Flexible Sigmoidoscopy Information for Patients - UHSM

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Additional Preparation Advice • If you are a Diabetic and need advice regarding your test, contact the staff on the unit. • Have you ever been contacted by the Public Health Department and been told you are potentially at risk of CJD (Creutzfeldt – Jakob Disease). If yes, please contact the staff on the unit for advice before attending for your test. • The telephone number for advice is 0161 291 4892 If you are having sedation you must: • Have a responsible adult to take you home and stay with you for 24 hours after the test. If you do not arrange this your test may be cancelled. What will happen before my Flexible Sigmoidoscopy? • A nurse will ask you about your health, allergies and medications. Please bring a list of medications with you. • You will have your blood pressure and pulse checked. If you have Diabetes your blood sugar will also be checked. • You will have the opportunity to ask questions. • You will be asked by the nurse or doctor to give written consent for your test. • You will be asked to put on a gown. Please bring a small bag to put your belongings in. Your belongings will be safely locked in your own locker. Please do not bring any valuables with you as we cannot be responsible for any of your belongings whilst you are on the unit. • Please bring a dressing gown and slippers. How long does the Flexible Sigmoidoscopy take? The test usually takes about 10 to 15 minutes. Will I need sedation for the Flexible Sigmoidoscopy? Not necessarily, it is a personal choice, however if sedation is required you must bring a responsible adult with you who can take you home by car or taxi and stay with you for 24 hours after the test. If you do not arrange this your test may be cancelled. 4
If you do not have sedation If you DO NOT have the sedation injection you will be allowed home without an escort. You will be allowed to drive. What will happen during the test? You will lie down in a comfortable position on your left hand side. A long flexible tube will be passed into your back passage and air will be put gently into your bowel. You may feel that you want to go to the toilet, but, because your bowel is empty there is no danger of this happening. You may pass small amounts of wind. Don’t be embarrassed, this is quite common. The doctor will be looking for any area that looks different to the rest of the bowel. If so, tiny samples (biopsies) of the lining of the bowel can be taken and examined under a microscope. Sometimes polyps are found. Polyps are small growths that develop from the lining of the bowel. Some polyps need to be removed and it is usually possible to do this at the same time as your test. What is conscious sedation? Conscious sedation is when the patient is relaxed and appears sedated however they remain able to respond to verbal questions or instructions. Hence the term “conscious sedation” – the patient is obviously sedated but is still “conscious” and responsive. (http://anesthesiologyinfo.com) If you have sedation If you have an injection to make you sleepy and relaxed, this injection is known as conscious sedation. You still could be aware of what is going on around you. Before the test the following will happen: • A small needle will be put into a vein in your hand or arm. • Oxygen will be given to you through a tube which is placed in your nose. • A small clip will be placed on one of your fingers or ear lobe to monitor your heart rate and oxygen levels. • You will be allowed home approximately one hour after the test with your escort. You must have: • A responsible adult to take you home and stay with you for 24 hours after the test. 5
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Flexible Sigmoidoscopy Information for Patients - UHSM

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