Gastroenterologist Thoughts?

Question

I'm in my late 40s and noticed that I've lost about 11 or 12 pounds in the past 10 months without changes in diet, appetite, or exercise.  I've gone from 168 to 156.  I saw my general physician and he asked some questions including whether I've had any heartburn.  I said I had a little bit but not much. He mentioned many possibilities-stress and cancer among them. He gave me Nexium and told me to take it for 2 weeks to see if my weight increased and also said that if I lost another couple pounds to let him know.  Then he'd refer me to a gastroenterologist for an endoscopy and colonoscopy.

I said I was very anxious and asked him why we don't just do the scopes now, especially if it might be stomach cancer or something horrible like that.  He said he's treating me, not my worries.

So my questions are (1) does it make sense to give me Nexium for a tiny bit of occasional heartburn and no other symptoms besides weight loss and (2) is there really no danger in waiting a week or two to see what happens with Nexium?

Thanks for your thoughts.  I admittedly think worst-case scenario with these sorts of things, but it seems entirely possible in this case.

formerly_bob · Answer

It seems like you digestive system hasn't changed in 10 months, so another 2 weeks won't make any difference.

Anonymous · Answer

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Arnie · Answer

A little info I think should be considered about this drug Versed ( Midazolam ) that is used for Sedation for many medical procedures..Sedation and General Anesthesia are not the same and quite a few people being given Sedation
think they are being given General Anesthesia!

There is simply no good or valid reason to ever purposely induce amnesia during a medical procedure. It is only a recent development in medical thinking that amnesia is somehow a "benefit" to the patient. On occasion some
some patients will remember a bad experience. Forgetting does not mean it did not happen!!
I feel that if people were aware of the  effects of this drug they would Opt For Another Drug!
Erasing someones memory of what was done to them is wrong!!
In fact, many people who use Versed for " IV Sedation,Conscious Sedation" Twilight Sedation, during a procedure are Awake For The Entire Procedure but remember nothing, often Believing They Were "Out" the whole time.

Versed (Midazolam) is an amnestic. It is also commonly used for minor procedures like setting broken bones,colonoscopies,endoscopies, dental procedures like extractions,conscious sedation,twilight sleep, so that patients won't remember pain and discomfort.HOWEVER THAT DOES NOT MEAN THAT THOSE SENSATIONS WILL NOT BE EXPERIENCED!!!!

A note from an anesthesiologist
I agree that using midazolam alone in painful situations is wrong. I've heard people getting colonoscopies and screaming, and maybe they remember, maybe they don't.

A note I got from someone on Yahoo Answers who did have a bad experience..This is very disconcerting... My sister said she heard me screaming from the waiting room but assumed it wasn't me. When we left we heard another female patient screaming. I did a lot of research since your post, thanks so much for the info.

Here is a note from a Dentist Who uses Versed
I've used Versed 1000+ times during oral surgery procedures and I've never had a complaint. It's a miracle drug because it is safe and it causes you to not remember an unpleasant experience. My answer to him is isn't it better to have not experienced the pain than to have forgot it. No wonder you have had no complaints they have no memory of the procedure.....

I feel that giving a drug for amnesia is cruel I would not want it done to me!

A strange development in medical thinking that it's okay for a patient to have
pain as long as they don't remember it and think they slept thru the procedure..

Here is a link for some info

http://www.freehelpforcancer.com/manages-meds/sedation

Sas · Answer

if you had cancer, you will be feeling alot more than just minor heartburn. You will have diarrhea, pain bleeding,, in your stool. in your 40's its about time to be getting colonoscopy check, and also prostate exam.

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Gastroenterologist Thoughts?

4 Answers