Doctor insights on:
Endocarditis Prophylaxis Colonoscopy
Prophylaxis: This is antibiotic therapy given before a procedure which may induce bacteria into the blood stream in a patient with pre-existing heart valve abnormalities. There is very little evidence outside of some animal studies to suggest the efficacy of this, but it is often used because the doctor believes it is effective, or in fear of subsequent litigation if they fail to do so. ...Read more
An infection of the inner lining of your heart. It generally occurs when bacteria or other germs from another part of your body, such as your mouth, spread through your bloodstream and attach to damaged areas in your heart. Left untreated, endocarditis can damage or destroy your heart valves and can ...Read more
Some do...: Some people do. Patients with artificial heart valves, previous history of infective endocarditis, joint replacements in the last 5 years do require it (there are other conditions, these are the most common). Patients with mitral valve prolapse, heart murmurs, stents, and pacemakers do not need prophylaxis. If there is a specific condition you are asking about, let me know. ...Read more
AHA Guidelines: The aha (american heart association) has the latest guidelines for antibiotic prophylaxis to help prevent subacute bacterial endocarditis. The indications for premedication underwent revision and changed several years ago, and most dentists and surgeons follow the aha guidelines. ...Read more
Patched Vsd, aortic stenosis mitral regurgitation. Going to dentist w/ prophylaxis. 24 M. What chances do I have of getting endocarditis ?
Discuss w/ dentist : This is something that you need to have your dentist and physician discuss to determine what if any precautions must be determined. In all likelihood they will recommend the use of a pre treatment antibiotic but again that must be determined by these health care professionals. ...Read more
Left and right Biopsy during colonoscopy normal?
Doctor said it’s standard procedure?
The two main risks of colonoscopy are perforation and missed lesions.
The national rate of perforation is 1 in every 3, 000 to 5, 000 colonoscopies. This is a very low rate, so much so that it is considered very low risk.
The rate of missed lesions is estimated to be about 15 for every 100 lesions, nationally.
The risk of sedation depends on your health status, but it is generally very safe. ...Read more
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?
Why can’t I have red jello before my colonoscopy? My doctor said any clear liquid is fine, and red jello is clear. So what’s wrong with it?
Red : Red (and purple) jell-o and other clear liquids with these colors can look like blood in the colon and also absorb the same wave length light that is needed to highlight the sometimes subtle color differences in the colon that we need to see in order to identify the pre-cancerous polyps that we are looking for when performing colonoscopy. It can make it more difficult to see these polyps, increasing the chances that something is missed. ...Read more
How often should a man in his late 50's have a colonoscopy? I'm prescribed omeprazole as the first one found one benign polyp deemed adenomatous
Depends on risks: For those at low risk for colorectal polyps/cancer (no personal or family history of polyps/cancer, no other risks), every ten years if no adenomatous polyps are found. If polyps are found, the interval is shorter: every five years is usual unless polyps are large or multiple. Btw, Omeprazole inhibited polyps in rats; the same has not been found in humans, but Omeprazole can cause gastric polyps! ...Read more
Due to acute left side abdom pain no food in over a wk.(doc thinks bowel inflamed).Will effects of no food show up in colonoscopy?(mask s/ thing else)
Not typically: Depending on age , lower left sided abdominal pain may be an indication of diverticulitis.This might be the " inflamed bowel" you are referring to.Putting the bowel at rest with clear liquids initially, and antibiotics usually helps.A. Ct scan of the abdomen/pelvis can help make the diagnosis.After you feel better, and the infection resolves , a colonoscopy is indicated to further evaluate the colon. ...Read more
Why do ikeep getting stomache cramp in day but not at night had a colonoscopy 2 years ago all perfect could it be i.b.s had for 2 months no blood i po?
Could be one of many:
One of several causes.
IBS will not cause pain as a main symptom. It is associated with alternating constipation and diarrhea. The pain medicines that you are taking like tramadol can cause abdominal cramps, so try stopping your pain medicines other than Tylenol(which is safe to take if needed). Go see your doctor and try an antispasmodic medication prescribed by your doctor. Bentyl (dicyclomine) is one such me ...Read more
What’s the difference between a colonoscopy and a sigmoidoscopy? I had a sigmoidoscopy that was negative. Now my doctor wants to do a colonoscopy. Why? What’s the difference?
Camera on a snake: A video camera on the end of a flexible stalk, not unlike a snake, is inserted through the rectum while you are asleep. You don't feel a thing, you won't remember it, and the only bed part is the prep. ...Read more
No: A colonoscopy is using a camera inserted into the rectum (under some level of sedation) through your colon to the cecum (area of the appendix) which allows us to look for cancer as well as to biopsy areas of abnormality. A UGI is an x-ray procedure where we use x-rays to take a picture of your esophagus and stomach with dye in it which allows us to look for leaks, blockages and other issues. ...Read more
Depends: It is recommended that a baseline screening colonoscopy be done about the age of 50 in those with no symptoms. People with a family history of colon cancer in close relatives should have one about 10-15 years before that relative was diagnosed with colon or rectal cancer. Patients with rectal bleeding or other symptoms should visit their doctor and discuss colonoscopy regardless of age. ...Read more
Don't be: A colonoscopy is usually done with mild sedation so you won't feel anything or remember anything. It takes about 20-30 minutes. Yo will need transportation home and the rest of the day off work. Following day back to the normal grind. Day before the procedure is prep day to get your colon clean so that a thorough exam can be performed. ...Read more
Multiple purposes: The primary purpose is to screen for colon and rectal cancer. The physician is looking for polyps or other growths and will either completely remove them or get adequate biopsies so the pathologist can determine if they are benign or not. Other things that can be seen include diverticula, abnormalities of blood vessels in the colon wall, and signs of inflammation indicative of colitis. ...Read more
Depends on symptoms :
If you have no symptoms like abdominal pain, change in bowel habits or blood and no relatives, then the age is 50. However, the acg recommends african americans start colonoscopy at the age of 45.
If you have a first degree relatvie with colon cancer, you should start at age 40 or ten years younger than the affected relative whichever comes first. ...Read more