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I Am Having A Colonoscopy On Wednesday. My Doctor Uses

Posted on Tue, 18 Feb 2020

Question: I am having a Colonoscopy on Wednesday. My Doctor uses Profofol for sedation which I am told is safe. Are there any circumstances where Profofol should not be used? I am nervous about it as I would much rather be awakeand aware, but I hada Colonoscopy done 5 years ago with. no sedation, andit was to painful. Everyone I have talked to said that Profofol is great. I just don%E2%80%99t like the idea ofAnesthisia. It makes me nervous just thinking about it. I justneedsome reassurance.

Answered by Dr. Bhagyesh V. Patel (1 hour later)

Brief Answer:
propofol absolutely safe , with certain conditions in which it is avoided.

Detailed Answer:
Hello and welcome to Ask A Doctor services.
I have read your query and here is my advise.

* As per my surgical experience, the propofol is highly safe molecule used
for minor sedation in hospital set up for any day care procedure as
colonoscopy or others.

However, there are certain specific situations, where your anesthetic would like to avoid use of Propofol as

- known allergy to Propofol
- low blood pressure via volume depleted states as hypovolemia or else
- central nervous system disorders as clots in the brain
- convulsion disorders

Otherwise in a normal physically fit individual , it is absolutely safe to be used in expert hands without hesitation or panic.

However, with your previous experience of the colonoscopy, you have all rights to undergo colonoscopy without sedation as well and avoid use of Propofol during the procedure.

Wish you best procedure.
Regards.
Dr Bhagyesh ( MS consultant surgeon )

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Bhagyesh V. Patel (57 minutes later)

I am taking Dilantin for a seizure disorder. I have not had a seizure since I was 18 years old. Is Propofol still safe for me? II did givethe nurse this information last week, when she called to getall my medical history, and she did not say anything about not using i tried doing it without sedation 5 years ago, and it was to painful.

Answered by Dr. Bhagyesh V. Patel (4 minutes later)

Brief Answer:
follow up.

Detailed Answer:
Hi
Thanks for the follow up.

There are no documented interactions of Propofol with Dilantin and as you have no seizures in recent past, there is no threat in using Propofol in your case.

Do feel free to ask any further doubts.
Wish you a great day.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Bhagyesh V. Patel (29 minutes later)

Iam calling my Doctors office tomorrow to check with them. I just so wish I could be awake andaware but have it not be painful, but I guess there is no way to do that? I thank you for yourcomments.

Answered by Dr. Bhagyesh V. Patel (3 minutes later)

Brief Answer:
follow up.

Detailed Answer:
Hi

There are certain anesthetics even opting help of music therapy for complex brain surgeries without general anesthesia where the neurosurgeon wants to check per op functioning of brain centers and anesthetic wants to avoid major risks.

Can discuss some sort of such possibility with your doc for your procedure too
where you may not need anesthesia and also do not feel pain.

Thank you.

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Prasad