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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Good evening, I had the duo endoscopy done today. When

Good evening,

I had the duo endoscopy done today. When I got home, I rested. When I awakened to stretch, my torso had this awful burning sensation. I thought maybe I had strained myself. Then I got up to go to the bathroom and it started burning again with each step I took. Why is this happening?
Sun, 7 Oct 2018
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doctor1 MD

I m concerned about how to proceed with endoscopy procedures after having had multiple negative reactions to sedation medications. Fentanyl makes me vomit nearly uncontrollably, Versed causes a paradoxical effect and a lingering, severe sense of profoundly disturbing effects on cognition that can last days afterward. Versed has also never caused any amnesia, on the contrary it does the opposite, causing an endless mental repetition of the most difficult or painful parts of the procedure that lasts for hours and is deeply disturbing. The best sedation experience I ever had was with Diazepam, but whenever I speak with a doctor about this they want to push Propofol instead. I don t understand this - it s repeatedly cited as great, but Propofol requires deeper sedation without any guarantee of the ability to communicate if pain is experienced, and it depresses people s pulse oximetry more than the benzo medications. From patient and nurse descriptions, Propofol seems to have been truly dangerous for the 25% of patients who have reactions to it. One nursing site said there is no way to reverse it and both the nurses sites and the patient sites consistently rate it high for side effects, especially for extremely painful, even frightening effects as it enters the body. It s clear that some people have a really good experience with it, but for those who don t, the experiences they describe are pretty horrific. Why is Propofol being touted as so good for everyone when nurses and patients don t rate it that way? Why is it so difficult to find a physician willing to use a bolus of Diazepam for a simple upper endoscopy procedure, when it used to be the norm? By chance would this a cost issue?

doctor1 MD

hi i hope you can help for about 6 months now i go to number 2s every time i go to the toilet and it always ends up with my bum bleeding , even when i dont go to the toilet i still have the bleeding from my bum..... i been to doctors had an endoscopy i think its called they said was hemoroid so been treating that but it still doing no good and my bum is so so sore

doctor1 MD

For almost two years, i have had this huge lump of gunk of mucous stuck in the back of my throat or vocal cords where ever.. alls i know is when i swallow its horrendous i can feel it when i swallow, eat, drink, it drives me insane, the only thing i can do to not panic and choke is to try hacking it out, which then makes me gag cuz its soo thick, i do get some of it out, but the lump of gunk never goes away even if i hack out pounds of it for twenty minutes, i cannot take it anymore its soo awful.. i think im making it worst by hacking cuz now once in a while i am getting a slight burning sensation up my throat (acid) from hacking so much all night and day i am damaging my esophagus, not good. when i hack i gag and almost throw up.. the mucous sometimes is clear, sometimes comes out as gel like round balls of yellowish color.. most of the time clear and very THICk - last night before bed i had been out bowling so i resisted the hack, clear the throat thing.. omg when i got home i just hacked once, and this HUGE ball of white like slime came out and the texture was like slime you could stretch it back & forth .. i feel like im going crazy i cannot live this anymore i cannot do it.. i also went to ent, they put the scope down my throat, he saw nothing, but redness, said i would need another test to make sure not gerd, went to gastro, got a endoscopy, was terrified to get it done, and my luck of course, i woke up during the procedure they didnt knock me out enough, but i was out of it, so when i woke up i was disorientated i bolted up right with the huge scope down my throat, (tear my throat all up inside) hurt for 3wks.. (but the hacking mucous issue was already there) but i do think this made it worst.. it seems much worst now the mucous issue. anyway they said looked fine.. redness and swelling. i do not have allergies.. please if you have any thoughts suggestions or cure , please help me , i feel like jumping off a bridge.. sincerely darcy, YYYY@YYYY email if you need it..

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