MindingMine. Basically just need to face your fear, presumably you don't get scared when you go to sleep at night, same thing, kinda. I don’t remember falling asleep or anything that happened. You don't go under as heavily as regular anesthesia and you wake up very easily. I had my first colonoscopy this morning that I couldn’t complete. Next-Ad-0 • 1 yr. During the procedure, a doctor explores the colon with a colonoscope, which is a thin, flexible tube with a video camera attached to it. Not a pleasant feeling and somehow always puke after. It's the standard and completely normal. Have to go under anesthesia and very nervous about it. I’m so upset. I want to add my personal experiences to help those considering the no-sedation option in making their own informed decisions. I do hope you keep pushing to find find a solution so you can figure out what is going on. Pretty nervous for my first colonoscopy due to the fact that I’m unsure about the propofol but maybe it’s the way to go 🤷🏻♂️ Thank you! That's so strange, I've never heard of twilight sedation not working properly due to someone's age. That doesn't really sound right to me at all. For my endoscopy I was paralyzed but completely conscious otherwise and that This colonoscopy prep is essential for allowing your doctor a clear view of your colon during the procedure. ago. Sedation Free Colonoscopy is standard practice throughout the world with the exception of United States and Portugal — that’s it. I'm wide awake, can feel and remember everything. I know this from being an operating room nurse for 13 years. He said “it’s going to feel like a mosquito is biting you in a second”. The colonoscopy fucking sucked. I felt it go in, but my mind was all over the place and I was too busy laughing. If you are experiencing pain during the procedure, talk to your doctor before having another procedure. I have a horrible gag reflex so I’m sure I must’ve been completely out of it - there’s no way they’d have managed to do the procedure if I was in any way awake! But you would likely get moderate sedation or twilight sedation which involves midazolam and a narcotic like fentanyl. We went to I had an issue with my last colonoscopy where the surgery center had a flat fee arrangement with the insurance to cover all of the fees including the professional anesthesia fee. Did it make you sleep or did it just make the procedure easier? Propofol. This instrument helps doctors look Sedation didn’t work. My colonoscopy was propofol and I'd do that again every day just to have that kind of sleep. You aren't paralyzed, you are in a deep sleep, no intubation tube required. Twilight sedations are normally used. It just doesn’t last long ( definitely long enough for the procedure!) and wears off nice and quick so you feel less groggy. i’ve never been sedated for anything. Get the Reddit app Scan this QR code to download the app now Insist on twilight sedation using Propofol. Personal Story. Reply. snofreacw. When I got home after my colonoscopy & endoscopy, I was feeling decent just exhausted. May 25, 2023 · Request an appointment at MD Anderson online or by calling 1-877-632-6789. 5. I admit that I was very worried and my blood pressure went way up before the procedure. It's amazing. Colonoscopy/endoscopy and biopsies question. I did take 1/2 Ativan for anxiety which my body can tolerate. i’m nervous about the twilight sedation. I’ve never had twilight before either so I can’t say for sure but I’ve heard it’s basically like a really good nap 🤷🏻♀️. 37/M who just had my second in 5 years yesterday (not easier than the first!) and here is what The procedure was uncomfortable but painless and the twilight sedation made it feel like it was over really quickly. , when not sedated, people squirm around whether they intend to or not. Couldn’t get a whole lot of electrolytes in my system due to the storms out here in California. , I have emetophobia, and I'm allergic to Zofran. It's a type. Welcome to r/anesthesia! This subreddit is for the discussion of all things anesthesia. The difference is you will only be half way out and still breathe on your own. , (right) prepares an oxygen mask before a procedure in the operating room with nurse Holly Vinson. I had this for both an endoscopy and a separate colonoscopy. D. They were holding my deposit until the anesthesia claim "was resolved", but I had already received an EOB that indicated that it was a bundled/global fee. Depends which sedation. 2. Momandwife25 • 1 yr. -- from my experience twilight doesn't work on me Having a full stomach is very much a risk for patients undergoing sedation. It's very mild sedation, basically benzos. Please help! As the title says…. It was pretty awful. 3 days prior: start eating 50% less overall to reduce volume. My GI doctor and his team was very professional - he even used a pediatric scope. You can make the prep easier for yourself by getting ready for it. I was conscious but my mind was so fuzzy it didn’t bother me when they put the needle in my arm. 22F in the UK (we don’t get put to sleep in the UK for colonoscopies, just sedated). My doctor won't try it again with heavier sedation, order a colonography or order a capsule endoscopy. I've had a colonoscopy before without sedation and that was uncomfortable, but the nasal endoscopy felt like a minor form of torture. Endoscopy with twilight. I went for a colonoscopy yesterday. With twilight sedation, I think you'll be fine. They don’t advertise this but they do exist. Hi guys, so I have an upper endoscopy tuesday morning and I'm a bit nervous because I've never had any kind of anesthesia, not even twilight sedation, and I've been on 30mg of mirtazapine for a bit over a month. The worst situation would be having to stop the procedure part way through from discomfort only to have to do the prep+procedure all over again anyway. After my colonoscopy I totally understood why Michael Jackson was addicted to it. My Experience for those Anxious - Australian Procedure. Anesthesia really isn’t necessary for a colonoscopy as many have already explained. I told him, I literally cannot handle fentanyl. At issue is the growing practice in some parts of the United States of giving patients unnecessary full anesthesia. Reply reply More repliesMore replies. That was about 30 years ago. FTFY. Next Thursday I am scheduled to go under anesthesia (not local but the kind that puts you to sleep) for about a half hour for a colonoscopy. Sedation Free Colonoscopy?! Yup. I receive a letter from my doctor’s office that Blue Cross Blue Shield of Massachusetts, “will no longer cover the use of deep sleep anesthesia for certain gastrointestinal patients undergoing endoscopic, bronchoscopy, or interventional pain procedures” starting in 2024. Hi all, I've found so much helpful information in this sub, so I wanted to share a little bit and hopefully alleviate some folk's worries about their colonoscopies. The colonoscopy is very safe, and you are not under full general anesthesia, it’s what we call a twilight anesthesia. Aspiration is no joke. Without sedation, because it can be uncomfortable — especially if biopsies are taken/surgical staples need to be placed, etc. Hey everyone, just wanted to share that I have an endoscopy and colonoscopy scheduled for this Friday. 1. Wanted to know if anyone had any issues from the sedation/anesthesia or the procedure itself. Mirtazapine and IV sedation. The former is a lot gentler on the body and you'll probably just get a small mask for oxygen or nasal tubes (they don't go into your nostrils as such, more just nozzles directing air that way). Followed the actual prep instructions Yesterday I had an push endoscopy & colonoscopy. I am undergoing my first colonoscopy at age 30 due to family history I had twilight sedation for a tooth extraction and I literally fell completely asleep and woke up after it was over. I've seen a lot of stuff online about IVs being placed in the back of the hand, however my GI intends to do an arm placement. I know you get the choice of mild sedation, gas and air, or…. Now the one where you're actually sleeping (propofol), doesn't feel like I'm conscious at all. My option for sedation is twilight anesthesia using versed + fentanyl. This helped me with stress over needles, it’s really bad for me. It tastes horrible and you spend the whole day 💩. Big-Association-239. It was fascinating~! Depending on where you are going, hospital outpatient or a facility where all they do all day long is scopes, you may have an IV per protocol just for hydration - remember, you won't have eaten much for a couple days and all the probably. Twilight will still put you completely under. For my prep I had Sutab, and I was put under for my procedures with twilight anesthesia. You still will not remember anything or feel any pain. Went to get checked out and am waiting my results. The most common sedation method used for colonoscopies is monitored anesthesia care (MAC), which uses the drug propofol. The one where they give fantanyl and some other drug did nothing for me. When I call insurance, they say they've requested the doctors notes and some recommendation that this was medically necessary for them to cover anesthesia instead of just twilight. I was happy to have the ability to get off the gurney and feel totally aware and with all brain processes intact. Although payed exists (the reason why autocorrection didn't help you), it is only correct in: Nautical context, when it means to paint a surface, or to cover with something like tar or resin in order to make it waterproof or corrosion-resistant. You also don't experience many side effects and you recover quicker. The only physical discomfort left was the inflation process. The latter involves breathing tubes and a lot more medication. My colonoscopy failed and I’m so upset. You might be dealing with twilight sedation so you still won’t be able to fully grasp what’s going on. . At the times when I did have twilight sedation, I did not remember any pain or discomfort. Propofol in the dose you get for a colonoscopy does indeed induce anesthesia. and i do believe we have every right to request that option, i don't think they can like, force twilight sedation on anyone. You will feel relaxed and somewhat drowsy, ensuring the colonoscopy will not hurt. Please read the rules and the sticky at the top of the sub, "Anxiety and Anesthesia", before making a new question post. I got thru the entire thing asleep and I wasn’t even given propofol! (Could be from staying completely awake on prep night). Hey friends. The twilight sedation worked pretty well. I had a bad sigmoidoscopy experience so they gave me fentanyl and midazolam. Best. The mild anesthesia (which I can't remember the name of) gives you a twilight sleep basically. hi everyone! i have to get a colonoscopy and endoscopy next month. Every scope I've had since in the last 14 years I absolutely have to have propofol. The worst offender was probably milk (lactose free milk does help though), however the gas issues are not only caused by milk, but a variety of foods. Literally don't plan on doing anything outside your home that Colonoscopy without sedation or pain relief. The risk is if too much is given. I remember nothing about the procedure after the anesthesia started. My recent experience with endoscopy and colonoscopy (24m) I have bad gerd and esophagus inflammation and lpr. I am honestly nervous about it. 5 days prior: no fiber, white no-residue diet and start eating less overall. They said nope, I was already done. Let the anesthesiologist know you want to be aware & alert for the procedure but yes some sedation is important to complete the procedure. So basically I was like a twilight for the endoscopy, but I was fully awake for the colonoscopy. Sedation is usually done for procedures that are unpleasant but not terribly painful. 6. You will not wake up. Colonoscopy is usually done under "twilight sedation", not general anesthesia. Decided to not a hero and had my vasectomy done fully knocked out. After a sleep test about a year ago, I was told I have a type of sleep apnea triggered by GERD. ”. Sharing Colonoscopy Advice. In recent months I've noticed I've had bad belching and stomach issues. I’ve had two colonoscopys and I was knocked out completely. Colonoscopy is 10 times worse, it hurts so much i I had twilight sedation, it was Propofol, my hand got a little bit achy from the iv meds, then they had me bite on a thing because I was also having an upper GI that day. I'm posting this to hopefully assuage any fears anyone might have about getting a There aren't really pain meds appropriate for colonoscopy, and pain meds don't reduce the discomfort of having your colon pumped full of air + having a scope snaked inside it. due to severe anxiety about the procedure. I think it starts with a P I can't remember. 2 weeks is what is recommended for patients taking MJ. You can even request a minimum dose of sedation which is usually 2 MG of midazolam and 50 mcg of fentanyl. I am now home and the sedation is completely gone. I'm thankful to all who previously posted tips and happy to say I did not throw up during prep or after anesthesia. I had a colonoscopy last year and was told it would be completely covered by insurance. They're just slightly uncomfortable, if anything. I’ve had twilight sedation for an endoscopy. A lot of gagging, a lot of dribbling and generally closing eyes and hoping for the end. They had to give me a second dose, which also didn't work, so they ended up giving propofol. The advantage was that I walked out and went back to work. this is necessary in a colonoscopy. They’re having me do twilight sedation, I’ve been experiencing bloody stools for quite a while now. Hi there, I am my getting carpal tunnel release surgery in 4 weeks! My surgeon told me he’s Random question, I have a endoscopy and colonoscopy on Thursday morning at 8am and will be doing twilight sedation but was wondering about IV placement. Need advice. When you come to you fart all this air out. Last time I had a colonoscopy (2020) being put unconscious wasn't even an option, no sedation or twilight sedation were the only options. Anyone on here have these two at the same time? He told me I'd be given like a twilight anesthesia. When my nurse came in, I asked him if I was getting propofol. I just had a colonoscopy -- without anesthesia. In fact having a full stomach and needing an anesthetic is an indication for a general anesthetic with a rapid sequence induction and intubation to secure the airway. Hi! I'm a 32 year old female, just had my first endoscopy/colonoscopy due to IBS symptoms & family history of colon cancer. It didn't go well for me. Samsmom12. Beyond that, physicians will probably not be as thorough and may miss things. I'm supposed to get screening colonoscopies every three years for ulcerative colitis With my first colonoscopy, I was really anxious, and the sedation (midazolam and fentanyl) didn't work. This is gonna be a long read so only read along if you're wanting every detail of this journey. They gave me the twilight sedation which was enough for me. It’s going to be fine. i’ve read that the anesthesiologist will monitor my blood Colonoscopy without sedation: my experiences. It's not painful at all. It's really nice, actually. Propofol is most common, or Versed. Then I started feeling dizzy about 15 seconds later. This colonoscopy anesthesia can be ADMIN MOD. Being half way out also means you may still experience some of it, but most likely won't remember. The midazolam has a calming effect and a bit of an amnesic affect aside from being a sedative. I just had my 2nd sedation-free colonoscopy yesterday. To avoid this, it is given slowly, with appropriate monitoring. I spoke to the doctor after the procedure, but I was so loopy from twilight sedation I kind of missed some of what was said. When I called they said to keep taking the mirtazapine, but I'm still nervous since I know it can Twilight sedation is wonderful. Honestly, the worst part of the colonoscopy is the golytely drink you have to take the day before. I opted for the twilight sedation. Not to sound weird, but I’m a nurse, I’ve had colonoscopies in the past & they’re fine. The actual colonoscopy was very easy. MOD. Each time after waking up, I would be coherent, not saying anything embarrassing, and remember everything afterward. My first one was four years ago. I watched on the screen and the doctor pointed out the different parts in my intestines. S. The medications are usually midazolam and fentanyl – a mild sedative and a pain killer. I also had 5 surgeries under general where I took ativan beforehand. You don't wanna do that with an colonoscope inside you. Protocol is very popular now but just curious. Not a big deal at all. --long post incoming--. The camera down the throat was fine other than being quite painful. Usually, you won't receive general anesthesia for an endoscopy, only sedation. Yeh basically go full sedation, cus if your nervous and anxious, then you might thrash about mid-colonoscopy. Confirmed who I was, advised what they were going to do, then the doc came in and spoke to me. It's… wonderful. I have had an endoscopy in the past and was basically completely out the second they gave me sedatives, barely remembering what happened. Had twilight sedation for a liver biopsy, and it still sucked. Most people sleep through it. Colonoscopies aren't that painful to begin with (some people do it with zero sedation whatsoever). Got a lot of sleep that night as well. Same here! Scheduled for 7/19 under twilight anesthesia. I have pretty bad anxiety and I'm pretty scared to have twilight sedation done because I remember last time I started to panic Just wanna thank everyone’s support on this app and helping me get over my anxiety about this procedure. A colonoscopy is a procedure in which a doctor examines your large intestine (also called your colon) to look for and remove growths that could be precancerous or cancerous. Waking up is similar to waking up from normal sleep, except you'll feel a bit groggy for an hour or so, kind of disconnected. May 23, 2017 · Moderate sedation. The thought of sedation gives me a lot of anxiety, so I opted to go without. Basically, the anesthesiologist administered the propofol. Colonoscopy went really bad. With how whacked I am during an endoscopy, I’m not conscious enough to move when needed for colonoscopy hence why mine are done separately. I've done mine without any sedation, colonoscopies without any sedation are pretty common in Europe. You are given a pain reliever and a sedative intravenously (in your vein). I haven't been sedated since I was a child when I needed a dental procedure. With sedation (which is different from general anesthesia) it is possible to regain consciousness briefly (though it's usually more of a groggy twilight state) and usually recollection is very limited if present at all after. My advice for the prep is to stay distracted and hydrated, TV was my best friend! When you get to the hospital, I recommend talking to your Doctors and nurses so that they can put you at ease. My dentist was relieved and thrilled it worked so well on me, because he had unexpected complications and it was more difficult and took longer than anticipated. MembersOnline. 3. I am having my second ever endoscopy one week from today this time adding in an esophageal dilation, but this time I am getting it with twilight sedation instead of being put all the way under. You may post questions or relevant articles related to this topic. Went in for a colonoscopy after a fairly rough prep. However, I am allergic to most meds and did not want to take any chances with sedation. Hi all, just giving another update following my procedures. It's much safer than full anesthesia because they don't need to stick a tube down your throat. Best move of my life. Now I am scheduled to have 3 extractions performed under twilight by an oral surgeon who told me not to take ativan beforehand? I’m in the US and they told me it would be a “twilight sedation” as well. Have a colonoscopy coming up. I was scheduled for twilight sedation and it didn’t work so I was awake the whole time. I closed my eyes to be able to tolerate the dizziness. This year, I started getting bills for almost $500 for an anesthesiologist. So I had my first colonoscopy yesterday. Hey guys, Many Reddit posts really helped me in the run up to my exam, so I want to tell you my story to ease anyone else's anxiety for their screening. I get to listen to horror stories by friends who did it awake with local anesthesia (but it was faster and cheaper!) I was out for 10 min. You won’t be aware of anything. • 2 yr. 27 y/o female. For me, it was not painful, just a bit uncomfortable at times. It hurt so bad that I was screaming, so they refused to keep going. Prep (Moviprep) didn’t fully work, no idea why as I followed a low residue diet for 5 days and then had clear liquids only for two days - so, 7 days in total…. At first you feel a warm relaxing wave come over you, you start to feel sleepy, and then you drift off out of consciousness. I have previously had a colonoscopy under twilight where I took ativan preop to help me relax and had no issues. I've been put under twilight sedation before for a couple of endoscopies and a colonoscopy, as well as general anesthesia for an appendectomy. Stock items like moist wipes, diaper cream, and clear sodas and low-fiber foods you enjoy. I wasn't unconscious but I don't remember much of the procedure. You should get in touch with them directly and ask, or speak with your GP. Went home 15 min later and was working the next day. colonoscopy is paid for by. The sedation uses a needle, as does anaesthetic. They typically like you more on the “out” side but it’s not an exact science. I asked specifically because I had a bad experience under anesthesia the one other time I’ve had it, and I didn’t want a repeat. Please help! : r/colonoscopy. You'll be fine. Seeking Support: Facing Endoscopy and Colonoscopy, Grateful for Words of Encouragement. It took me a really long time to come out of it and the next day I was still lethargic and groggy and in no state to drive (I actually fainted too, but that was more than likely my blood sugar and I just missed the signs due to feeling bleh because of the lingering effects of the twilight sedation drugs. This time I had it somewhere else and was awake and aware the whole time after sedation, retching and choking on the endoscope every time they advanced it further. It hurt so badly that I was hysterically crying and they had to stop half-way through. •. It was quite traumatic and painful. I’ll be going for my first colonoscopy in a couple of weeks from now and the doctor said they will do a twilight instead of full sedation. Like most people I was terrified. Anyways, back to Sedation. When they do a colonoscopy they pump your colon with air, then put this super long black dildo looking thing in there and explore. There are other drugs that do it as well. r/RedditForGrownups. A little back story, when I first became symptomatic it came out of nowhere, bathroom problems and dramatic weight loss, and Crohn’s wasn’t even on my radar as a possibility. DAYS BEFORE: 7 days prior, I started reducing fiber intake which is difficult because I am used to an extremely high-fiber diet due to hemorrhoids. You need to remind yourself as well that there is another doctor present whose sole expertise is Sedation. You will not feel anything or remember anything. Paid-Not-Payed-Bot. We can help with prep questions and answer questions about the procedure itself. ADMIN MOD. Can you tell me, was this bleeding bright red, or did it look differently? Propofol vs twilight sedation for colonoscopy? Have mine on Friday and curious about which is better for everyone. I've had both types of anesthesia and have had no problems myself. However, you may still feel things and hear things. In and out of the hospital getting IV antibiotics and General anesthesia for me was brutal to come out of. I’m particularly upset with the medical system and my doctor who performed the procedure last week because he came to me 15 minutes before my procedure time and told me I wasn’t “in the right mindset” for the procedure and had the concern that twilight sedation wouldn’t be enough given how panicked I was and that I should come back Twilight sedation is the standard for the great majority of people. Another type of anesthesia is MAC or 'twilight'. My endoscopy was supposed to be conscious sedation. Shortly after making this decision, my lovely brother told me that his Usually with colonscopy twilight sedation means you are still slightly responsive, ie, if they ask you to and help you, you will turn when needed etc. I cancelled my last colonoscopy and endoscopy after completing all of the prep. Choose a practitioner who has given Sedation Free Colonoscopys in the past. I ate like normal and took a big nap. Suprep was fine. So, I'm a 40 yr old man, one of my parents had been diagnosed with colon cancer about 15 years ago and so my Dr recommended I get a colonoscopy at 40 as opposed to the usual 50. my endo told me to run my pump in exercise mode before i start the colonoscopy prep to keep my sugars a little higher to avoid lows and keep it in exercise mode during the procedure. Sedation for colonoscopies has become a bit controversial. Feeling a bit anxious about having both procedures done at once With local it can lose potency or not infiltrate enough but this is pretty uncommon as it is. “No you’re getting versed and fentanyl. I had a nasal endoscopy without sedation. IMO the anesthesia is the absolute easiest part of the procedure. Anesthesiologist Techecia Idowu, M. I, and others, have had the procedure done without any sedation or anesthesia. You might be able to agree to have the procedure started without sedation with the possibility of adding sedation if the procedure becomes too painful. i'm curious both how well i'd handle it and to witness the procedure. Propofol does a light sedation. Finally having an endoscopy and colonoscopy as well. The doctor would inflate an area, spray it clean, examine the walls, then use the vacuum to retreat. This is one of the most common forms of sedation used. Every other country performs Sedation Free Colonoscopy as standard. Typically they use what is called a “conscious sedation” there is a very fine line between being awake & being out. . At this point, “sedation nurse” gave up and told her assistant to put everything away (and something about deducting $300 from my bill). For these, I was given propofol, versed, fentanyl, and probably some other stuff too. We set patients up at the hospital to have Monitored Anthesia Care (MAC) if there are any troubles with the twilight sedations. I'll be under propofol and I've been cleared by cardiology due to past palpitations. When I opened my eyes, I was in the recovery room. They hooked me up to an IV, explained the procedure, and wheel my bed into the procedure room. (in my case, i'd also say yes because-- while i know there's not one single type of T. For reference, I was prescribed Suprep, I'm 109 lbs. This is typically performed with the drug Propofol, a powerful sedative that must be administered and monitored by an anesthesiologist. You'll probably be absolutely fine, but you might have a bit of a come-down the next day, so if you feel really depressed, don't worry, it's just a come down from the drugs and it'll pass quickly. Twilight sedation was arguably worse. You don't want to be awake for it. I had no reason to fear. Personally sedation of any sorts is super scary but so was the idea of being awake. I had an endoscopy without sedation today, here is my experience. Clear your schedule on preparation days to the extent possible. I was sedated with propofol, so the sedation aspect might be different. You're thinking of penthotal which is rarely used any longer, patients feel much better waking up after propofol than on penthotal. Hey there everyone, I’m a 32 year old firefighter paramedic with Crohn’s. Repeat until finished. I’m mostly nervous if they need to ask me to move or anything; I’m overweight, the idea of moving with a long tube in my intestines feels really daunting. ) Propofol IS twilight sedation. I did extensive research before my colonoscopy and put all the most recommended tips I found to good use. One of the things I am still confused about is that when they did they intake, they told me it was done under “twilight” anesthesia. Basically, both the endoscopy and colonoscopy were Yes, they’re done but not well. It is very safe under the monitoring of an anesthesiologist. (UK specifically) This will be at Addenbrookes hospital, if that is relevant or not. Mar 15, 2024 · The procedure can be done with conscious sedation, often referred to as “twilight,” or deeper sedation referred to as general anesthesia. I've had over a dozen surgeries with general anesthesia and three scopes with the mild anesthetic. Can't feel a thing. I am still upset with myself for putting it off, and I felt so awful cancelling last minute. Paullearner. I would ask what 'plan b' would be in a situation where you're concerned about being too awake. Then I said I was feeling fairly awake and wondered if I should be worried. does that mean I will be awake and fully aware of what’s happening? I previously posted about my bad experience with a recent colonoscopy. This is a nice, safe combination, and usually causes amnesia for the procedure. A few months ago I admitted myself to ED From the moment I arrived at the clinic to the moment of the administration of the sedation, my heart was racing and I was constantly on the verge of tears. • 1 yr. At r/Endoscopy, we support each other through the sometimes difficult process of getting a endoscopy done. et ym um nb sy pr ee bo jz mn