I’m Definitely Falling Apart.!

[Who, me ?]

hold on Mobi.....Give time to the treatment to work....

Take care, and again, I wish you all the best . Cheers

[Mobi]

hold on Mobi.....Give time to the treatment to work....

Take care, and again, I wish you all the best . Cheers

Thanks Who me and others who have written kind words

According to the Flagyl info on the web, the treatment is as follows:

# Amebic dysentery: 750 mg orally 3 times daily for 5-10 days

# Amebic liver abscess: 500-750 mg orally three times daily for 5-10 days

# Anaerobic infections: 7.5 mg/kg orally every 6 hours not to exceed 4 grams daily

# Bacterial Vaginosis: 750 mg (extended release tablets) once daily for 7 days. One applicator-full of 0.75% vaginal gel, once or twice daily for 5 days.

# Clostridium difficile infection: 250-500 mg orally 4 times daily or 500-750 orally 3 times daily

# Giardia: 250 mg orally three times daily for 5 days

# Helicobacter pylori: 800-1500 mg orally daily for several days in combination with other drugs.

# Pelvic inflammatory disease (PID): 500 mg orally twice daily for 14 days in combination with other drugs.

The Doc prescribed 400mg 3 times a day, so I'm already slightly over the recommended dosage for giardia but under for other problems. Maybe I'll add another 400mg at night.

Nothing like doin' your own doctring

[Tammi]

Day four of my flagyl treatment, and no better. If anything a bit worse. Very bad diarrhoea this morning - 4 or 5 times.

I'm now into my sixth week of this pesky thing!

My diabetic specialist is arranging for me to see a gastroenterologist??!! next Wednesday at Bumrungrad.

I would have hoped to have seen an improvement by now. Which gastroenterologist are you to see?

[Mobi]

I would have hoped to have seen an improvement by now. Which gastroenterologist are you to see?

Now day 6, evening, including 2 days of extra medication. Seems to be getting worse.

I've also lost 2 kilos in the past week.

Don't know the name of the specialist yet, I am awaiting advice. It is being scheduled for next Wednesday - if I last that long

[LaoPo]

I would have hoped to have seen an improvement by now. Which gastroenterologist are you to see?

Now day 6, evening, including 2 days of extra medication. Seems to be getting worse.

I've also lost 2 kilos in the past week.

Don't know the name of the specialist yet, I am awaiting advice. It is being scheduled for next Wednesday - if I last that long

That's 5 days from now......why wait that long ? You've got one life only !...1...

LaoPo

[Tammi]

Gastroenterologists: Dr. Nusont is at Bumrungrad all day today (Saturday). Dr Virasak has a half day. Both educated in the UK and both Assoc Profs here in Thailand. I know you are tired and you are 'down' but you will feel better if you get going and get this sorted - hire a car to get there if you are not up to driving. Wear an adult Pampers if you have to - lots of folks have to.

Another good doctor is Dr Asda (American trained) in the infectious diseases unit - he was brought in to advise on treating my partners bowel infections.

[Sheryl]

Mobi, don't delay, move those appointments up.

[Mobi]

Actually,I'm not feeling bad, just a bit weary and losing a bit of weight, and not a great appettite.

Tammi, thanks for the names. I'm still awaiting a call to confirm my appointment. When I get it, I'll see if i can move it forward to Monday.

Sheryl, do you think I can stop taking the flagyl, as it clearly isn't working?

[Tammi]

Actually,I'm not feeling bad, just a bit weary and losing a bit of weight, and not a great appettite.

Tammi, thanks for the names. I'm still awaiting a call to confirm my appointment. When I get it, I'll see if i can move it forward to Monday.

Sheryl, do you think I can stop taking the flagyl, as it clearly isn't working?

I am not understanding the appointment you are waiting for confirmation of. It's at Bumrungrad? Usually B'grad is on the ball about making appointments. Was the appointment to be with a particular specialist? I would phone the doctor who said he would make the appointment. If he is not there explain to the nurse at his station who will pull up your file from the computer. If that doesn't work phone Customer Relations and speak with Marcia preferably. If that doesn't work phone the 12th floor and tell Customer Relations that you are phoning 12th floor. Remember to get names as you go along - you probably won't need them but if there has been a b's up Admin needs to know in order to fix it.

[Mobi]

Actually,I'm not feeling bad, just a bit weary and losing a bit of weight, and not a great appettite.

Tammi, thanks for the names. I'm still awaiting a call to confirm my appointment. When I get it, I'll see if i can move it forward to Monday.

Sheryl, do you think I can stop taking the flagyl, as it clearly isn't working?

I am not understanding the appointment you are waiting for confirmation of. It's at Bumrungrad? Usually B'grad is on the ball about making appointments. Was the appointment to be with a particular specialist? I would phone the doctor who said he would make the appointment. If he is not there explain to the nurse at his station who will pull up your file from the computer. If that doesn't work phone Customer Relations and speak with Marcia preferably. If that doesn't work phone the 12th floor and tell Customer Relations that you are phoning 12th floor. Remember to get names as you go along - you probably won't need them but if there has been a b's up Admin needs to know in order to fix it.

Tammi, It's because my diabetic specialist is supposed to be arranging it, and will have her assistant call me to confirm. I've been waiting since Thursday for the call. As I was scheduled to have all my blood tests on Tuesday morning I suggested that she arrange the gastroenterologist for Wednesday when the results were in.

But I guess you are right (as usual), and I'm not thinking clearly. I will phone today and try to get an appointment with one of your recommended docs for tomorrow afternoon.

There's no let let up in the diarrhoea, the weight loss continues and my blood pressure is up, despite all the meds to control it.

[Mobi]

Although no-one called to confirm, I had been booked to see a Dr Poungpen on Wednesday morning. So I have now moved it up to tomorrow afternoon.

I don't know why, but all my specialists at Bumrungrad seem to be female - but I'm not complaining. At least I'll go with a smile on my face

[Tammi]

Although no-one called to confirm, I had been booked to see a Dr Poungpen on Wednesday morning. So I have now moved it up to tomorrow afternoon.

I don't know why, but all my specialists at Bumrungrad seem to be female - but I'm not complaining. At least I'll go with a smile on my face

Good luck for tomorrow. I see that Dr. Poungpen's special interests are Inflammatory Bowel Disease and Irritable Bowel Syndrome. Her c.v on B'grad site doesn't mention overseas experience but that doesn't mean that she is not an informed and good doctor.

[kat]

Well ever since I was discharged from hospital more than 3 weeks ago I have been suffering from severe diarrhoea – like at least 6 times a day, and very watery – in fact after the food is gone, it is all water.

After 8 days the hospital took a sample, and reported nothing wrong.

I consulted 2 doctors in Pattaya and they both prescribed antibiotics.

So as there was no improvement I consulted a doctor at Phya Thai Hospital in Sri Racha this morning. He said that the antibiotics would have cured me by now if it had been 'microbes' or whatever. He has booked me in for a colonoscopy and said it might be cancer.

I have been Googling the symptoms on various websites and only the Mayo clinic mentions diarrhoea as a symptom. All the other sites don't mention it - just constipation or a change in the stool size, and frequency of passing etc.

There are a number of other symptoms, but the only ones I have are diarrhoea, a gassy stomach, and general fatigue. There has been no weight loss, and I can't detect any blood in my 'water', and I still have a reasonable appetite.

Anyone else out there had colon cancer who may be able to reassure me?

And if I have got it - assuming I've caught it early - what is the survival rate?

'99.99% you have gluten intolerance or celiacs disease. EXACTLY same symptoms as I had and can get it anytime although not curable you wont die

see a naturopath as doctors are not big in this area

Zorro 1, you are my new hero!

I came on this forum to talk about my newly realized wheat/gluten intolerance and possible Celiac Disease that has been completely overlooked and undiagnosed by my HMO Western doctor here in the states. I came on this thread with some trepidation and a lot of sympathy, and am relieved to hear of Mobi's negative diagnosis for Colon Cancer. However, I feel a lot of empathy because he is still suffering and has no diagnosis! That has been my case.

I want to tell you my recent health story, and you can make of it what you will. In the meantime, please do your own research on Wheat/gluten intolerance and/or Celiac Disease. It could save you a lot of suffering and trouble, not to mention a certain pathway to more serious disease.

I also had Giardia while in Thailand, and was treated twice at BNH for the same ailment with albenzole tablets. Everything seemed fine for awhile, and I considered it resolved. There are also multiple variables in Thailand that can be responsible for bad stomach and general maladies, which makes it hard to isolate to one thing. I returned to the US in October '06 and reverted to the largely forgotten diet of wheat products, grains, and bread, as well as milk and higher quantities of dairy. I had what I thought was a reoccurence of Giardia, because it is known to be intractable. So naturally, I returned to a clinic, where they had no clue of Giardia or Celiac Disease, which still wasn't on the radar. They didn't take a stool sample (no health insurance) but treated me twice with Flagyl for two separate conditions which warranted it at the time (suspected giardia, and something else, so I thought, why not two birds with one stone?). I was so incredibly sick, weak, and wobbly from the incredible strength and toxicity of the Flagyl, but thought it was necessary and important. I still wonder it it actually did the lining of my stomach serious harm.

At any rate, this was back in 2006 to early 2007, and a year later and to this present time I am still suffering. I visited an HMO doctor AGAIN exactly one year ago last spring, for the same stomach symptoms in addition to allergy symptoms such as sneezing, puffy eyes, etc. I didn't bother to tell him about joint pain, migraine headaches, bronchitis and brain fog because I didn't think it was related and hadn't yet put it all together. He again didn't test, suggested I was lactose intolerant, and only recommended over-the-counter medication for IBS. He said that my allergy symptoms were related to the high pollen count in D.C. I told him I don't take medication for symptoms and called it a day.

I put things together and determined that I had a milk allergy, and went back and asked him to test me. Allergic responses are different to lactose intolerance. Turns out that I did test positive for a milk allergy, and at the time he also commented that I was also slightly anemic, had a high white blood cell count, and some Candida in my blood. I didn't know what to make of this information at the time.*

Long story short: I cut out most milk products and did further research, but was still suffering with my stomach, excruciating pain, allergic response, joint pain, and migraine headaches. I never thought to put it all together, until I made the direct connection between my stomach and wheat products. Since then I did extensive research on Celiac Disease, and I fit every single response on a 20 point checklist. I have cut out wheat and gluten, which has had a dramatic and almost immediate effect on me. Celiac Disease is one of the most under diagnosed conditions in the States right now, and I'm sure in other places as well. Once you make changes, it is quite fine, but if you don't know and continue to eat wheat/gluten, it can have serious health consequences such as Diabetes 1, intestinal cancers, Lupus, debilitating joint pain, neurological conditions, heart palpitations, and shortening of life span.

I am still figuring this all out, and it is very hard to diagnose because it is under the radar, and also because by the time people make the gluten-wheat connection, they stop eating it and so it doesn't show up in a blood test or biopsy. I would highly recommend that you put this on your radar screen, ask to start out with IgA and IgG antibody tests if you are still suffering from an undiagnosed stomach mystery. And of course, do all of the necessary self-research and legwork first, because most doctors and health professionals are not prepared to recognize this as a condition.

The disease or intolerance can lie dormant or inconspicuous for a long time with subtle symptoms, and suddenly "speak" with certain trigger factors such as stress, age, etc. I think mine was a combination, with some of the stress triggers occurring in graduate school, with the possible infection of giardia and treatment with flagyl and reintroduction of wheat after a long break on a rice diet throwing me over the threshold.

Good luck to you. I am still struggling, but it has helped me IMMENSELY to have an idea of the actual problem, and work to address that, rather than take more pharmaceuticals to treat undiagnosed symptoms which will almost certainly result in a serious disease down the line.

Find a trusted naturopath when Western doctors don't have a clue. And even then, you should always know more about your symptoms than them.

*added above: true milk allergies are rare and associated with Celiac Disease, and the combination of anemia, yeast, and abnormal white blood cell counts are strong indicators.

** by the way, wheat/gluten intolerance is an allergy with the same symptoms and treatment as Celiac Disease, but CD is an autoimmune disease where your immune system attacks the lining of the small intestines in response to gluten. It leaves lesions and scarring in your small intestines, is genetic, and has different pathways to disease than an intolerance. If they looked at your stomach and found a polyp with no explanation, you should definitely start doing your homework on CD to ask pertinent questions before you rule it out.

*** I ate wheat and bread products my entire life like so many other Westerners, but didn't discover a problem until "trigger" events and what I think was almost the complete elimination of it on an Asian diet and reintroduction upon my return.

Edited April 27, 2008 by kat

[Sheryl]

Now that giardia has been pretty well ruled out, it is indeed sounding more and more like a malabsoprtion syndrome of some type.

Celiac disease is unlikely to first present late in life, it is usually apparent in childhood or young adulthood. Acquired gluten. lactose or other food intolerance are possible.

However for an older adult long time resident of SE Asia, tropical sprue is the most probable cause of malabsorption. Requires a biopsy of the lining of the small intestine to diagnosis (can be obtained endoscopically). The good news is that it usually responds to tertracycline although it requires a long course of treatment.

I'm a bit concerned that no research went into the choice of GI specialist, this is acomplicated case and requires some real expertise. If the doctor seen does nto seem up to par, see another doctor.

[Mobi]

I saw the Doc this afternoon. She seems to know her business. I was there a long time and we had a long discussion on the possible causes.

She said that an individual stool culture has only a 20 - 30% chance of revealing the problem, and she needs 3 cultures over 3 days to be sure of the results. She also said that it mustn't be less than 2 hours old, which no one else told me.

She doesn't think much of Virtual colonoscopies, as she says it will only provide limited info, and many problems would not show up. She wants to do a real one next week, (assuming th cultures and extensive blood tests, (including thyroid Sheryl), don't reveal the problem this week), but I must stop taking my daily aspirin as she is worried about bleeding. She also concerned about my heart problems as she looked at my medical records. Apparently I have a murmur and some other ' idiosyncrasies' - but I can't remember the medical terms.

I will see her again on Thursday, after all the stool and blood results are in.

Sheryl, you may be right about the lactose. My diarrhea definitely was better when I cut out my morning milk and cereal, and worse when I started again, and now better since I stopped again. But maybe the milk is just aggravating an existing condition.

The Doc said that I may have had a problem for a long trime,. but that it was 'triggered ' by the motor accident, as everything started from then.

I guess we won't know until all the results are in.

[kat]

Now that giardia has been pretty well ruled out, it is indeed sounding more and more like a malabsoprtion syndrome of some type.

Celiac disease is unlikely to first present late in life, it is usually apparent in childhood or young adulthood. Acquired gluten. lactose or other food intolerance are possible.

However for an older adult long time resident of SE Asia, tropical sprue is the most probable cause of malabsorption. Requires a biopsy of the lining of the small intestine to diagnosis (can be obtained endoscopically). The good news is that it usually responds to tertracycline although it requires a long course of treatment.

I'm a bit concerned that no research went into the choice of GI specialist, this is acomplicated case and requires some real expertise. If the doctor seen does nto seem up to par, see another doctor.

I'm glad you are on your way to figuring it out Mobi. You should keep other possible Irritable Bowel Diseases on your personal radar, like Crohns' Disease as well. One of the first things my doctor told me was that I was lactose intolerant, in which he was wrong, and was proven so when I asked for a blood test to rule out a milk allergy. As I said previously, milk allergies are rare on their own and can be an indication of something else, like CD. My advice would be to educate yourself and work with your doctor, rather than relying on them for all the answers. Good luck, and good health.

Thanks for your feedback Sheryl.

Actually, CD is widely undiagnosed, and can remain "silent" without presenting symptoms or very subtle symptoms throughout childhood and young adulthood. There are trigger episodes which can bring it into the forefront, like other diseases, antibiotics, stress, or pregnancy, and age. CD usually presents in childhood, OR, later in life starting in the 40s. I've done ample research on this and have been on forums where there are plenty of adults who have been diagnosed in adulthood.

In addition, CD is a malabsorption problem due to the immune response, and is also called Tropical Sprue.

*added: one other thing to keep on your radar, Mobi - thyroid issues are also associated with CD, as well as other things, but worth it to keep in mind at this point, especially if you have other symptoms.

Edited April 28, 2008 by kat

[LaoPo]

Wish you well Mobi !

I can't understand that you kept on drinking milk, having such serious diarrhea problems though...

LaoPo

[kat]

"In addition, CD is a malabsorption problem due to the immune response, and is also called Tropical Sprue."

I'm sure the two differ, but there are many similarities that they are often called the same thing (flattening of the Villi, etc.). So, Tropical Sprue could be the case for a lot of undiagnosed expats, especially after giardia. In my case, I have other indicators for CD, especially the significant effects of eating and removing gluten*, as well as other genetic "coincidences" (biological sister and brother show signs, and the brother already had a debilitating joint episode which sent him to the hospital; again, no diagnosis). I'm still not completely sure how the two differ, but I am aware of how they are alike.

*which I think was related to other conversations we've had in the past, Sheryl, like my macrobiotic meal (salmon, tofu, miso) that changed my life during menstruation, only I hadn't put everything together yet. I felt so great because there was no gluten in those meals, which did not compound my migraines and already low serotonin levels. Anyway, CD can remain dormant or subtle or undiagnosed because there are so many disparate symptoms that do not seem related, especially with an affliction that is so low on the radar and involves something so simple and seemingly harmless like gluten.

But, as I said, IBDs are significantly undiagnosed or misdiagnosed but cause so much pain and future disease, that it is worth it to do the extra legwork.

Edited April 28, 2008 by kat

[kat]

I'm a bit concerned that no research went into the choice of GI specialist, this is acomplicated case and requires some real expertise. If the doctor seen does nto seem up to par, see another doctor.

Anyway, thanks again Sheryl, and good luck to you Mobi. You have a lot of work ahead of you.

*Sheryl, I will keep up a dialogue with you via PMs, as the mystery unravels.

Edited April 28, 2008 by kat

[Sheryl]

I saw the Doc this afternoon. She seems to know her business. I was there a long time and we had a long discussion on the possible causes.

She said that an individual stool culture has only a 20 - 30% chance of revealing the problem, and she needs 3 cultures over 3 days to be sure of the results. She also said that it mustn't be less than 2 hours old, which no one else told me.

She doesn't think much of Virtual colonoscopies, as she says it will only provide limited info, and many problems would not show up. She wants to do a real one next week, (assuming th cultures and extensive blood tests, (including thyroid Sheryl), don't reveal the problem this week), but I must stop taking my daily aspirin as she is worried about bleeding. She also concerned about my heart problems as she looked at my medical records. Apparently I have a murmur and some other ' idiosyncrasies' - but I can't remember the medical terms.

I will see her again on Thursday, after all the stool and blood results are in.

Sheryl, you may be right about the lactose. My diarrhea definitely was better when I cut out my morning milk and cereal, and worse when I started again, and now better since I stopped again. But maybe the milk is just aggravating an existing condition.

The Doc said that I may have had a problem for a long trime,. but that it was 'triggered ' by the motor accident, as everything started from then.

I guess we won't know until all the results are in.

Sounds good, Mobi.

While awaiting all the tests results keep avoiding dairy products and see to what extent that makes a difference.

I think the "idiosyncracies" you mention were probably "arryhtmias", irregualr heartbeats due to abnormal electrical conduction within the heart. I assume you've seen or will see your cardiologist?

Take care!

[Ijustwannateach]

I'm beginning to imagine symptoms for myself after reading all this- if I had such a problem, would I be aware of it? I did have a bad bout of giardia and a year or so after it my system wasn't quite "right," but things seemed settled and regular now (though I am prone to allergic sinusitis).

[kat]

Don't worry, IJWT. When you have symptoms, there will be plenty of opportunity and evidence to reveal that unfortunately it isn't your imagination. *(I know have chronic sinusitis as well, after falling sick this winter with no previous problems with it, as well as snoring and waking up during the night, waking up with headaches almost every morning - possibly related to the breathing and decreased oxygen - heart palpitations, et al). Definitely not my imagination.

http://www.ncbi.nlm.nih.gov/pubmed/16084665

http://www.journals.elsevierhealth.com/per...003300/abstract

Long-term sleep apnea as a pathogenic factor for cell-mediated autoimmune disease.

Abrams B.

BACKGROUND: Previous medical literature has shown that cell injury from hypoxia, such as that induced by sleep apnea, leads to hyperuricemia. Furthermore, a recent study has shown that when hyperuricemia reaches sufficient concentration to precipitate as monosodium urate, a T-cell immune response is triggered. The frequent repetition of this cell injury and immune response over a prolonged time, as would occur with long-term sleep apnea, may lead to the development, continuation, or aggravation of autoimmune disease. HYPOTHESIS: Long-term sleep apnea is hypothesized to be a pathogenic factor in the development of cell-mediated autoimmune disease. Several corollaries are presented along with this general hypothesis. First, some of the diseases associated with sleep apnea may have an autoimmune etiology. Second, some autoimmune diseases not usually recognized to be associated with sleep apnea may indeed have that association. Third, resolving sleep apnea in some patients with autoimmune disease to remove that autoimmune stimulus may aid in deceleration, halt, or even reversal of the progress of the autoimmune disease. Fourth, because monosodium urate also causes gouty arthritis in some individuals, diagnosis of gout may allow for resolution of sleep apnea early enough to prevent autoimmune development. Fifth, allopurinol, which suppresses uric acid generation, may be an effective therapy for the remission or prevention of a number of autoimmune diseases. CONCLUSION: This hypothesis strengthens the evidence pointing to the danger of unresolved sleep apnea by a mechanism previously unrecognized, namely the risk of developing an autoimmune disease. As a result of this realization, new therapies may be adopted for the treatment and prevention of autoimmune disease, specifically, resolving sleep apnea and the use of allopurinol.

Edited April 29, 2008 by kat

[geriatrickid]

You have a gem of a doctor there because she's bang on the money.

Virtual colonoscopies are not as thorough as the real deal and if they find anything they still have to go in for the hunt and pluck. As well, you still have to drink the goop. What really matters most is having a very clean interior since it's the horizontal disturbances that are now believed to be the trouble makers vs. the visible polyps. You can only see those if you are inside having a tour. (Be sure that you have someone with you after the procedure because you are going to be out of it for awhile.)

I noticed the heart murmur and idiosyncrancy comments. Now I'm going to say something sort of off the wall. When's the last time you had a thorough dental checkup and were assured that you have no dental disease? There is a defined link between heart problems and periodontal disease. The belief is that sufferers of periodontal disease are 2X as likely to have coronary artery diseases and a higher risk of stroke. As well, the bacteria from the mouth could be causing or contributing to the GI issues. Obviously there are lots of causes of heart valve problems ranging from plain old genetics to aging to having gunk in there. The chances of this item being the cause are very low but it's worth checking it out on the off chance that you are one of those special cases.

You have nothing to lose in that regard. If there is something, even minor, let the cardiologist know immediately. BTW, I'm pulling for you too

[kat]

I noticed the heart murmur and idiosyncrancy comments. Now I'm going to say something sort of off the wall. When's the last time you had a thorough dental checkup and were assured that you have no dental disease? There is a defined link between heart problems and periodontal disease. The belief is that sufferers of periodontal disease are 2X as likely to have coronary artery diseases and a higher risk of stroke. As well, the bacteria from the mouth could be causing or contributing to the GI issues.

Yeah, it's no longer "off the wall" because it was released in a study over the last 2 years, because I remember talking about it. It's pertinent for me, because as a kid I also had a predisposition to gum disease, my biological father died of cardiac arrest in his fifties, had a dairy thing (in the words of my half-brother and sister who grew up with him), and I am now showing weird symptoms as per this and the other thread that my biological siblings are corroborating with associated symptoms. Could it be that with some people with these mysterious, undiagnosed bundles of syndromes that combine GI, heart, joint, stomatitis aphthous (spelling), diabetes, thyroidism among other symptoms that we are actually presenting for largely overlooked and undiagnosed autoimmune diseases?

Just a question, but worth asking.

[dsfbrit]

I know what you mean about falling apart. I came into this forum to start researching my dodgy hip!

I dont understand all that has been written here, but I hope it all turns out OK for you.

regards

Dave

[Mobi]

I went back to see the redoubtable Dr Poungpen this morning.

All the results are in and none of the stool or blood tests revealed anything untoward.

So I'm booked in at the crack of dawn on Monday to have a Gastroscopy ( a camera down my throat) and colonoscopy ( a camera up my bum).

The Doc said that I may well have milk intolerance, but that is not the underlying problem, merely a symptom of it - something in my gut must have triggered the milk intolerance. She said that she will remove any small polyps she finds, and may take some biopsies.

So I'll know more next week.

I'm back home in Pattaya for a couple of nights before heading back the big Mango for another week's medical consults.

[taxexile]

So I'm booked in at the crack of dawn on Monday to have a Gastroscopy ( a camera down my throat) and colonoscopy ( a camera up my bum).

i believe the correct medical terminology for this combined procedure is "the spitroast".

you will be sedated and so wont have any pain or discomfort.

[LaoPo]

So I'm booked in at the crack of dawn on Monday to have a Gastroscopy ( a camera down my throat) and colonoscopy ( a camera up my bum).

i believe the correct medical terminology for this combined procedure is "the spitroast".

you will be sedated and so wont have any pain or discomfort.

..I don't know about a Gastroscopy but the last Colonoscopy I had, last week, I was sedated but the pain was......... ..unbelievable..

I have to say though that I have an extremely rare low pain level and I'm not happy with that !

LaoPo

[taxexile]

..

I don't know about a Gastroscopy but the last Colonoscopy I had, last week, I was sedated but the pain was......... ..unbelievable..

i think thats unusual , i've had 2 colonoscopies at bumrungrad in the past 3 years , and both times the sedation was deep and i felt nothing at all , i noticed from my bill that along with the sedating agent i was given pethidine , a narcotic analgesic.

[sbk]

So I'm booked in at the crack of dawn on Monday to have a Gastroscopy ( a camera down my throat) and colonoscopy ( a camera up my bum).

i believe the correct medical terminology for this combined procedure is "the spitroast".

You do have a way with words tax