Hemorrhoids :: Colonoscopy Before Ligation
May 29, 2014
My husband was referred to a specialist to undergo ligation for internal hemorrhoids using the CRH O'Regan System. They told him they will need to rule out colon cancer before the ligation procedure. He is 39 and has dealt with hemorrhoids since his 20s, no familial history of colon cancer, no anemia or other red flags that he is at risk for cancer. I am more concerned about the colonoscopy than the ligation. Do all physicians require that testing?
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After having sporadic bright red blood in my poop last year, I went to the doctor in late Oct/early Nov. They took a look inside, saw I had a hemorrhoid. I took some vasculera for a couple weeks, started taking fiber daily, drinking water, etc. But every 2-3 months since, the bleeding returns (usually after I've had a stretch where I went 24+ hours without pooping). There is the occasional mild burning back there, but nothing severe. At what point is the rubber band ligation recommended?
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Yesterday I had rubber band ligation and all went well but as at 3am I went to the bathroom and after test that I am in pain and uncomfortable and taken 600 and ibuprofen and still the same and I feel I still have the muscle outside ! What can I do, .
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I'Ve had hemorrhoids my whole life, i'm 35 and overweight and not active. I sit for hours on the toilet and usually only eat meat. I have fast tracked surgery and am now terrified to get it done. My piles have since become a normal part of my life, but every once in awhile ill have flare ups when i eat something i KNOW my bowels don't like, like pork fat or beef fat or if foods were cooked or defrosted improperly, like rotting meat etc. AFter every flarup i usually go through what i ate and i can pinpoint what it is by buying what it is and trying to only eat that product for the day to see how my bowels react. My question is that should I get this surgery done to remove my internal and external piles? I have heard that people lose the ability to control it and my own parents have both had hemorrhoidectomies, and my father has had leakage ever since that surgery. Needless to say hemorrhoids run in my family. I want to be able to eat whatever foods and enjoy my life. I hate having to live in fear of food and how it totally screws my life up for work and play. I just want to live a normal life like all the normal people who eat whatever they want and don't get hemorrhoids. I realise that even when I get the surgery I still cannot eat anything that will cause my bowels to flare up because it will just cause more "new" hemorrhoids to flare up? Proper diet, exercise etc will make sure that I never get them again, but should I get the surgery done? I have had rubber banding done and I had a real bad flareup after it so I booked surgery instead of spending a year of rubber banding my anus. My uncle told my mom that he had the rubber banding done and still had to have surgery because they can come back after the rubber banding! My doctor said that it could take more than 1 surgery to remove them all and I'm terrified at having to have one surgery let alone 2? I'm at a place right now in my life where I can cope and live with it, and live with the flare ups, but i keep wondering that if there is hope i can live a normal life without hemorrhoids, should i take that chance? Please I need help from fellow sufferers of this affliction, or medical professionals. I tried to talk to my surgeon and he wants to continue rubberbanding and then discuss surgery. I then went to see him again to talk about surgery and that I had heard that they can come back even after banding and that I want them removed and never to come back again, and he then said that he can do the surgery and scheduled my hemoroidectomy in 2 weeks. Should i just continue with RBL(rubber band ligation) although painful flareups for two weeks happen afterwards? Should I just keep my surgery appointment and get them cutout and then deal with whatever consequences? Im scared reading about people getting fistula's or puss and bleeding and other complications from surgery which turn their lives into a living hell. living with hemoroids seems much better than having your *** swell up so huge and be constantly painful and having to have more surgeries or procedures to cut and drain the puss from absess's or fistula's that are a result of surgery.
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had the above operation done 5 days ago,i would be very grateful if anyone who has had the same operation would be able to advise me as how long the pain and discomfort will last as i am getting like a contraction type pain in my anas area and when braking wind it is very painful.Going to the toilet for a poo is not normal as i was a one a day person.I Am hoping this will all settle down with time.
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I had two internal hemorrhoids banded yesterday in a painless procedure and painless aftermath. At the Thornhill Endoscopy here in Toronto, they performed a thorough examination by sigmoidoscopy first, to determine that there are no other issues. They then proceeded to band my hemorrhoids. Sedation was offered and which I took - felt awesome as I drifted into a sleep. When I awoke a few minutes later I asked if I was banded and the nurse said yes. I then asked if my rectum was frozen or something and they said no. I couldn't feel the bands. The only sensation is a mild bit (VERY MILD) of fullness - which is what I felt before with the hemorrhoids. I was worried before going in that I could be in a lot of pain, but that is totally not the case - NO PAIN. And they told me that no further banding is needed at this time and that what they did should do the trick.
Their recommendation is no lifting for 2-3 weeks. No bike riding for the same time. To take their over-the-counter prescription of stool softeners for 15 days. DO NOT bear down. Eat a high fiber diet. Otherwise get back to life. And today is day 2 - went shopping, walking and feel totally great. Again, the only sensation is a little tiny bit of fullness, which is normal considering the hemorrhoid has been bandied which makes it swell, until it falls off.
The important thing for me is to ensure that I don't bear down and create a new hemorrhoid, especially over the next couple of weeks.
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I am 20 years old and am due to have a colonoscopy. I cancelled my first appointment as i was so scared and was having night tremors and panic attacks at the thought of it!
Have read so many horrible stories and want to know actually how painful they are?
Would also like to know whether the painkillers and sedation is recommended as i hate needles and don't like the idea of not being aware of whats going on, dont want to feel like i'm not in control.
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I'm having a first colonoscopy soon, and am concerned at the pain aspect, Doctors tell me it is virtually pain free, and I have a history of poor reactions to anaesthetics with previous hospital procedures and Dentists, where they just don't work, anybody else have this problem and how do you overcome it.
I have always told the Doctors who tend to just ignore what I say, I have to assume that any pain relief I get will not work until much later in the day, is this manageable?
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Just came home from a colonoscopy this afternoon and with the experience fresh in my mind -
I thought I'd share my thoughts.
Never having had a colonoscopy before, I was really wound up and worried in the days before the procedure.
The question in my mind was, just how painful is this going to be? Would I be able to deal with it ?...
So on the day - after a delicate conversation with a nurse on the day, I decided to go for entonox with sedation as a backup if things proved too much.
To get to the nitty gritty - So how painful is a colonoscopy? Well there is a difference I believe between pain and discomfort.
During a colonosocopy - With all that endoscope piping inside you, your insides will get thoroughly pushed and pulled, and so your body will be stretched.
The best I can describe it, is that feeling when you're carrying very heavy shopping bags for some time and your arms really really ache. Not pain but potentially a lot of discomfort.
So If you are someone who struggles with any discomfort, then maybe sedation is the way to go.
However- if you're someone who is prepared to put up with some stretching pulling discomfort (again not really pain) then confidently go for entonox.
In the examination room for the procedure, I was handed the mouthpiece and not given any instructions at all. So here is my take...Just take what you need. When you feel a bit of pulling and pushing, just take one or two lungfuls of gas and then breathe normally for 30 seconds or so. Don't take any gas if you are not in any discomfort as it was simply make you feel lightheaded and woozy. Again just take what you need. It kicks in with 20-30 seconds. Gas & Air is really quite *powerful* pain/discomfort relief.
Best advice - The most important thing is to try to relax.
Two reasons :-
1 By consciously trying to relax, it makes it easier for the job to get done, there is less pushing and pulling needed to fight your tense muscles and so therefore is less discomfort.
2 if you really think anything is going to be unpleasant and focus intently on it, your mind will create a sensation despite what is actually happening... A self fulfilling prophecy.
Just listen to the radio and take your mind somewhere else...
In my case, with a few lungfuls of entonox here and there, the whole procedure was very manageable. Important - accept you will have some discomfort, but it really is no worse than overstretched shopping arms...The staff at good Hope Hospital Birmingham were brilliant, and looked after me very well.
So in summary, I found the experience nowhere near as bad as some of the horror stories you read the forums. I suspect it is only when things go wrong, or people just have a bad experience, that views get shared.
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I too am terrified of having a colonoscopy scheduled for this Friday. I have read the different experiences and don't know what to think as the experiences are so varied. Last year I had a flexi sigmoidoscopy without sedation, or pain relief, which was okay - just a bit uncomfortable. A polyps was found and therefore the doctor wants to check for more higher up. But the colonoscopy seems to be more undignified and painful. I do not want to be sedated as (a) I need to keep my memory for work; (b) I do not like being out of control; and (c) I have read some awful experiences of people being sedated. Therefore I am just going to have the pain relief. During the flexi I was embarrassed at the sensation of wind needing to be released and regardless of being told it is part of everyday work for the medics - it is not for me. This adds to the undignified process. So, although intellectually I know that having a colonoscopy will save my life, I am still very worried about the prep, the procedure and of course the results.
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What is this new thing they are doing now?
Last one I had, I had to drink all the bowel prep the night before.
Now, they are doing one on me the 26th of this month(January)
and I am to drink half of it the night before, and I am supposed to get up at 4:00 AM to start drinking the other half (Half Gallon I guess)
Last time I had one, they found a growth, as I had been putting off my colonoscopy, as I was afraid. Plus I do not/Did not have any one to stay after me. I sucks when you don't have anyone around that cares about you, and will stay after you. I told my doctor to stay after me, but she never did. It is really my fault though.
But it is nice if you have some one to stay after you.
Anyways, the growth WAS cancerous, and they had to remove part of my colon, and it had spread to the lymph nodes, so they had to do Chemo, and now I am worried about it coming back, and killing me. Don't put your colonoscopy off if it is due.
Also was anyone allowed to drink less bowel prep because they have part of there colon removed?
I asked the doctor today, but they have to call me back.
I told them I wanted it looked into, and not just told to drink it all.
I did have a hard time drinking it all last time, but that was when I did have the growth in me.
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I thought I'd let you know about my experience of a gastroscopy and colonoscopy with sedation yesterday. I found this web site two days before my procedure and found it really useful.
I was told that I would have to have a gastroscopy and colonoscopy about three weeks ago and I've been so so worried about it ever since. I have a phobia about being sick so the thought of someone sticking a camera down my throat filled me with dread :shock: ....all that retching HELP!
Anyway I got to the hospital and after a short wait a really friendly nurse called me through to an assessment room. She asked me all the usual health questions. I explained to her that I was so anxious and was really worried about the retching and being sick. She explained that there might be some retching as this is the natural protection process to stop you choking.
The nurse said what might help is the anaesthetic throat spray. She also said that the camera had a little suction tube on it so if there was any fluid in your stomach they could suck it away. I asked if they could give me enough sedation to make me sleep, she said that they are only allowed to use so much, but I would be nice and relaxed and may fall asleep.
I was then asked to change into one of those groovy hospital gowns. The Doctor then came to speak to me and went through the consent form. I told him my fears, he was very sympathetic. He then asked me to walk to the endoscopy room. The doctor asked me if I wanted the throat spray, I said yes please! He told me that the spray may make me feel that there was a lump in my throat but I would still be able to breath and swallow normally. He then put a cannula in my arm and tried to put my mind at rest, he then asked me to lie on my left side. The nurse said she had to put a little sponge in my nose, this gave me oxygen. Also she had to put a tube in my mouth this was a type of mouth guard. The Doctor said that he would now be giving the sedation.
I felt myself relax, the next thing I knew the gastroscopy bit was over and they were nearly finished with the colonoscopy bit, with one of the nurses holding my hand. That was quite interesting as I could watch the screen (if I wanted), there was just one slight bit of discomfort, then I was taken back the to recovery area. The nurses said that I had tolerated both procedures really well. I was so relieved that I could not remember any of the gastroscopy...not even one retch :D ! The nurses then brought me tea and biscuits and shortly after was allowed to go home. I just wished I hadn't worried so much, so I hope you don't either!
I would like to thank the Endoscopy staff at DCH for looking after me so well.
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I have had a rectal fistula diagnosed via colonoscopy. I have zero problems with it and would not have known I had it. From the operative report:
"midline anal fistula which was superficial with minimal amount of muscle involved within the fistula".
The surgeon said it should be fixed.
Why can't I just leave it alone? Do these ever go away on their own?
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I recently underwent a colonoscopy procedure, but it had to be aborted because of the pain I experienced during. According to my notes, I had 100ug of Fentanyl and 5mg of Midazolam. I have been scheduled another with 'supported anaesthetic' on the 3rd November.
I'm really anxious about it because, having been told that I won't be put to sleep, just under a very deep sedation, I fear that the sedation won't do anything other than make me a bit 'out of it' while also experiencing the same pain as last time - which was honestly the worst pain of my life, despite giving birth and going through some pretty painful dental problems.
The consultant said the pain was probably due to my small frame, therefore my intestines being somewhat compressed, so given that I haven't suddenly expanded in width i the past 6 weeks, I'm guessing it will be the same this time too (I didn't have any pain or inflammation beforehand that would be accountable)
I've been told that they will basically 'see how things go' this time, only with the support of an anaesthetist in the room who can 'up' the sedation to 20mg instead of the 5 that the nurses are authorised to administer.
I just feel like this is going to be a waste of time and will have to be aborted again, so if anyone has any advice or has been through similar, I'd really like to hear about it.
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I had a colonoscopy 3 days ago as I have Crohns and was awake for the whole thing. I told two nurses beforehand I didn't want to be awake for the procedure. Although I was given pethidine for pain relief there was still a lot of unbearable pain and I was shouting and crying but they just carried on. Afterwards they wanted the bed so I was given a cup of cold water and told to get dressed after about half an hour. As he was passing, the doctor told me he had taken several biopsies and the Crohn's didn't look too bad - then he walked off. I am now having nightmares and palpitations. I went to work yesterday but was sent home after a couple of hours as I couldn't stop shaking. I suffered sexual abuse as a child and this has triggered flashbacks. I can't stop crying. I will never have this test again as I would rather die.
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Chances are you are having your first colonoscopy too like me. I have decided to stop reading everyones stories about their colonoscopy experiences and to write about mine, mainly to stop myself freaking out. So hear goes, today I went to the hospital to collect my bowel prep, 'moviprep' pretty sure someone with a great sense of humour decided to call it that, good old bowel prep or perhaps 'bog hugger' might be more apt. Somehow I don't think a movie with the popcorn will ever be the same for me now. Anyway, spoke to a lovely nurse, who explained how to take the stuff, what I couldn't eat etc and about the procedure, and she didn't sugar coat it. So as I have to be at the hospital for 7.30am on Wednesday, I am allowed breakfast tomorrow before 9am. I can drink clear fluids all day. I have decided to stock up on energy drinks to take throughout the day, nurse said it was ok. I then start the moviprep between 5pm and 7pm, I have to mix a and b sachet in a litre of fluid and drink it, and drink 500ml of clear fluid after. Then I wait or maybe hug the loo, will let you know, loo permitting. Then the leaflet says rest for 2 hours, not sure if their interpretation of rest is the same as mine lol. Anyhow between 9pm and 11pm I have to mix another two sachets in 1 litre of water along with 500ml clear fluid to wash it down. It then says at 11pm or when you stop going to the toilet you can go to bed. MMMh. Well the nurse said as she went through the leaflet with me, "you might find you actually don't stop going to the loo". She then asked me if I had any worries. I said I was worried that I might poop my pants on the way to the hospital, (sorry a bit graphic, but do we all not feel that way). She did say some people do do, and suggested I wear a sanitary pad or the like. I also said I was worried it would hurt, whilst she didn't say it would or wouldn't, she said it could be very uncomfortable and for a few days afterwards too, but it affects everyone differently and that things settle once you get back eating and using the toilet normally again.
I am going to drink plenty of water and have a light diet of toast and eggs for lunch and some plain white rice and chicken tonight as although I wasn't advised to it seems it is better to avoid foods with any fibre in them. Probably have egg and toast for breakfast in the morning, then I am going to keep really busy till 5pm 'D' (for diarrhoea) Day as I am calling it.
I sincerely hope that I am sounding upbeat and chilled about this whole experience, that's my aim. In reality I am scared senseless, (poo less!!! - hopefully I will be by 11pm tomorrow night ha ha).
Because like everyone else not only is there the worry of the procedure there is the worry of what might be found.
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I've been having pain in my right lower abdomen for some time now and did some tests and all seem clear. Today I went to a surgeon who tested me and said all feels very normal. Since my dad had colon cancer at 56 he suggested I do a colonoscopy just to make sure there is nothing. I need to wait till the 20th April and I'm already freaking out. Will they tell me immediately after the colonoscopy if something is wrong? I'm 39 with 2 kids and always assume the worst that I have cancer.
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I had a colonoscopy last week. The dr. had to stop the procedure because of a twisted ascending colon. Now I need to prep again and have a CT scan. Has anyone had this problem? What do I need to know? Is this the cause of all the bloat I am carrying?
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I had a colonoscopy with sedation (midazolam and fentanyl) in Chorley Hospital a few days ago and I still feel as if I had a PTSD. I read the information sheet and expected to be relaxed after sedation, with maybe some discomfort. When I was injected with the drugs (midazolam and fentanyl), I suddenly felt very anxious. I tried to seek reassurance, but the physician was talking to somebody else, busy preparing for gastroscopy. I think it could have helped if somebody asked me how I was at that point. I also had some trouble speaking – I think I was able to speak, but I could not hear myself so it made me feel very strange. Later on I read that difficulty speaking is a side-effect of midazolam. I felt quite intense pain during colonoscopy and the kind student nurse was talking me through it. I recovered well, I think, but I remember the whole procedure (so the amnesia that the leaflet talks about obviously doesn’t happen in every case). Next day I was very irritable and anxious and sick later on.
My main grievance is about lack of information beforehand concerning pain and the nasty side effects of the sedation. The leaflet mentions that you might feel ‘discomfort’. Of course you will feel discomfort – you will have a camera up your bum, what are supposed to feel? There is no ‘may’ about it. However, there is a difference between ‘discomfort’ and ‘pain’ and these words should not be used interchangeably. The leaflet and what you are told by the medical staff makes you believe that you will be drowsy and relaxed while medication works, and then back to normal after. I got quite a shock when I had the anxiety attack after the drug was injected and realized how vulnerable and helpless I was. I was also very unpleasantly surprised at how awful I felt the next day. Had I known this could happen I would have opted for entonox. Unless something changes dramatically in the way they perform colonoscopies, there is no way I’m having another one any time soon.
I would not like to discourage those for whom colonoscopy could be beneficial from having it. However traumatic it is, it is preferable to dying from cancer. However, I think that medical staff are not well trained in empathy (only student nurses seem to have it) and you have to be very assertive with them in order to receive honest information. If you are unlucky enough not to experience post-colonoscopy amnesia, the feeling of being at the mercy of medical people who are inflicting pain on you can be disturbing. It might be preferable to experience the pain whilst being alert and able to speak, and thus having some degree of control.
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Long story shot. On October 11th I woke up and thought I had some sort of stomach bug. I was more nauseous then I have ever been in my life. This continued on for months. I was vomiting a few times a week through till the end of December. I have since been on an upswing and feeling much better still have days were I don't feel great and I never feel quite normal, but I'm eating again and I'm about to get out of bed.
My GI set me up to do a Colonoscopy tomorrow. She wanted to rule out Crohns, but I have none of the typical symptoms of crohns. After doing some extensive research it really seemed unnecessary and, although the risk is very low, could possibly do more harm then good. I can't take antibiotics so even getting something simple to treat like C-diff, a UTI, or yeast infection would not be an easy fix. She wanted me to do an MR Enterography IF the colonoscopy came back clear, but for some reason the nurse scheduled it for last Monday, the results for my stomach, small bowel and colon, "appear unremarkable." And "There is no abnormal bowel wall enhancement, thickening or evidence of bowel obstruction."
I have also had a bunch of other testing done for this:
Gallbladder ultrasound
HIDA scan
Upper endoscopy
CT scan with IV contrast
MR Enterography with oral and IV contrast
A LOT of blood work and repeated blood work
Urinalysis multiple times.
Extensive stool analysis for blood, bacteria, parasites, yeast, beneficial bacteria etc...
Pelvic ultra sound
STI testing
Pap smear
I feel like doing the colonoscopy won't show anything and I want to know what you guys think. And what other avenues I might consider perusing? I have an appointment with an OB/Gyn on the 31st just to see if she has anything to add. I will talk to my GI when I get a chance and she can better explain to me why she thinks the benefits out weigh the risk.
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Do you know if second degree internal hemorrhoids can give a positive FOBT test if you do not have noticeable blood.
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