The diverticulosis of the sigmoid colon was diagnosed: what is it?

Zoya asks:

Good afternoon. I was diagnosed with diverticulosis of the sigmoid colon, catarrhal procto-sigmoid. The second time they did colonoscopy in December 2013.But the colonoscope could be carried only into the descending bowel as well as 8 years ago because of the strongest pains. The doctor writes that the sigmoid bowel is "rigidly fixed" because of the adhesive process after the abdominal operation. What does it mean? But I did not have such operations. What more gentle method can I perform a full examination of the overlying departments of the intestine to exclude oncology? .Is it possible to have anesthesia with a colonoscopy and is it dangerous?

Answer:

Zoya , regarding the adhesive disease, which the doctor writes about in response, it most often actually arises from cavitary operations. Sometimes spikes in the pelvic region may be formed as a result of previously severe inflammatory( including venereal) diseases of the genitourinary system, peritonitis. You are rightly worried about oncology, because there were no operations, and serious illnesses would not go unnoticed. Therefore, in order to exclude oncological processes in the small pelvis and make the correct diagnosis, it is desirable to do a colonoscopy after all.

Anesthesia in a colonoscopy is acceptable, quite a few medical institutions successfully practice it, making an unpleasant, painful procedure gentle and easily tolerable.

There are three ways to anesthetize this examination. The simplest one is lubrication with an anesthetic( most often lidocaine) of the tip of a colonoscope. A good effect is premedication - a combination of anesthetic and sedative drugs. In complex cases, anesthesia is used.

According to the patients' reviews, local anesthesia is in most cases ineffective, narcosis is fraught with complications, but premedication is very popular with colonoscopy and in principle it is not dangerous if you are not allergic to the drugs that are used.