FROM OUR EXPERTS
It is inevitable; at some point you are going to need an upper endoscopy and/or colonoscopy. Many people fear the discomfort that they anticipate will accompany these procedures. Additionally, weight-loss surgery patients are concerned about their ability to complete the bowel prep owing to their altered anatomy.
The good news is that it is easy to undergo these procedures, even if you’ve had gastric bypass. I was awfully afraid of the pain of – let’s be really honest here – having a device inserted into my bum and pushed all the way through to my small bowel. I also was nearly deathly afraid of being put under anesthesia.
Let me allay any concerns that you have. Speaking from my recent experience, a colonoscopy, the bowel prep, an upper endoscopy, and the anesthesia are all very manageable. Let’s explore them.
My Visit with the Gastroenterologist
First things first: I was sure to tell my gastroenterologist and nurse that...
Read part 1: Colonoscopy Bowel Prep after Gastric Bypass Surgery, Part 1
My Bowel Prep
Bowel prep is done to clear the bowel of all solid matter. The prep largely consists of drinking large amounts of clear liquids and laxatives the day before the colonoscopy. This is a day that you will want to stay home from the office.
My gastroenterologist asked me not to eat any nuts or seeds for one week prior to the colonoscopy as these can stink into the walls of the intestine.
On the day before the colonoscopy, I began the liquid fast and laxatives. This required me to drink moderate amounts of liquid laced with laxative at regular intervals.
It really was much easier than I imagined. It may be that experiences vary by patient, but I did not mind that taste of the Miralax in my iced tea, I did not have violent diarrhea, and I was not starving – not even that hungry really. What’s more, I was glad to be doing a colon cleanse. They’re suppos...
I'm a 68 year old woman with a history of heart disease. Last week, I was hospitalized with abdominal pain, diarrhea and rectal bleeding. I was placed on antibiotics and the emergency doctor ordered a CT scan which was read as having colitis. I was discharged and I am feeling better. I last had a colonoscopy five years ago. My symptoms have improved with the antibiotics. I have an appointment with my gastroenterologist in a few weeks. Will he want to do another colonoscopy?
The possibilities or differential diagnosis of your symptoms is vast. First off, is an infectious colitis. The most common bacteria to cause this are Salmonella, Shigella and Yersinia. Another possibility is ischemic colitis. This is common in elderly patients, especially with underlying heart disease. It is caused by a transient lack of blow flow to the intestines. Inflammatory bowel disease, both Crohn's disease and ulcerative colitis can present in patients in their 60's as well.
Antibiotics can ...
You should know
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