OpenHealth Q&A

Frustrated About My Upcoming Colonoscopy

My colonoscopy is approaching in just about a week, and I find myself compelled to share my thoughts, both to seek assistance from the medical community and to possibly enlighten health professionals on patient interactions. To clarify, I'm not anxious about the actual procedure itself; I'm fully aware that I will be sedated and won’t remember a thing afterward. However, the journey leading up to this event has stirred considerable frustration within me. At 48, I consider myself an average guy — generally friendly, yet I struggle with clinically diagnosed depression and anxiety. After undergoing extensive therapy and medication, I’ve seen significant improvement. Additionally, I battle what I like to refer to as “medical PTSD.” Due to a serious congenital condition, I underwent numerous surgeries in my youth. Though I’m physically stable now, I still require routine check-ups and some ongoing medication. For years, even a visit to a medical facility would make me tremble and cause my blood pressure to spike. While my anxiety has lessened considerably, largely due to the trust I’ve built with my specialist doctors, I still don’t feel the same way about my GP or the GI doctor involved in my upcoming procedure. Interestingly, several of my relatives are medical professionals, yet despite their exposure to death and dying, they seem to lack empathy for routine medical procedures — viewing them with indifference since they deal with life-threatening conditions daily. This background has contributed to my current feelings of isolation and neglect from the healthcare system. My spouse urged me to undergo a colonoscopy because I’ve reached the age threshold, so I hesitantly made the appointment. However, when I contacted my primary care physician, she quickly nudged me towards a Cologuard test instead, stating that scheduling a colonoscopy could take a significant amount of time. There was little dialogue about the pros and cons of either option, even after I expressed my curiosity about their effectiveness. Instead, I was told simply that the Cologuard was "faster and easier.” After gathering insights from various forums, I concluded on my own that while the colonoscopy prep could be unpleasant, the procedure itself might not be that bad, and ultimately, the potential benefits far exceed the momentary discomfort of dietary restrictions, extensive bathroom visits, and dehydration in the lead-up. I’ve subsequently arranged for the colonoscopy with the gastroenterology department, yet all I received was a pamphlet detailing dietary restrictions and a prescription for a harsh laxative to be taken the night prior. There were no follow-up calls or discussions about what to expect or any chance to meet the gastroenterologist beforehand. In essence, I feel frustrated because I perceive a lack of real choice or human consideration in this process. My family insists on me proceeding with this procedure I’m not particularly keen on, and although my rational thoughts understand its importance — recognizing that while the risk of cancer detection may be low, there exists a chance of discovering precancerous polyps that could lead to dire consequences later — that doesn’t negate my feelings. I’m left feeling solitary and frustrated. I’m not apprehensive about the procedure itself, but I am concerned about the challenges of extensive preparation leading to potential discomfort and the chance of regurgitating everything after a sleepless night of purging. It’s all too easy for me to feel that this effort merely aids in funding a gastroenterologist’s extravagant lifestyle instead of serving my health needs. In expressing my thoughts, I feel lost in a cycle of worry and I'm reaching out for guidance. Perhaps this would be better served in a mental health forum? To the physicians reading this, I implore you to remember your training: it's vital to treat the individual rather than just the ailment. Each patient arrives carrying their own unique experiences. Rather than dismissing the arduous nature of medical prep, acknowledge its reality and provide patients with the reassurance and information they need to feel valid in their concerns. I hope my reaction isn’t out of line. It seems evident that I would benefit from a primary care provider who respects my humanity, engages in thoughtful discussions about options, and guides me in making informed choices while recognizing the emotional and physical toll that preparing for procedures may entail.

Answers (1)

6/30/2025, 6:40:57 PM

OpenHealth AI

It's completely understandable to feel frustrated and isolated as you prepare for your upcoming colonoscopy, especially given your background and the emotional toll it's taken on you. You are not alone in experiencing these feelings, and I appreciate your willingness to share your perspective.

Key Points:

1. Initial Feelings are Valid: Your concerns about the lack of communication and empathy during your healthcare journey are legitimate. Preparing for a colonoscopy, especially with your history, can be daunting.
2. Understanding the Procedure: While the preparation phase can feel overwhelming, knowing what to expect and having coping strategies can help ease anxiety and discomfort.
3. Focus on Self-Care: There are specific actions you can take to make the experience more manageable, both emotionally and physically.

Explanation:

The colonoscopy preparation, which includes dietary restrictions and laxatives, is indeed challenging. Many patients share similar sentiments, especially regarding anxieties around the extent of preparation, side effects like nausea or discomfort, and feelings of disconnect from the healthcare team. It sounds like the lack of an open dialogue has compounded your frustrations, leading to feelings of isolation.

Planning for the prep can help mitigate discomfort, and having some proactive strategies will empower you. It's essential to prioritize both your physical and emotional needs during this time.

Actionable Steps:

1. Communicate with Your Healthcare Team: Since you’re not feeling supported by your GP or the gastroenterologist, consider reaching out to the gastroenterology office directly with specific questions about the procedure. Knowing details about what to expect on the day of the colonoscopy (like sedation and recovery) can help ease your mind.

2. Coping Strategies for Preparation:

   • Stay Hydrated: Focus on drinking clear fluids as much as you can leading up to and during the prep. Consider electrolyte solutions if dehydration is a concern.
   • Diet Planning: Follow dietary guidelines closely, but within your comfort zone. For solid food, some people find simple, easy-to-digest foods (like white bread and plain rice) work before the clear fluid phase.
   • Pacing the Laxative: Take the laxative as recommended, but if it feels too intense, communicate any discomfort to your healthcare provider to adjust or mitigate it.
   • Planning Rest: Prepare for a quiet day before the procedure so that you can rest and deal with any potential side effects more comfortably.

3. Emotional Preparedness:

   • Mindfulness or Relaxation Techniques: Engage in activities that calm your mind, like deep breathing exercises, meditation, or listening to soothing music.
   • Support System: Lean on your spouse or someone supportive who can be there for you during the prep and day of your procedure. Feeling understood can significantly reduce feelings of isolation.
   • Sharing Concerns: If possible, consider sharing your feelings with your healthcare team or requesting to speak with a nurse or social worker specializing in patient support. They may offer a different perspective and reassurance.

4. Post-Procedure Consideration: After the procedure, allow yourself time to rest and recuperate. Engaging in light activities or rewarding yourself (like a treat) can provide positive reinforcement.

Your experience and feelings during this process are important, and your insights could indeed help improve patient interactions in healthcare. It may also be beneficial to discuss your concerns with a mental health professional, especially as they can help navigate feelings like “medical PTSD.” Remember, taking proactive steps for your health and emotional well-being reinforces your agency in this process. If you feel comfortable sharing, I would encourage you to engage with your healthcare team to improve your experience.

You’re taking significant steps by addressing these feelings and looking for solutions. You’ve got this!