Letter: Can you have a colonoscopy without sedation?

So what about me? Why did I choose to get sedation? Surely I could have toughed-out the pain of the procedure, right? I truthfully think I would have been fine without sedation. However there is one thing that I've learned from being a physician who does procedures for a living: Sometimes there are unintended bad consequences of going against the standard of care.

Do you need to stop taking aspirin for a colonoscopy?

With all this talk about bleeding, it should come as no surprise that "Should I stop my aspirin?" is one of the more common questions that I get asked by patients who are being seen to arrange screening colonoscopy. Luckily, this question has been answered already by several of the gastroenterology societies. For the average patient on aspirin...

Does aspirin prevent colon cancer?

For many years, the effect of NSAIDs on preventing colon cancer has been described. There are numerous studies showing a small but mostly consistent decrease in both the development of polyps, and the development of colorectal cancer with chronic NSAID use. However, thus far there has not been a recommendation to take NSAIDs specifically with the goal of reducing the development of colon cancer, since the risk of chronic NSAID use is thought to outweigh any benefit in cancer prevention.

Why do proton pump inhibitors increase the risk of enteric infections?

Some people seem to get "stomach bugs" all the time, while other people rarely have these issues. Vomiting, abdominal pain, fever, and diarrhea are the common symptoms of a variety of enteric infections that often start after the soon-to-be victim ingests the infectious organism. These bacteria have wonderful names like Salmonella, Shigella, Campylobacter, E. coli, Vibrio, and C. difficile, just to name a few. The symptoms of gastroenteritis and infectious colitis can range from a minor annoyance to life-threatening dehydration due to ongoing vomiting and diarrhea.

Do proton pump inhibitors cause heart attacks?


Infected endoscopes and CRE…what you need to know.

There have been a lot of reports surfacing recently regarding strange infections associated with endoscopy. At the time of publication of this article, there have been about 135 confirmed cases of infection with Carbepenem-resistant Enterobacteriaceae (CRE), which are mainly multi-drug resistant E. coli and Klebsialla species. These infections are relatively rare in general, and are very problematic  … Read more