antinausea meds in my cocktail and they put them in but had to add more in my IV after I woke up because the trapped air was making me sick.

    It was a month before my bowels got back on schedule and ever since the procedure, I have had more flatulence.

    Still, I think it's an important preventive procedure. I had five large polyps removed three years ago and several were precancerous. This year, there was nothing but some diverticulosis and I don't need one again for another five years--thank God!

    Love, Mikie
  5. CanBrit

    CanBrit Member

    His oncologist wanted all of his offspring tested. He had throat and prostrate cancer prior to this. In all three cases, his cancer's were caught in the early stages.

    I'm a firm believer in early prevention. Thank God for these tests. Many of us wouldn't be around to reap the benefits.

    Everyone should have an initial test by the age of 40.

    Talk to your Dr's about it.

    Regards,

    Eileen




  6. LollieBoo

    LollieBoo New Member

    But I was told afterwards that they could not progress past a certain point due to my "obvious" discomfort with the procedure... As I do not remember a darned thing, I wonder what was so obvious- I have horrible visions of me screaming, cussing, kicking-- of course the dr was very polite, but I felt like maybe he was being a little euphemistic...

    Anyway, I ended up having to have a barium enema as well... ugh.

    BTW- matthewson- LOL! You cracked me up, in spite of the un-funniness of the topic!
  7. Grandma6

    Grandma6 New Member

    CanBrit,
    I am having problems with my bowels that are different than the problems that I have from my IBS due to my FMS so I went to see my regular doctor and he said he wanted me to get a colonoscopy and referred me to a surgeon. I had my first appointment with her on Monday and now I'm scheduled at the hospital for a colonoscopy on Oct 13th.
    However, since my appointment I have been doing a lot of research about this and now I'm scaring myself to death over it. The specialist told me that from what I told her it sounds like my problems are from my FMS and she really didn't expect to find any polyps because to her it sounds like, (please bare with me because of my FMS Fog and all I don't know all the medical terms), my muscles are so weak taht they can not help push my BM's out and what they do if this is the case is remove part of my colon. Now how she came up with this before she has even scoped the area, I don' know.

    But from what I've read this or any colon surgery is a risky surgery. I know that my husband and I have already decided that the colonscopy is necessary but depending on what they find, I am going to get a second opinon before I have anything else done.

    NOTE: I was under the impression that they always "knock you out" for this and I will have major cramps during the procedure and after. I can't figure out if I'm under anathesia, how I will know if I'm crmping or not & also I've heard I will have severe cramping after.

    Is this all true? When I first started my periods I would actually miss school because of cramps and I have always had problems with that. I also had a partial hystorectim because i had so many prolems.

    Sorry this is long but I am truely worried about this whole thing.

    Help to calm my nerves,
    Jeanie

  8. Bambi

    Bambi New Member

    gives what they call a Virtual Colonoscopy, no needles, no tubes, nothing. They do a CAT scan and can see anything at a size still operable. If they suspect something then they do the other I guess. I would go for THAT but I won't do the
    other.
  9. CanBrit

    CanBrit Member

    Pardon any errors....I forgot my glasses at home. Really need them for work, so my fonts are all large and I'm still having trouble reading.

    Don't worry over this test. You will be having the full sedation and will not, in all likelihood remember a single thing. It's very true that the prep is worse than the test.

    In the event you do have polyps or adhesions, in the first case, they will remove them, and in the second case, if they see they're are going to have trouble advancing the scope, they will stop and usually schedule you for a barium enema (I've had them a few times...no sweat)

    In what he did see, he said I didn't have any polyps but the adhesions were nasty.

    Problems occur very rarely so don't let that worry you.
    I have/had IBS-D but since I've been on these pain meds and antidrepressants, I have IBS with constipation. Both are just as bad. I'll be 50 next year so I was due for this test even without my Dad having cancer.

    Relax, and jusr remember what I wrote about the preparation. The stuff ix explosive but I'm sure my bowels haven't ever been so clean!!!

    On a final note, I was investigating the virtual colonoscopy, which sounds like a great alternative for people with problems like mine. Unfortunately, the Ontario government doesn't want to pursue it becuase in the event they find polyps it means another proceudre and the cheapo's don't like paying for 2.

    Man, is there any just government anywhere in the world????

    Take care

    Eileen








    [This Message was Edited on 10/06/2005]
    [This Message was Edited on 10/06/2005]
  10. blondie45

    blondie45 New Member

    I have been told that with the virtual colonoscopy they still have to put the scope through the colon and that it matches the discomfort of a sigmoidoscopy. I do not know for sure but this is what my doctor told me. He said also you still have to do the prep. I was completely out with my colonoscopy and have had it twice. At this point, other than the IV needle that I hate I would not due it any other way. If anyone has had a virtual colonoscopy and can explain how it went that would be great.
  11. CanBrit

    CanBrit Member

    I obtained some information regarding how they perform a virtual colonoscopy. Please see below.

    During the CT scan, a small flexible rectal tube is inserted about one inch into the rectum in order to distend the colon with air or carbon dioxide for the CT scan. No anesthesia is required during the examination and you only have the slight feeling of being bloated or having gas.

    So its actually air that inflates the colon, and the tube is not required to go very far into the rectum. And yeah, there's no way of getting around the prep requirement.

    My poor husband was quite excited when I told him about it, but hen we discovered that it's not recommended for people with Crohn's disease (which he has).

    Oh well, I can't have it either but it would be interesting to hear from anyone who's had it done.

    I think I'll post a question to see if anyone has had it done before.

    Regards,

    Eileen
  12. spmary

    spmary New Member

    don't know if I spelled that right, sorry. Some s snert_snotnosed,egotistical rude twert got my chart mixed up with my nieces' chart and schelduled me for one. But I had never had one and dedided maybe I needed it at my advanced age. So told the doc. that I was very nervous about it. He said don't worry I will give you some thing and you won't remember a thing. I said do you promise? He said yes, and I said if i have any problems with pain etc, you will meet the patient from hell. HIs eyes got big and when he started the nurse said wait ,remember to get her the med in the iv. that's the last I remember untill I was back in my cubical puting on my blouse. Of course back at the family practice I really told tthem a few things about the mixed up charts. I'm wondering if anything else is mixed up, like meds,etc Well at least I'll never have to have another one because of my age. Now if I didn't have to ever go to the dentist again..that would be great!!! LOL, Mary
  13. Leenerbups

    Leenerbups New Member

    On Oct. 13th i go in for one becase of pain on my left side and under my ribcage.

    He said he will be testing for any infections or bacteria while he is "in there". I wonder what that means?
  14. IntuneJune

    IntuneJune New Member

    My tub was too far away, I slept at the foot of the toilet. And I was still cleaning. You all know what my body felt like the next day.

    June
  15. Pianowoman

    Pianowoman New Member

    about 3 weeks ago.The prep really wasn't that bad. They gave me Versed and Demerol. My bowel went into spams and they gave me more demerol. I had no pain for 4 days after- found the cure for FM!! If you are concerned about spasms , there is something they can give you prior to the procedure.

    On thing I think is important is afterwards take extra probiotics for 2-3 days since the prep cleans out everything including the good bacteria.

    Good Luck

    Kathy.