Doctor insights on:
Rigid Sigmoidoscopy Proctoscopy Exam Procedure
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?
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
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 ...Read more
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. ...Read more
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?
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. ...Read more
I am considering a screening sigmoidoscopy over that of a colonoscopy due to more preparation and procedural involvement. No family history. Wise?
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 ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
'Flex sig' ='cramps': For a 'flex sig' you are usually awake with no anesthesia unless arranged ahead of time with your doctor/G.I. Doctor. The pain/cramps you experience is from the air placed in the lower colon so we can see the entire bowel wall. The usual indications for flex sig are for follow-up for known proctitis (colitis) otherwise a full colonoscopy is the best test for colon cancer screening. ...Read more
It depends on: The infection. If she got sick afterwards she should improve in a week or so. ...Read more
How many days should a patient wait for complications of sigmoidoscopy to occur? 1, 2, 3 or more?
No more than 48 hrs: The most common complications from colonoscopy are bleeding or perforation, especially when accompanied by removal of a polyp. However, the risk from screening colonoscopies is low, about 0.05% for perforation and 0.2% for bleeding. These should manifest within 24-48 hours after the procedure. The risk will increase if there are other medical conditions or medications at the time of colonoscopy. ...Read more
I'm terrified for my flexible sigmoidoscopy! What do they do? Do you lay down? Do they give you a gown to wear? Does it hurt? How far up does it go?
Sigmoidoscopy: Read more at www. Browardgi. Com. Videos and links are there. Best is to speak to the performing physician beforehand. ...Read more
It is similar: Both procedures require complete cleaning up of the Colorectal area. So the prep is not any different. ...Read more
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