Painless colonoscopy

Painless colonoscopy, the essence is to intravenously inject an anesthetic drug with fast onset, short effective time and exact action before the examination, so that the patient can fall asleep within a few seconds, and wake up early after completing all the examinations. There will be no discomfort and pain in the body, so it is more and more popular among patients. About 4 hours before the examination, 50 grams of adults, children 25-35 grams of magnesium sulfate powder and 100 ml of warm boiled water orally, and then oral boiled water 2000-2500 ml within 1 hour. Basic Information Specialist classification: Digestive examination classification: endoscope Applicable gender: whether men and women apply fasting: fasting Analysis results: Below normal: Normal value: no Above normal: negative: normal. Positive: Applicable diseases include colorectal polyps; inflammatory diseases of the large intestine such as ulcerative colitis; chronic colitis; colon cancer. Tips: Before eating, it is forbidden to eat seeded fruits such as vegetables and watermelons. Normal value About 4 hours before the examination, 50 grams of adults, children 25-35 grams of magnesium sulfate powder and 100 ml of warm boiled water orally, and then oral boiled water 2000-2500 ml within 1 hour. Generally, defecation begins after about half an hour, and the feces in the large intestine can be basically cleared after 5-7 times of diarrhea. Some patients may have vomiting during the bowel preparation process, which may be related to the stimulation of magnesium sulfate and the large amount of drinking water in a short time. The magnesium sulfate may be mixed into the beverage and then taken orally, and then the boiled water is slowly orally administered, so as not to cause obvious abdominal distension. Clinical significance Abnormal results: Applicable diseases include colorectal polyps; inflammatory diseases of the large intestine such as ulcerative colitis; chronic colitis; colon cancer. There is persistent abdominal pain; the pain is mostly in the lower abdomen, the degree is different, mostly pain or pain. People who need to check: (1) Anyone who has upper abdominal discomfort, upper abdominal pain, reduced eating, melena, vomiting, suspected chronic stomach, duodenal disease, and has not been confirmed by various examinations should be diagnosed by colonoscopy. (2) X-ray barium meal examination found that there are intestinal ulcers, intestinal polyps or intestinal tumors, but those who are not sure of the nature, need to do colonoscopy, do biopsy to determine the nature. (3) Chronic enteritis, regular colonoscopy, or clear pyloric obstruction. (4) In patients with intestinal cancer, in order to understand the type of tumor, the extent of the lesion, colonoscopy should be performed before surgery to determine the surgical plan. After the bowel surgery, regular review is needed to observe changes in the condition. (5) Upper gastrointestinal bleeding (black stool or hematemesis), urgent gastrointestinal endoscopy (24-48 hours after bleeding), in order to find the bleeding site, and can be used for local hemostasis treatment, such as bleeding is more severe , can be treated externally. (6) If a foreign body is found for colonoscopy, polyps can be treated with microwave or electrocoagulation. (7) Obstructive jaundice with persistent or recurrent episodes, which cannot be determined by general examination. (8) As a treatment for intestinal lesions. Positive results may be diseases: chronic colitis, colorectal polyps, colon cancer, ulcerative colitis considerations Note before and after inspection: 1. After taking biopsy or polypectomy, please rest in bed absolutely, do not exercise vigorously within three days, do not do barium enema examination. After polypectomy, the doctor usually fasts for three days according to your situation and gives intravenous infusion. If there is no blood discharge, the situation is satisfactory and you can be discharged. 2. In the early stage, due to air accumulation in the large intestine, you may feel uncomfortable with abdominal distension, but it will gradually disappear after a few hours. If the bloating is obvious, you should tell the doctor or nurse that the doctor will give you the appropriate treatment. 3, if there is no special, you can take the general food or eat according to the doctor's advice. 4. If there is persistent abdominal pain, or if there is a lot of bleeding in the stool, you should tell the doctor promptly to avoid accidents. Inspection process Painless colonoscopy is a central inhibition caused by the use of drugs, which makes the patient quiet, not anxious, decreased attention, forgetting, and slow-moving; it can improve the patient's tolerance and reduce the stress response, thus eliminating fear and discomfort. The endoscopy and treatment operations can be carried out smoothly, and the patient is awake during the whole examination process, and can perform language communication and coordination check. Not suitable for the crowd Inappropriate population: various acute enteritis, severe ischemic diseases and radiation colitis. Adverse reactions and risks Nothing.

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