en.aazsante.fr

The Largest Portal Of Health And Quality Of Life.

Colonoscopy and endoscopy: can the procedures be performed together?

Colonoscopy and endoscopy: can the procedures be performed together?

High Digestive Endoscopy may be indicated to assess abdominal pain, vomiting, difficulty or pain to swallow, gastroesophageal reflux disease, weight loss, certain deficiencies of minerals and vitamins, or prevention of neoplasias.

Colonoscopy , may be indicated in cases of unintentional weight loss, blood in the stool, changes in bowel habits, changes in imaging tests (intestinal thickening seen on CT scans, for example) or prevention of colorectal cancer (colorectal cancer).

Preparation

For both examinations, the patient should be fasted and sign a consent form liv informed that he is aware of the risks of the examination and that it authorizes the examination to be carried out. Suspension of certain medications may be indicated before the tests, and colonoscopy should be done with a diet containing no residues (fibers), laxative solutions and, in some cases, enemas (intestinal lavage).

A high digestive endoscopy is usually performed under conscious sedation. It is not always necessary for the patient to sleep, it depends on the individual's acceptance since the examination does not cause pain, but causes discomfort. A topical anesthetic is given by throat spray to inhibit the vomiting reflex, followed by intravenous injection of a sedative.

In colonoscopy, deep sedation is usually done with intravenous anesthetics, once the introduction of the device can cause pain by rejecting the bowel loops. In both procedures the monitoring of certain parameters such as blood oxygenation, heart rate and blood pressure

The examinations

The examinations are performed with flexible tubes - the colonoscopy is about one centimeter in diameter and the endoscopy The upper digestive system is a little thinner - allowing the mucosa to be visualized, injecting air to distend the segments examined, passing instruments like biopsy clips, removing polyps, catheters to cauterize lesions and stop bleeding, balloons to dilate stenoses, among others In digestive endoscopy, the device is introduced through the mouth through the esophagus and stomach into the duodenum (the initial portion of the intestine). In the colonoscopy, the equipment enters the anus, passing through the rectum and colon, to the terminal ileum (final portion of the small intestine).

Do or do the same day tests?

Both tests can be done the same day . The preparation is the same as for colonoscopy. Usually, it starts with upper digestive endoscopy, followed by colonoscopy. The interesting thing is to resolve the two exams in a single anesthetic act, that is, the patient only needs to be anesthetized once.

However, the possibility of presenting abdominal pain or discomfort after the exams is greater, since they are injected more during exams. Except for this, the risks are the same as undergoing the two exams on different days.

After the examinations

After the examination recovery is rapid and as soon as the effect of the medication used in the sedation is over, the person is released, but should be accompanied and can not drive, as the judgment capacity is altered by the sedatives used.

The diet, in most cases, has no restrictions, but preference should be given to a soft diet in order to avoid gastrointestinal complaints that may lead to doubts as to the possible complications of the test.


Tension-type headache in children: causes and treatments

Tension-type headache in children: causes and treatments

Tension headache is one of the common causes of headache, affecting about 38-74% of Brazilians. It can be episodic, when it occurs for a period of less than 15 days per month, or chronic for more than 15 days / month. This involuntary and chronic contraction, accentuated in the muscles at the back of the neck and scalp, can affect adults , adolescents and children.

(Health)

Migraine: production of inflammatory substances generates crisis

Migraine: production of inflammatory substances generates crisis

Headache or headache, a medical term used by physicians, is a symptom so common in the general population that at least one lifetime pain crisis is estimated to occur. more than 90% of the world's inhabitants. And among the most common headaches, the one that most leads the patient to seek medical help is undoubtedly migraine.

(Health)