Colonoscopy done!

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manonash
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Colonoscopy done!

Post by manonash »

Today I had a colonoscopy and endoscopy with biopsies. Don't remember a thing from any of it. They used versed and I believe demerol. One thing was though I woke up in the recovery room with someone drawing my blood for a repeat thyroid test I hadn't requested. Hubby told me that I had gone mildly tachycardic during the procedure and stayed that way. 124 - 138bps. Now I have something else to obsess over. Am getting the fT4 this time though. Any ideas on what can cause this to happen under sedation? I usually have a resting pulse about 70.

Said my biopsies would be back in a few days.
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tex
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Post by tex »

At least you've got that procedure behind you now. That seems kind of unusual to be drawing blood from a patient in the recovery room, but probably they suspected that something might be present that wasn't there when they did the previous blood tests. They may suspect hyperthyroidism, in connection with the tachycardia during the endoscopy exam.

Apparently, though, upper gastrointestinal endoscopy is often accompanied by tachycardia , so what you experienced is not a particularly rare event. I don't believe that the reason for this phenomenon is known, but it's "thought" to be due to the endocrine response to endoscopy.

Again, in your case, this might be connected with a possible hypothalamus issue that I mentioned previously, since the hypothalamus is in charge of endocrine response.

Please let us know how all the test results turn out.

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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manonash
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Post by manonash »

I'm glad it's over too :). According to my husband, he'd never seen a stomach and colon as clean and pretty as mine. That just astonishes me because I thought sure there would be some inflammation or something.

I've looked up a little on the hypthalamus and there is so much it does, that I'm a little confused, because it could also be any one of the organs it affects causing the problems too.

I think with the thyroid thing he could have also suspected hypothyroid. I believe versed tends to cause a decrease in blood pressure and cardiac output which can then increase the heart rate as a result. Of course anemia and hypovolemia could cause the same I would guess.

This versed is the weirdest stuff. I've never had an amnesiac drug before. I've been told I had a conversation with the doc and I don't remember any of it. It makes me wonder if I really underwent a painful thing and just don't remember.
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Post by tex »

That's why they call it microscopic colitis. Unless you really know what to look for, you won't notice any inflammation at all, during the colonosopy.

Yes, the hypothalamus - pituitary - adrenal complex works together, and a few tests, and someone who knows how to properly interpret them, are necessary in order to analyze any problems.

You're right, of course, low BP, especially if it's caused by hypovolemia, can cause tachycardia, also, but I would think that normally, something like that should show up at other times, and not just under sedation.

I'm not familiar with versed, but I suppose that's what they gave me during my colonoscopy, also, because the doc told me that I would be able to answer questions, but wouldn't remember a thing, afterwards. I told him that it wouldn't work on me, but of course, he didn't believe me. After the exam, though, I was able to recall everything that both of us had said, and everything that I had watched on the monitor screen. Most meds didn't have any affect on me, during that part of my life, for some reason or other.

I can assure you, you did indeed just go through a painful exam, two of them, in fact.

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Post by katinchatt »

Hi Shonda,

I'm glad all that is now behind you. Hopefully this time next week, you'll be armed with all the results, and on your way to wellness. It is intersting how many of us have Thyroid issues. I don't know the percentage, but it appears to be above and beyond most "average" statistics. Yes, it's amazing how lovely our colons really are, considering what we put them through, or through them I should say :grin:

Just wanted to let you know I'm thinking about you. Keep us, up-to-date on your tests!
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Post by manonash »

I need to go have a CBC drawn (if I'da been concious enough yesterday to know what was going on I'da asked for it then) to see about the anemia thing. I usually have pretty low BP most of the time anyway and get light headed upon standing up pretty often too. I have cold extremities. I've noticed that when I get in a very warm shower (which I like to do often to feel warmer), I think clearer. I've also noticed that despite feeling warmer right after the hot shower, my body temp has actually dropped. Not sure if that would be symptomatic of hypovolemia or not.

I've been doing a little reading about Versed this morning and am a little freaked out. I'm a little leary to use again in the future. I'm a bit of a control freak and don't like this feeling I've forgotten something I should remember. Apparently, there are people who have horrible experiences with this drug and insensitive GI docs counting on it's amnesiac effects. The idea of being put through intense pain and just hoping people won't remember seems a little barbaric. I saw the recommendation to ask for the propofol and fentanyl next time. Anyone know anything about these? I also saw where some ask for a pedi scope too as it makes the turns easier.

My side really hurts this morning, in the same place it sometimes hurts at other times. Not sure if it's from the procedure or from the applejuice I drank. Funny thing, I'm not hungry and don't really want to eat. I've been fasting now for 48hrs other than some apple juice yesterday afternoon. Not sure what to make of that.
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tex
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Post by tex »

I'm not sure where the pain originates during a colonoscopy, anyway, because according to the "rules", there are no nerve endings in the intestines. That implies that the pain must originate from the outer walls of the colon. I can assure you though, that pain is triggered during the exam, because as I mentioned, meds had no affect on me during the period of my life when I had a colonoscopy, and a few other GI exams, and that included pain meds.

If you are saying that after a warm shower, your body temp actually drops to a level lower than it was before the shower, I would think that suggests a temperature regulation issue in your hypothalamus, rather than an effect of hypovolemia.

IMO, docs do a lot of barbaric things, in the name of medicine, based on the assumption that the end justifies the means, (their assumption, not necessarily anyone else's).

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Post by katinchatt »

Hi Shonda,
I'm a bit of a control freak and don't like this feeling I've forgotten something I should remember.

Actually the entire subject of being "put to sleep" is a little creepy when you think about it. However, those instances are actually pretty rare and unfortunately it really is a necessary evil, trust me you wouldn't want to know or experience it. Many years ago I had a Sigmoidoscopy done, with nothing what so ever. It ranks right up there with childbirth!

Since my scopes were done just over a month ago, I too remember not wanting to eat for a couple of days afterwards. Honestly, I was a tad scared because I didn't want the vicious cycle of D to return! Once you get your stamina back (from lack of food) your appeitite should return, but for now just make sure you keep fluids in you. Can you drink Ensure? I lived on those for a couple of days, they help - if you can tolerate them.

If the pain you are feeling is something you have felt previous to your scope I wouldn't worry about it. There is a real chance the tube maybe aggravated it (depending on where it is) but again, if it was there before, and the Doctor didn't state that he saw anything extraordinary, I wouldn't worry about. However if it get's worse, definitely call your Doctor.
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manonash
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Post by manonash »

Thanks Kat. We must have been posting about the same time. I don't like Ensure. I actually did finally eat a little something. I think I have a similar fear that food will bring the pain again. Don't know why I'm worried about it though, my side already hurts.

Tex,I know that those with adrenal fatigue can have problems with temp regulation as well. That all affects the HPA axis. I've never been tested, but I'm pretty sure I have some amount of adrenal fatigue.


Now I'm really confused. I've read conflicting things about versed's effects on the cardiovascular system. some say it should lower blood pressure and increase heart rate, but others say it should lower heart rate. Maybe I'm wrong and they didn't give me the versed, but I doubt it. It's part of the gold standard cocktail usually used. It seems that the demerol usually does control most of the pain and the stories of people screaming on the table are actually pretty rare. I hope this is the case. I hope I wasn't lying there in pain for 30mins and just can't remember it. Seems there are many who ask for demerol only and no versed. I can handle some mild discomfort if that's what I'd be left with with the demerol only.

That's interesting about where the pain is triggered. Could the scope cause the colon to spasm?

Today I'm feeling particulary aggitated and fearful. Not sure if it's my normal OCD type stuff or the medications. arggghhh.
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:lol: CDO, the way it is supposed to be. :lol:
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tex
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Post by tex »

Apparently a scope exam can indeed cause the colon to spasm, because I can recall at least one member who was told by her GI doc that he had to stop the exam, because of that problem. If my memory is not playing tricks on me, that happened to Mars.

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Post by kate_ce1995 »

I'm with you on the versed. I had it when I had my hysterectomy and I literally remember everything right up to the guy administering meds into my IV actually administering the meds. The next thing I remember was about 6 hours later, waking up in my room in the hospital. I have no recollection of going to surgery, waking up in recovery, which I assume I did, or being wheeled up to my room. I didn't like that feeling either.

Glad it's behind you thought and hope you get some results that help you get back to wellness.
Katy
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