oi a todos,
desculpe o tom de pânico deste post, mas estou um pouco em pânico.
Tenho 32 anos e sou mulher.
Fui diagnosticada com anemia por deficiência de ferro há algum tempo e precisei fazer uma endoscopia digestiva alta para procurar a causa, pois suspeitavam de úlceras gástricas pelo uso de AINEs. O resultado saiu basicamente limpo (apenas um pouco de gastrite) e agora querem fazer uma colonoscopia. Inicialmente, queriam fazer ambos no mesmo dia, mas recusei.
Nunca contei a eles o motivo, mas acho que agora vou ter que contar. Não tenho certeza se consigo passar por uma colonoscopia. De jeito nenhum. Mas minha melhor chance de conseguir fazer isso é se eles puderem me dar uma anestesia geral, não apenas a sedação.
Sei que não vou. Ou, se for, vou fugir no último segundo. Tudo isso parece tão bobo. Mas, meu Deus, isso é tão difícil de digitar, não sei como vou dizer as palavras em voz alta para meu médico. Fui estuprada há muitos anos e não deixei ninguém se aproximar de mim desde então. Nunca mencionei isso a ninguém na área médica, pois realmente não quero isso em meus registros. Já é o suficiente ter que viver com as verrugas anais e outros traumas que resultaram. Considerei isso e geralmente estou bem, quero dizer, até estou casada agora, mas isso parece um passo longe demais. Não consigo fazer isso.
Se conseguir dizer tudo isso ao meu médico, ele provavelmente vai entender? Ele vai conseguir organizar uma anestesia geral? Estou tão preocupada que estou ficando fisicamente doente com isso. Só não sei o que fazer. Pode ser que eu tenha que recusar tudo.
Nay nays
Please speak to your Dr about your fears. Doctors don't have much they haven't dealt with before. They have been in a profession where they've met numerous patients with different issues.
Speak to your Dr.--, general anesthesia is often done for colonoscopies. I too get very anxious before procedures, so I often request general anesthesia just to be sure that I'm not aware of any of it. And yes, I still get way over anxious before a procedure.-- even panic a little about general anesthesia. Brave--I'm not!
I know you have your anxieties and don't want to bring up what happened years ago, but i think your doctor/doctors take much of what patients have gone thru in stride.
Much luck,blessings and good thoughts to you...
I think it would be a very good idea to speak to an endoscopy nurse before the day of the procedure to discuss your personal circumstances. They are very used to allaying patient anxiety. Your anxiety is triggered by past experience rather than the procedure itself and all I can say is that there will be a team of people in the room with you so you will be perfectly safe.
I doubt very much whether they would give you a general anaesthetic as that would require an Anaesthetist in attendance and a much longer recovery period. Endoscopy units are not geared for this but my advice would be NOT to opt for ANY sedation so that you are alert and in control of the situation.
I have had several colonoscopies now and although they can feel a little uncomfortable as the scope negotiates the bends in the colon they have not in my experience been at all painful. You will be offered Entonox (gas and air) to calm you while you watch the procedure on a screen, can ask questions about what is happening and see where any problem areas are.
Another point. Try if you can to arrange your procedure to be the first in the day so that you are not having to wait around too much and no opportunity to let other patients increase your anxiety. If you talk to an endoscopy nurse I am sure she will understand and arrange for this to be as stress free as possible.
CJB
I've had both colonoscopies and endoscopies, and in both cases general anesthesia was used. It's not that I requested them (although I would, being the 'not so brave soul' I am) they just routinely used general anesthesia.
Colonoscopies were done at an outpatient facility, and endoscopy in a hospital.
Obrigado pelo seu conselho, tenho certeza de que seria útil para a maioria das pessoas em uma situação semelhante. Para mim, no entanto, não é exatamente certo. Eu sei o que você queria dizer, mas o meu problema não é com a preocupação com a segurança ou o controle e tal, é que qualquer pessoa (mesmo o meu marido) ficar muito perto dessa área do meu corpo me causa flashbacks e desencadeia ataques de pânico enormes que podem ser tão horríveis que eu sei que não vou conseguir lidar. Será uma espiral descendente que eu não quero começar. Eu simplesmente preferiria não estar ciente de que alguém estava lá (durante, obviamente, eu vou saber que vai acontecer e vou saber depois). Não quero chegar lá e ter um surto, bater em alguém, vomitar ou fugir (talvez tudo isso!).
Muito obrigada. Não sei quanto conseguirei contar ao meu médico, mas tenho certeza de que, assim que começar, ficará mais fácil continuar. Como as pessoas costumam dizer, os médicos já viram e ouviram tudo antes, então tenho certeza de que não pode ser tão difícil quanto estou imaginando.
É um alívio saber que alguém pode entender, mesmo que seja um estranho sem rosto na internet, porque assim sei que há uma chance ainda maior de que meu médico, que me conhece há um tempo agora, pelo menos tente entender também. então, obrigada, você ajudou muito.
Farei o possível para explicar meus problemas e pedirei uma consulta geral para ver como vai ser. Fico feliz que possa ser feito dessa forma, realmente espero que me deixem.
muito obrigada xx
Don't wait until you get to the hospital.The endoscopy dept. is very busy and they will try to reassure you but they will not be able to arrange a general. Tell your doctor so that arrangements can be made.You are perfectly entitled to a general, the procedure can be painful and on top of your stress you certainly deserve it. Please do not take no for an answer, just refuse treatment if they try to ignore your stress,this will show them how serious you are. PLEASE talk to your doctor about your experience, the more they know the more they will help you in many ways.
Your very welcome! I've unfortunately had extensive surgery and both endoscopies and colonoscopies this past year. I only say this becuz I've seen first hand, that there are many compassionate caring people in the medical field.
You can do this. 😉
We may or may not be talking at cross purposes. As far as I am aware endoscopies are done under sedation (not general anasthesia).
For sedation, two or three drugs may be used in combination, a benzodiazepine (MIdazolam) which produces amnesia and an opioid (Fentanyl) for pain relief. If deeper sedation is required a third drug, a barbiturate (Propofol) may be added but the patient then needs more careful monitoring.
The ideal situation for an endoscopy is for the patient to be lightly sedated (i.e. drowsy but still able to be woken), pain free and cooperative and unable to remember the procedure.
Many people who have had sedation during a colonoscopy think they were deeply unconscious but weren’t. They just don’t remember which means the drugs did their job. It’s why hospitals insist the patient has someone with them for several hours after the procedure. As it was explained to me, you may still be suffering amnesia, may, for example, go home, put a pan on the stove, forget you have done so and cause a fire. It’s why I don’t have sedation as I live alone and can’t be bothered arranging to have someone stay with me.
If you did have general anasthesia then, forgive me, but it would be unusual as it would require an anaesthetist to be in the theatre to administer the drugs and monitor your heart and lungs. In my experience, endoscopy drugs are administered by the endoscopist or nurse. Again, I say this as the first time I had a gastroscopy I wasn’t sure how I would cope with the apparatus going down my throat so they put a line in just in case I needed sedation and it was the nurse who was standing by to adminster them not an anaesthetist.
In that case, you need to ask for sedation. It is not the same as a general anasthetic but you will not be aware of what is going on.
Hi Naynays
I panicked about having to go through both these procedures (for iron deficiency anaemia) without the ordeal you've been through.
There are two separate issues - the practical issues of the colonoscopy and whether you would like to seek help/support for the ordeal you went through.
First of all, don't feel the rape is something you have to discuss with your GP. (unless you feel that you really want to talk to them and you have the feeling that they will understand/support you and advise you).
When I get panicky, I find focusing on the practical is most useful. At the outset, you could simply focus on what the options actually are. You could say to your GP that for various reasons you're simply very uncomfortable about the idea of having this proceure (like many people) and don't think you're going to be able to go ahead - and ask if it's possible to have it done with a general anaethstic (I don't know but your GP should know) or if there are alternative non invasive procedures (I think there may be). You can then decide the best option for you.
I don't have the mental scars that you have for this, but if it's any help, I would like to say that I had resisted a colonoscopy for quite a few months over worry and stuff I'd read online but sedation made it so easy, no pain. I wished I had not worried for all that time. And there was no after effects from the sedation, I didn't feel awful or sleepy, after half an hour's rest. I took a very kind and practical acquaintance to the hospital with me which was a big comfort and help and made all the difference. But your circumstances aren't mine of course.
I wonder if speaking to one of the charity's such as http://rapecrisis.org.uk/ might be of help somewhere down the line. They should know things like whether it goes on your medical record if you share it with your GP.
This is just my opinion.
obrigada. Na época, fui atendida em um centro de crise, mas recusei a dar meu nome. Eu tinha apenas 14 anos (parecia mais velha, então acho que eles pensaram que eu tinha pelo menos 18) e estava tão assustada com qualquer coisa que fosse para meu prontuário. Minha irmã é médica. Nunca pensei em perguntar a eles sobre tudo isso desde então. Agora, como adulta, acho que vou entrar em contato com eles novamente e conversar sobre muitas coisas. Obrigada.