Recommend colonoscopy dr at Bumrungrad?

[advancebooking]

Im due for a colonoscopy and at the same time I want to get that camera down the throat to see the stomach as well (2 procedures). It was suggested to me by another dr because I have stomach absorption issues. Also have very sensitive stomach and vomiting sometimes. 

 

Can you recommend a dr at Bumrungrad to do these procedures. So many to choose from. I think a recommendation is better?

thanks

[Sheryl]

https://www.bumrungrad.com/en/doctors/parit -mekaroonkamol

 

None better. You will need to have a consultation with him first. And if he proposes other tests instead (e.g. motility studies)  take his advice. 

[pest]

https://medigence.com/doctor/surgical-oncologist/art-hiranyakas

Not Bangkok but Phuket 

[kimothai]

Charkaphan Osangthamnont(Dr) at Bumrungrad. I had colon cancer in 2017. Thanks to him I am cancer free today. Going back for follow-up colonoscopy today. 

[Bredbury Blue]

Also consider Prof.Dr. Chucheep Sahakitrungruang who is at Bumrungrad, Bangkok Christian and Chulalongkorn. Personal recommendation. His manner and his English are excellent. Bangkok Christian cheaper and excellent.

[rwill]

16 hours ago, advancebooking said:

Also have very sensitive stomach and vomiting sometimes. 

Maybe some food allergies.  I have a lot of them and sometimes vomit from it.

[Sheryl]

As I understand  OP, he needs investigation of an upper GI problem and is also due for a routine screening colonoscopy so (assuming the upper GI issue needs a gastroscopy - other studies might be proposed instead) wants to combien them in a single endoscopy.

 

Prof. Chucheep and (in Phuket) Art Hiranyakas are colorectal specialists. Overkill in the extreme for a simple screening colonoscopy and, while excellent in their own fields, not who to see for a suspected upper GI absorption/motility issue.

[Dickie Dee]

21 hours ago, Sheryl said:

https://www.bumrungrad.com/en/doctors/parit -mekaroonkamol

 

None better. You will need to have a consultation with him first. And if he proposes other tests instead (e.g. motility studies)  take his advice. 

Pop a camera pill and sit in the sun all day. It comes out other end and you will watch journey and story with professional. It is the best available 

[Sheryl]

38 minutes ago, Dickie Dee said:

Pop a camera pill and sit in the sun all day. It comes out other end and you will watch journey and story with professional. It is the best available 

 

Costs about the same and cannot remove polyps at same time, with result that will often need to proceed to a regular colonoscopy anyhow thus risk end up paying twice as much.

[roquefort]

Good sound advice from Sheryl as always.

 

I just had a second colonoscopy with removal of polyps (10 year interval) done by Dr Pitulak at Samitivej Sukhumvit. She is excellent.

[a340bangla1]

8 hours ago, kimothai said:

Charkaphan Osangthamnont(Dr) at Bumrungrad. I had colon cancer in 2017. Thanks to him I am cancer free today. Going back for follow-up colonoscopy today. 

Similar experience in 2014. Can only recommend him.

[placnx]

28 minutes ago, Sheryl said:

 

Costs about the same and cannot remove polyps at same time, with result that will often need to proceed to a regular colonoscopy anyhow thus risk end up paying twice as much.

Capsule camera: Is there another way to investigate the small intestine? I am thinking of having a Gallium 68 PET scan for tumors in the abdomen (including intestines). Would not deal with absorption issue for OP, though.

[Mike Lister]

9 minutes ago, placnx said:

Capsule camera: Is there another way to investigate the small intestine? I am thinking of having a Gallium 68 PET scan for tumors in the abdomen (including intestines). Would not deal with absorption issue for OP, though.

The capsule endoscopy for the small bowel is a simple affair that produces good results, why would you want an alternative?

[placnx]

8 minutes ago, Mike Lister said:

The capsule endoscopy for the small bowel is a simple affair that produces good results, why would you want an alternative?

Admittedly, in my case the concern goes farther than the gastro-intestinal tract. Maybe not the case for the OP.

[Sheryl]

56 minutes ago, placnx said:

Capsule camera: Is there another way to investigate the small intestine? I am thinking of having a Gallium 68 PET scan for tumors in the abdomen (including intestines). Would not deal with absorption issue for OP, though.

 

There is no effective routine screening for the small intestine nor for tumors in the abdomen in general (other than colon cancer). Colonoscopy does often reach to the very last portion of the small intestine.

 

Small intestine cancer is quite rare. 97% of intestinal cancers are in the large intestine.

 

You should certainly not have a PT scan just for routine screening. Ditto CT or MRI etc.  If you have specific symptoms need first to see a good specialist and get a differential diagnosis then proceed to tests appropriate to the most likely causes. There are a wide range of different tests that might be recommended depending on exactly what pathology is suspected. This is not a "do it yourself" undertaking.

 

The simple fact is that there are, as yet, no appropriate screening measures for many cancers. Focus on those for which there are effective screening tools and on a healthy lifestyle. If you have specific symptoms that worry you, see an appropriate specialist.

[advancebooking]

2 hours ago, Mike Lister said:

The capsule endoscopy for the small bowel is a simple affair that produces good results, why would you want an alternative?

what does it achieve having this procedure? What does it diagnose?

tjhanks

[advancebooking]

6 hours ago, Sheryl said:

As I understand  OP, he needs investigation of an upper GI problem and is also due for a routine screening colonoscopy so (assuming the upper GI issue needs a gastroscopy - other studies might be proposed instead) wants to combien them in a single endoscopy.

Hi, I have limited medical knowledge... But would like to know (before I go to speak to the specialist) if you can explain this comment in more simple terms bc I dont understand your comment. Are you saying that an endoscopy is only need and can do the same as a colonoscopy but the dr enters the camera via the head?

[Mike Lister]

Just now, advancebooking said:

what does it achieve having this procedure? What does it diagnose?

tjhanks

The capsule takes pictures from the mouth to the anus, over 60,000 of them. It's most important function is to diagnose problems in the small intestines, especially blockages or delays in food transit. https://www.mayoclinic.org/tests-procedures/capsule-endoscopy/about/pac-20393366

[Mike Lister]

1 minute ago, advancebooking said:

Hi, I have limited medical knowledge... But would like to know (before I go to speak to the specialist) if you can explain this comment in more simple terms bc I dont understand your comment. Are you saying that an endoscopy is only need and can do the same as a colonoscopy but the dr enters the camera via the head?

Gastroscopy enters via the mouth and examines the upper GI tract but stops at the start of the small intestine. The Colonoscopy enters via the anus and examines the entire large bowel or colon. Often the two tests are done in conjunction so as to examine the entire digestive system.

[Sheryl]

Just now, advancebooking said:

Hi, I have limited medical knowledge... But would like to know (before I go to speak to the specialist) if you can explain this comment in more simple terms bc I dont understand your comment. Are you saying that an endoscopy is only need and can do the same as a colonoscopy but the dr enters the camera via the head?

 

 No.

 

Camera does not enter by the head.  It is something you swallow.

 

What I am saying is that if they see polyps, these need to be removed  and  that means still having to get an endoscopy.

[advancebooking]

On 11/1/2023 at 6:34 PM, Sheryl said:

 

 No.

 

Camera does not enter by the head.  It is something you swallow.

 

What I am saying is that if they see polyps, these need to be removed  and  that means still having to get an endoscopy.

In my case I think I might try the camera option first. This is bc when I come out of the light sedation I always vomit from the drugs used to put me under. I have a very sensitive stomach. Only 6 weeks ago I ate a dodgy breakfast and was vomiting that afternoon/ into the night. Then it stopped for a day and then started again and I was in ICU. Therefore I think it makes sense for me to pay for the camera option as I can then possibly avoid the light sedation/GA. Do you agree? thanks

[Sheryl]

12 hours ago, advancebooking said:

In my case I think I might try the camera option first. This is bc when I come out of the light sedation I always vomit from the drugs used to put me under. I have a very sensitive stomach. Only 6 weeks ago I ate a dodgy breakfast and was vomiting that afternoon/ into the night. Then it stopped for a day and then started again and I was in ICU. Therefore I think it makes sense for me to pay for the camera option as I can then possibly avoid the light sedation/GA. Do you agree? thanks

Nowadays they mainly use propofol which has antiemetic properties, in fact it is used to treat post operative nauzea and vomiting. I too vomited after sedation and anesthetics in the past but never with propofol. In addition they can administer an antiemetic drug before taking you out of sedation . Just tell the anesthetist your history.

 

Getting the "virtual" (camera) colonoscopy as I explained runs the risk of still needing a colonoscopy afterwards thus doubling the expense.

 

In addition in Thailand especially I worry about the thoroughness of the review of the resulting photogeaphs. Easier to miss something in a large  number of photos than something directly before your eyes with an endoscope.