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endoscopy and sedation - should I or shouldn't I?

(44 Posts)
ellymae Thu 05-Mar-09 14:40:51

I know there have been a load of discussions about endoscopies in general over the last few months but I just wanted to do a quick poll on whether I should go for sedation when I have mine done later on this month.

All the info you get from the internet and the hospital suggests its a simple quick procedure and should be managed with just a throat spray to numb the pain. Only those of a nervous disposition seem to be encouraged to have sedation!

However anyone I've spoken to in RL who has had an endsocopy has recommended without question that I go for the sedative! So what do you think?

If I do go for the sedative, how likely am I to feel a bit washed out the next day? I'm supposed to be having friends and their DC's round for a very informal birthday tea and cake for my DD who's birthday will be the following day (ie two days after the endsocopy). Will I be up to hosting?


dh had sedation yesterday for a colonscopy (same sort of sedation)

He was fine last night and we have been out for a 2 hour walk today.

2shoes Thu 05-Mar-09 14:43:39

I haven't had an endoscopy(I had the other end)
but i would be sedated,
I found I was fine, not even sleepy after.

nailpolish Thu 05-Mar-09 14:44:39

i d have the sedation

(hi CD - i have MSN up and runnign again)

Pheebe Thu 05-Mar-09 15:37:07

Sedation every time. Its quick but unpleasant. It wears off very quickly you'll be fine before you leave the clinic.

OhBling Thu 05-Mar-09 15:37:43

definitely have the sedation. I don't know why they always say that it's really minor and it doesn't hurt and the throat spray is enough but it's not. it's horrible. Not so much pain, as just a lot of discomfort and the constant gagging reflex is horrible. The sedation is very mild and honestly, you will be fine - I had the semi-sedation for the third one I had (don't ask) and it was definitely better. I was a bit woozy for a few hours and then fine.

As for how you will feel the next day - that depends. Mostly I just felt bloated and my stomach hurt from all the air they blew in, but otherwise, fine.

Good luck

LadyBee Thu 05-Mar-09 15:40:53

Go for sedation - if your gag reflex kicks in with something down your throat it could get quite panicky feeling. I think you'd feel fine the next day, I was fine within hours.

RubyRioja Thu 05-Mar-09 15:44:32

Yes deffo. No biggy with sedation, q unpleasant without. Sedation wore off very quickly after

Polgara2 Thu 05-Mar-09 15:57:34

Most definitely sedation, don't even think about it without!

choochoochaboogie Thu 05-Mar-09 17:09:31

I had endoscopy without sedation and was fine. My friend had it with and 2 days later it hit her like a sledgehammer and couldn't get out of bed all day and felt sick (been ok with anaesth before).

Only you know how big a wimp you really are or are not...wink

sarah293 Thu 05-Mar-09 17:11:47

I had one without sedation. It wasn't very pleasant but it didn't hurt. You do gag and belch but its over very quickly.
Sedation means you need someone with you.

ABetaDad Thu 05-Mar-09 17:15:10

elleymae - I am having on next month. An old guy I know told me that I should never consider the throat numbing spray. It does not work.

Sedation is the only thing he will accept.

I am having a tube up or down both ends so I have to be sedated.

bloss Thu 05-Mar-09 17:20:12

Message withdrawn

thirtysomething Thu 05-Mar-09 17:30:41

i had one with sedation only the sedation didn't kick in properly I don't think until afterwards. But don't remember pain, just trying to pull the tube out as gagging reflex kicked in. It was ok as these things go and I went home 2 hours later but you need someone to collect you or a cab as you can't drive if you've had sedation. Felt ok following day but did cancel night out with girls involving a curry the night after as just couldn't face it so I guess it did take a couple of days to get over.

nailpolish Thu 05-Mar-09 17:44:40

the throat numbing spray works very well actually

sedation is not advised for olde people, those with heart conditions, kindey probs etc as they can take sligtly longer to recover

sometimes it can elad to an overnight stay, but that is rare

in a young fairly healthy adult it is fine. id have it if it were me

nailpolish Thu 05-Mar-09 17:46:08

yes riven etc are right - if yoy have sedation they wont let you drive home yourself or get the bus

nailpolish Thu 05-Mar-09 17:47:26

i dont think the sedation is for the pain - its just to make the swallowing but easier and les traumatic for you

with the spray it halts the pain during the procedure but afterwards wheni t wears off you will have a sore throat

DottyDot Thu 05-Mar-09 17:52:58

OMG - definitely with sedation! You hopefully won't know a thing about it and you'll be fine the next day. I was spaced out the evening of having mine (had it in the afternoon) but was back at work the next day.

MummyDoIt Thu 05-Mar-09 17:56:06

DH had two or three and my Dad had a couple. Both had sedation and managed fine with it. I wouldn't have liked them to try it without. I had to collect DH after his and he had to have a responsible adult with him (none available so he had to make do with me) but it didn't take him long to recover. I would definitely take sedation if I had to have one.

SobranieCocktail Thu 05-Mar-09 18:00:02

Definitely have sedation. I've had an endoscopy with sedation a couple of times. I reeeallly enjoyed the sedation [druggy]. My Dad had one without sedation, and he found it absolutely awful...and he has all his dental work done without anaesthetic cos he's hard as nails wink

TheMadHouse Thu 05-Mar-09 18:00:37

I had mine with sedation and was so glad I did, as I have a ultra large para-oesopogial hernia and it took a lot of gettting the scope in.

I was so glad. I was fine and not groggy at all

Sedation definitely. I had one done last year and was given both throat spray and sedation.

I don't think the sedation worked though as I was concious throughout and it wasn't very pleasant at all. On the plus side there was no grogginess afterwards !

Elibean Thu 05-Mar-09 18:43:28

When it comes to having things down my throat (apart from food) I am definitely of a nervous disposition, and by the time I needed an endoscopy I'd had far too many medical procedures (unrelated) and had no desire to prove metaphorical balls by skipping sedation.....I would go for it, and think you'd be fine to host next day: I had full anaesthesia (short acting) and was absolutely fine by morning wink

ellymae Thu 05-Mar-09 19:53:36

thanks guys, looks like sedation it is!

I don't think I'm a wimp when it comes to pain but I'm just not sure how I would manage trying to swallow the tube. Glad to hear that the sedative effects don't last long though and fortunately DH will be able to pick me up afterwards to get me home.

So I guess now that I've decided on having the sedative I've just got to make sure I have a huge breakfast as soon as I get up on the day as my appt is not til 1.30pm. Think I'll be passing out with hunger by then

thanks again for all your tips!

JanisAsInJoplin4291 Sun 23-Jun-13 11:00:26

Had a gastroscopy yesterday and read a lot of horror stories on the internet-please don't do that! I was terrified having had an unpleasant experience some years ago. Staff were great-I asked for sedation and throat spray which they were happy to give me. Procedure was fine and can remember virtually nothing about it. It's not about being a wimp or being brave, the easier it is for the patient to cope then the easier it is for the medical team to complete the procedure. It's over in 10 mins and afterwards you just feel like you've had a few G&T s!

LongGoneBeforeDaylight Sun 23-Jun-13 12:19:50

I have had both colonoscopy and endoscopy. I didn't have sedation for either. I would recommend it for colonoscopy but endoscopy, maybe not. I had two endoscopies so I wasn't put off the first! It's very very quick - maybe 5 minutes - and it is unpleasant but I think the sedation would mean you can't drive there and you would be in a bed until it wore off. You will be aware of the procedure at the time, with sedation, but won't remember it. Really, it's a bit like being sick. They put something down your throat which is the worst bit, you retch a bit and they look around for a few minutes then pull it out. Sedation is a bit OTT I think.

LongGoneBeforeDaylight Sun 23-Jun-13 12:23:55

Just read a bit more of this thread. You don't have to swallow the tube, OP, they push it down your throat for you. You don't have to do anything.

A word of warning on the throat spray - it will make your tongue feel weird and it will feel like you're not swallowing when you are. They made me feel a bit panicky, but I am of nervous disposition.

gingeroots Sun 23-Jun-13 13:43:05
angeltulips Sun 23-Jun-13 13:49:57


digerd Sun 23-Jun-13 19:23:23

It does depend on how nervous a person you are. I was terrified and kept asking for a GA, but they wouldn't do that as said I must be conscious?hmm. I was given a light sedation of valium I think it was, but it was the calm manner of the young woman doing it that helped me.
No, the gagging is unpleasant, but lasted only a second or two.

I was calmly told what was going to happen and that I would feel no pain with the biopsies as the stomach has no pain nerves and I felt nothing when she said she was taking them. Good luck

digerd Sun 23-Jun-13 19:30:30

Ps. You must have it done on an EMPTY STOMACH. No eating for at least 12 hours before. So no breakfast at all, I'm afraid. sad

Pitmountainpony Tue 25-Jun-13 02:14:51

Had one last wee- awake with sedation.
yes take the sedatives- it is a very unnatural sensation to have what feels like a gold club thrust down your throat....i was fighting them off even though i was sedated- reflex.
But it is over very quickly and you will be fine- take the drugs on offer!!

mrssprout Tue 25-Jun-13 02:32:36

I had sedation, one minute I was handing over my glasses, next thing I remember is being offered a cheese sandwich ! I felt fine straight after, no lingering tiredness from the sedative, I would say have the sedative.

Slavetothechild Tue 25-Jun-13 23:20:45

Go for sedation , I did it with just the spray as I'm needle phobic ! Not terrible just unfortable and i continually reched and the spray was vile. Good luck

zombie thread smile

StuartB Mon 23-Sep-13 13:20:47

I was at the Glasgow New Victoria this morning for a Gastroscopy Because all the short procedures were being done in the one room I had to wait about an hour . It was done with a throat spray as I had opted for and what was going to happen was explained with glasses off and dentures out my throat was sprayed with an evil tasting anaesthetic which worked quickly .The mouth guard was inserted and the 'scope was removed from the cabinet where they are sterilised and connected up...the end was inserted through the guard and although I gagged slightly one swallow and it was on its way down .I was being encouraged to concentrate on my breathing and must have done all right as I did not gag again once ..a couple of biopsies were taken and then the 'scope was withdrawn . I was told that nothing problematic was seen and the biopsies were to check that nutrients from my food were being taken in .
To anyone thinking of having this procedure with the throat spray I would say go for it and relax and concentrate on breathing steadily and calmly and it will be done in a few (5?) minutes

idiot55 Mon 23-Sep-13 21:58:55

I had sedation, nightmare, really bad reaction, still havevflashbacks.

Wolfsome Tue 15-Jul-14 19:28:07

Wow, just did the endoscopy, took me a lot of effort to convince the doctor and nurses that i absolutely dont need sedation. the whole thing took 3 min, minor discomfort only! are you kidding me?? i had 100 times worst puking my guts out after crazy party drinking, this is nothing! don't be wimps folks seriously... Now, from the other end, i wouldnt do it without sedation for sure!

Wolfsome I'm having an endoscapy and colonoscopy next week.
Under sedation.

I won't be sedated for any dental work (had 4 wisdom teeth out and years later a couple of my molars , with local analgesia)

But I'm going to be so meh after the Starve'n'Laxative that I'll probably appreciate being well away before the tubes start going in.

I've had mine done, (under sedation)
I remember feeling the gag reflex with the endo, but nothing more
With the colonoscopy, I can remember the discomfort (not painful, more annoying) when they were taking samples etc. and I was trying to protest (grimacing but I don't think I made sound).
They said "We'll just give you some painkiller" but that's all I remember really.
But it's all a blur.

And I bought some Deflatine that I didn't need, the trapped air didn't stay trapped blush blush blush

MrsMcRuff Fri 26-Sep-14 17:39:29

I know - old thread!

I've got one next month. Had this mad idea of practising for it by swallowing whole strands of (cooked!) spaghetti. grin Haven't tried it yet!

Don't know whether I'm more scared of the procedure or the sedation, tbh.

Viviennemary Fri 26-Sep-14 17:44:26

Have the sedation. I did and it was fine. DH had had one a while before me and he didn't have the sedation as he wanted to drive. He said it was awful and he thought he was going to choke.

CariadsDarling Fri 26-Sep-14 17:48:07

I did it without sedation once upon a time and it was horrific. I truly thought I was going to die.

Mylittlepotofjoy Sun 28-Sep-14 10:54:14

I've had both in the last month !! Not pleasent and when I had the sedation it did nothing as I had worked my self up so much sad but if you are normal lol I would go the sedation route.

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