Question- Medications & Colonoscopy

T o p i c : Medications & Colonoscopy

Q: I am a 47 year old female with UC. I have had 3 colonoscopies. Each time I have been given large doses of Demerol. The problem is that I am still in severe pain to the point that I tell the Dr. he has to stop during the procedure as I cannot take the pain. Do I have any alternatives. My M.D.(this has happened with 2 Dr.s) says that I am over sensitive to pain.

A: It is true that there are some individuals who are exquisitely sensitive to any scope movement. Sometimes this is due to scar tissue from inflammatory conditions (prior abdominal or pelvic surgery/ endometriosis/ diverticulitis etc.) The usage of a smaller "pediatric" scope may be better tolerated. The sedative Versed is reported to have a better amnesia effect than diazepam which was used for many years. The assistance of an anesthesiologist to administer a stronger sedative such as Diprivan (propofol) may be useful.