Diagnostic Methods

It is painful to do a colonoscopy of the rectum, the indications

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1 The essence of the

procedure Colonoscopy is an endoscopic method of colon examination, from direct to blind, allowing for a few minutes, usually 10-15, to give a complete picture of the condition and existing pathologies of this organ. The procedure is carried out using a colonoscope - a device consisting of a long hose, backlight, eyepiece, small nozzle, supplying air, a device for collecting material for later research, and a mini camera capable of producing photo and video.

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The patient is placed on the left side, knees are brought to the stomach. The colonoscope is carefully inserted by the endoscopist into the rectal area. The colonoscope moves very slowly through the intestine, examining its walls, moderately supplying air to smooth out the existing folds of the mucosa. It is this moment that causes the greatest discomfort and discomfort, up to pain. The information is displayed on the monitor and recorded if necessary, or photographs are taken.

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2 Is it worth it to do anesthesia?

Even after receiving full information about the procedure and the way it is performed, many patients have doubts whether it is worthwhile to carry out anesthesia, or not.

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In what cases is the colonoscopy painful, and the doctors nevertheless turn to anesthesia, and sometimes to the procedure under anesthesia? The following cases of colonoscopy under local or general anesthesia are possible:

  • , when a colonoscope is inserted, most patients do not experience pronounced pain, and if they do, the doctor smears the anus with anesthetic ointments, and after a few minutes the procedure continues;
  • if the patient has destructive processes;
  • presence of adhesive processes of the abdominal cavity;
  • during the procedure in children.

As such there are no nerve endings in the intestine, therefore pain in its usual manifestation is unlikely. An unpleasant sensation of pressure occurs when the air flow is increased to smooth the folds of the mucosa or when colonoscopes pass through intestinal bends. But at the usual threshold of sensitivity they are tolerant, and here the positive attitude of the patient is important, the trust in the doctor who conducts the procedure, and the absence of fear, causing muscle spasms, impeding the procedure and contributing to the emergence of additional unpleasant sensations.

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Colonoscopy under general anesthesia is not welcomed by doctors, it is always more effective to deal with a wakeful patient reacting to what is happening, telling about their feelings and fears. In this case, the doctor is also able to respond adequately, trying to reduce possible discomfort as much as possible. It is necessary to follow the recommendations of the doctor, for example, when urinating on defecation the doctor will advise to breathe deeply. Sometimes it may be necessary for the patient to turn on his back and return to his original position on his side. When complaining of pain from stretching the mucous membrane under the pressure of air, the doctor will reduce the flow of air.

Thus, with productive cooperation, the fastest possible procedure with the least discomfort without anesthesia is possible.

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3 When is it recommended?

Colonoscopy is the most informative method for diagnosing neoplasms of the large intestine, including benign and malignant tumors. For the purpose of early diagnosis of these diseases, it is recommended that all people over 40 years of age be given 1 time every 4-5 years. If there are complaints, such as discharge of pus, mucus or blood from the colon, abdominal pain, stool disorders of a different nature, colonoscopy is prescribed immediately. Indications for its use may be other: diagnosis or even suspicion of the presence of any disease of the colon, which arose during a sigmoidoscopy or an irrigoscopy. In the process of colonoscopy, you can clarify the diagnosis, take pictures of the formation, and if necessary remove it, take the material for a biopsy, remove the foreign body, stop the bleeding.

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This method is also indispensable for monitoring patients after treatment. Assign a colonoscopy in the presence of polyps, Crohn's disease, ulcerative colitis.

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4 Contraindications to the procedure of

Contraindications to colonoscopy are:

  • inflammatory processes occurring in the body;
  • infectious diseases;
  • impaired blood clotting;
  • cardiac and pulmonary insufficiency;
  • severe forms of ischemic and ulcerative colitis.

Before the procedure, it is necessary to notify the doctor about the existing chronic diseases and taking medications. Sometimes a general blood test may be required to see the entire picture of the patient's condition even clearer and to maximally secure the procedure for the patient.

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5 Preparation for diagnosis

Proper preparation for the procedure of colonoscopy helps to obtain the most effective results in a minimum period of time, while significantly reducing all the discomfort and discomfort.

Preparation is primarily aimed at releasing the intestines from fecal matter. Presence of them in the lumen of the colon prevents the examination of the mucous membrane and prevents the formulation of the correct diagnosis. To cleanse the intestines, it is recommended:

  • 1-2 days before the procedure to adhere to the slag-free diet: from the diet, products of vegetable origin - fruits, vegetables, legumes, potatoes, and black bread are excluded, you can eat boiled meat, eggs,fish, cheese and butter;
  • on the eve of consuming only liquid food, for example, broths, and drinks - tea, juices, water;
  • at the same time should take 2-3 tablespoons of castor oil;
  • after a chair in the evening to make 2 enema water at room temperature, a volume of at least 1.5 liters each, in the morning the procedure must be repeated 1 or 2 times depending on the state of the intestine.

To facilitate the procedure for cleansing the intestine, you can refer to the use of special drugs that contribute to a more thorough cleansing of the intestines: Fortrans, Lavakol, Fleet, Dufalac. In this case, you can not resort to taking a laxative or cleansing enema procedures.

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6 Behavior after examination and possible complications of

After the colonoscopy procedure, the patient can return to normal lifestyle.

It is recommended to lie on your stomach for a couple of hours, you can eat and drink, without forgetting that the stomach was almost hungry during the day.

If the feeling of bloating from the excess of gases persists, you can take several tablets of crushed and stirred in a small amount of water activated carbon at the rate of 2 tablets per 10-15 kg of weight.

Fear of colonoscopy is associated, including with the alleged complications, by hearing possible intestinal perforation and infection. Both cases are unlikely in conditions of comfortable medical centers and with the availability of modern apparatus for carrying out this procedure. Much, of course, depends on the specialist who performs colonoscopy, but today in medical centers there are more and more experienced highly qualified professionals who will not allow any complications. Therefore, in order to overcome fears, you should take time to find a clinic with a good reputation, read reviews about it, maybe even talk with patients who have completed the procedure, that is, do everything possible to dispel any fears and doubts and tune in to a positive result. And it is necessary to make a colonoscopy with her appointment: the effectiveness and exponent of this method are so great that it is necessary to overcome your fear and fear of pain for the sake of early diagnosis and subsequent, effective treatment of colon diseases.

Contents
  • 1 The essence of the
  • 2 procedure Is it worth doing anesthesia?
  • 3 When is it recommended?
  • 4 Contraindications to procedure
  • 5 Preparation for diagnosis
  • 6 Behavior after examination and possible complications

When assigning a method of colon examination, the patient is asked whether it is painful to do a colonoscopy. Colonoscopy is one of the most effective methods of colonoproctology. According to the description, this procedure is not very attractive, so this question appears, but the more truthful, scientific and understandable information will be received, the better the patient will understand the essence of the procedure, and the less fear it will experience.

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