At the age of 20, I had my first colonoscopy in my life. I didn’t expect the most difficult part to be…

The following is the real experience of a friend doing colonoscopy. For the convenience of reading, it is narrated in the first person.

The day I came out of the bathroom and slumped on the couch, I began to realize the magnitude of the problem. For half a month, the stools are not formed, there is mucus, and there is blood…

The World Health Organization (WHO) estimates that in 2018, there were 1.849 million new cases of colorectal cancer and 881,000 deaths from colorectal cancer worldwide[1].

I was lost in thought. I was only in my early twenties, and the beautiful life was just beginning. I didn’t expect to write a will. But the question is, who will inherit the three dollars and twenty-five cents in my bank card?

Image source: Zhanku Hailuo

I thought about it all afternoon, and instead of making wild guesses, I might as well get a gastroenterologist and a colonoscopy to see what went wrong.

“What kind of colonoscopy are you going to do? Ordinary or painless?” the doctor asked kindly.

“What’s the difference between the two?”

“The two colonoscopy examination methods are the same, except that the painless anesthesia will be performed, and the process will be more comfortable. But it needs to be accompanied by someone, and the relative cost will be higher. .

Hearing this, my heart to do a painless colonoscopy was suppressed by myself – as a poor single dog, ordinary colonoscopy is the best choice .

Many friends shook their heads like a rattle when they heard that they were going to have a colonoscopy. Then, I will share with you the experience of colonoscopy.

See more medical books: what you need to know about colonoscopy

One ​​day before the examination, I controlled my diet like this

The colonoscopy requires clearing the intestines, so you can only eat liquid or semi-liquid and other easy-to-digest foods the day before, you can choose porridge, noodle soup, wontons, etc.

This is not difficult for me. I eat wontons and steamed eggs at noon, and porridge for breakfast and at night. In order to reduce physical loss, I don’t move as much as I can, and I drink it when I’m really hungry. water.

One ​​day before the examination, or at least 4-6 hours in advance, it is necessary to drink laxatives to clear the intestines. To put it bluntly, it is to clear the roadblocks for the subsequent colonoscopy observation, because if there is undigested food in the intestines or Excrement cannot be seen with a colonoscope.

My appointment was for an afternoon test, so I was ready to take laxatives at 7am on the day of the test. For this step, I feel uneasy, because the shadow of having diarrhea that was about to collapse is still vivid in my mind.

Second, I heard that drinking laxatives to clear the intestines is more painful than colonoscopy?

I mixed the two bags of compound polyethylene glycol electrolytes I got in 2~3 liters of warm water and stirred, drinking 250 ml every 10~15 minutes, and drink it within 2 hours. Finish drinking.

What is the concept of 2000ml? About the equivalent of drinking 8 cartons of milk.

But this electrolyte water is not as good as milk. I heard before that drinking laxatives is more painful than having a colonoscopy. Now I have a deep understanding of it.

When I drank the first cup, I didn’t feel much, so I relaxed my vigilance. After the second cup, it became more and more difficult to drink, and I retched directly after drinking it. In order to make myself feel better, I watched variety shows to distract myself, while holding my nose and drinking medicine.

Next, it was a tug-of-war between diarrhea and electrolyte water. As for the excretion process, I won’t describe it too much. The sentence “convenience is like the continuous flow of the surging river, and it is like the flood of the Yellow River, and it can’t be collected once it is sent.” You can experience it for yourself.

Image source: Zhanku Hailuo

It is not until the seventh and eighth squatting in the toilet that the stool is clear water, and the bowel cleansing is successful.

I cheered myself up on the way to the hospital, the hardest time was over!

Third, the little brother in front of me, that meaningful expression

Finally wait for the ultimate boss! In order to finish it earlier, I picked up the number half an hour earlier.

While waiting in the corridor, I don’t know if it was because of the psychological effect. When I vaguely heard the sound of “Ahhh~” coming from the inside, I couldn’t help but tighten the chrysanthemum.

I remember asking the doctor on the day of the appointment, does the colonoscopy hurt? The doctor said that it is a lie to say that it does not hurt, but it depends on the person. Most people only feel a little swollen, and some sensitive people will feel pain.

At this time, a little brother in front of me came out, was helped by his girlfriend to the chair next to me, and made a meaningful expression at me…

Fourth, the real experience of colonoscopy

“Please go to the locker room and put on special inspection pants.” The nurse’s sister was straight to the point, making it impossible to refuse.

I lay on my left side on the bed, curled my legs up to reveal my ass, and the nurse quickly smeared some kind of yellow oil on it, and I felt ashamed and a little comfortable…

After waiting for a while, the doctor probed into my body with a colonoscope, but there was not much pain, but the discomfort of being invaded by a foreign body.

Image source: Zhanku Hailuo

Because there are many folds in the intestines, in order for the colonoscope to reach the end smoothly, it needs to be continuously inflated, and my intestines are like a balloon, constantly being inflated.

“It’s about to turn now, it might hurt a little…” When the colonoscope changed from a straight track to a curve, I felt that my “test” really began.

Stomach changed from discomfort to huge pain. It was obvious that the colonoscope was bumping left and right in the stomach. This time I really curled up all over, holding my inflated belly like holding a balloon that exploded at any time, and there were people inside constantly struggling to break out of the cage.

Who am I, where am I, what is the meaning of life, what will I eat tonight? Just when I was in so much pain that I doubted my life, and I felt sick to my stomach, suddenly, at a certain moment, I felt that the pain had reached its peak, like falling into a huge abyss and falling continuously.

I want to go home!

All the previous self-comfort and psychological construction collapsed in an instant. I was in a cold sweat and couldn’t help shouting, “Ah~ it hurts, it hurts, it hurts!”

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The doctor put me in a different position and said, “You’re too thin, your bowels are complicated, relax.” I gritted my teeth and secretly encouraged myself, thinking that I have reached this point, and I must persevere!

While guiding me, the doctor comforted me: “If you feel uncomfortable, you can exhaust gas, it’s okay”, “It will hurt a little here, just hold on.”

The whole process of colonoscopy is as exciting as riding a roller coaster. The flowers bloom in spring, and then fall into the abyss. Maybe it is the reason why you gradually relax later, and the pain is not as intense as before. .

After the examination, the doctor told me that it was proctitis, take medicine as prescribed by the doctor, eat less spicy and irritating things, and be careful not to eat.

I breathed a sigh of relief. On the way back, the autumn sunshine was warm and the leaves were turning yellow. I touched my stomach and sighed again: It’s good to be alive! Never “do” again!

Reviewer: Ma Jinping| Chief Physician of Gastrointestinal Surgery, The First Affiliated Hospital of Sun Yat-sen University

References:

[1] http:https://gco.iarc.fr/today/online-analysis-multi-bars

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