He wanted to immediatly do a colonoscopy…I’m only 20 and I heard theres other ways to see that area that aren’t as major or invasive as this exam. I heard they can use a CT scan or a Barium Enema…is this true? I’ve heard horrible stories of colonoscopies going badly…skin inside can be torn and made worse, and people feeling pain from not being sedated enough
Hi Sarah-Jane Here
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One Response
GoleeMD
2010 Jul 24 1I’m just going to copy and paste my answer to the question you posted yesterday…
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There are some other options, but none are any more pleasant. At least for the colonoscopy you get happy drugs to knock you out. Colonoscopy is not without risk, but in the hands of an experienced gastroenterologist it is quite safe.
That being said, your other options are a barium enema with air contrast and CT colonography. The barium enema, which also involves a tube up the bottom (though not as far as the scope goes obviously), and being pumped full of barium and air. As someone who performs this procedure on patients on a regular basis, I can tell you that it is usually VERY uncomfortable, and we do them without any sedation. The CT colonography requires you to go through the same miserable bowel prep that the colonoscopy does (well, the barium enema too), and there’s also the tube up the bottom to pump you full of air. That’s the uncomfortable part.
So really, none of these options are too pleasant, but if it were me, I’d opt for the colonoscopy. It’s usually more thorough than the other studies and you get knocked out for most of it. Good luck!
P.S. One other option is to ask your doctor what exactly they are looking for if they already know you have hemorrhoids. The only thing I can think of at your age is if they’re looking for AVM’s (arteriovenous malformations, which are collections of little blood vessels in the mucosa that can bleed) in addition to the hemorrhoids. If that’s the case, then you pretty much need the colonoscopy because the other studies won’t see those. If they don’t really know what they’re looking for but just want to do it to make sure they’re not missing anything, you can always refuse to have it done. You have that right. I’d still do it though.
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