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Colonoscopy Tomorrow Morning

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Ulcerative Colitis
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Posted 9/1/2009 9:14 PM (GMT 0)
im semi nervous, what things should i ask the doc? and im taking trilyte and ppl say u poo clear, i havent poo'd clear at all in fact ive drank 2 liters its been like 3 hrs and only gone twice. the last one was omg...it was workin lol.


extra question: what should i eat after the procedure?
Posted 9/1/2009 9:43 PM (GMT 0)
The only c-scope I've had was when I was very badly flaring, so there wasn't much at all in there, so I can't really hlep you on that. I imagine you can still be patient on that.

You need to ask your doctor if you have inflammation and ulceration and how far into the colon it reaches. You should also ask if there were any polyps or such, and ask for a copy of the report when it comes back. And ask what meds he recommends you be on right now (are you on any?).
Posted 9/1/2009 9:56 PM (GMT 0)
yea im on asacol now bout 9 pills a day....also how do the docs determine whether if surgery is needed, and how do i physically know? like what signs are there for a severe cases.
Posted 9/1/2009 10:03 PM (GMT 0)
Trust me. You DO NOT need surgery at this point. You don't HAVE to have surgery until you have a perforated colon or toxic megacolon and it's a life threatning situation. If you had either of these, you'd barely be able to function. As for elective surgery, that's usually not done until the person has tried ALL of the medication options and is in a flare that just won't end. You are nowhere near that point. A severe UC flare involves many, many, many episodes of diarrhea each day, lots of bleeding (which leads to anemia), low blood pressure, pain....in essence, inability to function due to UC.
Posted 9/1/2009 10:07 PM (GMT 0)
The nurses will probably speak to you about what you should eat after the procedure. I was told to first try eating something light and see how I feel. I ate a few crackers or something at first, was fine, so then I totally pigged out on leftover Chinese food because I was STARVING by then.
Posted 9/1/2009 10:25 PM (GMT 0)
fruitgirl: omg im sry i asked lol...i really hope i dont get there. i feel so bad for those that have those severe symptoms.

ack2009: yea thats what i meant like what food should i pig out too lol
Posted 9/1/2009 11:12 PM (GMT 0)
Back to your original question, I eat whatever I want after a scope!!
Oh, never mind, that's before the prep...when you know anything will be out of you real quick.

Well, I still eat whatever I want after, figure I deserve it. Last time I asked for something chocolate as soon as I was alert again, and I was tickled watching my doctor and her assistants going through their nearby desks looking for something for me!
Posted 9/1/2009 11:18 PM (GMT 0)
I also eat whatever I want after a scope. Sometimes, whatever I can get my hands on because I'm starving!

I'm concerned that you say you take "about" 9 Asacol a day. Sounds as if you might be pretty casual about your meds, as many younger people are. It's really hard to think of taking medication for the rest of your life, I know. But the severity of your UC will be partially affected by how well you follow your medicine regimen. Even when you don't have symptoms, it's still important to keep taking it to help prevent flares.

And stay close to the bathroom, my friend. You may be surprised at how quickly you'll need to get there soon.

Good luck tomorrow, and let us know how you're doing!
Posted 9/2/2009 3:40 PM (GMT 0)
Hey everyone thanks for u concern, I just finished my colonoscopy it been about and hr and half and I'm bloated lol... But this is what a summary of the test showed "the mucosa of the rectum, the sigmoid and the distal descending colon appeared edematous, erosive, erythematous and friable. Multiple biopsies were obtained. The mucosa of the proximal descending colon, the transverse colon, the ascending colon and the cecum appeared normal. The mucosa of the terminal ileum appeared normal. There was no evidence of colonic polyps or diverticulosis. Samll internal hemorrhoids were present. The colitis appears to be limited to the rectum, sigmoid and distal descending colon"
can someone explain some of the vernacular? The doc did some a lil but I was in la la land lol. How do ppl see my diagnoses?
Posted 9/2/2009 3:58 PM (GMT 0)

Sounds pretty good to me, honestly.  First, here's a link to a good diagram of the colon so you know what the parts are.

http://www.blaascontrole.nl/TherapyAwareness/application?origin=taMenuBar.jsp&event=bea.portal.framework.internal.refresh&pageid=Prevention&site=www.bowel-control.co.uk

What all the medical terminology means is that the mucosa (lining of the colon) in the lower part is swollen (edematous), rubbing away (erosive), red (erythematous), and fragile (friable).  The upper part of your colon looks good.  And no signs of polyps (possible pre-cancerous cells) or diverticuli (little pockets). 

Given that there is no mention of ulcers, that's good.  It sounds like you've got a little bit of inflammation.

When do you see the GI again for follow up?  When you see him, definitely ask for rectal meds, specifically mesalamine enemas.  They'll do a lot of good to heal that little bit of inflammation that's there.

And to echo what someone else said, make sure to take your meds when like you're supposed to.  If you think you'd be better about it if you only had to take it once during the day, ask about Lialda or Apriso.

Posted 9/2/2009 5:09 PM (GMT 0)
Sometimes after a scope I eat a huge hamburger! Its a treat for the misery. Just remember it may take your colon a few days to get back to whatever normal is for you after the scope.
Posted 9/2/2009 6:07 PM (GMT 0)

In the scope of things (pun intended) your scope looks pretty good.  Looks like rectal meds would be good for you.  AND you definitely do not need surgery - hopefully you never will.  Take the prescribed medications and soon you will be in remission!

ElaineNY

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