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Doctor insights on: Rigid Sigmoidoscopy Proctoscopy Exam Procedure

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Intense pre-sigmoidoscopy fear and anxiety, please help me. Huge fear to point of cons. Not having it done. Fear of procedure. Best pharm intervention?

Intense pre-sigmoidoscopy fear and anxiety, please help me. Huge fear to point of cons. Not having it done. Fear of procedure. Best pharm intervention?

This is not a: Pharmacological intervention - quick acting anxiety meds only last for so long. Have you considered acupuncture to get your anxiety under control and to ground you?

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Dr. John Lappas
547 Doctors shared insights

Sigmoidoscopy (Definition)

Sigmoidoscopy is the use of a flexible fiberoptic camera or specially designed scope to examine the inside of the colon. Because the procedure only examines the left side of the colon (in an area called the sigmoid), it is termed sigmoidoscopy. This is to differentiate it from a colonoscopy, where the entire right and left side of the colon is examined. A sigmoidoscopy ...Read more


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28 years old. Bright red blood on toilet paper after defecation. A specialist only performed a proctoscopy (normal). Should I demand more exams?

28 years old. Bright red blood on toilet paper after defecation. A specialist only performed a proctoscopy (normal). Should I demand more exams?

Ask politely: BRBPR may just be hemorrhoids from straining but bleeding from rectum (brbpr) may also indicate anal fissures, proctitis (due to infection, inflammatory bowel disease, radiation therapy, stercoral ulcers, rectal prolapse, trauma, etc.) or a bleeding source further upstream. Depending on your age, risk factors, current medication (aspirin, nsaids, anticoagulants can cause bleeding), see your doctor

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Should I take my high blood pressure and/or heart medicines the morning of the sigmoidoscopy procedure?

Should I take my high blood pressure and/or heart medicines the morning of the sigmoidoscopy procedure?

Medications: Yes, you should. Ideally with just few sips or water and at least 2-3 hours earlier than you procedure.

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Sorta cutting page around inner anus when I do bowel movement, I did sigmoidoscopy exam and they say it was just hermorrnoid, what should I do?

Sorta cutting page around inner anus when I do bowel movement, I did sigmoidoscopy exam and they say it was just hermorrnoid, what should I do?

Soften stools: The best treatment for hemorrhoids is to drink water and fluids, adjust your diet to take more fiber, and get more active. This will soften the stool, increase bowel frequency and prevent constipation.

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7 years ago, had bright red rectal bleeding after bm. Hurt to have bm most of the time I saw blood. Dr saw a fissure on exam. By the time I had sigmoidoscopy fissure was gone and no bleeding anymore. Unlikely he missed cancer? No symptoms since.

7 years ago, had bright red rectal bleeding after bm. Hurt to have bm most of the time I saw blood. Dr saw a fissure on exam. By the time I had sigmoidoscopy fissure was gone and no bleeding anymore. Unlikely he missed cancer? No symptoms since.

BRBPR due to...: This may just be hemorrhoids from straining but bleeding from rectum (brbpr) may also indicate anal fissures, proctitis (due to infection, inflammatory bowel disease, radiation therapy, stercoral ulcers, rectal prolapse, trauma, etc.) or a bleeding source further upstream. Depending on your age, risk factors, current medication (aspirin, nsaids, anticoagulants can cause bleeding), see your doctor.

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Will I be sedated for a rigid sigmoidoscopy? What is a rigid sigmoidoscopy?

Usually no sedation: Rigid sigmoidoscopy is a short, straight scope that is used to examine only the rectum and lower part of the sigmoid colon. This exam usually only takes a couple of minutes and is typically done in the office without sedation.

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Do you know any family medicine or general practice or imternist docs in greater atlanta area who an can do a rigid or flex sigmoidoscopy in office?

Ask family doc: Your family doctor is usually a good first line of information on good doctors. In general, a GI endoscopy is best done by a GI endoscopist (not general practitioner). Online searches may be a good start as well.

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I am considering a screening sigmoidoscopy over that of a colonoscopy due to more preparation and procedural involvement. No family history. Wise?

I am considering a screening sigmoidoscopy over that of a colonoscopy due to more preparation and procedural involvement. No family history. Wise?

Colonoscopy: I would suggest a colonoscopy if you are able, as it is a more complete screening. If normal you will not need another for 10 years. The sigmoidoscopy only looks at the lower portion of your colon.

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Polyp removed in upper rectum and solitary rectal ulcer sowed in flexible sigmoidoscopy. Still start tip of stool is hard and red blood on stool help!

Polyp removed in upper rectum and solitary rectal ulcer sowed in flexible sigmoidoscopy. Still start tip of stool is hard and red blood on stool help!

Start simple, but...: Docusate (per PDR) helps moisten & soften hard, dry stools. It is not a true laxative, but facilitates natural defecation, usually within 12 to 72 hours. This is safe &available for anyone over 2, &a assumes normal GI anatomy without inflammation, stenosis, extrinsic or instrinsic obstruction. Change in bowels is a "red flag", like weight loss or blood in stool, that needs evaluation if persistent

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What is the difference between a colonoscopy and a proctoscopy?

What is the difference between a colonoscopy and a proctoscopy?

Colonoscopy: The colon is roughly 3-5 long depending on individual. A proctoscopy looks at the angus and rectum only (first 4-6 inches). A colonoscopy uses a fiber optic camera to try and look at the entire length of the colon. With a colonoscopy you most likely will have it done in a endoscopy suite under sedation while a proctoscopy can be done in the doctors office.

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What is a flexible sigmoidoscopy?

A colon exam: This is a limited exam of the distal colon and rectum, typically done without sedation in an office setting. This has been used as part of colon cancer screening regimens, but has been largely replaced by colonoscopy which allows a complete colon exam.

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What does a flexible sigmoidoscopy involve?

Camera: You get a camera inserted through your rectum to examine the rectum and the sigmoid colon. You may or may not be offered anesthesia for this procedure. You need to at least have an enema before the procedure to cleanse the colon, and sometimes a laxatives preparation the day before.

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How do a colonoscopy and a sigmoidoscopy differ?

Longer test: A sigmoidoscopy only sees part of the colon. The traditional sigmoidoscopy was 60 centimeters and saw the sigmoid and descending colon. A colonoscope is 120-160cm and should visualize the entire colon. Usually the sigmoidoscopy is done unsedated while the colonoscopy is done with sedation.

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Is it okay to get an endoscopy and sigmoidoscopy?

Is it okay to get an endoscopy and sigmoidoscopy?

Absolutely: Many gastroenterologists, faced with the need to evaluate the upper and lower GI tracts, may choose to perform a "double procedure" under one sedation--this minimizes sedation risk and maximizes the diagnostic yield of testing. Good luck with your results.

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What can be expected during my flexible sigmoidoscopy?

Not much: You will be under the influence of either an amnestic (blocks memory) and/or light sedative. You won't remember a thing and likely get a terrific nap in the process. Now, preparing for the experience by evacuating your bowels the day before can be challenging.

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What are some alternatives to the flexible sigmoidoscopy?

What are some alternatives to the flexible sigmoidoscopy?

Several: Rigid proctosigmoidoscopy, full colonoscopy, air contrast barium enema xray, ct colonography. Depending on the reason you need an exam will determine which is the most appropriate technique to use.

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What if the flexible sigmoidoscopy shows something abnormal?

Depends on findings: Flexible sigmoidoscopy looks at lower 1/3 of colon. Better look is with colonoscopy, which looks at entirety of colon. In general, if abnormality seen on flex sig, colonoscopy is recommended.

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What are possible complications of a flexible sigmoidoscopy?

Depends: If the test is done with sedation (typically not necessary) then there are risks of sedation. Otherwise typical risks of this procedure can include pain or cramps, bleeding (especially if there will be biopsies), infection, missing a lesion or a perforation (hole in the intestine). That being said, these risks are very rare.

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Dr. Kristi Moffat
133 Doctors shared insights

Proctosigmoidoscopy (Definition)

Proctosigmoidoscopy is an examination of the rectum and sigmoid colon (just above the rectum) using a narrow, rigid scope with a built-in light. A small amount of air is usually introduced to distend the bowel, allowing for a better view. Generally, a limited prep is helpful, but not always necessary. ...Read more


Dr. Eric Weisman
7 Doctors shared insights

Proctoscopy (Definition)

Proctoscopy is a test that is done to look at the rectum and most distant part of the colon. A rigid scope about the size of a thumb is inserted in the anus and using air to inflate the rectum, the doctor can look at all the ...Read more