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Zim
20-07-15, 10:00
Hi there fellow sufferers :D

I just thought I'd share my experience of the flexible sigmoidoscopy which I had to undergo around 3 weeks ago.

First of all, I have been suffering from more frequent, looser stools for around 6 months. Paying extra attention to them, I noticed large amounts of mucus which were present nearly every time. I also noticed spots of blood after wiping, had excessive gas, bloating and suffered almost unbearable abdominal pain at times.

Naturally, with my HA being at its worst, I was convinced that I had contracted bowel/colon cancer or at the very least, a parasitic worm infestation. :doh:

Due to my age (23), the GP and Gastroenterologist assured me that the chances of having colon cancer was extremely slim but to put my mind at rest, they suggested a flexible sigmoidoscopy. I agreed that this may reduce some of my anxiety and decided to go ahead with it.

A few weeks later, I received my preparation pack which had procedure information booklets, diet instructions and the dreaded Picolax laxatives. :blush:

The low fibre diet was definitely not my idea of a good time. The day before the procedure, I had the suggested two pieces of toast and two poached eggs at midday and was not allowed to eat anything else until after the sigmoidoscopy the next day. This was definitely a minor form of torture. :weep:

The laxatives were definitely the worst part of the entire experience. I was going to the toilet and passing liquid constantly, all day. if I ate or drank anything, it immediately came back out. I suggest that some of you take the advice in the booklet (which I didn't) and administer some cream below to avoid burning and bleeding. I went to the toilet 36 times and it really did sting to wipe. :scared11:

When I arrived in the waiting room, I wasn't particularly anxious. During my pre-assessment with a nurse, I was given the option to have a sedative or Entonox gas. I opted for the gas, knowing that the recovery time is much quicker and I would be able to leave sooner (Not a fan of hospitals).

It's worth noting here that I actually found it extremely difficult to work out how to wear the gown I was given. :wacko: It had a section which you wrap around your front and a section that you wear on your back like a normal gown. For the life of me, I couldn't master it and after attempting for several minutes, I wandered aimlessly around the hospital corridors until a Doctor asked if I was lost. :doh: I explained my situation and she said that this was actually a common occurrence and showed me how to wear the gown properly. I felt like a 2 year old again. :D

It was only after laying on the hospital bed in the operating theatre (on my left side as instructed) that my anxiety levels began to fluctuate a little. I saw all the machinery and had that sudden thought of 'This just got a little too real'. The Doctor and his assistants did a good job of putting my mind at ease by distracting me and asking me personal questions about my job and education etc.

I was told that I would feel a cold sensation below when the doctor administered the initial lubrication. It was at this stage that I noticed the monitor in front of me which was the live camera feed from the sigmoidoscope. :huh:

While distracting me by talking about my surname, the Doctor proceeded to enter the back passage with the sigmoidoscope (about the thickness of an index finger). For the first 20 seconds or so, I was totally calm and the sensation was mild. It was very odd looking at the monitor because I could actually see into my own bowels. :D All of a sudden, I felt the discomfort that is often described. I think if I was being filmed, my face went from :unsure: to :scared15: during this stage. Now, don't let this scare you. It wasn't pain that I was experiencing, I promise. It was simply a very odd sensation, not particularly pleasant. I had a few self administered breaths of Entonox gas throughout the 5 minute (A lot shorter than I had imagined) procedure, no more than 4. I also had 6 random biopsies taken from different areas of the sigmoid colon. This was not painful either but it did feel like a slight tugging sensation and the Doctor explained that this bit was probably the worst for most patients.

I thanked my Doctor as I was wheeled out into the recovery area. After having my heart BPM monitored, I was told to get dressed in my own time. I noticed quite a lot of leaking lubrication from the back passage when I finally stood up. Although embarrassing, this was obviously normal as there were tissue boxes in my curtained area.

After getting dressed, I felt absolutely fine and had no discomfort. I was now looking forward to my first proper meal in 3 days. McDonald's it was. :yahoo:
It was probably the nicest McDonald's I've ever had and I could have set a World record with the short time I required to demolish it. :yesyes:

When I arrived home, I went to the toilet and passed quite a significant amount of blood and mucus. Although this made me extremely panicky and alarmed, I was assured by family members that this was obviously going to happen as I had had biopsies taken. I still thought I might be the 1 in 3000 (the Doctor explained this to me) who experience a tear in the colon after the procedure and closely monitored my stool in the next few days. Smaller amounts of blood and the occasional abdominal ache were present for the next few days but this subsided and is totally gone now.

Nothing remotely suspicious had been spotted during the procedure and I'm still waiting for confirmation about the biopsies but I'm not anxious at all regarding this. I am however, still suffering from severe HA regarding other physical symptoms but I'm not going to go into those here.

If you have read this, I hope it has explained a bit about the procedure and what to expect and in turn, has assured some of you that it is nowhere near as scary or painful as you think it might be. If it will ease your mind even slightly, I suggest going through with the procedure (after consulting your GP/Gastroenterologist). Do not cancel due to fear. I know firsthand, that this is easier said than done but facing your fears will help you, I promise. It positively helped me.

Good luck. :)

nomorepanic
20-07-15, 13:07
Thanks for sharing that with us Zim

Pepperpot
22-07-15, 21:14
Can I add my experience to this please?
I had a flexible sigmoidoscopy 2 weeks ago. I wasn't offered a sedative. I lay on my side and the doctor inserted something (finger or tube, unsure what but it was uncomfortable not painful) and started squeezing air up there. Now, it wasn't painful don't get me wrong, but, and I don't want to scare anyone, I felt ill. The nurse said the air can press against nerves and make you feel temporarily poorly, and she wasn't wrong. I was hooked up to the heart rate machine and it started beeping which gave me a fright, and I felt hot and like I was about to pass out. As soon as the procedure stopped (which was no more than 10m) the feelings passed. I just wanted to share this as the previous poster had a sedative, and on my paperwork it said that sedatives are not usually offered with this procedure so maybe if you are frightened then ask for one before you go in. I know different Health authorities are different, but just in case.

Zim
22-07-15, 23:25
Hi there Pepperpot. Welcome to NMP. :)

Your addition is very welcome. I'm sorry to hear about your nausea but it's a good idea to give others a heads up that this may be the case for them.

Like you, my booklets said sedatives weren't usually used for the procedure but could be requested. I didn't have the sedative though, instead opting for the Entonox gas and in all honesty, it didn't make me feel any different at all. Maybe I didn't have enough. :D

Enjoy your time here, Pepperpot.

Nicola - You're welcome. Thought it might help a few members out who are debating whether to go through with the procedure.

Pepperpot
23-07-15, 12:56
Hi, I wasn't even offered the gas :(

Yes it's a good idea to share theses experiences because I was so scared for mine and couldn't really find much info. However, I refused to go for the colonoscopy as they told me I need a sedative and due to me feeling so ill without one im terrified lol x

Zim
24-07-15, 19:14
Just an update incase anybody was interested, I received my biopsy results in the post and everything was normal. Now I've got to accept that it is only IBS and attempt to deal with my other symptoms, accepting that anxiety has more than likely caused them. :D

puzzledlass
04-08-15, 02:43
Thank you for this :) I have one coming up in a couple of weeks so was good to get a rundown.

Pepperpot
04-08-15, 08:47
Thank you for this :) I have one coming up in a couple of weeks so was good to get a rundown.

Make sure to add you experience here too :)

Zim
04-08-15, 08:57
PuzzledLass, no problem :)

Glad it helped in some way or other. You'll be fine, as I say. I was expecting the worst as we usually do when suffering from anxiety and it was totally unnecessary for me to be worried because it was short and painless. Good luck. I'm sure it will go well for you. :)

Hi again, Pepperpot. How are you? Yeah. As Pepperpot suggested, you should share your experience as well. :yesyes:

unsure_about_this
19-08-15, 15:01
Zim post about the gown reminds me about when I had the sigmoidoscopy 2 years ago I struggled with the gown. I also had the gas

I remember having the leaflet which my parents read to make sure I did the prep properly as I needed help making it.

The team which did the scan was very good, who helped calm me down, made sure my breathing was controlled. explained what happening about coldness, finger
I also was a bit scared about looking at the screen at the start, but managed it halfway through was amazed what I was seeing. I did get told any time it was painful to say stop (I did tap out at one point) because it was painful but managed for them to complete. nothing was removed from my bowel.

I did need a few scans during the next six months because as possibly small pouch was seen during the sigmoidoscopy scan which could have needed keyhole, but in the end it was not needed. I also suffered from NF so as well as my abdominal pain and my fear of bowel cancer so a lump could have been causing the pain.

After it was finished I got walked back to the changing rooms and told to put the plastic pants in the bin, gown in the bag and get ready in my own time, once finished got taken somewhere else just to fill out some paperwork, took back to my Dad in the waiting room.

After not eating much during the weekend was grateful for a nice breakfast of toast and butter.

puzzledlass
09-09-15, 02:02
My prep seems to be a bit different, I can't eat 4 hours before procedure and nurse administers the enema.

It's tomorrow = freaked out!

ricardo
09-09-15, 07:01
I was on the dreaded waiting list and my letter from the specialist said she would see me again in 3 months time after my initial examination of a scope just put up the bum to look at the colon(as 80% of cancers start there).
After nearly 6 months I had heard nothing and the dreaded waiting/apprehension was building up so I just phoned out patients department for the appropriate dept and got an appointment 9 days later.

The only prep I had and I must add my appointment was 8.00 a.m. was that I couldn't eat or drink anything that morning,except take my medication.

When I arrived at the hospital and was led to the appropriate ward there were at least 24 cubicles with their own toilet and I was the only one there.The nurses were absolutely great,asked various questions, gave me the enema for the Flexi, waited an hour and the doctor came to see me and then the procedure took 5 minutes and I didn't feel a thing, and everything was fine.

The nurses gave me a cup of tea and a biscuit and never rushed me.I wrote afterwards to say how pleasant they had been but in the back of my mind I kept wondering why I had to wait 6 months and then during the 2 hours I was there not one other person was admitted.(That was exactly 3 weeks ago)