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Will Perform Colonoscopy
Do GI doctors perform anoscopes and rectoscopes during a colonoscopy? Can it be requested or are anoscope/rectoscope exclusive to proctologists?
Included: A colonoscope is inserted into the anus, ascends through the rectum, and goes on to check the rest of the bowel. Thus colonoscopy includes examination of the anus and rectum. However, if there is a suspicion of anal pre-cancer (e.g. In HIV positive men) a specialized magnifying instrument is used to assess the anus. ...Read more
Will a colonoscopy detect anal cancer/mass as well colon cancer? Is the digital exam done before the colonoscopy is performed?
Yes: Gastroenterologists are the physicians who perform upper endoscopies (enter through mouth) and colonoscopies (enter from below). They routinely perform biopsies with the same instrument that allows them to visually inspect these areas (via a small camera). ...Read moreSee 2 more doctor answers
No.: A digital rectal exam does not require an enema. Stool is not normally contained in the rectum, but rather higher up in the upper rectum/sigmoid. If stool is low in the rectum, usually there will be signals to have a bowel movement, which should be done prior to a digital rectal exam. ...Read more
How soon after lar surgery will it be safe to perform anorectal manometry for diagnosis of functional constipation, and to start bio-feedback training?
Safe at one month: While it is probably safe to do anorectal manometry and start biofeedback at a month, there is still a lot of swelling and stiffness around the rectum so the results will likely not be accurate and the biofeedback probably not be effective. Three months would be a more appropriate interval. ...Read more
May not: A digital rectal examination can only test as far a finger will go into the rectum. A finger inserted through the anus cannot reach colon, therefore a digital rectal examination cannot detect colon cancer. However, rectum is part of the colon and a common site for cancer and a digital rectal exam is useful. Colonoscopy remains the gold standard for detecting colon cancer. ...Read moreSee 1 more doctor answer
With a complete exam: Your doc will first ask a series of questions: how bad do you feel your vision is, does it stop you from doing things you enjoy, etc. They he/she will do a dilated exam and look at your lens. If the lens looks dark enough and you're having trouble, cataract surgery will be recommended. ...Read moreSee 2 more doctor answers
Doctor removed 18 polyps last colonoscopy, next colonoscopy if find any might need surgery to remove section of colon! What if I elect non-surgery?
May spread: depending on nature of polyps, inflammatory or early malignant, surgery may be needed if recurrent lesion noted. Endoscopy effective if stalk of polyp not invaded. If multiple polyps appear in a field, this represents early changes in the field that by itself can eventually lead to the development of an invasive carcinoma. Depending on findings of next colonoscopy decision should be discussed. ...Read more
Upper/lower?: Upper=stomach endoscopy, usually no prep except not eating/drinking x 4 hrs, then sedation via iv, and doc puts scope through mouth and throat into stomach, looks and biopsies if needed. Lower=colonoscopy, prep by flushing system with strong prep laxatives, then sedation via iv, and scope enters via anus and looks at 5 feet of colon, biopsies etc. ...Read more
Meckel's: not if you already have had surgery ...Read more
Not necessarily: If the patient is young and free of chronic disease, it may not be necessary to perform blood work, even for a general anesthesia. If a patient is over 40 or has other health issues, it's important to verify that blood electrolytes and hemoglobin are normal. It comes down to your surgeon and anesthesiologist. Good luck. ...Read more
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