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Crohn's Disease Forum » Tests for IBD » Why have a follow up appointment after Sigmoid?


02-14-2016, 12:18 AM   #1
Strawberrymilkflump
 
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Why have a follow up appointment after Sigmoid?

So i had a flexible sig on Thursday. They found no inflamation up to the point the put the camera too (50 CM)
but it was excruciating. I've been assigned a follow up appointment with the GI physician and i'm not sure why if they didn't find anything. They found heamorroids inside but ?
The report says examination to the point of insertion was normal but the complications were patient discomfort which is an understatement because that's the worst pain i've ever felt !
02-14-2016, 12:23 AM   #2
ronroush7
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I am sorry for what you went through.

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02-14-2016, 12:32 AM   #3
Strawberrymilkflump
 
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it's alright , i just don't know why i've been referred for another GI appointment when they said there was no inflammation
02-14-2016, 12:45 AM   #4
ronroush7
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Not sure.

02-14-2016, 04:57 AM   #5
fuzzy butterfly
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Hi they may think that you need other investigation and the gi would need to order them. So I think that maybe why. Best wishes 💕
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02-14-2016, 06:12 AM   #6
ronroush7
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I think you could be right ,Mandy.

02-14-2016, 08:57 AM   #7
Pug Gamer
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Like you I had the same procedure last month and had the most horrendous pain. Im not lying its started a fear of future procedures.
Despite finding nothing at all on that test but other tests showing exactly how bad my crohns and strictures are they now want to do a full colonoscopy. They said this is because my damage is higher up in the small intestine. They may want to do the same for you. But it is sedated thankfully lol.
02-14-2016, 01:47 PM   #8
Strawberrymilkflump
 
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That's the thing like it wasn't painful until she got further up and I nearly cried and had ton dm her to stop for a minute because it was so bad. She didn't mention anything about another procedure though she just said she's making another GI clinic follow up appointment and it,l get mailed to me. But hea all they found was heammorois and no inflammation :/
02-14-2016, 06:33 PM   #9
Jennifer
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They likely want to order more tests but if they took any biopsies then they'll want to go over those test results with you. During scopes and even during a sigmoid they can take biopsies then send those off to pathology to see if there was any signs of microscopic inflammation, to screen for cancer etc.
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02-14-2016, 06:49 PM   #10
Salad_Shooter
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No one touches me with a scope anymore without sedating me first. If they try, I walk out. Luckily, my GI thinks scopes and sigmoids without sedation is barbaric and cruel.

Follow up visits after a procedure is normal practice. Like what's been said, there may be more your GI wants to talk about.
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02-14-2016, 08:10 PM   #11
Jennifer
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...my GI thinks scopes and sigmoids without sedation is barbaric and cruel.
I feel the exact same way. For some they only experience mild discomfort but there are many who say that it was extremely painful to the point where the procedure had to be stopped prematurely which can affect a person's health/well being dramatically by not getting a diagnosis simply because they didn't go far enough not to mention it makes the patient want to avoid such tests in the future. There's no way to tell which patients will be fine and which will experience extreme pain. It should be common practice to sedate people and have the option of no sedation on the patient's request only.

Sedation should also be used appropriately. Just because you put the sedation into the IV doesn't mean that the patient is instantly sedated. You need to wait a little while before beginning the procedure and every patient is different so some may take longer than others to become sedated. You'd think that would be common sense but even I've had a doctor who began the scope before the sedation had taken affect. I never saw that GI again and I did report them. If you're in a lot of pain and the doctor isn't listening to you then see someone else and report that doctor. Many of them try to cram as many patients into a day as they can when doing scopes but we're still human beings and deserve to be treated as such so I hope that they remember this and go slower to reduce the pain.
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