Doctor insights on:
Colonoscopy With Colostomy
Previous question was to read, chance of success of end colonoscopy reversal? Hubby 62 good health colostomy due to diverticular abscess.
I am scheduled for a colonoscopy, and I need to do 2 fleet enemas (sodium bisphosphate), (sodium bisphosphate) however I have a colostomy and I am unsure as to how to administer the fleet enemas (sodium bisphosphate)?
Colostomy nurse: This important question can be best answered by your colostomy nurse or gastroenterologist. I assume that it will require one fleets enema through the colostomy and another through the rectum if both areas are to be visualized during the procedure, but it's best to consult the abovementioned specialists about this matter. ...Read more
Mother has colon cancer (aged 57 at the time, irreversible colostomy) and I have Crohn's (aged 25, diagnosis 2010). How often should I get colonoscopy?
Probably q 3yrs: Colon cancer arises in bowel under several circumstances. Polyps found on colonoscopy contribute to 10-20% of malignancies. The others arise denovo in a field effect secondary to a virus or carcinogen. Another factor is inflammatory changes initiating malignant transformation. As such patients with Crohn's are at risk for developing colon cancer, which at present is best found by colonoscopy. ...Read more
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
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
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
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
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
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
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
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
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
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
Diagnosis/treatment: At colonoscopy most visible abnormalities are either definitively diagnosed via sampling (biopsy) or removed completely also for diagnosis that includes the treatment. Some findings, eg cancer, need definitive treatment via other modes (for example but not limited to surgery). ...Read more
Pleasant experiencE: You will be sedated for the scope itself. The bowel prep, on the other hand, is unpleasant to say the least...But worth it for the life saving benefit. ...Read more
Colostomy may: Be needed for cancers too close to the rectal muscles to maintain continence, or any time that stool needs to be diverted away from necessary healing in the low pelvis. The former is not reversible, the latter is. ...Read more
Life goes on: Is it permanent? If so, you will need to make adjustments and expect some inconveniences. You will be able to do mostly anything. Work closely with a ostomy nurse from the start. Support groups are helpful with good tips. ...Read more