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Old 11-26-2005, 07:53 AM   #1
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Should I do the Flexible sigmoidoscopy or Colonoscopy?

Hi!
I am a 55 years old man. I have not had any colorectal cancer screening test
for 10 years and have no the symptom now. but my primary doctor wants me
to do the test and referred me to see a specialist doctor. I scheduled an appointment to see this specialist in December 5. I think this doctor may ask me to do Flexible sigmoidoscopy or Colonoscopy , the Colonoscopy will be more sufficient. but the Colonoscopy should be done with sedation and Flexible sigmoidoscopy shouldn’t . My question is,
1) Should I ask to do Colonoscopy or just do what he wants me do to?
I heard some patient did Flexiable first but for some reason has to do
Colonoscopy again.
2) I worry about if the sedation is safe or not. I mean " safe " is that the
Patient will wake up soon without any side effect and no patient couldn't
wake up. I hope I can know this kind of mild sedation’s detail.

Thanks for any advice.

 
Old 11-26-2005, 08:59 AM   #2
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Thumbs up Re: Should I do the Flexible sigmoidoscopy or Colonoscopy?

What is colonoscopy?

It is a safe, effective means of visually examining the full lining of the colon and rectum, using a long, flexible, tubular instrument. It is used to diagnose colon and rectum problems and to perform biopsies and remove colon polyps. Most colonoscopies are done on an outpatient basis with minimal inconvenience and discomfort.
Who should have a colonoscopy?

Your physician may recommend a colonoscopy exam if you have change in bowel habit or bleeding, indicating a possible problem in the colon or rectum.
A colonoscopy is also necessary to:

Check unexplained abdominal symptoms
Check inflammatory bowel disease (colitis)
Verify findings of polyps or tumors located with a barium enema exam
Examine patients who test positive for blood in the stool
Monitor patients with a past history of colon polyps or cancer
How is colonoscopy performed?

The bowel must first be thoroughly cleared of all residue before a colonoscopy. This is done one to two days before the exam as prescribed by your physician.
The colonoscope is inserted and when possible will be advanced to the portion of the colon where the small intestine enters. During a complete examination of the bowel, your physician will remove polyps or take biopsies as necessary.


The entire procedure usually takes less than an hour. There is little pain; however, mild sedation is given when necessary to relieve anxiety and discomfort. Following the colonoscopy, there may be slight discomfort, which quickly improves with the expelling of gas. Most patients can resume their regular diet later that day.
What are the benefits of colonoscopy?

With colonoscopy, it is now possible to detect and remove most polyps without abdominal surgery. Colonoscopy is more accurate than an x-ray exam of the colon to detect polyps or early cancer. Frequently, polyps can be removed at the same time, a major step towards the prevention of colon cancer.



I have had both and with the flex-sig, a polyp was found and the colonoscopy was next. So I feel it is best to get the 'ultimate test' and save yourself from twice having to do some type of prep. I have had 3 colonoscopies in the past 2`1/2 years and the prep was the hardest but it isn't the end of the world.

Good luck and hope I have answered some of your questions.

Dave

 
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Old 11-26-2005, 09:12 AM   #3
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Re: Should I do the Flexible sigmoidoscopy or Colonoscopy?

I would go for the colonoscopy. I have had several(I am 49 yrs old) and in a few I was awake and in some was out cold. The sedation used is not that strong, only enough to relax you a great deal. The anesthetic used for more invasive things such as surgery is a LOT stronger. Just make sure that the anesthetia doctor knows about any allergies you have.

The sigmoidoscope onlys goes as far as the sigmoid colon. The sigmoid colon is that part of the colon attached to the rectum. This is only the last part of the colon so the colonoscopy would roughly cover three or four times more colon than the sigmoidoscope.

 
Old 11-27-2005, 05:59 PM   #4
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Re: Should I do the Flexible sigmoidoscopy or Colonoscopy?

[QUOTE=jaydees]I would go for the colonoscopy. I have had several(I am 49 yrs old) and in a few I was awake and in some was out cold. The sedation used is not that strong, only enough to relax you a great deal. The anesthetic used for more invasive things such as surgery is a LOT stronger. Just make sure that the anesthetia doctor knows about any allergies you have.

I did once colonoscopy 10 years ago, the doctor didn't give to me the sedation.
I felt very unconfortable. I will ask to get a mild sedation if I have a choice.
Can I ask or only the doctor can decide?

Thanks!

Last edited by efang; 11-27-2005 at 06:03 PM.

 
Old 11-27-2005, 07:42 PM   #5
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Re: Should I do the Flexible sigmoidoscopy or Colonoscopy?

Emanuelf:
You can MOST CERTAINLY ask for conscious sedation. Or, if you prefer, they can put you under heavier so you are completely unaware, using propofol, which knocks you out really quickly, and wakes you up very quickly, without the use of a breathing tube or anything. It is your RIGHT to have medication during any procedure. Remember that. I have had multiple colonoscopies, and would NOT have one without medication. I have had it both ways, and to be honest, didn't have a preference either way.

Good Luck,
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Old 11-27-2005, 09:51 PM   #6
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Re: Should I do the Flexible sigmoidoscopy or Colonoscopy?

I have a question and its probably a strange one but when they do the scope I assume you lay on your side. Is it on the left or right? Does it matter?

 
Old 11-28-2005, 07:45 AM   #7
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Re: Should I do the Flexible sigmoidoscopy or Colonoscopy?

Most times you lie on your left side...I have never heard any other way, but I'm sure there's someone out there that will chime in that they had to lie on their right side! Expect to lie on your left. Most gastros agree it doesn't matter. They are trained that way I believe, and anatomically, I think it might make more sense.

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Old 12-03-2005, 08:39 PM   #8
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Re: Should I do the Flexible sigmoidoscopy or Colonoscopy?

Some doctors use a drug called Versed along with Demerol. Versed is a drug that doesn't put you to sleep but cancels out your memory of the event. The Demerol is a pain medication. The doctor can talk to you during the procedure and you may even answer but you won't remember it happening. Go for the colonosopy as it examines the whole colon. The sigmoidosopy only examines the lower part of the colon. It could miss cancer in the remaining part of the colon.

 
Old 12-04-2005, 07:58 AM   #9
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Re: Should I do the Flexible sigmoidoscopy or Colonoscopy?

I'd go for the Colonoscopy. There is really no choice as far as I am concened. As other posters have mentioned the colonoscopy is more thorough.

I laid on my left side.

I had drugs that put me out completely. Have no memories of any of the colonoscopys. No pain at all. Worst part is prepping for it and that is not too bad as long as you are within 15 feet of a toilet.

Good luck and insist on the colonoscopy. The posters here know what they are talking about.

Gary

 
Old 12-04-2005, 08:16 AM   #10
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Re: Should I do the Flexible sigmoidoscopy or Colonoscopy?

Hi Emanuelf!

I just had a colonoscopy on Wednesday.

I had what's called "conscious sedation."

You have only a little nasal cannula (plain ole 02 in your nostrils!). No breathing tubes or other apparatus 'cause you are actually conscious.

They put an IV in your hand or arm. One tiny stick and that's it. If possible, ask for the combination of Demerol + Versed. It's a magical combination where despite being technically "awake," you have absolutely no awareness. I vow, you will be in la-la land! My recollection is that one minute I was trying to concentrate on finishing my sentences :-) and the next minute, my mom was standing there telling me they were all finished!

You do not have the worries of total sedation where you would need an anesthesiologist or anything because you are not "out cold." Yet from a discomfort point of view, there is NONE! I had no sensation of being even touched, "invaded," or anything like it! I wasn't even sore later, despite having a sessile polyp removed during the procedure.

I think you are being really smart to push for a colonoscopy instead of a sig scope. Why go through something twice? From what I've heard, you get little or no sedation with a sig scope, so a colonoscopy -- done right -- is actually EASIER! And so much better in every way. Good for you! Good luck, and don't worry!

Michelle

 
Old 12-04-2005, 03:20 PM   #11
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Re: Should I do the Flexible sigmoidoscopy or Colonoscopy?

Question about this,
The bowel must first be thoroughly cleared of all residue before a colonoscopy. This is done one to two days before the exam as prescribed by your physician.

I like to know how I should do before a colonoscopy, I will be prescribed for clearing the bowel or just use a lubricant only? Do I have a limitation for food one to two days before the exam?

 
Old 12-04-2005, 04:46 PM   #12
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Re: Should I do the Flexible sigmoidoscopy or Colonoscopy?

Here's the "prep" you do with Half-Lytely...it's pretty easy.

The day before your colonoscopy, here's all I did:

a. Eat breakfast - a light meal. That's IT for the day. Other than liquids, and nothing RED!

b. At noon, I took one pill. Think it's called "Reglan." Nothing special happens.

c. At 1:30, I drove home. Good idea to be alone here! You take four tablets with water. They come in the Half-Lytely pack. Wait till "something happens." For me that took a couple hours. That's the actual stool being gotten rid of.

d. Once "movement" happens, begin drinking the Half-Lytely; keep at it till it's gone. It's really not that bad. Stay close to the bathroom! Take a book! This prep sort of "runs through" you, resulting in pretty liquid BM's. You'll feel like you're urinating out the wrong end! Don't worry -- that means you've done a job job.

In the morning, resist the urge for food and get a ride to and from your colonoscopy. Your colon will be squeaky-clean for examination, and you'll be blissfully unaware of the whole process and be able to relax knowing you've gotten the whole picture!

Best of luck and good for you for making the right choice. Hope you'll let us know how things turn out!

Michelle

 
Old 12-04-2005, 07:31 PM   #13
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Re: Should I do the Flexible sigmoidoscopy or Colonoscopy?

Quote:
Originally Posted by Michelle M
Here's the "prep" you do with Half-Lytely...it's pretty easy.

The day before your colonoscopy, here's all I did:

a. Eat breakfast - a light meal. That's IT for the day. Other than liquids, and nothing RED!

b. At noon, I took one pill. Think it's called "Reglan." Nothing special happens.

c. At 1:30, I drove home. Good idea to be alone here! You take four tablets with water. They come in the Half-Lytely pack. Wait till "something happens." For me that took a couple hours. That's the actual stool being gotten rid of.

d. Once "movement" happens, begin drinking the Half-Lytely; keep at it till it's gone. It's really not that bad. Stay close to the bathroom! Take a book! This prep sort of "runs through" you, resulting in pretty liquid BM's. You'll feel like you're urinating out the wrong end! Don't worry -- that means you've done a job job.

In the morning, resist the urge for food and get a ride to and from your colonoscopy. Your colon will be squeaky-clean for examination, and you'll be blissfully unaware of the whole process and be able to relax knowing you've gotten the whole picture!

Best of luck and good for you for making the right choice. Hope you'll let us know how things turn out!

Michelle
Michelle,
I still have some questions, did you eat the lunch and dinner at the day before exim ? because you didn't mention about that. if you took the four tablets at around 1:30 and took a couples hours to wait " movement" happens, can you still take dinner? if you can, what kind of dinner you can take?

 
Old 12-04-2005, 08:37 PM   #14
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Re: Should I do the Flexible sigmoidoscopy or Colonoscopy?

Day before the colonoscopy, breakfast Ok but only a light one.

NO solid food after that and none until the colonoscopy is done.

You may have all the clear liquids you want and indeed you should drink clear apple juice, Gatorade type drinks, clear soup broth (NO NOODLES OR VEGGIES) and water.

Do NOT plan on going anywhere after taking the prep. Buy a magazine, you will be spending a lot of the next few hours in the smallest room in your house it will do to have something to read.

 
Old 12-04-2005, 08:38 PM   #15
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Re: Should I do the Flexible sigmoidoscopy or Colonoscopy?

BTW a prep can cause you to actually lose a pound or two but that's about it and you will put that back on in the next few days.

 
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