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Factors Associated with Anxiety About Colonoscopy: The Preparation, the Procedure, and the Anticipated Findings

ConclusionsFewer people had high anxiety about preparation than about the procedure and findings of the procedure. There are unique predictors of anxiety about each colonoscopy aspect. Understanding the nuanced differences in aspects of anxiety may help to design strategies to reduce anxiety, leading to improved acceptance of the procedure, compliance with preparation instructions, and less discomfort with the procedure.
Source: Digestive Diseases and Sciences - Category: Gastroenterology Source Type: research

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CONCLUSION: Patients with IBS who underwent elective colonoscopy procedures expressed higher pre-procedural anxiety scores, required more propofol consumption, and experienced more disruptive movements compared with controls. On the contrary, the increased propofol consumption was not associated with the increased pre-procedural anxiety scores. PMID: 29755018 [PubMed - in process]
Source: The Turkish Journal of Gastroenterology - Category: Gastroenterology Authors: Tags: Turk J Gastroenterol Source Type: research
Japanese children's author Tarō Gomi was right, "Everyone Poops." Unfortunately, that particular bodily function is easier said than done sometimes. "Constipation can have a dramatic impact on the patient's overall well-being, including anxiety, depression, and time lost off work," Gavriel Meron, chairman and CEO of HyGIeaCare Inc., told MD+DI. Constipation about 60 million people in the United States alone, Meron said, which is why there is no shortage of over-the-counter constipation products on pharmacy shelves. But for a lot of people, Meron said, those products simply don't help.&nb...
Source: MDDI - Category: Medical Devices Authors: Tags: Business Source Type: news
Authors: Zhang K, Yuan Q, Zhu S, Xu D, An Z Abstract Colorectal cancer (CRC) is a prevalent cancer with high global incidence and a leading cause of cancer death worldwide. CRC screening is important for early cancer detection and prevention. Most premalignant adenomas can be identified and removed before they become malignant. Colonoscopy plays a vital role in reducing the risk for developing CRC. Although screening programs with colonoscopy have been implemented in many countries and considered beneficial for a number of people, this technique is generally associated with anxiety, embarrassment, pain, and discomf...
Source: Journal of the National Medical Association - Category: General Medicine Tags: J Natl Med Assoc Source Type: research
Authors: Grilo-Bensusan I, Herrera Martín P, Jiménez-Mesa R, Aguado Álvarez V Abstract BACKGROUND: conscious sedation with benzodiazepines and opiates for colonoscopy is a widespread clinical practice. OBJECTIVE: to determine the patient's tolerance to colonoscopy and identify the factors associated with lower tolerance. METHODS: a prospective, single-center, descriptive study of patients undergoing ambulatory colonoscopy under conscious sedation. The pain was assessed using a visual analogue scale with a score of 0 to 100 and also qualitatively. RESULTS: three hundred patients with...
Source: Revista Espanola de Enfermedades Digestivas - Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research
When I had rectal bleeding, I went for a colonoscopy. The doctor prescribed more fiber – but could anxiety be the source of the pain in my backside?The thing about writers – the thing that makes us hated and occasionally liked – is that very often we have our heads up our asses. There are two ways that people in my profession can address this.We could develop a deeper sense of humility, looking beyond ourselves and try to use our voices to amplify the experiences of other people in this cruel, cruel world.Continue reading...
Source: Guardian Unlimited Science - Category: Science Authors: Tags: Anxiety Medical research Health US news World news Science Society & wellbeing Life and style Psychology Source Type: news
Abstract AIM: To measure the leptin levels in patients with diarrhea-predominant irritable bowel syndrome (IBS-D) and analyze the relationship of leptin with clinical features, visceral sensitivity, mast cells, and nerve fibers. METHODS: Forty-two patients with IBS-D fulfilling the Rome III criteria and 20 age- and sex-matched healthy controls underwent clinical and psychological evaluations using validated questionnaires (including IBS Symptom Severity Scale, IBS-specific Quality of Life, Hamilton Anxiety Scale, and Hamilton Depression Scale), along with colonoscopy, colonic mucosal biopsy, and visceral sens...
Source: World Journal of Gastroenterology : WJG - Category: Gastroenterology Authors: Tags: World J Gastroenterol Source Type: research
Older patients are often aggressively screened for cancer, even if they won ’ t live long enough to benefit.
Source: NYT Health - Category: Consumer Health News Authors: Tags: Tests (Medical) Mammography Prostate Gland Prostate Cancer Breast Cancer Elderly Skin Age, Chronological Anxiety and Stress Health Insurance and Managed Care Colonoscopy Source Type: news
Question: A 65-year-old woman presented to emergency department with progressively worsening abdominal pain and diarrhea. She reports her symptoms started 8 months ago but have progressed to include nausea, vomiting, decreased appetite, and a 13-lb weight loss. She has never  had a colonoscopy or endoscopy. Her past medical history consists of hyperlipidemia, asthma, and anxiety. On clinical examination, a middle-aged female was noted in mild discomfort, auscultation of the heart and lungs revealed no abnormalities, abdominal examination was pertinent for epigastric tenderness with no rebound or guarding, an...
Source: Gastroenterology - Category: Gastroenterology Authors: Tags: Electronic Clinical Challenges and Images in GI Source Type: research
In 2016 I found myself waiting at a Colorado doctor’s office with my 12-year-old son, hoping to qualify for a cannabis prescription for him. I had traveled a long way from mainstream medicine in ten years. As a West Point graduate, Army Medical Service Corps Junior Officer of the Year and Medical Intelligence Officer for NATO Peacekeeping Forces, none of those experiences adequately prepared me for the greatest medical challenge and controversy of our time. My toddler son had suffered a vaccine induced brain injury from the MMR vaccine in 2005. The Harvard trained physician I was meeting with had been practicing medi...
Source: vactruth.com - Category: Allergy & Immunology Authors: Tags: Human Pam Long Top Stories Arthur Krigsman autism encephalopathy inflammatory bowel disease P.A.N.D.A.S. Source Type: blogs
CONCLUSION: Chinese patients with IBS present high rates of frequent healthcare-seeking behavior, colonoscopies, and medications, and low satisfaction with medical care. Intestinal symptoms are major predictors for healthcare-seeking behavior. PMID: 29204063 [PubMed - in process]
Source: World Journal of Gastroenterology : WJG - Category: Gastroenterology Authors: Tags: World J Gastroenterol Source Type: research
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