colonoscopy very painful and distressing

I had a colonoscopy yesterday by Nurse Practitioners. It was extremely painful and the sedation I was given woefully inadequate. I have no complaint about the competence of the practitioners nor indeed the care I received but in this day and age nobody should have to suffer high levels of pain during an invasive investigation as colonoscopy is. I was completely awake and alert throughout and had, apparently the maximum sedation dose permitted. It was no way enough. 

I had a colonoscopy 10 years ago. It was done under deep sedation by a colo rectal surgeon. I had no pain and was asleep throughout. 

This clearly needs to be addressed. I am guessing that nurses are not allowed to administer more than a certain amount of sedation/analgesia as there is no anaethetist present to intubate etc. I was told that deep sedation is a risk as,if the patient is unconscious, they are unable to cooperate/expressdiscomfort and that increases the risk of perforation etc.

This is not fair on the patient. I had 5 polyps removed which means I will be recalled next year for a further colonoscopy. I will refuse this unless I can be assured of adequate sedation.

Parents
  • I had a colonoscopy today...or rather a partial one. I was shocked at how painful it was. I couldn't tolerate it. I was given 50 mg of something, then 25 but it was useless. Also gas and air was useless,  it was impossible. I was surprised how rough it was. I had one several years ago and it wasn't bad. I remember it being conducted very gently.and feeling much more sedated. A..Bloody hell. It was torture. #Traumatised WTH is going on? Is this some kind of concentrtion camp experiment? Who's running the NHS these days, for pity's sake?

Reply
  • I had a colonoscopy today...or rather a partial one. I was shocked at how painful it was. I couldn't tolerate it. I was given 50 mg of something, then 25 but it was useless. Also gas and air was useless,  it was impossible. I was surprised how rough it was. I had one several years ago and it wasn't bad. I remember it being conducted very gently.and feeling much more sedated. A..Bloody hell. It was torture. #Traumatised WTH is going on? Is this some kind of concentrtion camp experiment? Who's running the NHS these days, for pity's sake?

Children
  • Hi and thanks for posting

    I'm sorry you had such a painful experience with having a colonoscopy this time around.

    Usually, once sedation is given, it does take effect and the whole process becomes a bit more bearable. Everyone does experience things differently and to a certain degree, it also may sometimes be down to the person doing the procedure, although I'm sure that due care and caution is always taken. 

    Sedation works best when given before the procedure and before the scope is introduced. As you had one before, it's possible that being very tense may have aggravated things, but to be honest, it's not really possible to say why this time it felt so much more painful.

    If you do need another one, it may be helpful to also ask for a tablet to take on the day of the procedure as well as the sedation at the clinic. Do tell the clinic of your experience so that if you need a repeat, they will be aware of how painful it was for you.

    I hope things have settled down a bit for you and you are recovering from the experience

    All the best

    Wanda