Doctor insights on:
Colonoscopy A Good Experience
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
Will a gastroenterologist automatically suggest a colonoscopy instead of a imaging/blood test work up? Bloating,feeling full,appetite issues.
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
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 moreSee 1 more doctor answer
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
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
Sure...: Northwestern memorial hospital in chicago offers world-class care, ; their GI department is nationally-ranked. Hope they're convenient to you--. ...Read more
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
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 moreSee 1 more doctor answer
?: Could try trans oral liquid vit d it mostly absorbs via the oral mucosa basically bypasses the stomach. ...Read more
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