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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Pain During A Colonoscopy?

I had colonoscopy due to possible fixed sigmoid colon previous TAH and pelvic floor repair. I was in agony when they did the colonoscopy.Why was this? Also mild diverticular disease in sigmoid and descending colon can you explain this in simple terms thank you
Mon, 2 Jul 2018
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Internal Medicine Specialist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Diverticulosis means small pouches are formed in the lining of the bowel. In your case mild diverticular disease in sigmoid and descending colon means tiny pea size pouches are formed. These usually don't cause much damage except if they are bleeding due to rupture of near blood vessels. Colonoscopy is normally an uncomfortable but not a painful procedure. But in your case, if you have any rectal bleeding, colonoscopy will be painful. Your pain may also be caused when the tube passes through one of the diverticula present there thus causing wrong turn and bending of the tube and difficult angulation. In severe diverticulitis, colonoscopy is avoided due to extreme pain.

Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Penchila Prasad Kandikattu
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Internal Medicine Specialist Dr. Dr. Penchila Prasad Kandikattu's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Pain and discomfort is common in colonoscopy. If you're not seated properly lead to discomfort and pain in the abdomen. In diverticulitis or IBD patients pain may aggravated. It may vary depending upon the doctor and patient experience, etc., you may use painkillers like Tramadol or Paracetamol, etc. Please consult your doctor he will examine and treat you accordingly.

Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Penchila Prasad Kandikattu
I find this answer helpful

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What Causes Severe Pain During A Colonoscopy?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Diverticulosis means small pouches are formed in the lining of the bowel. In your case mild diverticular disease in sigmoid and descending colon means tiny pea size pouches are formed. These usually don t cause much damage except if they are bleeding due to rupture of near blood vessels. Colonoscopy is normally an uncomfortable but not a painful procedure. But in your case, if you have any rectal bleeding, colonoscopy will be painful. Your pain may also be caused when the tube passes through one of the diverticula present there thus causing wrong turn and bending of the tube and difficult angulation. In severe diverticulitis, colonoscopy is avoided due to extreme pain. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu