Gastroscopy: Duration, Risks, and Overcoming Anxiety - Gastroenterology and Hepatology

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Gastroscopy, also known as an upper gastrointestinal (GI) endoscopy, is a procedure that allows doctors to examine the lining of the esophagus, stomach, and the first part of the small intestine (duodenum) using a flexible tube with a camera. Understanding the duration, risks, and how to manage anxiety related to this procedure can help alleviate concerns and improve the overall experience.


Duration of the Procedure
Typically, a gastroscopy takes about 15 to 30 minutes. However, the entire process, including preparation and recovery, may take a couple of hours. During the procedure, the patient is usually sedated, which helps minimize discomfort and anxiety. The sedation can vary from mild sedation, where the patient is awake but relaxed, to deeper sedation, where the patient may not remember the procedure at all.

Risks of Gastroscopy
While gastroscopy is generally considered safe, there are some risks involved, as with any medical procedure. Potential risks include:
1. Perforation: This is a rare but serious complication where a hole is made in the wall of the esophagus, stomach, or intestine. The risk of perforation is very low, especially when the procedure is performed by an experienced gastroenterologist.

2. Bleeding: If a biopsy is taken or if there are existing ulcers, there may be a risk of bleeding. This is usually manageable and not life-threatening.

3. Infection: Although rare, there is a slight risk of infection following the procedure.

4. Adverse Reactions to Sedation: Some patients may experience side effects from the sedative used during the procedure, such as respiratory issues or allergic reactions.


Overcoming Anxiety
It is completely normal to feel anxious about undergoing a gastroscopy, especially if you have a fear of gagging or discomfort. Here are some strategies to help manage anxiety:
1. Communicate with Your Doctor: Discuss your fears and concerns with your healthcare provider. They can explain the procedure in detail, which may help alleviate some anxiety.

2. Sedation Options: Ask about sedation options. Many facilities offer "pain-free" gastroscopy, which uses deeper sedation to minimize discomfort and anxiety.
3. Relaxation Techniques: Practice deep breathing exercises, meditation, or visualization techniques before the procedure to help calm your nerves.

4. Support System: Bring a friend or family member to the appointment for emotional support. Knowing someone is there for you can help ease anxiety.

5. Post-Procedure Care: Understand that after the procedure, you may feel groggy due to sedation. It’s advisable to have someone drive you home and stay with you until you feel fully alert.


Addressing Your Symptoms
Regarding your symptoms of a foreign body sensation in your throat and the associated nausea, it’s important to follow up with your healthcare providers. The sensation you describe could be related to anxiety, gastroesophageal reflux disease (GERD), or other gastrointestinal issues. The medication LANPO (which contains the active ingredient rabeprazole) is a proton pump inhibitor that reduces stomach acid and may help with reflux symptoms.

If the medications prescribed by both your gastroenterologist and ENT specialist have not alleviated your symptoms, it may be beneficial to revisit your healthcare provider for further evaluation. They might consider additional diagnostic tests or alternative treatments to address your ongoing discomfort.

In conclusion, while the thought of undergoing a gastroscopy can be daunting, understanding the procedure, its risks, and how to manage anxiety can significantly improve your experience. Always feel empowered to discuss your concerns with your healthcare provider, as they are there to support you through the process.