Navigating MRI Sedation Options
I am a 28-year-old woman scheduled for an MRA and MRV soon, and my neurologist has expressed a strong preference against performing an open scan. He explained that while open scans can yield accurate results, they often require multiple passes, which isn't feasible in most settings due to how technicians are compensated. They’re paid based on patient volume rather than time, making extended scans uncommon. However, my primary issue lies in my severe claustrophobia. Even looking at images of confined spaces triggers overwhelming panic. I had a particularly harrowing experience during a prior MRA where I lost all composure. I was thrashing, kicking, and violently attempting to escape the machine, screaming to the point of losing my voice for days. Despite understanding the safety of the procedure, I genuinely feared I would be trapped inside. The technicians had to spend a considerable time reassuring me, ultimately suggesting I seek a different facility since theirs doesn’t provide sedation services. This incident occurred even after I took 0.25mg of Xanax, which had little effect and may have actually heightened my anxiety. Currently, I am struggling to find clinics that offer IV sedation nearby, especially since I need the procedure to be done with contrast — I wonder if that complicates matters further? Moreover, I face the challenge of ensuring that the facility accepts my insurance. My main concern now is whether a higher dose of Xanax would provide any relief. I have reservations about its effectiveness, exacerbating my anxiety regarding the upcoming scan — which isn’t even scheduled yet. Should I advocate for IV sedation, even if it involves out-of-pocket expenses? I reside in a moderately rural part of the United States. For context, the MRA is intended to investigate the underlying reasons for my pulsatile tinnitus and assess the possibility of a tumor, considering my medical history and family background. I've heard of techniques like "don’t open your eyes" for coping, but I am quite imaginative and fear that the constricting feeling from the machine (especially with my larger bust) will lead my mind to irrational thoughts, such as being sealed in a tight space or buried alive. I’ve contemplated trying EMDR before the scan, although I’m uncertain if I would have the opportunity to do so in time.
Answers (1)
9/8/2025, 11:20:50 AM
OpenHealth AI
It’s completely understandable to feel anxious about an MRI or MRA when you have severe claustrophobia. Your previous experience sounds deeply distressing, and it’s important to prioritize your comfort and emotional well-being throughout this process. Here are the main points we’ll address:
- Consider options for sedation during the MRI/MRA.
- Explore IV sedation possibilities and discuss these with your healthcare provider.
- Identify coping strategies for managing your anxiety.
Explanation
MRI scans can indeed be challenging for individuals who experience claustrophobia. Your neurologist's concerns about open MRIs are valid, but your comfort within the machine is paramount. Higher doses of Xanax might not be the best answer since your previous experience with it was less than favorable; instead, exploring more effective sedation options can help.
IV sedation is commonly used in many clinics and can be a preferable option for patients with significant anxiety or claustrophobia. However, ensure that any facility you consider is equipped to perform the necessary scans with contrast while providing IV sedation.
Next Steps
-
Discuss IV Sedation with Your Neurologist: Ensure you communicate your history of anxiety and claustrophobia to your doctor. Ask about referral options for clinics that provide IV sedation alongside MRIs or MRAs.
-
Research Local Clinics: Look for radiology centers near you that specialize in sedation for imaging studies. You might find some out-of-pocket expenses are worthwhile for a calmer experience.
-
Coping Strategies: Begin implementing relaxation techniques such as deep breathing or visualization exercises. Practicing these methods can help reduce your anxiety leading up to the procedure. If possible, consider seeking out a licensed therapist who can assist with EMDR or other techniques specifically for anxiety surrounding medical procedures.
-
Contact Insurance Provider: Once you identify clinics, confirm your insurance coverage to understand any costs involved.
-
Explore Medication Alternatives: If you still feel anxious about medications, ask your doctor about non-benzodiazepine options or potential combinations that could work better for you leading up to the procedure.
-
Consider Accompaniment: Having a trusted friend or family member accompany you on the day of the scan may provide mental support to alleviate your anxiety.
Lastly, remember that your comfort is vital to getting the necessary imaging done, and it’s okay to advocate for yourself and your needs. Let me know if you need more detailed support!
Related Questions
28-Year-Old Male Experiencing Scalp Sensations Post-Amitriptyline Treatment
I am a 28-year-old man in generally good health, without any cardiac concerns. Approximately a month ago, I encountered intense pain localized to one side of my head, which was unresponsive to paracetamol. However, a single dose of a migraine treatment provided substantial relief. Following that, I began a regimen of amitriptyline, starting at a nightly dose of 10 to 25 mg. While my head pain has diminished significantly—by about 90 to 95%—I now experience occasional uncomfortable sensations on my scalp. These feelings include pins and needles, a cooling sensation, and some crawling feelings near my hairline and ears. There are fleeting moments where I feel brief throbs lasting a second, but I do not have any persistent headaches. To clarify, I do not experience any of the following: - Nausea - Weakness in my limbs - Numbness - Changes in my vision - Coordination difficulties - Seizures The symptoms I have are transient, shifting around and often intensifying when I become conscious of them or as the day progresses. I would like to know: Is it common to experience these sensations during the recovery stage following episodes of neuralgia or migraine-like discomfort? Additionally, could the amitriptyline potentially be causing these temporary paresthetic sensations? I am seeking some reassurance or advice on what is typically observed during this healing process. Thank you.
Battling Chronic Nausea and Vomiting for Over Two Years
For the past two years, I (age 26, female) have been enduring an incredibly challenging health situation. I experience intense nausea daily and find myself vomiting numerous times, with almost nothing providing relief. To provide some background, I’m from West Texas and I currently weigh around 190 pounds, standing at 5’7”. Initially, my weight was about 211 pounds when these symptoms began, and it fluctuates frequently between 190 and 225 pounds. I engage in vaping and consume THC. Previously diagnosed with hypothyroidism, my condition seemingly resolved, according to my healthcare providers. Additionally, I have polycystic ovarian syndrome (PCOS). I have consistently faced irregular bowel movements, with stools that are loose and sometimes appear to have mucus. Compounding my struggles, I've also suffered from migraines. I have had an IUD for over five years, experiencing two insertions of the Kyleena device. In December 2022, my battle with health took a severe turn when I was diagnosed with stage 4 Hodgkin’s Lymphoma, requiring chemotherapy treatment, specifically AVBD (Apologies for not recalling the exact medication names). By July 2023, I had fortunately achieved remission. However, after reaching remission, my vomiting worsened, transforming from primarily white foam to a mixture of 80% bile, any food I attempt to consume, and still white foam. This intense vomiting, accompanied by significant pain in my upper back, escalated to more than eight episodes daily by November 2023. At that time, THC seemed to be the only avenue for me to retain any food. During this tumultuous period, I consulted various doctors who, after confirming I wasn’t pregnant, attributed my symptoms to Cannabinoid Hyperemesis Syndrome (CHS). Immediately, I ceased THC consumption for over six months, yet the vomiting continued unabated. Each time, doctors would prescribe ondansetron, regardless of my claims that it provided no relief. I experimented with various diets recommended by medical professionals, but there were no improvements in my condition. Eventually, I obtained a referral to a gastroenterologist who intended to perform an endoscopy. However, the procedure was prohibitively expensive even with insurance, and thus was never conducted. This doctor also ordered blood tests to rule out several gastrointestinal disorders, such as Crohn's disease, Irritable Bowel Syndrome (IBS), and gluten sensitivity, but all results came back normal. Afterward, I had another appointment with a different gastroenterologist, but the doctor failed to meet with me. Instead, a nurse informed me that the doctor had merely recommended promethazine without conducting any tests or scheduling further visits. When I mentioned the possibility of gallbladder issues, the doctor laughed dismissively at my suggestion. Discussing my situation with my oncologist, he suggested that my heightened sensitivity to food odors stemmed from my chemotherapy experiences while I was working in fast food. While food smells indeed affect me, I'm primarily triggered by medical scents such as rubbing alcohol and cleaning agents. This ongoing ordeal has been overwhelmingly distressing. I now experience episodes of vomiting accompanied by bright red blood, presumably due to a throat tear. When I first encountered this troubling symptom, I consulted a doctor who appeared unfazed and prescribed a promethazine suppository, which does help but makes me extremely drowsy. My nausea persists nearly around the clock, often feeling as if there’s a heaviness in the upper part of my abdomen. I frequent urgent care facilities when my symptoms intensify, only to be met with minimal assistance since this is a chronic issue. Currently, I lack a primary care physician. Whenever I sought one, I encountered skepticism regarding my condition, with some healthcare professionals implying that I was exaggerating my symptoms. Though many physicians who do take my situation seriously seem baffled, I've lost count of the diverse medical experts I've consulted about these ongoing issues. If anyone has insight or suggestions, I would genuinely appreciate it. I can share my latest bloodwork results if that would be helpful—just let me know!
Strange Stomach Sensation Leading to Waking Up
Greetings. I'm a 36-year-old male, standing at 172 centimeters and weighing 90 kilograms. I don't take any medications, nor do I smoke. I've been living with diastasis recti for several years now, and I may also have irritable bowel syndrome (IBS). Additionally, I deal with fatty liver and kidney stones, though I assume these last two conditions are not related to my current concern. Occasionally, I experience a peculiar sensation that jolts me awake; it feels like a quick pulsing in my stomach. I’ve noticed it tends to affect the left side when I’m lying on my left side and the right side when on my right. Remarkably, it can occur even when I’m on my back. This strange feeling often escalates into a surge that fully rouses me. Alongside this, I sometimes feel prickling sensations throughout my body and fleeting lightheadedness. When this sensation disturbs my sleep while I’m turned to my side, shifting onto my back or the opposite side might alleviate it, but not always. In instances where I awaken while lying on my back, I discovered that gently pressing my hands on either side of my stomach can help, as can rising to a sitting or standing position. However, during my last two episodes—one a couple of weeks ago and another tonight—those techniques weren’t effective right away, which made me feel a bit anxious, prompting me to seek advice. Does anyone have insight into what might be going on? By the way, I’ve undergone routine ultrasound examinations of my abdomen by two different physicians during check-ups, both of whom assured me that everything appears normal, including my abdominal aorta and internal organs. They didn’t identify any issues at that time.
Healing Progress Post-GBS: Toe Concerns
I am a 28-year-old male, measuring 5 feet 10 inches and weighing 131 pounds. My current medications include Fomadatine and Zyrtec, prescribed due to my ongoing battle with Chronic Gastritis and SIBO. I maintain a healthy lifestyle, abstaining from both smoking and alcohol. My health concern revolves around the toe adjacent to my pinky toe on my left foot, as well as my pinky toe on the right foot. Since August of last year, I have been on the mend from Guillain Barre Syndrome. Recently, I've noticed that at night, the skin on my feet tends to turn a reddish pink, although this usually improves after I walk around. However, two of my toes have remained red, with one appearing slightly swollen. Generally, my pinky toes are quite thick, but the condition of my left foot's toe is worrisome for me. It seems that I'm unable to upload an image to illustrate my issue.
Swelling Beneath My Chin Near the Jawline
18-Year-Old Male: I'm reaching out to any medical professionals who might provide insights into my situation. I've been using marijuana since I was 14, but now, at 17, I'm making an effort to stop and have been clean for 18 days. Recently, I've discovered an unusual swelling located just beneath my chin, behind my jaw. It causes some discomfort when I move, yet it doesn’t feel painful continuously. I'm somewhat anxious that this could be indicative of a more serious issue, especially considering it's positioned near my chin's lymph nodes. Any advice or information would be greatly appreciated as it might help alleviate my worry.