EGD hurt or not, how easy to move?
EGD (fibrogastroduodenoscopy) refers to the methods based on endoscopic examination to assess the physiological and pathological condition of the mucous membrane in the upper digestive tract. Over the last few decades intensive development of endoscopy with subsequent implementation in practice of Clinician doctor. Improved machinery, a large selection of tools for the procedure given the opportunity for widespread adoption of this method not only in hospital but also at the level of the clinic.
Despite the fact that the procedure uses anesthesia, many patients have a fear of implementing digestive tract. In addition to holding a certain mental preparation needs to be made a number of recommendations before the study and during the execution of the procedure. A sound approach to endoscopic examination allows to minimize the development of anxiety reactions and allow you to go through the procedure with minimal feeling of unpleasant effects.
Most often, an endoscopic procedure to send patients who periodically report pain in the stomach, nausea, heartburn, belching after meals, a violation of the act of defecation. Oncology, anemia are also indications for EGD. If you suspect internal bleeding from ulcers with an endoscope it is possible to spend not only their detection, but also treatment. An important aspect of the use of EGD in the practice of medicine is the ability to retrieve foreign body from gastrointestinal tract, which earlier got under accidental or intentional ingestion.
Relative contraindications to endoscopic examination:
- Pathology of the cardiovascular system: acute myocardial infarction and stroke (restriction valid for at least 6 months), aneurysm of the aorta, persistent hypertension, turning into a crisis.
- Hemophilia or defects of the coagulation system.
- Pathology of the esophagus: burns, scars.
- Bronchial asthma.
- Mental illness, especially in the acute phase: rapid uncontrolled development of motor reactions, which can lead to accidental injury of the gastrointestinal mucosa with the endoscope.
Absolute contraindication to EGD is the agony of the patient. Given the clinical picture and the General condition of patients, the specialist who conducts the study should take into account the possible deterioration of the patient. In the diagnosis should be considered purchased for the benefit of the performed treatment. Of course, this procedure may cause a certain feeling of pain in passing, however, given the possible deterioration in the absence of intervention, it should be configured as accurately as possible to prepare for the ongoing manipulation.
Does it hurt to do a gastroscopy? If the doctor assigned to the patient study in the form of EGD, to ensure that the procedure is successful, it is important to perform a number of preliminary steps. Fibrogastroduodenoscopy is performed in the morning on an empty stomach. The last meal and water should be no later than 6 PM the day before the survey. Food should be heavy and not quickly digested: fish, boiled chicken, vegetables, buckwheat. Raw vegetables and fruits, nuts, seeds, sweets and other heavy foods are completely eliminated from the diet before the examination.
Before the survey alcohol and Smoking should be completely excluded, as is the stimulating effect on the secretion of gastric juice.
In the study day to brush your teeth is impossible, because it also provokes the secretion of gastric juice. Optimal fluid intake is allowed for 4 hours before the examination: permitted strong sweet black tea. In an extreme case the water you can drink for 2 hours prior to endoscopy.
Important point before starting the study is the message the doctor about the various somatic pathologies. To this end, the patient fills out before a clinical examination or immediately before the procedure a health survey. It is also important to note the presence of previously reported adverse reactions to drugs.
Usually when performing EGD pain and fear rarely pursues the patient, so the need for sedation may not occur and endoscopy the doctor may be limited to the production of local anesthesia. A number of patients experience a fear of performing manipulation, and after the procedure may be under stress. Prolonged emotional stress can eventually lead to instability of the nervous system. In order to prevent the development of adverse reactions, the doctor will prescribe the most worried patient sedatives based on natural components.
Only indications to reduce pain and fear can be given medication stronger actions: sedative and tranquilizers. Patients in whom the past history was coronary heart disease (CHD), hypertension can take drugs for cardiac patients before the study, and 15-20 minutes before the procedure to reduce anxiety. Make preferably money in the form of drops or tablets to dissolve. For diabetics allowed production of insulin.
Performing endoscopic examinations
In order for the sense of pain did not arise with the introduction of the endoscope, the doctor treats the root of the tongue of the patient local anesthetic lidocaine (spray). The patient is placed on left side. After 5-10 minutes, after application of anesthetic to the patient insert the mouthpiece device to prevent accidental closing of the rug of your mouth. In zagubica has a hole through which the endoscope is introduced. For faster penetration of the device in the gastrointestinal tract the patient is asked to make a few swallowing movements.
The patient is asked to breathe through the mouth. When the endoscope, the stomach is the expansion of the device due to air entrapment. You can then proceed to direct the survey system of the digestive tract. The procedure takes about 10-15 minutes, after which the endoscope is removed, so the feeling of pain usually does not occur (continues to operate the anesthesia).
During the examination, to make swallowing impossible, as it may cause a gag reflex in the background located in the lumen of the digestive tract endoscope.
There are a number of General recommendations for psychological preparation for endoscopy:
- Warning sense of lack of air to release the neck and neck from being crushed.
- To unzip the zipper in the waist area loosen the belt.
- Remove from the oral cavity of removable orthopedic construction: can randomly pop up and injure the endoscope.
- Do not use much pachnodus perfume and deodorant.
- Try to think about pleasant things.
Many concerned with the question of pain or no pain EGD. In fact, the rational preparation and implementation of all physician orders this procedure will not cause severe pain and discomfort. Of course, each case is individual, so if there are signs of anxiety before the examination it is important to discuss this beforehand with your doctor.