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Conditions and Diseases > Stomach, Ulcers, Gastric Bypass Forum > Gastroduodenoscopy: can gagging on scope cause scarring of t
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Q: Gastroduodenoscopy: can gagging on scope cause scarring of t
asked by: DoctorQuestion on September 1st, 2006
A colonoscopy revealed small haemarrhoids, but no polyp, verticula or ulcers. To be doubly sure, I just underwent a gastroduodenoscopy with the conventional (thicker) scope. The sedation wore off while the procedure was on, and I gagged severely quite a few times, and they removed the scope (I don't know whether they had to terminate the procedure before completion or before achieving retroflexion). And after the endocopy, the next time I had a bowel movement, there was definite bleeding. My concern is: CAN GAGGING ON THE SCOPE CREATE ANY SERIOUS DAMAGE SUCH AS PERFORATION / SERIOUS SCARRING OF THE ESOPHAGUS / STOMACH LINING? thank you. - JEH


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Dr. Nikola Gjuzelov , MD
replied on September 6th, 2006
Stomach, Ulcers, Gastric Bypass, Colon Disorders Answer A144
Endoscopic procedures (gastro-duodenoscopy, colonoscopy, cystoscopic, bronchoscopy, arthroscopy, thoracoscopy, laparoscopy etc.) are invasive diagnostic procedures and they always include a risk to your health or even to your life. Every patient should be informed about associated risks previous to invasive procedures; procedures shouldn't be performed without acceptance of associated risks by the patient. According to your symptoms (rectal bleeding), it doesn’t seem likely that you are experiencing damage to the esophagus or stomach. In the case of esophageal or stomach damage, symptoms can be blood vomiting (haematemesis), black feces (melena) or severe abdominal pain (in the case of perforation). Rectal bleeding is not included as a symptom of damage to the esophagus or the stomach (rectorrhagia). Rectal bleeding is typical for the blood escaping from the lower parts of the gastrointestinal tract (small and large intestines). The small hemorrhoids you report might be the reason for rectal bleeding. You may consult a gastrointestinal internist for an expert opinion.


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