Endoscopy - sedation or throat spray?

I am 30 y/o and had my endoscopy yesterday. I had read horror reviews online and was extremely anxious and upset going into it. Some reviews I read said you felt like you were chocking, others that they were violently sick afterwards. This sent me into a panic. 

The good news is that I didn't in any way feel like I was chocking. I could breathe easily throughout the procedure and the kind nurses talk you through your breathing the whole way through.

The not so good news is I gagged and retched from the second the tube went in, to the second the tube came out. I am not often sick, my gag reflex is very good and I am usually able to completely control it but I had zero control over it yesterday whatsoever. It was horrible. 
 

I had opted for the throat spray and was not sedated, and the throat spray did little to help my gag reflex. It was in no way painful however, and over within 5 minutes. That's the reason I chose not to be sedated. It was a very unpleasant experience but it's over in 5 minutes. It's 5 minutes ... that's all!  And I walked out the door as soon as it was over, as alert as when I came in. 
 

good luck to everyone having it. I hope this helps a tiny bit 

  • Hello AB- and a warm welcome to Cancer Chat, 

    Thank you so much for sharing your endoscopy experience - it will be invaluable to others who are about to have an endoscopy and who may be worried about it. It's good to know that in your experience, the throat spray did little to help the gag reflex.

    It's good that it was all over in five minutes though and that you left feeling as alert as when you came in. 

    Best wishes, 

    Lucie, Cancer Chat Moderator

  • I had an endoscopy recently too.  I opted for the throat spray.  I concur, the endoscopy is a really unpleasant experience and the build-up and pre-procedure awareness just makes it worse.  For me, it was just uncomfortable as soon as I swallowed the camera/tube.  Then several times afterwards I gagged or was sick.  I am not sure whether this was due to the tube touching sensitive areas around your tonsils (like with a covid test) or whether it was to do with where the camera was at the time.  Certainly the worse bits of being sick was when the camera was deep, within my stomach.    

    Afterwards my overriding thought was I was never having another endoscopy.  I am not sure about the sedation because as you say the impact is worse (someone to drive you there/home).   I think for first timers I would recommend the throat spray.  I can't believe it only takes 5 minutes though.  They invest 30+ mins in preparing you for it and telling you what will happen, and that it will be uncomfortable.