Upper Gastroscopy/Endoscopy Without Sedation
Posted , 48 users are following.
Browsing this site because I can see a Colonoscopy coming my way. Got side tracked and ended up in this section.
Just wanted to say about 4 years ago I had to have an upper tract endoscopy (tube down throat) and was beside myself over it. I'm the biggest wimp going and very frightened of invasive procedures.
Anyway, circumstance on the day were that if I had sedation I'd have no one to drive me home afterwards but I wanted to get it over and one with.
So believe it or not I asked for it without sedation. The nurse tried to dissuade me but I stuck to my guns. I did accept the throat spray though. I calmed myself as much as I could and walked into the procedure room.
I'm please to say I managed it without sedation and it wasn't as bad as I thought it would be. No pain and only minimal discomfort. I did mumble about getting the endoscope out quick just before the end but by then it was nigh on all over. The examining doctor said I'd done so well to tolerate it. That made me doubly proud of myself because at the time I suffered from severe panic attacks (now thankfully gone).
Back in recovery all my fellow endocopees who'd had their procedure before me were snoring their heads off. I waited there a while because I wanted the numbness the spray had caused to my throat to wear off. During this wait I heard other patients who had been sedated fighting, groaning, moaning and shouting during their investigation. I'm sure that would have been me if I'd been left with no control.
Now possibly got to face a colonoscopy and heading to that section to see what the score is on that front.
2 likes, 132 replies
elaine555 Guest
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g75183 Guest
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lily65668 g75183
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I had it done with a severe throat infection due to my large, spiky denture having been embedded in my throat for three weeks, causing ulceration. They only did it to "reassure" me I'd imagined swallowing the denture - I'd been thrown out of three different hospitals in three weeks! They got a massive shock when they saw the denture down there, and I can't say that getting it out was the most pleasant of experiences, but the infection didn't make any difference at the end of the day.
Good luck with your procedure!
alexandra77226 Guest
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Like, I'm sure lots of other people, I ended up on this page after searching the internet to try and decide whether to have my Gastroscopy with or without sedation.
Having been told by a dear friend about a year ago, who opted for no sedation when he had a Gastroscopy, that it was the most unpleasant thing he'd ever experienced, (and that assessment included the intensive Chemotherapy that he had to have subsequent to his Gastroscopy), it was a bit of a no brainer for me to go for the sedation. Even so I still wavered a bit, especially after reading some of the posts here that seemed to indicate that sedation didn't really help or made you feel awful for days after.
Anyway, I went for my Gastroscopy this morning, (to an NHS hospital in England), and although I was definite I was going for the sedation, and had my lift home all arranged, interestingly when I had my initial assessment with the nurse, although I wouldnt say she she tried to pressurise me into giving the sedation a miss, she did question whether I really needed it as I was, to quote her "so calm and relaxed", and she did definitely make me feel as though if I went without the sedation the whole procedure would be far more straightforward.
As a result of her comments, I did almost reconsider my decision, however stuck to my guns in the end and had the sedation. I can honestly say that when I saw the state of my face after the procedure I am so incredibly thankful and relieved that I went for the sedation.
Basically without wanting to scare or frighten anyone reading this, whenever I retch badly, I always end up with tiny burst blood spots on my face, (it's to do with the pressure induced by the retching). The spots don't hurt, and after a few days they disappear.
Anywsy, coming back to this morning, when I was lying in recovery coming to from the sedation, the nurse came over to check on me and looked concerned and then told me that I was coming out in a rash all over my face. Knowing about the blood spots I sometimes get, I asked her to get a mirror for me to have a, and when she did I immediately realised that the 'rash' was actually my face being almost entirely covered in these spots, so much so that parts of my face and around my eyes were almost a purple colour. Not even when I came down with Nora virus and spent 14 hours straight stuck in the bathroom throwing up every 30 minutes had my face even been 1/4 as badly marked with the spots.
As a result of this, I realised that, although I really genuinely couldn't remember anything much about the procedure, (other than the nurse putting the mouth guard in, the sedation then making me drowsy and at some point me burping/coughing a bit), judging by the marks on my face, I must have retched really badly and probably been a nightmare for the nurses and Doctor to keep still, but thanks to the sedation, I was blissfully unaware of any of it.
As such, judging by my experience earlier today, if you're brave enough to go without sedation, you have my utmost admiration, but if you want to be blissfully unaware of anything at all, then stick with the sedation.
lily65668 alexandra77226
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Glad your experience wasn't too bad, Alexandra, and hope the blood spots soon clear up.
Truth256 Guest
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Researching the procedure made me think that the camera/cable they feed down your throat is thinner, and I was surprised at the size of the cable, being more the size of a coaxial cable than the thin camera I was expecting.
I really struggled to breathe with this procedures, I cannot quite remember how long it went on, but at times I felt I was suffocating, I must say the nurse was very good and the encouragement and her talking to me helped a lot during the procedure.
I gagedf quite a bit when the procedure was done and I would recommend they give people a lot more tissues to being able to vomit/gag/puke into afterwards, but it was a relief to get it over with.
I have been told I have to have to have this done every 3 years, and there is no way in hell I am ever going to go through that procedure again willingly.
lily65668 Truth256
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In fairness, a lot of people on these blogs have had good experiences, both with sedation and throat spray - I seem to recall one having it even without throat spray and saying it was fine. I think it depends on how brave you are about having things pushed down your throat. We all have our pet fears and foibles.
Some people are terrified of going to the dentist. Personally, I'm pretty fearless in that department. I once survived a root canal job with no anaesthesia whatever, due to arthritic calcifications completely blocking the local. Can't say I'd be in a hurry to go through it again, but I'd rather do that a dozen times than have another gastroscopy!
jane97743 Guest
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duddy Guest
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Truth256 duddy
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donna_71589 Guest
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So yes it isn't the most comfy procedure, but if you can do it without try, as the recovery is much faster.
sylvie60 Guest
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sylvie60 Guest
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Cathuk Guest
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It came out and i was breathing so fast but said to my self you need this done you have to have it done so I said try again. They started again and as soon as i started to gag I again grabbed hold of it. Everyone was shouting to let go of it but I pulled and pulled till it came out. I then had a massive panic attack. I couldn’t control my breathing I was hyper ventilating they flipped me on to my back and a lady was right in my face telling me to breath like her but I couldn’t it was awful. I had oxygen but still couldn’t regulate my breathing. I started crying uncontrollably as well which didn’t help.
I was moved to recovery and left on my own I felt so alone and scared I kept crying but was ignored.
The back story to this experience. I was sent a letter from the department and noted it in my diary. A few days letter another one came, send in error I called up by no one answered the phone so I kept calling and calling but no one answered so I just turned up as it said on the letter. I had my sedation lines put in then to be told I shouldn’t be here and why did I come it was the second letter my appointment. I explained I had called several times but no one ever picked up to take my call. I was sat in the waiting area listening to them all call me names for not ringing up. It was so disrespectful I could hear everything they said which was fit her in at the end.
So as I was fitted in at the end I believe they didn’t sedate me properly as they wanted me in and out of the room and the recovery room quick so they could go home. I was terrified when I went in as I had heard them all talking about me before hand.
I am now awaiting the procedure un GA which I am not looking forward to at all as I don’t feel GA is needed tbh just more sedation. I have Oramorph which is prescribed to me for my back pain – could I dose up on this before the procedure and try sedation again? I had the first one years ago in a private hospital and remember spending hours in recovery to so I do think the NHS hospitals don’t have the staff or funds to allow you to be properly sedated and there for give you the bear minimum. 3mg is nothing I’m a big woman too.
The thought of having another endoscopy scares the life out of me
lily65668 Cathuk
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The vast majority of under-60s, as well as some older people, have no reason whatever to fear gastroscopy under sedation, as they will come out of the procedure (as you did first time round) with absolutely no memory of it. I'd like to stress that. "Horror stories" like yours (and mine!) can scare the life out of people facing gastroscopy. To anyone out there who's been scared by this story - you have absolutely nothing to fear if you're not a pensioner, or indeed if you're one of the many people who don't have a very strong gag reflex and can tolerate the procedure just with throat spray.
However, I also realise it's upsetting to pour out one's heart about a thoroughly unpleasant experience only to have a dozen people write in snorting: "What are you talking about? There's nothing to it!"
I too had a very bad experience, albeit under rather different circumstances. I'd managed to swallow my very spiky denture, but because it had no metal parts it didn't show up on X-ray. Since I was 70 at the time, it was assumed I was a batty old dame who'd mislaid the denture somewhere and imagined she'd swallowed it. It was stuck in my throat for more than three weeks, during which time I was ejected from various hospitals as a time-waster, in spite of my obvious dehydration and weight loss.
In the end a friend accompanied me back to one of the hospitals that had thrown me out as I was by this time unable to talk without retching. After a lot of abuse, a woman doctor finally agreed to put me in for emergency gastroscopy "to prove once and for all that this is all in your head". Well, obviously it wasn't, so after a half-dose of sedation (all that's allowed for elderly people because of the risk of cardiac and respiratory depression) they put the tube down and saw it in my throat - well embedded by this time. I then had to be held down by six people while they pulled it out.
I quite understand your reaction. I'm a former nurse and fully understood what was going on and why it was being done. But in some people - particular the elderly - the sedative drug produces a paradoxical reaction, making the patient more agitated and aggressive rather than calmer. I felt as if my higher intellectual centres - which might have helped me to cooperate - had been knocked out, leaving the atavistic limbic system in the driving seat. As in "Kill, kill, kill!"
I have to say there's no way on earth I'd let anyone stick a tube - let alone forceps - down my throat again without a GA, so you're not alone! You weren't just being a big coward and don't listen to anyone who implies you were.
But once again - and I do know what I'm talking about - the vast majority of younger people, and some older ones, who have a gastroscopy under sedation really don't remember a thing about it.
Cathuk lily65668
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I am nervous about having it under GA tbh. I am going to see the doctor (moved to a new practise) and discuss it. I also have angina bullosa haemorrhagica which means that trauma to my mouth results in massive blood filled blisters which appear almost instantly. I was told by the specialist to tell anyone who is working in my mouth about it esp if it was an endoscopy or GA. So I took along the info on the disease and they just dismissed it completely which scared me even more. I have had a blister block my throat fore until I gagged and gagged and then spewed the blood out was awful. There is no cure either and it is because my inhalers for asthma have damaged my mucous membranes so it made me doubly scared of the procedure. In the recovery room the older generation took it in their stride tbh and where sat chatting while I was lay blubbering to myself with blisters in my throat.
jane97743 Cathuk
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lily65668 jane97743
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I'm very glad you had a good experience, as most people will.
Cathuk jane97743
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Cathuk jane97743
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lily65668 Cathuk
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jane97743 lily65668
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lily65668 jane97743
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