Endoscopy NO Sedation

Everone else had to stay and recover but after a quick once over I was allowed to drive myself 20 miles home. ( I had arranged alternative just in case.)

Hope this is encouraging.

I know it will be different for everyone but this is what happened to me for sure.

I have have had 6 endoscopies, 4 with local anesthetic throat spray and the last two without as the anaesthetic made my throat feel like I could not swallow which was very scary.. I watched every one of them on the monitor..

I have also had 1 Gastroscopy (Camera down to stomach) with anaesthetic into my vein and have to go for another one on Monday 6th where as yet I am undecided whether to be knocked out or to watch the screen and stay awake if thats possible as last time I had to lay on my side with a mouth guard in so watching the monitor would have been a bit difficult..

An alternative if you are scared would be to ask your doctor for something fast acting to relax you 4 hours before the proceedure like Diazepam which has a half life of 200 hours once in the system .. Which means that 8 1/2 days after taking it it is still 1/2 the strength that you originally took in your system..

P.S. Its also not a good idea if you drive as it can make you drowsy..

The reason they say this is because most people are stupid , cant put things into perspective and have the tendancy to exaggerate.

So you need an endoscopy? You must be in extreme pain then? I was telling my stupid doctor for 4 years that I either had an ulcer or stomach cancer and that I wanted an endoscopy or barium meal, she just laughed. Oh well she knew best, until I was hospitalised.

So make sure you need an endoscopy, dont just seek it unless like me youve spent 4 years rolling on the floor for an hour 5 times a day in intense agony that the GP doesnt give you pain relief for.

Ok, you are definitely having an endoscopy now. Thats it, you are in. You are having it done , you will survive and this will help.

Dont bother asking them any questions. The questions you want to ask, they will avoid and distract you. Everything happens very quickly.

Throat spray or sedation?

I had throat spray.

Survival guidline.

Consent form. You might as well tick "take all my dna and body tissue" -I ticked the box which stated "I do not want my samples to stored" - thought that was pretty clear yet she questioned me on it and in short of getting into a political argument about my property I just asked her "why bother with the consent form if youre just going to get pateints to change their tick boxes? I read and understood everything, which part are you having a problem with?"

Tell the nurses you want to make their job as easy as possible for them and if there is anything you can do to help. Its nice, it will put them at ease and they might give you a few extra pumps of Lidocaine like they did me. Tastes like banana. Nice.

All of a sudden your throat feels like its constricted, exactly like you have a golf ball stuck in your throat. DONT PANIC. You can breath. Your throat is numb and your brain has stopped receiving signals tricking your body into thinking you cant breathe. Breathe. Its normal.

On a bed, lying down on your side. Forefinger in a pulse reader.

Little green mouth piece with air hole - bite down ( youll notice in endoscopy pamphlets there is a warning about maybe losing crowns and fillings but it doesnt tell you how this might happen- given that I was biting down on this thing for my life I would say that whatever is about to happen to you for the next 10 minutes and you find yourself biting down just REMEMBER your teeth- your mouth is numb you could smash your teeth out with a hammer and you wouldnt feel it!

Ok , here we go . Its just a little wire with a tiny camera on the end. Going to have a good look. No. Its not a tiny wire with a camera on the end. It should be a tiny wire with a camera on the end. Its 2013, we're into nano technology and space exploration. Its a pipe. So stop thinking kettle flex and start thinking hose pipe.

I goes in, you do not feel a thing. No pain. But this is not a painful procedure anyway.

They fill your stomach with air - didnt even feel it. No pain or unusal feeling.

This lasts for 10 minutes while they look around and take photos.

How you deal with these 10 minutes is up to you. I was convulsing and choking for most of the time but kept brave. The nurse kept telling me to breath but since I had a pipe down my thoat I found it a little difficult. I was calm and constantly giving them the thumbs up as I they seemed to freak out as I was choking and fighting for breath while at the same time trying to lie as still as possible. (stomach tearing is a rare complication , and this is probably when it happens so I was aware of this incase I survived) You do feel like you are dying and you could believe that the nurses are not aware that you are dying but you have to trust that they know what they are doing. But you do really feel like you are going to die from lack of oxygen. Its like drowning. Thats not an exaggeration, it is like drowning and knowing you are going to die.

Now it turned out I had an ulcer and a hiatus hernia and the reason I was gagging and choking all the way through the latter part of the procedure was because of the hernia so it may not be as bad for you. However, I look at it like this. Youve got a hose pipe all the way down your throat.

I'd have sedation next time. The reason being is that that is the option that the nurses try to steer you away from. Knowing what I know about doctors and nurses is that they want to make it easier for themselves during procedure. If you have sedation , they have to do a little bit more work, they have to monitor this and that and it takes longer and you're more of a dead weight to them. Im assuming sedation means you are completely out of it.I had loads of marijuana in the morning which took the edge off the horror. Also reading people experiences on other website leaves me feeling a little cheated. " Oh its nothing, you lie down, they put you under and you wake up ands its all done"....excuse me? As far as Im concerned, if youve been asleep the whole time at some magical surgery then your opinion is somewhat limited.

Im pretty tough. I know pain. This is something else. Probably on a par with being waterboarded with no secrets left to tell. For those ten minutes just think of yourself as an empty vessell that needs examining and it will be over. The worse outcome is going through all this only to find nothing there. So make sure you definitly need an endoscopy, i.e. you have constant agonising pain.

Remember, its a hosepipe. Not a wire.

I would just like to add my 2 penneth. I had a Gastroscopy today and although it is not the most comfortable procedure I've had, it isn't as scary as most people think. To the previous post, I think your post is very descriptive but I will say this. If you have sedation you are not knocked out. It is not a General Aneasthetic.

As I had mine without sedation. I was in and out of the hospital within 45 mins. And was able to eat about an hour afterwards. Although you must be careful and read the leaflet they give you. The reason you can't eat or drink straight away is that you could ingest food or drink into your lungs after the throat spray.

Remember it is numb and you can't control the little flap at the back of your throat that blocks your wind pipe when you swallow until the spray has warn off. Yeah I gagged a couple of times but as long as you focus on your breathing nothing much else happens. The throat spray is similar to going to the dentist it wares off after a short time. A little advice though take plenty of tissues to wipe your mouth as you will be dreweling afterwards.

I must admit I'm of the ilk that I won't have sedation unless it is absolutely necessary. I was in the waiting room watching people on their come down. Being Sick etc. My actual procedure lasted 6 minutes then I sat in the waiting area for 15 minutes, had a chat with a nurse and drove myself home.

If you go for the sedation you are concious the whole time with added bonus that you will feel awful afterwards and have to have the next day off work etc as you are not allowed to drive for 24 hours. The choice is yours, however I do understand if you did go for it as I nearly decided to as I was as nervous as the people reading this forum.

Good luck to anyone who is having one. And remember the staff at the hospital know what their doing and have done it thousands of times before. Have confidence in them.

So sedation for endoscopy was good for me, ok I had to stay a little longer in the hospital till the drug wore off, but that wasn't too long and it was worth it for the easier experience.

They also told me the camera was no thicker than a pen, A pen my a** it was just like a hosepipe as described earlier! I gagged and choked that much! my eyes were crying!I was belching like nobodies business!it really was horrible! I have had a colonoscopy last year and I would have these any day over what I had today.

On top of it all I have dukedom it's, two small erosions (ulcers) some biopsies taken,and yet my Gastro enterologist a told me straight after my bowel surgery 3.5 months ago I had wind in my stomach !!!!I have really lost faith in hospitals especially as my first husband was told he had an ulcer at 41 years of age and was dead six months after with cancer of the pancreas, how's that for a good diIagnosis with an endoscope.

Know what if I ever agree to have another it will defintley be sedation all the way, I will not go through

That barbaric procedure again.Nurse told me after she was still nursing a very bad shoulder where a gentlemhad gagged that much, he pulled out the endoscope and jumped off the table and knocked the nurse over.

Just shows how people re act to this procedure.. make sure you get sedation.

I am a doctor interested to know what the average person understands by the term 'sedation'. I would be very grateful to hear your views on this: What do you think it means? What do you want from 'sedation'? What do you want to be told about it? What should 'we' do if you appear to be unhappy during a procedure; stop, or give more sedation even if the latter might be risky?

Thank you for your views.

JP