Doctor insights on:
Colonoscopy Done On Down Syndrome Patients
Many: Down syndrome patients may have prominent tongue, joint laxity and hypotonia, congenital heart defects, hyper or hypothyroidism, gastrointestinal issues including aspiration and ge reflux, neurologic mental retardation, constipation and hirschsprung's disease, congenital bowel issues(bowel atresias). Some with mild symptoms and findings and others more severe. ...Read more
Why do Down syndrome patient have their eyes slanted upward, is it caused by the chromosome 21, i need an explanation on why their face look different?
In the genes: All of our features are determined by our genes. The appearance of your eyes, nose, mouth, hair color, skin color, among other features are all inherited. When there is a defect in the gene coding, changes can occur. Facial features can change with in utero exposure such as alcohol (fas syndrome). For downs, the extra 21 causes low ears, slanted eyes, simian crease as well as organ problems. ...Read more
Should relatives of stage IV lynch syndrome patient (28yrs old) have a colonoscopy? Other tests or procedures? Thank you.
Need screening plan: Lynch Syndrome (LS) causes increased risk for a number of cancers including colorectal, uterine, kidney, and others. If a family member has a gene change that causes LS, genetic testing of all family members is needed to determine risk and make a cancer prevention plan. Colonoscopy should be considered by age 20 or 2-5 years earlier than the earliest colon cancer if it is diagnosed before age 25. ...Read moreSee 3 more doctor answers
Had colonoscopy sedation did nothing, i screamed in pain dr said to shut up i'm scaring patients. Continue with dr after get results or should I run?
RUN: There should be no pain and in fact, you should not even remember the procedure with adequate sedation and anesthesia. In defense of your gi- the medicine to put you to sleep may have been adminsitered by another physician, an anesthesiologist: so before you run......Check on who gave you the medicine. ...Read moreSee 1 more doctor answer
Colonoscopy during a colonoscopy, is it necessarily to be fully or asleep or do the patient have the choice? Edit: (grammar mistake)
during a colonoscopy, is it necessarily to be fully asleep or do the patient(s) have a choice?
You : You can discuss with your doctors and anesthesiologist your choices. In the past, only mild sedatives were used for colonoscopy, but in the past several years more anesthetics have been used. It may depend on if you have any other medical conditions that could affect your risks. ...Read moreSee 1 more doctor answer
How important is a colonoscopy within 5 years of previous one...I'm a Crohn's patient on remicade (infliximab) and i'm not flared up. Seems unnecessary and expensiv?
The risk for...: Colorectal cancer in chron's increases with duration of illness and starts to rise 8-10 years into the disease. Further, the extent of bowel affected is directly related to the risk for colorectal cancer. The highest risk is for those with the entire bowel affected and least with just rectal involvement. Not knowing your specifics details this is the best i can do. Best of luck to you! ...Read moreSee 1 more doctor answer
Can a post WHIPPLE pancreatic oncology patient get a colonoscopy or is this never advisable due to altered anatomy (been 10 months now)?
Yes: Yes.Get a more detailed answer ›
Versed: The colonoscopy procedure will be fairly quick, but patients do need some sedation. Versed is frequently used, and is safe. It wears off very quickly also. Patients are carefully monitored and cared for during the procedure and after. They are in a recovery room until all systems are back to baseline. ...Read moreSee 1 more doctor answer
Here's helpful link: ...and video: http://www.suprepkit.com/dose-instruction.htm (in English and Spanish versions) ...Read more
What is the proper protocol for a gastro after a colonoscopy to go over findings and treatment if patient still drowsy? Follow up appointment?
Common sense: If it is known you are still drowsy, instructions can be given to your loved one or caregiver (if allowed to by your hippa signed declaration). Instructions are often written as well, and may even be given before the procedure when you are not groggy. ...Read moreSee 1 more doctor answer
Extremly anxious about a colonoscopy never been sedated. Doctor mentioned a patient that took a while for her to sleep. Isn't mild sed?Aren't u awake?
What are the risks associated with having colonoscopy being a mechanical valve patient taking coumadin (warfarin)?
Don't stop coumadin (warfarin): The latest research indicates that it is safe to perform colonoscopy and polypectomy while patients continue coumadin, (warfarin) as long as inr is in the therapeutic range of 2-3. Risk of bleeding is very low, and when compared with the risk of stroke or another clotting event, bleeding is relatively easy to control. You should confirm this with your doctor before the procedure. ...Read moreSee 1 more doctor answer
What's the difference in anesthesia used for colonoscopy and that used in c section? If the patient was put to sleep for c section.
Hi! I'm a 16 year old going for an endoscopy and colonoscopy at the same time. As a pediatric patient, is it a common to get general anesthesia for both procedures? If not, can I request for a general? I'm absolutely terrified of having something up my **
It all depends: Typically an endoscopy and colonsocpy would be performed by an anesthesiologist. It would be up to the anesthesiologist and the patient to decide what is the safest course of action. There are some co-morbidities that might push anesthesiologist away from general anesthesia. Whether it is deep sedation or general anesthesia, one of the anesthesia jobs is to make the patient feel comfortable ...Read moreSee 1 more doctor answer
Scheduled a colonoscopy. Chose twilight sedation. Gastro commented on patient that kept talking and had to sedate a lot, hard to wake up. Oversadation?
Anything possible: Some people react adversely or excessively to doses of sedatives that do not affect others. Have no idea what happened in the situation you describe. Ask the doctor. ...Read more
How safe if bowel prep for colonoscopy in patients with heart disease and severe electrolyte abnormalities? Are any of them safe?
Here are some...: Colonoscopy can usually & safely be done under brief IV sedation, but can be deferred until severe electrolyte imbalance+heart disease are optimally corrected because colonoscopy oftentimes is non-urgent and even optional esp. at the time with serious ongoing medical issues. So, ask the treating doc so to understand the balance between medical necessity & professional possibility before proceeding ...Read more
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