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Old 08-04-2009, 05:25 PM   #1 (permalink)
Sitting in a tree
 
Location: Atlanta
I'm having a colonoscopy tomorrow morning

I'm not very happy right now. Neither is my booty.

Does anyone have any idea what they're giving out these days regarding pre butt-cam dope? I Googled a bit but can't really find out names of drugs other than Demerol and a 'sedative.' I want more info. I want to know I will be out... high would be a bonus but honestly, I just don't want to feel anything wiggling around in my intestines.

sowwy - I have the jitters. It's my first.

p.s. - yes, I know I need to turn around during the procedure to make sure his hands aren't on his shoulders
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Old 08-04-2009, 06:21 PM   #2 (permalink)
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you won't feel a thing.

For any of the ones I've had, I think I've had 2, I've also had an Upper GI as well. All times, put under and woke up when they were finished.
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Old 08-04-2009, 06:37 PM   #3 (permalink)
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If you're nervous you can tell the doctor. They will often give a benzo pre-surgery to relax you.
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Old 08-04-2009, 06:59 PM   #4 (permalink)
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Been through it. I was anxious going in. I had never been totally knocked out for a medical procedure before and didn't know what to expect.

I have no recollection of anything after the tech told me to start counting until they revived me post-procedure. I hardly felt as any time had passed. If QW hadn't been there to attest to it, I may have doubted that anything had happened at all.

Relax. The real nastiness is the prep the night before. You won't feel or remember a thing.
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Old 08-04-2009, 07:05 PM   #5 (permalink)
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Old 08-04-2009, 10:27 PM   #6 (permalink)
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crack, is that you talking about bumcracks again?
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Old 08-04-2009, 10:38 PM   #7 (permalink)
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I have Crohn's Disease. Doctors like to stick things up my butt. It really is an unpleasant circumstance, for me at least.

The reason you can't find names is because the actual sedative used can vary. As a rule it's going to be an IV sedative. They'll put in a catheter (no trees or hanging bags) and shoot you up with a syringe full of happy juice. I know for a fact I've had valium during these procedures, but I also know that it's not the only one used on me and couldn't tell you what others have been employed for this.

For clarity, that would be an intravenous catheter. Not a urinary one.

The Demerol (again, not necessarily the only drug used for this) is because they're pumping air into your colon. This can be quite unpleasant, so having something to dull the sensation is a good thing. Bottom line is that once they get the right meds into you you're not going to care.

Grump's experience is quite common -- many patients fall asleep during the procedure. It's possible that you'll remain awake, but even if you do you're not going to care about what they're doing. An interesting aspect of a colonoscopy as opposed to an esophogastroduodenoscopy (same thing, other direction) is that if you're awake you'll be able to watch the procedure. The doctor typically sets the monitor up on the far side of the patient, for obvious reasons. When the camera's going down your throat you'll be facing the doc and won't be able to see the monitor, but when it goes the other way your insides will be on full display for you to admire. This may or may not be a selling point to you -- I found the concept of watching the procedure interesting, but by the time they got me on the table and full of drugs I didn't particularly care anymore. I remained awake during my first one and have vague memories of it. For all subsequent procedures it's been hit and miss. Sometimes I pass out, sometimes I don't.

Whether you sleep during the procedure itself, you'll probably sleep afterwards and you're going to be groggy for the rest of the day. Having a ride home is important, but equally important if possible is to have someone else present while discussing the results with the doc. If that's not feasible, make sure to get stuff written down (seriously) because you probably won't remember.

The prep really is the worst part. One aspect about the colonoscopy that makes me almost but not quite prefer it to the gastroscopy is that they don't freeze anything. When they're going down your throat they'll freeze it first with a local anesthetic administered in spray form. The taste is like nothing else I've ever experienced and for the next little while you end up drooling like an idiot. So be thankful you don't have to experience that, I guess is my point. Or maybe I'm just bitching now.

EDIT - And about feeling things 'wiggling around,' assuming you remain awake yes, you'll feel it. It's not painful, but it is.. strange, to say the least. Honestly, feeling something poking about in your stomache is the stranger sensation. Either way I can promise you that you're not going to care particularly. Drugs really are a modern miracle.
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Last edited by Martian; 08-04-2009 at 10:45 PM..
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Old 08-05-2009, 12:42 AM   #8 (permalink)
Sitting in a tree
 
Location: Atlanta
Thanks everyone.

And big thanks to Martian. Now that's the info I needed lol.

I've had an endoscopy before. But I was pretty much out for the whole thing. I barely remember throwing up when they were putting the tube down my throat (they then learned I had delayed stomach emptying, as my stomach was not empty!) But I do remember thinking 'bah... oh... k... *out*' lol. They had to clean it up. Not me.

Yes, this prep is poop. Pun intended. I'm up finishing the last of the solution right now, but I'm not going potty. Does this mean I'm empty?

I'm sure no one will be up to answer before I leave. Thanks anyways.

Imma ask the doc to take pictures with my cell phone since I don't have a scanner and I'll post em. I can't fit a digital camera up there but maybe my cell.
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Old 08-05-2009, 12:48 AM   #9 (permalink)
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hmm I've had a few of these procedures on account of my colitis. I can't say it was particularly pleasant. since I don't want to put you off, I won't go into it. Just make sure they sedate you right, and you get to nod off. I definitely wouldn't want to be awake for it if I'm sedated. I think it's better to either go cold turkey or be knocked out completely. Inbetween was pretty difficult for me. Good luck, it will be over before you know it! And yes, the prep sucks big time. Sorry, can't sugar coat it.

Edit: How long ago did you start the prep? Sometimes it takes a while. You still don't feel the urge to go? Uuuuh. You will.
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Old 08-05-2009, 01:29 AM   #10 (permalink)
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Location: Atlanta
Oh no - prep is working lol.

I had to start yesterday at 5PM. Drank 32oz within an hour + 4 Dulcolax. I hit the potty plenty. But I was supposed to get up at 3 this morning and down another 32oz of the solution. I've gone a couple times. But it seems like it's subsided a good bit. I REALLY don't want to like, make a mess of the doctor :/. I'd like to hear that because things have calmed down, it's because I'm empty and I'm not going to have a huge release during the whole thing lol.

My Mother says the last time she had one, they didn't drug her up enough. She was not happy at all. But my doc did tell me I'd be feeling really good through the whole procedure. He's a fantastic doc (so far,) so I hope he's right. He loads me up with percosets when I'm hurting. Maybe he's generous with drugs? lol

Thank you for the info.
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Old 08-05-2009, 02:00 AM   #11 (permalink)
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If this is conscious sedation (instead of a total knock out) you can always request more medication. If the procedure starts and you're feeling unpleasant or actually feeling pain, tell the doctor. There's no shame telling the doc s/he didn't get the dosage right and that the scope is feeling a bit prickly.
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Old 08-05-2009, 02:38 AM   #12 (permalink)
Sitting in a tree
 
Location: Atlanta
Yeah, I've read that. And I'll have no problem letting him know I need more drugs lol.

Welp, I'm off kids. *sigh* Thanks for all your help .
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Old 08-05-2009, 02:57 AM   #13 (permalink)
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I had the option to remain conscious during the procedure, and watch it on the video monitor. It was interesting up to the point of the second or third 'wiggly' feeling and then I asked them to open up the IV for the sedative. Before I knew it I was waking up in a darkened recovery room, with soft music.

The clinic had the rather humourous name of: "The Upper Canada Lower Bowel Clinic". I find that a sense of humour always serves, in the end....
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Old 08-05-2009, 04:06 AM   #14 (permalink)
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The drugs must be good. Because the last time I took my dad in for one, we were 3/4 of the way through our 30 minute drive home when he asked me when they were going to do the procedure.
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Old 08-05-2009, 04:15 AM   #15 (permalink)
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My wife has Crohn's Disease and she had a full blown colonoscopy done and she said it was nothing. She was actually awake during it and she still said feeling it poking around wasn't uncomfortable or painful at all. The worst is the laxative mix shit they make you take beforehand, but undiagnosed Crohn's Disease is basically that bad anyway so it wasn't that bad for her.
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Old 08-05-2009, 09:27 AM   #16 (permalink)
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My wife has had several and she has always been knocked out 100% with no clue what happened.
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Old 08-05-2009, 10:05 AM   #17 (permalink)
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The most common drugs are fentynl and versed.

Its a procedure known as conscious sedation. You are awake during the procedure but the combination of the 2 meds has an amnesiac effect. You're awake, but don't remember it. If they knock you out completely, they would have to intubate you to protect your airway.
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Old 08-05-2009, 12:43 PM   #18 (permalink)
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Quote:
Originally Posted by Cynthetiq View Post
you won't feel a thing.

For any of the ones I've had, I think I've had 2, I've also had an Upper GI as well. All times, put under and woke up when they were finished.
You THINK you've had 2? They must really be stealthy if you're not totally certain.
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Old 08-05-2009, 01:39 PM   #19 (permalink)
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You won't feel a thing, but please send me a PM if they find my keys or universal remote.


If by some chance you're having your surgery done at Bridgeport Hospital, request "The Irish Bartender" for your anesthesiologist. Whatever the hell she gave me was the greatest 3 seconds of my life.
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Old 08-05-2009, 02:27 PM   #20 (permalink)
Sitting in a tree
 
Location: Atlanta
It's over. Came home and slept all day. What drug did they use to knock me out?

PROPOFOL FFS.

Oh, the laughs were had when I found out what they were giving me beforehand. :-|
The anesthesiologist tried to crack jokes on how 'MJ was too cheap to have an anesthesiologist present' etc.

Didn't feel a thing. Was out the whole time, except when I started waking up, I felt something in my butt and was like 'UUHHHHHHUUHH' and reached behind me. I remember the nurses saying 'it's ok...it's ok.' And I was out again.

A few biopsies - will know results in 10 days - blah blah etc.

Thanks for the help folks. I now highly recommend colonoscopies to anyone... or something.
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Old 08-05-2009, 02:36 PM   #21 (permalink)
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funny, it sounds like we had the same first experience with colonoscopy, only when I half-woke up I was pretty scared, didn't know where I was, and could feel something writhing there. It was not a pleasant experience and after that I was scared to do it again because I felt a huge amount of distress since I was incoherent and didn't know what was happening to me. I think they should be a lot more careful to make sure either the patient doesn't wake up or that they are awake enough to know what's going on.
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To be our soul and gesture it abroad,
Our hearts are incommunicable still.
In what we show ourselves we are ignored.
The abyss from soul to soul cannot be bridged
By any skill of thought or trick of seeming.
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Old 08-05-2009, 02:44 PM   #22 (permalink)
Sitting in a tree
 
Location: Atlanta
I'll be honest - I was hoping for a much more enjoyable anesthetic experience lol. That would have helped things. But when they were injecting it, my head got all pins n' needles-y and then *clunk* - I was out.

Now that I think about it, I wonder if I woke up during the procedure or if it was when they were finishing up. I'm not sure.

Next time you have one, maybe you should stress what happened to you last time? Like, make sure they give you an extra few mgs. of whatever? My Mom said she had a similar problem - she wasn't out through the procedure at all. She kept asking 'why can I feel that? Why am I not asleep?' etc. I'm deffo glad I was out.
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