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Doctor insights on: Colonoscopy Elderly Persons

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Elderly patient with recurring gi bleeding and black stool. Is endo colonoscopy required to treat with ppi. Other options? Pepto bismo?

Elderly patient with recurring gi bleeding and black stool. Is endo colonoscopy required to treat with ppi. Other options? Pepto bismo?

Work up needed: Pan endoscopy would be recommended in order to determine the bleeding source. A ppi trial would be justified if based on history and exam it is suspected that the bleeding originates in the upper gi tract. Peptobismol would cause dark stools and would not be indicated. ...Read more

Dr. Charles Cattano
2,033 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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6 y/o needs colonoscopy. Please be specific on things she can have on a clear liquid diet?

6 y/o needs colonoscopy. Please be specific on things she can have on a clear liquid diet?

Define clear liquids: "clear liquids" are any food that is not solid at room ; body temperature that will allow sunlight to pass through: ice pops, jello, broth without particles, juices without particulates, water, light tea. Avoid red-dyed foods that may leave residue that looks like blood to the colonoscopist. Confirm your selection with the performing doctor--you don't want to have to re-do the test due 2 bad prep. ...Read more

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What is a colonoscopy?

What is a colonoscopy?

Look inside colon: You are sedated (very sleepy, but still breathing on your own). The endoscopist places an instrument through your anus and then passes it into the colon to carefully exam the colon for polyps, cancer, etc. If any abnormalities are found a biopsy may be done. Typically, it is painless - the only bother is cleaning out your bowels beforehand and even that's not so bad. ...Read more

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Do colonoscopies hurt?

Do colonoscopies hurt?

No: Colonoscopy is usually performed with some form of sedation and if done correctly you should not feel anything or remember anything. ...Read more

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What is a colonoscopy like?

What is a colonoscopy like?

A simple test: After appropriate colon preparation at home, arrive at the endoscopy center, change into a gown & IV is inserted. Once in the procedure room, final consent is obtained, IV sedation is given (there are options here--some patients choose no sedation, others want to be "out cold"), & a thin flexible tube with video camera is inserted per rectum & advanced, taking pictures, biopsies, & therapeutics. ...Read more

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How to prep for a colonoscopy?

Lots of options: There are a lot of different regimens for doing a colonoscopy prep. It depends on your gastroenterologist what they prefer. Ultimate what they want is a clean prep, so you should not have any stool in your colon when they look. You will have a sense of whether your prep is complete when you look in the toilet bowl and you shouldn't see any solid material left. ...Read more

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What results from colonoscopy?

What results from colonoscopy?

Colonoscopy: This is a good screening tool used for the appropriate age group in screening for colon cancer. ...Read more

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Do I really need a colonoscopy?

Do I really need a colonoscopy?

Age: When either 45 or 50 yrs old or of bleeding or other symptoms also pending family history. ...Read more

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Colonoscopy: what can I expect?

Not bad: The most annoying part is the bowel cleanout the day before. You have to drink a fluid that makes you have enough bowel movements until your stool becomes clear. The colonoscopy procedure itself is usually easy. When you go home you will have some abdominal discomfort and bloating. Sometimes you can have a little rectal bleeding as well. ...Read more

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What may appear in a colonoscopy?

Pretty much anything: Colonoscopies are mostly done for screening, looking for polyps which may be pre-cancerous, thus removing them in essence prevents a cancer. Colonoscopies are also done to evaluate for other problems, like diverticulosis, hemorrhoid bleeding, changes in bowels which may be from comparatively benign conditions, but infectious diseases, inflammatory diseases and other colon problems may be found too. ...Read more

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When should I start colonoscopies?

When should I start colonoscopies?

50 unless...: The general guideline is age 50, but there are exceptions to that rule. For example, family history of colon cancer can move up the schedule. ...Read more

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How can you die from a colonoscopy?

How can you die from a colonoscopy?

Unlikely: Dying during a colonoscopy or because of one is a very rare event. The risk of a perforation or hole during a colonoscopy is about 1/1500. The risks of dying would increase if one had a perforation that was not noticed. Also there is a risk of having complications from the sedation. One could stop breathing from over sedation which could lead to death, again, a rare event. ...Read more

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No pain, why would i need a colonoscopy?

No pain, why would i need a colonoscopy?

Screening: screening for colon cancer. cancer usually does not give symptoms until it is a large tumor that has spread to other organs. At that point you would start having symptoms, but survival after treatment would be significantly reduced. ...Read more

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How often should you have a colonoscopy?

It depends on indica: If it is for screening for colon cancer, then once every 10 years is considered adequate but it can be done more often if there is an abnormality that requires close monitoring. ...Read more

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Petrified of colonoscopy please help :(?

Petrified of colonoscopy please help :(?

Low risk: Bleeding and perforation are indeed risks however combine risk in the hands of an experienced endoscopist is probably less than 1%, so it is safe and by far the most efficient test for polyps/cancer of the colon as it is both diagnostic and therapeutic, which none of the alternative exams are. It is usually done with sedation so you should not feel or remember anything about the procedure. ...Read more

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Should someone get a fobt or colonoscopy?

No: None of the screening tests for serum tumor markers or fecal occult blood are that accurate. At least with colonoscopy every few years there is direct visualization of the bowel to define the absence or presence of a tumor or polypoid lesion. A new diagnostic fecal tumor protein test is being developed that will define the amt. of tumor protein or not present and if neg. the bowel is neg. ...Read more

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Colonoscopy robs your dignity, is that true?

Colon cancer can: Not colonoscopy. You are asleep and everyone is there to make you comfortable in a difficult but manageable situation. ...Read more

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What to expect from a colonoscopy(spelling)?

Information: Colonoscopy provides information about the state of health of your colon. The only uncomfortable part is the cleansing done the day before which will require regular trips to the bathroom.L on the day of the procedure you will be sedated and when you wake up there will be no symptoms; your GI doctor will give you the results. ...Read more

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What does it feel like to have a colonoscopy?

What does it feel like to have a colonoscopy?

Quite variable: Unless you opt not to have conscious sedation, you'll probably remember and feel little during the actual colonoscopy. Afterwards, you'll like have some element of mild abdominal discomfort and bloating related to residual gas in the colon. It may take several days for your bowel habit to return to normal after the aggressive clean out necessary prior to the colonoscopy. ...Read more

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Prepping for colonoscopy -- what can I expect?

Lots of diarrhea: There will be some cramping and lots of diarrhea. I like to see the bowel prep looking like "mountain dew" and not "yoo hoo". ...Read more