Doctor insights on:
Colonoscopy Post Op Care
5wks post op GB removal. Had a colonoscopy and endoscopy and all normal. Still very nauseous most of time. Healthy diet and weight. What could it be?
Some patients react: To the type of anesthesia used during the procedure that can remain in your system for a few weeks. More than likely you are responding the air they had to use to visualize your gallbladder and that gets resorbed in time, and you should be feeling better daily. If not, call your surgeon and ask her/him what gives? They will help you out too. ...Read more
Is it safe to take 5mg oxycodone with 25 mg Valium for post op sleep and pain relief? I've taken that much Valium for a colonoscopy. Not with opioids
My 81 yr old father 3 days post op for perforated bowel from colonoscopy, has not had BP meds since, BP is 174/64. Is this acceptable?
See your PCP: His systolic is too high (the top number). But on the other hand you don't want his pressure to go too low. It may be the pain he is experiencing causing his top number to be so high. A perforated bowel is no small event. If the BP goes to low ischemia may occur as well. I'm assuming he is still in hospital. Just make the doctors aware which I'm sure they are. ...Read more
I had a hemorrhoid operation 25-30 years ago there is a lot of scar tissue last colonoscopy dr said had some trouble with scope. Do I need operation?
If the hemorrhoidectomy removed too large an area of island tissue between the sites where the hemorrhaoids were excised, the mucosa of the anal canal can form a stricture. This would make it hard to pass the scope.
If there are normal bowel movements one can leave the situation alone or dilate the area. Otherwise the interspaced island of existing scar may need adjacent skin rotated in. ...Read more
Much to say: Its a procedure that allows for examination of the colon and part of the small intestinal by direct visualization (seeing it) and also the opportunity to complete procedures when necessary. After a pre-procedure preparation that "cleans out the intestinal tract", it involves sedating a patient (usually!) and then maneuvering the camera on "bendable stick" through the lower intestinal tract. ...Read more
50 years old, unless: Regardless of gender, people without high risk factors are advised to begin screening colonoscopy at age 50, repeating at 10 year intervals if nothing is found. Those with high risk factors such as first degree family history of colorectal cancer or polyps should begin at age 40. ...Read more
Usually: Most physicians in the us sedate their patients before colonoscopy. This means you are awake and extremely relaxed, but many patients due tend to fall asleep with the medications. However, not every physician practices this way and it should be something you discuss with the physician performing the procedure. ...Read more
Yes: In many instances inspection of the lining of the intestines with colonoscopy necessary to help establish the diagnosis of Crohn's disease. Colonoscopy is preferred because it is possible to advance the scope into the end of the small intestine (terminal ileum), which is a common site for Crohns disease to be present. In Crohn's disease, the lining of the colon and/or terminal ileum appears swollen and inflamed. The inflammation is often patchy and discontinuous, unlike ulcerative colitis ...Read more
Colon exam: Improved techmique for examing the whole colon over previous sigmoidoscopy. It is best performed by use of a long flexible scope in a bowel that has undergone cleansing (bowel prep). Virtuial colonoscopy defined by radiological exam has been used with some value, not requiring insertion of scope into rectum. Early polypoid tumors and cancers can be detected when asymptomatic ...Read more
No: No, when they tell you nothing by mouth for your procedure, they mean nothing. If you expect to get sedation for your procedure then your stomach needs to be as empty as possible. Otherwise there is a risk of vomiting and aspirating which can be serious, even fatal. So NO! No Laffy Taffy or anything else. Weren't you given explicit pre procedure instructions? ...Read more
Each doctor: Has their own preference based the effectiveness, most commonly used one is GoLytely (polyethylene glycol), one of the most effective one speak to your doctor, remember good prep is needed for good examination and needless repeat that you have to take responsibility to prepare well before your examination. ...Read more
No: No- for 2 reasons-1/ it can make visualization more difficult, 2/ you will be sedated, and do not want to run the risk of aspirating food into your lungs. ...Read more
Varies: It varies on the patient's condition and what is the colonoscopy's intended purpose ...Read more
Usually none: Infrequently may feel some mild transient cramping, or residual loose stools from the prep. Perianal discomfort rarely. After colon biopsy scant bleeding can be seen. Abnormal would be severe pain, fever, nausea, vomiting, which could indicate a possible emergency from a complication of the test, for which medical advise is urgent. ...Read more
Chose right doctor!: There is a tremendous variation in quality among colonoscopists. It is now known that the doctors with adr above 20 give you ten times the protection from subsequent colorectal cancer. If the doctor will not divulge their adr as the american collefge of gastroenterology web-site suggests, get a second opinion. Why go through all that for little benefit. ...Read more
Too vague: Depends on what was its purpose. If it was for screening and nothing was found, usually that's it. If it's to evaluate a particular problem like bleeding, your doctor will decide what other tests to do. Of course, if the colonoscopy finds something, there may be treatment offered. Always know the purpose and the results of any test you get. If unsure, ask the doc. ...Read more
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