I had my first preventive routine colonoscopy today. Bottom line, everything looked great, and the doctor joked "This looks so healthy you're going to put me out of business".
When I arrived, the nurse confirmed that I wanted sedation. I was going to ask them about it, because I read several studies concluded that 60-70% of people who had colonoscopies with and without sedation preferred no sedation. I said it was not presented as an option during the consultation last week. The nurse said she had experienced one both ways and preferred no sedation. For her, the pain was similar to bad cramps that accompany diarrhea. She also said I could change my mind during the procedure if things got too uncomfortable (but made sure I had a ride arranged).
I decided to go without. Her description was very accurate; there were cramps but they lasted only 10-20 seconds. This happened 3 or 4 times as the scope was pushed around bends. The doctor cautioned when I would feel cramping, and was constantly looking and asking to make sure I was reasonably comfortable. The withdrawl is when they take more time and have a good look, it is painless, just a few odd sensations.
Everyone is different when it comes to pain thresholds and discomfort, but I am very glad I went without sedation. We could leave the place immediately, and could enjoy a celebratory glass of cab when we got home.
Here's what I learned:
- Strongly consider (or even insist) on opting out of sedation. If they won't allow it, consider a different doctor. I'm guessing a skilled and experienced doctor will be OK with no sedation (see below).
- The laxative they used was McKesson saline laxative. It tastes strange but not bad, and you just take it with 8oz of liquid followed by 16oz of water. Not as bad as other types I've read about. I did have a few minutes of dry heaves.
- Since I was fully aware and awake, I could tell the comfort level depends on the skill of the doctor and assistant in guiding the scope. Perhaps that is why some posts in this forum report a very bad experience.
- Bring along food, you will be craving something to eat as soon as you're released. A banana and granola bar never tasted better!