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Doctor insights on: Colonoscopy A Good Experience

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Is a nurse anesthetist, to assist GI during a screening colonoscopy, a good choice over an anesthesiologist?

Is a nurse anesthetist, to assist GI during a screening colonoscopy, a good choice over an anesthesiologist?

Anesthesiologist: A nurse anesthetist (crna) is a cheaper, less trained alternative to an anesthesiologist. The md is likely the better option. There are always bad mds and there are some phenomenal crnas but your safest bet would typically be the more extensively trained md. That being said, most anesthetics are safe, and you will likely be fine, but colonoscopies have ended in deaths like any other procedure. ...Read more

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Dr. Charles Cattano
2,050 doctors shared insights

Colonoscopy (Definition)

Colonoscopy is the procedure of using a long flexible camera to visualize the entire colon from the inside with the option to take pictures, video, perform biopsies, remove polyps, etc. Generally people are sedated and do ...Read more


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Is a virtual colonoscopy a good choice for a 35 yo healthy female who has a family history of colon cancer?

Is a virtual colonoscopy a good choice for a 35 yo healthy female who has a family history of colon cancer?

Perhaps: Virtual colonoscopy can certainly find colon polyps. The problem is that if one is found you would have to have another colon prep and colonoscopy so that the polyp could be biopsied. If you have a strong family history or other risk factors for colon cancer colonoscopy may be the better test. ...Read more

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Please describe a good idea for a breast cancer awareness event/fundraiser in a small local town?

Please describe a good idea for a breast cancer awareness event/fundraiser in a small local town?

Breast Cancer: Breast reconstruction awareness day or bra day is october 17th. You could have people design bras that can be auctioned as part of a fundraiser as well as other items! ...Read more

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What is a good homeremdey for IBS with C?

What is a good homeremdey for IBS with C?

Diet and IBS: Dietary triggers for ibs symptoms are individualized, ; it's worthwhile keeping a food diary to see if correlates with certain foods. In general, GI stimulants (caffeine) ; dietary fats often precipitate ibs-like complaints. About a third of ibs patients tolerate poorly dietary fiber sources. Peppermint is well studied as a smooth muscle relaxer, & often eases ibs distress (but may worsen gerd). ...Read more

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Is having a prophylactic mastectomy a good idea for high-risk patients?

Is having a prophylactic mastectomy a good idea for high-risk patients?

Perhaps: Usually considered in patients with genetic predisposition by carrying the brca gene or that have a current breast cancer on 1 side. However, be aware that even with a mastectomy, there is still a small chance of getting a breast cancer. That is because not every single cell can be removed. ...Read more

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How should I prepare for a colonoscopy and a gastroscopy?

You : Should discuss preparation and any question you have with your GI doctor, who will give you specific instructions of his preferences. Each endoscopist has their favorite set of instructions and preps the prefer to use. ...Read more

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Is a virtual colonoscopy more comfortable than a regular colonoscopy?

Same: Especially given Versed/fentynl sedation with regular colonoscopy But with virtual you can't biopsy polyps like you can with regular colonoscopu ...Read more

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I have an ostomy as well as hernias and neurofibromatosis/no sense ganglia in colon. Is reversal a good idea for me?

I have an ostomy as well as hernias and neurofibromatosis/no sense ganglia in colon.  Is reversal a good idea for me?

Need the ganglia: In order the colon to evacuate stool need the ganglia ( nerves ) reversal will not help with out removal of the entire diseased colon , like hirsprung's disease , then you can have reversal and repair of hernia, need more info on nf & hernia ( ? Paracolostomy hernia ). ...Read more

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Is general anaesthesia a good idea for a 93-year old having moles removed?

Is general anaesthesia a good idea for a 93-year old having moles removed?

Probably not: As we get older we become more and more sensitive to medications. The geriatric population has to be treated very carefully by the anesthesiologist. It would be safer to do this procedure under a light sedation anesthesia instead of a full general anesthetic. If the moles are located in hard to reach areas, middle of back and so forth, then the anesthetic plan might have to be modified. ...Read more

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Any recommendations for a good gastroenterologist in illinois?

Any recommendations for a good gastroenterologist in illinois?

Sure...: Northwestern memorial hospital in chicago offers world-class care, ; their GI department is nationally-ranked. Hope they're convenient to you--. ...Read more

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How do a colonoscopy and a sigmoidoscopy differ?

How do a colonoscopy and a sigmoidoscopy differ?

Longer test: A sigmoidoscopy only sees part of the colon. The traditional sigmoidoscopy was 60 centimeters and saw the sigmoid and descending colon. A colonoscope is 120-160cm and should visualize the entire colon. Usually the sigmoidoscopy is done unsedated while the colonoscopy is done with sedation. ...Read more

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Help at finding a good surgeon?

ACS: The american college of surgeons website is always an excellent place to start when looking for a surgeon: http://www.Facs.Org/public_info/yourhealth/findadoc.Html. ...Read more

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Dr. Alvin Lin Dr. Lin
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No luck with lexapro, is Effexor (venlafaxine) a good second choice for treating depression and anxiety in a 22 year old in good health otherwise?

Dr. Alvin Lin Dr. Lin
2 doctors agreed:
No luck with lexapro, is Effexor (venlafaxine) a good second choice for treating depression and anxiety in a 22 year old in good health otherwise?

Many possibilities: There are many antidepressants from which to choose. Recent studies suggest that just because 1st drug from a family doesn't work doesn't mean that you need to switch drug families. Also, we can't say a drug didn't work unless you couldn't tolerate the highest dose. Lexapro (escitalopram) is a member of ssri family of which there are many. Talk to your doc about all your options (sometimes dictated by insurance). ...Read more

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Please describe a good vitamin for someone with a sensitive stomach?

Please describe a good vitamin for someone with a sensitive stomach?

?: Could try trans oral liquid vit d it mostly absorbs via the oral mucosa basically bypasses the stomach. ...Read more

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Is a pill cam a good to find a diagnosis that a colonoscopy couldn't?

It may be.: The purpose of the pill cam is to go where the colonscopy cannot. The pill cam can see the different parts of the small bowel and may get a closer look at the large bowel. It may also catch something that is intermittent such as bleeding that the colonoscopy did not catch. It may well help. Please make sure you have seen a gastroentologist. ...Read more

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Can a person with autonomic dysfunction received versed for a colonoscopy? Any risks?

Can a person with autonomic dysfunction received versed for a colonoscopy? Any risks?

If you have : Autonomic dysfunction, i would recommend and sedation be given to you by an anesthesiologist dedicated to your care rather than a nurse supervised by the endoscopist. ...Read more

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