DallasDMac
Footballguy
Endoscopy.
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Colonoscopy preparation today..... (1 Viewer)
- Thread starter HERBERT THE HIPPO
- Start date
soothsayer
Footballguy
90 minutes from check-in for my first colonoscopy. Sutab prep was fine. Was very worried about crapping my pants going into this and...well...I did it once. This morning (stage 2 of prep) I was standing up from the toilet and pulling my shorts up when I suddenly felt nauseous. I gagged which turned into a cough and the rest is history. Thankfully it wasn't much and the fabric of my undies contained it. Still sucked.
So far oddly at ease going into the procedure, even though my only other experience with this kind of thing was horrific. Coming out of knee surgery in the late 80s I got so sick from the anesthesia. I keep hearing they use different drugs now though so hoping for the best.
So far oddly at ease going into the procedure, even though my only other experience with this kind of thing was horrific. Coming out of knee surgery in the late 80s I got so sick from the anesthesia. I keep hearing they use different drugs now though so hoping for the best.
General Malaise
Footballguy
My biggest fear is the need to poop from leaving my house to the arrival of the procedure and then during the procedure. I'm going to stop eating a week before.
urbanhack
Fight The Power!
I accidentally ate the day before when I wasn't supposed to based on my instructions. But I eliminated everything before I got to the dr. office. I felt like more liquid was going to come out, but it didn't and everything turned out fine.
Also just got my results back. All clear. None for me for another 10 years.
Ministry of Pain
Footballguy
One of the best and easiest procedures I ever had done. Looking forward to the next one.
-It really can help you achieve a new lifestyle of health. Once you empty out your tummy and you get a feel for what it's like to not be weighed down by all that crummy food you keep stuffing in your mouth, it's a very empowering.
-Most of the poop will be gone the night before @General Malaise and you're going to feel like a rock star after.
That 1st meal, that first bit of food going down into a totally empty stomach is quite a feeling.
Don't be afraid, run to have this procedure done and be thankful you don't put it off another day. It's like going to the dentist when you haven't been for a long long time and afterwards you kick yourself for not keeping up with it.
They are going to sedate you or put you under, when you wake up at least 1 nurse and maybe 2 or 3 will be getting you back into reality and consciousness
I wanted a full physical from these heavenly nurses but my wishes were not fulfilled.
You will float out of the doctor's office or hospital afterwards, there's really nothing to be afraid of.
It's nothing like what we warned about in the 80s by Dennis Wolfberg
www.youtube.com
www.youtube.com
The 2nd one I find funnier because of a slightly larger audience although you need to move forward about 1:40 to get to the topic
"I've got the Chrysler building in me, she's worried about other patients."
-It really can help you achieve a new lifestyle of health. Once you empty out your tummy and you get a feel for what it's like to not be weighed down by all that crummy food you keep stuffing in your mouth, it's a very empowering.
-Most of the poop will be gone the night before @General Malaise and you're going to feel like a rock star after.
That 1st meal, that first bit of food going down into a totally empty stomach is quite a feeling.
Don't be afraid, run to have this procedure done and be thankful you don't put it off another day. It's like going to the dentist when you haven't been for a long long time and afterwards you kick yourself for not keeping up with it.
They are going to sedate you or put you under, when you wake up at least 1 nurse and maybe 2 or 3 will be getting you back into reality and consciousness
I wanted a full physical from these heavenly nurses but my wishes were not fulfilled.
You will float out of the doctor's office or hospital afterwards, there's really nothing to be afraid of.
It's nothing like what we warned about in the 80s by Dennis Wolfberg
Dennis Wolfberg - "The Rigid Sigmoidoscopy"
This guy was hilarious. I cannot imagine a funnier description of a more painful procedure. RIP, Dennis.
www.youtube.com
Dennis Wolfberg - One Night Stand (3 of 3)
Dennis Wolfberg 'One Night Stand" part 3 of 3
www.youtube.com
The 2nd one I find funnier because of a slightly larger audience although you need to move forward about 1:40 to get to the topic
"I've got the Chrysler building in me, she's worried about other patients."
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soothsayer
Footballguy
Procedure was yesterday. Observations and results:
- My sphincter was pretty raw by the end of the 2nd prep session. I used flushable wipes the entire time but that didn't prevent my soreness.
- The clinic I was at ran like a well-oiled machine. Walked in the door, checked-in, went to prep room and was in for the procedure within 10 minutes. This was helpful given my level of anxiety around the IV and anesthesia. It also helped that the nurses and doc were very nice - that helped put me at ease a bit. In and out of the clinic within little over an hour.
- I 100% assumed I'd be knocked out, but was given "conscious sedation", so I was awake throughout the procedure. Even so, I was only occasionally interested or aware. There were a couple points where I remember feeling significant pressure and/or pain (that felt kind of like cramping) but it was fleeting and my interest in it was negligible.
- The only thing I remember hearing anyone say during the entire procedure (which is evidence that the drugs worked) is at one point the doctor said something about a "tattoo". I now know, because I researched it, that he tattooed the inside of my colon where a "larger" polyp was removed.
- When I left the clinic I didn't feel like I had my balance, so they wheeled me out instead of letting me walk. Chose Raisin' Canes for my first meal and then took a 2 hour nap.
- A total of four polyps were removed which isn't abnormal I guess. One of them was a big enough that they used the tattoo process - which has me worried about pathology. They told me it can take up to 2 weeks for biopsy results to come back. I've had basal cell skin cancer on 4 different occasions - for which they've always downplayed any long-term concern - and I'm anxious about getting these results and it's weighing on me.
I'm not an expert, as this was my first colonoscopy, but happy to answer any questions if it would be helpful to someone.
Terminalxylem
Footballguy
Endoscopy = camera inserted into the body, usually through a naturally occurring orifice.
Esophagogastroduodenoscopy, AKA EGD, or “upper” endoscopy = camera inserted into esophagus, stomach and duodenum (first part of small intestine).
Terminalxylem
Footballguy
Shouldn’t take any longer by virtue of being in the hospital, unless the GI doc or anesthesia person gets diverted to an emergent procedure (unlikely).
DA RAIDERS
Footballguy
Where was this sweet talk in the gondola?
Ptomaine
Footballguy
I forgot to check back after my procedure. That over the counter prep of Bisacodyl laxative pills and Miralax in Gatorade worked like a dream. Much less disgusting taste and it was a better clean out than the prescription prep I had used in the past. The photos they gave me showed everything clean as a whistle. Five polyps removed this time. I had four the last time. They want me back in three years for another go round.
Terminalxylem
Footballguy
Sorry, orificial chat is strictly après-ski. FTR, wifey’s safe word is rhaphanidosis.
My first colonoscopy next week. I am not worried about the procedure or the prep. However, my appointment is for 1pm. Apparently I am the 1st appt of the day. Is it normal to do colonoscopies so late in the day? I dont know how I am going to not eat for a full day and a half. Any advice for not being starving? Also, can I go straight from colonoscopy to eat lunch but I am going to be starving?
Dezbelief
Footballguy
I had mine recently at 3PM. The "clear liquids" included black coffee which I find filling. I'm one of the lucky ones that coffee on an empty stomach doesn't cause problems. I had my timing down to the minute on last meal and last sip of fluid. I didn't ever feel hungry, YMMV.
You can eat immediately afterwards.
snogger
Footballguy
I mixed in some vegetable broth.. After 2 bowls Jell-O I was done with that... Next time I'll eat Jell-O will be in 3 years when I have to go through this again.
Senor Schmutzig
Footballguy
Mine was at 1p also. Didn't really have any issues with being hungry. Had some jello, some broth.....a 7-up maybe the night before. It was fine.
Ministry of Pain
Footballguy
Great opp to make amends and peace, I know I irritated you with one of my posts in the middle of the season in the SP, for that my apologies
-Good luck next week
-I usually like to schedule them early or no later than 10am, 1 pm is a little late
-Any way you can stay up later the night before and sleep in later? That might throw sleep pattern off though
If you have ever done a cleanse for 2-3 days, you should be fine. If you haven't I think you'll enjoy the new experience.
Cheers!
3 hour lunch
Footballguy
Have mine in a month. Looking forward to waking up at 3 am to drink the rest of the colon blow for my 9 am appt
For my prep they told me to drink a cup of the solution every 15 minutes until complete and I am supposed to start the prep at 4pm. Then I have to take 2 Dulcolax at 8pm. Nothing else after that and I have a 1pm appt. I wonder why the prep is so different.
Rustoleum
Footballguy
There are about three different preps I’ve seen and no idea why or if insurance matters, doctor‘s preference, etc.
1. The “big” jug that you have to continually drink like you describe.
2. Two smaller drinks, one the evening before with two dulcolax, the second early the morning of. (This is what I had)
3. An all over the counter one which I think is described upthrdad.
All I know is I may never eat chicken broth again…(think i had two jello cups, broth, and a sprite on my liquid diet day).
soothsayer
Footballguy
Mine was at 1:30 PM and using the Sutab prep, the timing was actually pretty great. First round of pills in the evening and the second round in the morning. Eating by 3 PM. I know that I was hungry, but honestly the way the cleanse made me feel I wasn't too keen on eating anyway. I need to have another one in one year and I'll try to get the early afternoon appointment again.
soothsayer
Footballguy
Just to close the loop on this, one of the large polyps was pre-cancerous. By having it identified and removed, the procedure saved me from a colon cancer diagnosis in the not-too distant future. Because of this I need to go back in one year for another colonoscopy. I'm not happy I have to do that again so soon but grateful for preventative medicine. If you are of age and hesitating to schedule your procedure, please do it. If I had waited longer the results could have been devastating.
Rustoleum
Footballguy
I think that might be pushing it. I think by “24” hrs they really mean get a normal nights sleep and go back to normal. I don’t even remember most of the first three hours after my procedure and I would bet I was much less alert and “with it“ for most of the day.
My procedure was at 10 AM. I went to work the next morning so I guess I was driving 21 hours later.
Dezbelief
Footballguy
I waited until the next morning too, and was less than 24 hours.
I'm sure the 24 hour rule is enough for the most extreme cases and covers everyone legally.
offdee
Footballguy
Should've gotten on the bidet train Chief.
Dezbelief
Footballguy
The recommendation changed from 50 yo to 45 yo, but most doctors around here are unaware. It's probably time, just to make sure you're alright.
AAABatteries
Footballguy
New recommendation is 45 so lube up my good man
Terminalxylem
Footballguy
It’s doctor preference. And it’s not a perfect science. You just need to flush your system several hours before they insert the scope. Since everyone’s gut transit time is a little different, they err on the side of starting the prep early, giving excessive laxatives, and keeping you nothing by mouth longer than necessary.
I started my prep with 4 Dulcolax, and my bowel movements were clear a couple hours later, but I still went through the rest of the Miralax/Gatorade. I‘d much rather do that than risk a poor prep/need to be rescoped.
Terminalxylem
Footballguy
Depends on the sedative they use, but 6 hours is likely too early regardless. Surely you can arrange alternative transportation for your son?
Terminalxylem
Footballguy
You won’t starve. But considering you‘re worrying about it in advance, there’s a high likelihood you’ll feel like you are.
I fasted the entire day before the procedure, and believe it made the prep easier. Since most people think the prep is the worst part of the process, I wouldn’t invest much energy on anticipatory hunger.
Terminalxylem
Footballguy
Yeah, it’s 45. And I‘d consider moving to a place where most doctors keep up with preventative health guidance.
I'm also a coach. I'll see how I feel.
Terminalxylem
Footballguy
If you feel poorly, do they have replacements available at the drop of a hat?
You may feel fine, but I’d plan on not going.
ETA And whether you feel good or not, I wouldn’t drive while potentially still under the influence of sedatives.
bigbottom
Footballguy
For what it’s worth, I drove about 4.5 hours after mine and was totally fine. I was on propofol for the procedure. I was alert with my wits completely about me maybe within five minutes of coming to. Handled an important work call while I was in recovery within ten minutes of coming to.
Terminalxylem
Footballguy
Propofol has an extremely short half life (the time which takes for half the drug to be metabolized), like maybe a few minutes. It is not the standard used in most endoscopies though; Fentanyl + Versed are. Their half lives are quite a bit longer, several hours for fentanyl.
Keerock
Footballguy
To be fair though, you are basically Superman.
snogger
Footballguy
Yea, they changed it recently.. Used to be 5 as they found 1 5 years ago. This time they found 4 so back I go in 3.
Terminalxylem
Footballguy
Interesting that many of you are getting propofol. Did you discuss the type of sedation pre-procedure?
MTskibum
Footballguy
No, I have no idea of the sedative, but i was up pretty quick after the procedure.
No they just told me. They even made a Michael Jackson joke.
Terminalxylem
Footballguy
Propofol is rapid onset, moderately deep sedation that wears off quickly. It requires more intense monitoring, often including an anesthetist or anesthesiologist.
While it’s safe and effective, it’s not the first line recommended by the American Society for Gastrointestinal Endoscopy. That’s probably because it usually incurs more expense, with roughly equivalent safety and outcomes, in comparison to conscious sedation with a benzodiazepine + opioid.
Historically, you’d see it used for patients receiving “VIP” care (not necessarily a good thing). But maybe that is changing
