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02/6/2014 at 11:11am
Location: Glasgow
Outfit: Vango Mira 500. Higear Aura 300.
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I'm an endoscopy nurse. Everyone is different, I've had the test myself with throat spray and I managed fine BUT that doesn't mean everyone will. I had no anxiety or fear, I see the test done a million times so I had 100% trust in my colleagues. Most people will fear the test and I understand.
One thing you must understand, your consultant saying he will give you lots of sedation is one thing but he may not be doing the test so the responsibility of giving you sedation lies with the endoscopist, it's them that will have to stand up in court and justify the amount of sedation they've given if something was to go wrong. They can't stand up and say but Mr Consultant there told me to, that doesn't wash.
I've no idea how your hospitals endo department is set up, but it can deal with an emergency situation of course but we need to avoid them, it's not a theatre with anaesthetists.
Ok so none of that helps you, I know, but some patients don't understand the ins and outs of the department.
Again, whether you can have throat spray and sedation will depend on how the endoscopist feels. If the choice is there, I'd take it.
There is no trick to having the test. Everyone responds differently to the sedative each time they have it. It really is mind over matter. Yes, you are going to wretch, gag, burp, cough. Yes you will think you are choking, you probably will think you can't breath, everyone feels like that. What to try and do is accept these things, know they are going to happen, forewarned is forearmed. Gagging is normal, some people can stop it but most can't, just let it happen, you will burp, don't panic again let it happen. Your oxygen and pulse will be monitored, so we can see your breathing is ok. You won't choke, you are lying on your side so the saliva runs out or gets suctioned away. Remember as well the test is very quick, should be less than 5 minutes,sometimes it's only 2 or 3.
In saying all that, some peoples anxiety just doesn't allow the test to happen and you'd need to discuss that with your consultant.
You probably won't believe me in what I'm going to say but it's what we find. People cope better with the throat spray as they are fully alert and can reason with themselves and have a full understanding of what's happening. Sedated patients tend to fight the test most as they are often so relaxed and sleepy then we come at them with a scope and they wonder what the hell is happening. I don't think this is a option you'd try though so that's ok.
I really hope you manage the test in whatever way you chose to have it, it's not the nicest thing to have done, I agree, but it's very worthwhile. Good luck.
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02/6/2014 at 4:55pm
Location: Ayrshire
Outfit: Auto-Sleeper MHs
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Weegmack, I learnt self-hypnosis prior to some pretty grim investigations. Visualisation didn't entirely work, but helped hugely - in my head I took myself to my favourite place (I think it was a beech wood, kicking through the autumn leaves), and detached brain from body while things were done. I have a philosophy which also helps - "you get what you expect, so expect the best". My father-in-law, in contrast, always looks on the dark side of life, and it always rains on his parade. Finally, don't go alone - take someone to talk to in the waiting room, and use the time to chat about where you're going to go camping next! Hope it goes well. Let us know.
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02/6/2014 at 7:47pm
Location: Ayrshire
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Quote: Originally posted by jules+rich on 02/6/2014
I had my first one last year and I also suffer badly with anxiety, especially 'health anxiety'. I had an anxiety attack the morning before I went and thought I just couldn't go through with it but my hubby came with me and calmed me down enough to walk through the door. The nurse I saw pre-procedure was really nice and could see what state I was in and told me the best way to go through it was to have the throat spray and that if I didn't fight it and just took really slow breaths it would be over quicker. Very difficult I know but I just wanted it over and done with.
So when I went in I had the spray and then took a few seconds to really slow my breathing down, closed my eyes and ALL I could think of was.....keep breathing slow, be over quicker....and yes I did gag and it wasn't pleasant, but it was over quicker.
I know it's not your first time but I understand your anxiety, I'd be exactly the same, just remember to KEEP repeating to yourself all the time "breathe slow, over quicker" and think of nothing else but slow breathing.
Good luck, be thinking of you.
Thank you. I appreciate your advice. Health anxiety is also my "trigger" - how ironic huh? I've had a bad experience with this particular department at my local hospital, because I always felt the consultant was impatient. However, the nurses were lovely. I recently had a laparoscopy and the nurses were SO understanding about my worries and GAD. I just need to make sure I speak to them first. Are you allowed to try with the throat spray and then opt for sedation if you just can't do it? It's because I have time to think about it - I'll be so worked up. If they knocked on the door right now and said they were going to give me an endoscopy now, I'd probably just get on with it! xx
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Gillian
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Topic: Endoscopy help
