More Belly Woes

Virtual colonoscopy? I don’t recommend it. It’s uncomfortable and embarrassing.

I had an unsuccessful/failed regular colonoscopy in April. My doctor was trying to investigate what he called “thickening” where I’d had the diverticulitis on my last CT scan. I woke up from that colonoscopy to hear he hadn’t been able to scope me.  The internal scarring from the diverticulitis was so bad he couldn’t advance the scope. He then ordered a virtual colonoscopy.

I had heard virtual wasn’t bad, just an x-ray of sorts and I could drive myself home afterwards because they weren’t knocking me out. None of that was true. My son ended up driving me because I was so sick.

The prep was a disaster. I have never been that sick. I won’t go into details, but I had an overpowering, intense nausea and violent diarrhea. I got three hours of sleep and was up and visiting the bathroom again at 4:20 a.m. I was dehydrated, had a migraine and the chills. A step on the scale showed I was down seven pounds just from last Friday! That was all water weight lost.

The test itself was fairly fast once they took me in. Waiting is always the worst part for any sort of procedure. I was awake the entire test and that was the stuff of nightmares. A rubber catheter with a balloon attached was inserted in a place it shouldn’t ever go. Then it was inflated and air pumped through the entire colon. Yuck and ouch.

Images lying on my back and images lying on my stomach, and they removed the torture device and I was free to go.

I get the results from my doctor in a few days. I’m home resting today, and I think my belly is finally calming down after 24 hours of extreme upset.

Test Results

My hydrogen breath test was positive. I have SIBO. From Wikipedia:

Small intestine bacterial overgrowth (SIBO), also termed bacterial overgrowths, or small bowel bacterial overgrowth syndrome(SBBOS), is a disorder of excessive bacterialgrowth in the small intestine. Unlike the colon(or large bowel), which is rich with bacteria, the small bowel usually has fewer than 10,000 organisms per millilitre.[2] Patients with bacterial overgrowth typically develop symptoms including nausea, bloating, vomiting, diarrhea, malnutrition, weight loss and malabsorption,[3]which is caused by a number of mechanisms.

Alas, I do NOT have any weight loss with this . If anything, I’m up a bit. So now I’m on an antibiotic for ten days. I’m hoping things go smoothly, and I can finally get back to what is normal for me.

Never knowing from one minute to the next what’s going to upset my stomach or set it off is annoying and inconvenient. Unless you’ve lived with belly pain and belly issues, you have no idea how aggravating this can be.

Not Such a Good Decision

1D3E1FD9-3578-4567-AE89-CB71245F41BE.jpegBrisket. Yes, it’s a cut of beef, and I probably shouldn’t have Googled it because once I saw where it comes from on the cow, and I read all about how it’s cooked to make it tender because it’s a fatty cut of meat because of all the ‘connective tissue’, etc. Well, just yuck, okay? I could easily be a vegetarian IF I could actually eat veggies.

Anyway, I’ve always been a fan of brisket because it’s yummy.  I had a hankering for it yesterday, and I was feeling pretty good so I took a chance.  I sent hubby out for some Dinosaur Barbecue.  I had brisket and a quarter barbecue chicken (white meat). I had fries and baked beans as my sides, and it came with corn bread. It was an ambitious meal for someone who typically eats white rice, white bread, white potatoes, baked chicken breast and the occasional baked boneless pork chop. I don’t do adventurous anymore. I can’t.

I probably shouldn’t have last night either. I finally felt able to lie down in bed at 4:00 this morning, and I was still tasting the barbecue.  I ate all the brisket (two or three small slices), I nibbled a little of the chicken (none of the skin), and I had a few fries. That’s it. No beans and no corn bread. My belly was not happy. Not at all. Oh, well. Welcome to my world.

Today is a slow go. I’m listening to tunes and looking at pictures of rock stars on Pinterest while hubby watches YouTube videos of various technological gadgets at the moment. Doesn’t get anymore exciting than that here, folks. I’m writing (blog post and personal fiction) as I sit here. Housework (making beds and vacuuming) coming up shortly.




A Sensitive Subject

I’ve always had stomach issues. At fifty-eight, I should have had my first colonoscopy years ago. After all, one of the hallmarks of turning the big 5-0 is scheduling your colonoscopy screen. The doctors harass you about it every time you see them. I put mine off, not wanting to face the prep part of the procedure. 
The past few months my digestion has gradually gotten worse. I’ve had more and more problems, and nothing worked to fix them. On August 16th I ended up at the emergency department of one of the local hospitals. I went in at 11 pm and didn’t walk back out again until 5:30 am the next day. They did blood work, took specimens, and gave me morphine for the pain. The doctor thought it was infectious in nature, but it wasn’t. The tests all came back negative. 

My primary care doctor is on maternity leave so I followed up with the gastroenterologist earlier this week, and I bit the bullet and scheduled my colonoscopy for August 25th, the first opening they had, that very same week. 

I was terrified of the prep, but I have to confess it wasn’t bad. After the hospital visit, I was on a liquid diet. Then I gradually added in light items (puddings, Jellos, popsicles, crackers, white rice, grits, baked chicken breast). The day before prep day I went back to an all liquid diet (black coffee, gatorade, apple juice, bouillon, jello). I couldn’t have anything red or purple.

On prep day I woke at 4:15 am, and I was starving. Knowing I couldn’t have any solid food for another thirty-six hours was a little disheartening, but I was positive I could do it. I had planned to work until 3:00 that day and having something to keep me busy and occupied was good. 

I got home around 3:15 and had time to do a few things before I had to start the prep at 5:00. My prep was a medication called Suprep, and it was a split dose (two-day) regimen. 

On day one, you take the first six-ounce bottle of medicine and mix it with ten ounces of cold water to make a sixteen-ounce drink. Then you have to drink two more sixteen-ounce cups of plain water over the next hour. My doctor recommended I drink the first eight ounces, wait twenty minutes and drink the rest. It was also suggested I use a straw.

The worst part about the Suprep is the taste. It had a bad, fake fruit smell, and it tasted like liquified, children’s vitamins. It was hard to gag it down. I drank half at 5:00, waited twenty minutes and drank the rest. I also polished off the extra thirty-two ounces of water. I sloshed when I walked, and my stomach had begun to make ominous noises. 

By 5:30, the prep had begun to work. It didn’t hurt. I was fairly empty to start so the first part of the prep took just over three hours to run through me. For the first ninety minutes, I couldn’t leave the bathroom. It wasn’t horrible, just nonstop. My cat, Ginny, was worried about me. She stood outside the bathroom door, crying. 

I left the bathroom for good around 9:00 and finished the evening watching Frasier on Netflix. I went to bed at 11:00 and actually slept well. I got up at 5:20 and took my usual morning blood pressure medicines. I had water and apple juice. I went back to bed until 6:45 and then got up to feed the cat and do a few household chores before starting my second prep at 7:30. 

The second prep ran through me in just over two hours. I even took a power nap before I got up and dressed at noon. My son drove me to the gastroenterologist at 12:30. 

The nurses were great. I got into a gown, they put in an IV, and I got comfy in a hospital bed, covered by a blanket. My procedure was scheduled for 1:30. By 1:26, I was wheeled into the procedure room. The nurse gave me the conscious sedation medicine, told me I was going to feel dizzy, close my eyes, and try to go to sleep. 

I was for all intents and purposes asleep, but I could hear the doctor and the nurse talking the entire time. Unless I was hallucinating, they talked about someone the nurse was dating and dating experiences in high school. Towards the end, I did feel a slight pinch of pain in my belly, and I said, “Ow!” twice, but that’s all I remembered from the procedure.

I was awake as soon as I was back in recovery, but I wanted to stay asleep. And all that nonsense the comedians feed you about colonoscopies and gas and excessive farting? It’s just that – nonsense. Unless their experience involved being pumped full of air to visualize the colon and mine didn’t, I had no gas at all, and I heard only people’s voices talking around me. No one in recovery was passing gas.

The good news is that the doctor didn’t find anything bad. I have diverticulosis. The bad news is that he doesn’t think that is causing the problems I’m having. I now have to have another upper endoscopy (I had one four years ago). I go for that on Monday. I also will be scheduled for a CT scan of my small intestine. When we’re done, the doctor will have images of my entire digestive tract. 

I wanted to share my experience so that anyone afraid of this screening will understand that it’s not as bad as you think it will be. I feel much relief that after years of IBS and excessive endometriosis that my most worrisome area is in better condition than I expected it to be. Now if we could just figure out why it’s been acting up lately, we’d be all set.