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Mar 19, 2019

Sigmoidoscopy through stoma - Procedure, pain, and polyp detection?

This topic is about understanding what to expect when undergoing a sigmoidoscopy or ileoscopy through a stoma. This procedure can be a bit confusing, especially if you're not familiar with the terms or what it involves. Here are some helpful insights and advice from others who have been through it:

- **Scope Fit and Comfort**
Many people have found that the scope fits through the stoma without any issues and the procedure is completely painless. Some have had full IV sedation and felt nothing, while others were awake, watched the screen, and still felt no pain. It's often described as "weird but painless."

- **Sedation Preferences**
If medical procedures make you uneasy, you can request anesthesia. Some people prefer to be sedated to avoid any discomfort or anxiety.

- **Post-Procedure Effects**
Most people do not experience discomfort after the procedure. If polyps are removed, there might be minor bleeding, but this isn't always the case.

- **Preparation Differences**
Instead of frequent trips to the bathroom, you might need to empty your pouch several times during the night. After the procedure, once digestion restarts, you might experience heavier output than usual, so be prepared for extra effluent.

- **Clarifying the Procedure**
Since you don't have a colon, it's important to confirm with your medical team whether the procedure is actually an ileoscopy, which examines the terminal ileum, rather than a sigmoidoscopy. It's a good idea to discuss this with your surgeon or nurses to avoid any confusion.

- **General Reassurance**
Many people in the community have had positive experiences with this procedure and encourage you to relax. They even joke that it's easier for stoma patients compared to those having scopes rectally.
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