Endoscopy, Gastroenterology

Endoscopy recovery and preparations — everything you need to know

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An endoscopy is a procedure used to examine the esophagus, stomach, and upper intestine. During an endoscopy, your doctor will diagnose and treat gastrointestinal conditions such as chronic heartburn, nausea, ulcers, and blockages. Your physician may choose to perform a biopsy during your endoscopy. This means that they will obtain a small piece of tissue to be tested for certain conditions, including celiac disease, gastritis, and cancer.

Endoscopies are safe outpatient procedures. You’ll likely be given a light sedative before your endoscopy to help you stay comfortable during the procedure. Typically, endoscopies take less than 30 minutes to perform. However, you’ll probably stay at the outpatient center or hospital for about an hour after the procedure while your sedation wears off. Taking a few minutes to learn about your endoscopy can help you plan ahead so that you can walk into the procedure worry-free. Below, learn the right way to prepare for your endoscopy, as well as what to expect after it’s over.

How should I prepare for my endoscopy?

Endoscopy prep tip #1: Talk to your physician

When your doctor recommends an endoscopy, there are certain things that you should discuss before the day of the procedure. Making sure that your doctor is familiar with your medical history—including your symptoms, medical conditions, and allergies—is an important step in preparing for any medical procedure. It’s equally important to let them know about any and all medications that you’re currently taking, even over-the-counter drugs and vitamins. Your physician will let you know if you need to change your medication schedule leading up to your endoscopy.

Endoscopy prep tip #2: Give yourself time to recover

You will most likely be given light sedation to help you stay comfortable and relaxed during your endoscopy. It can take up to 24 hours for the effects of the sedative to wear off completely, so plan ahead to have someone drive you home from the procedure. It’s also a good idea to make sure that you have the rest of the day off work so that you can rest. The sedative may have some lingering effects, such as nausea and disorientation. Talk to your employer in advance so that you can give yourself the time you need to recover.

Endoscopy prep tip #3: Don’t eat or drink before your procedure

During your endoscopy, your physician will carefully guide the endoscope through your esophagus, stomach, and small intestine. Your doctor will typically ask you to avoid eating or drinking for a certain amount of time before the procedure. This will allow them to see your gastrointestinal tract more easily. It takes about six to eight hours for food to make its way from your esophagus, through your stomach and small intestine, and into your large intestine. For this reason, your doctor will probably recommend that you avoid eating for at least eight hours before your endoscopy.

Endoscopy prep tip #4: Dress Comfortably

Although your endoscopy will only take about 15 to 30 minutes, laying still for that long can be uncomfortable, even with light sedation. Wear clean, loose-fitting clothes without stiff hems, buttons, or other ornamentation that could cause you discomfort when lying on your side. Your doctor will probably also ask you to leave your jewelry at home and remove your glasses and dentures before the procedure.

What should I do during my endoscopy recovery?

Endoscopy recovery tip #1: Get some rest

The best thing to do after your endoscopy is rest. It’s normal to experience bloating, nausea, or cramping for a short while following your procedure. You will probably also have a mild sore throat for one or two days. Your body will be able to heal faster if you let yourself get some sleep. Throat lozenges or sprays, as well as gargling with salt water, may also help reduce any lingering throat pain.

Endoscopy recovery tip #2: Watch what you eat and drink

During your endoscopy recovery, make sure to drink plenty of fluids. The required fasting prior to your procedure can dehydrate you. Make sure that you drink plenty of water throughout rest of the day, even if it hurts to swallow. However, you should avoid carbonated drinks, as they can cause gas and discomfort on an empty stomach.

When the sedation wears off you will probably start to get hungry. Once you are able to swallow normally, you may return to your normal diet. However, during your endoscopy recovery, you may want to avoid certain foods that may cause stomach discomfort, such as foods high in fat. Large quantities of food may also upset your stomach. Remember, you haven’t eaten in about 12 hours. Try eating something light, such as eggs or toast. If your stomach can handle that, then you can start to return to your normal diet.

Your endoscopy results may be available immediately after the procedure. If your physician collected a tissue sample for biopsy, those results may take a few days to come back. If you have any questions or feel like you aren’t recovering correctly after your endoscopy, don’t hesitate to reach out to your doctor.

When you prepare the right way and take care with your recovery, an endoscopy can be a great option for diagnosing and monitoring any issues within your gastrointestinal tract. Don’t let the high medical costs associated with this procedure keep you from getting the medical help that you need. New Choice Health’s Endoscopy Assistance program can help you find affordable financing for your endoscopy. After your procedure, you should be focusing on recovery, not worrying about how you’re going to pay. Use New Choice Health’s Patient Assist today to find discounts and financing options for your endoscopy.

Colonoscopy, Gastroenterology

Your colonoscopy recovery: what to expect

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A colonoscopy is a test used to examine the colon for potential health issues including colon polyps and colorectal cancer. A screening colonoscopy is a preventative exam used to find and remove precancerous polyps before they turn into cancer. These are typically recommended for people who are 50 and older, depending on your family medical history. During this procedure, your physician will also be able to find and treat any asymptomatic early-stage cancers. A diagnostic colonoscopy is done in response to symptoms such as rectal bleeding, abdominal pain or changes in bowel habits. No matter the reason for your procedure, your colonoscopy recovery experience will usually be the same. 

It’s natural to feel a little nervous before your first colonoscopy. Below, you’ll learn what to expect from the procedure and what you can do to make your recovery as quick and comfortable as possible.

What to expect: your colonoscopy preparations

Before you schedule your colonoscopy, you should inform your physician of any medications that you’re taking. This includes prescribed and over-the-counter drugs, supplements, and vitamins. Your doctor might recommend that you stop taking certain medicines the day before your procedure.

The biggest part of preparing for your colonoscopy is cleaning out your bowel. It’s important to clear the stool from your colon so that your doctor can see your intestinal lining clearly. Your doctor will prescribe a special laxative for you to take the day before your procedure. You might also need to stick to a clear liquid diet for one to three days leading up to your colonoscopy. Some bowel preparations include a second portion to be taken the morning of the procedure. This may include one or more types of laxatives that can come in pill or liquid form. The laxatives used for colonoscopy preparation are specifically designed to clear out your colon without dehydrating you.

You will know when your bowel prep is complete when your stool is clear and liquid. You should stay near a bathroom while preparing for your colonoscopy, as this process will cause diarrhea. Preparing for a colonoscopy might seem unpleasant, but it is important so that your doctor can clearly diagnose and treat any potential colon problems.

What to expect: your colonoscopy procedure

Your colonoscopy will take around 30 to 60 minutes. Right before the procedure, you will receive a light sedative or pain medicine through an IV in your arm. The amount of sedation that you receive will vary according to the skill of your endoscopist, the difficulty of your exam, and your personal preferences. Some patients may be awake and responsive during their colonoscopy while others might be completely unconscious. Either way, you shouldn’t feel pain during your procedure.

During your colonoscopy, you’ll lie still on a table while your physician guides the colonoscope through your anus and into your large intestine. There is a camera on the end of the scope that allows the doctor to see the inside of your colon. After the scope travels through the entire length of your large intestine, your doctor will slowly remove it. They will examine the colon again as they take out the scope.

If your doctor finds any polyps during the procedure, they will usually remove them and send them to a lab to be tested. Many colon polyps are harmless, but some could be early signs of colorectal cancer. Your doctor might also remove a sample of any abnormal tissue that they find so that it can be tested. You will not feel any polyp removals or biopsies.

What to expect: your colonoscopy recovery

After a colonoscopy, you will remain at the outpatient center for one or two hours as your sedation wears off. You will need to arrange to have someone drive you home after the procedure. If possible, you should spend the rest of the day recovering at home. It is normal to experience some bloating or discomfort after the procedure, as well as some residual sleepiness from the sedative.

Most patients are discouraged from working, driving, making important decisions, or operating heavy machinery for 8 to 24 hours after receiving any sedative. This is because anesthesia and pain medications can temporarily affect your coordination, reflexes, and reasoning skills. It is best to rest at home while you’re waiting for these effects to pass.

What to expect: eating after your colonoscopy

You will probably feel hungry after a colonoscopy but you should take care as you reintroduce food into your system. What you eat during your colonoscopy recovery can play a big role in how comfortable your recovery time is.

Fluids are very important during your colonoscopy recovery, as fasting and sedation can both have dehydrating effects. When you start to eat again, you should start with soft, easy to digest foods to avoid irritating your colon. Your doctor may give you specific guidelines, such as avoiding dairy and high-fiber foods during the day following your procedure. Some foods and drinks that are gentle on your colon include saltine crackers, canned fruit, scrambled eggs, drinks with electrolytes, mashed potatoes, and fruit juice.

You should avoid foods that are difficult to digest for a few hours to a day after a colonoscopy. This includes greasy, high-fiber, and spicy foods. Try to avoid alcoholic beverages, whole grains, raw vegetables, fried foods, and hard-to-digest meats. If your doctor removed any colon polyps, you might have additional dietary guidelines during your colonoscopy recovery.

Most people are able to return to their normal diets the day following their exam, but every patient is different. If you’re having trouble tolerating certain foods, you should continue to eat soft, easy to digest foods for one or two more days.

What to expect: bowel movements after your colonoscopy

It is normal for your first bowel movement to happen up to three days after a colonoscopy. Remember, you completely cleared out your digestive tract before your procedure. It will take some time before your colon fills up enough to produce a bowel movement.

If your doctor performed a biopsy or removed any polyps, you might see streaks of blood in your stool for the first couple of days. This is normal. If the bleeding is heavy, or you experience severe abdominal pain or dizziness, you should contact your doctor.

Your doctor will follow-up with you during your colonoscopy recovery to discuss their findings with you. If they sent a polyp or abnormal tissue sample to a lab to be tested, it might take up to a couple of weeks to receive your results.

You may be nervous about scheduling your first colonoscopy, especially if you’re uninsured, but you don’t have to be. Getting a colonoscopy is important and necessary to maintain the health of your colon. If you’re worried about the high cost of a colonoscopy, New Choice Health’s Colonoscopy Assistance program may be right for you. Patient Assist works with a select group of doctors and facilities to provide high-quality medical care at affordable prices. Use New Choice Health’s Patient Assist program to save money on your colonoscopy today.

Endoscopy, Gastroenterology

What is an endoscopy?

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An endoscopy is a non-surgical procedure that allows your doctor to see inside your digestive tract. A doctor may recommend an endoscopy if you have stomach pain, ulcers, bleeding in your digestive tract, or growths on your colon. This procedure is often preferred over an x-ray for your gastrointestinal tract because it allows your physician to gain a clearer image of any inflammation or small ulcers and tumors.

Endoscopies are done using an endoscope, which is a thin, flexible tube with a light and camera on the end. The camera transmits video to a TV monitor, allowing the physician to see inside your gastrointestinal tract. Your doctor can use an endoscope to take a biopsy if they feel the need to test the tissue in your digestive tract for disease. This may happen if they see any polyps or other tissue abnormalities.

Usually, endoscopies are outpatient procedures performed by a gastroenterologist. For this test, it is necessary that the stomach and small intestine be empty. Patients are typically advised not to eat or drink for at least six hours before their procedure. Most patients are sedated during the procedure. However, it’s rare to be under general anesthesia for an endoscopy. The entire procedure only takes about 20 minutes and recovery about 40 minutes. After your endoscopy, you will remain at the healthcare facility while your sedation wears off. It’s a good idea to bring someone with you because you won’t be able to drive until the next day (due to the sedative).

Are there alternatives to an endoscopy?

The most common alternative to an endoscopy is an upper GI x-ray. During an upper GI x-ray, you will drink a barium contrast solution that will coat your upper gastrointestinal tract. This contrast dye gives radiologists a better view of your esophagus, stomach, and small intestine. This type of x-ray uses a technique called fluoroscopy to create a video recording of your digestive tract in motion. This procedure takes between one and two hours. An endoscopy is recommended more often than an upper GI x-ray because it is more accurate.  Additionally, endoscopy technology allows physicians to take a biopsy at the time of the diagnostic test.

The type of procedure you get will depend on your personal health and your doctor’s recommendations. Some procedures may be better suited than others for your specific gastrointestinal needs. Feel free to ask your doctor why they’re recommending any procedure. If you’re unsure about your procedure, don’t be afraid to get a second opinion.

Finding a fair price for your endoscopy

If your doctor has recommended an endoscopy, you have the right to choose where you have your medical procedure done. Doing some research beforehand can help you find out which factors can affect the cost of your diagnostic test. New Choice Health has gathered endoscopy price data from healthcare facilities around the country to help you determine a fair price for your procedure. Visit New Choice Health’s endoscopy cost information page today to learn more about how much you should expect to pay for your medical procedure.

If you need help paying for your endoscopy, check out NCH’s Patient Assist Program to learn how you could save money on your procedure.

Colonoscopy, Endoscopy, Gastroenterology

What is the difference between a colonoscopy and an endoscopy?

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Colonoscopy vs. endoscopy—what’s the difference? If you’ve been suffering from gastrointestinal issues, your doctor may have recommended either a colonoscopy or an endoscopy. While both procedures address issues in the same area of the body, they are used to observe and diagnose different medical symptoms. In this post, we’ll explore the differences between the two procedures and their uses.

Colonoscopy vs. endoscopy: what’s the difference?

When referring to an endoscopy, people are most often referring to an upper endoscopy. This is a nonsurgical procedure that a doctor will use to examine the digestive tract. A colonoscopy does fall under the general umbrella of an endoscopy.

The main difference between an upper endoscopy and a colonoscopy is that an upper endoscopy is performed through the mouth, while a colonoscopy is performed through the rectum. Both procedures use an endoscope, a flexible 4-foot tube, about ½ inch in diameter, with a camera on one end to capture images.

Colonoscopy vs. endoscopy: when do you need an endoscopy?

An upper endoscopy procedure is used if your doctor, usually a gastroenterologist, needs to examine the upper area of your gastrointestinal tract: the esophagus, stomach, or duodenum. During a colonoscopy, on the other hand, your doctor will decide if they need to examine your colon through to your cecum, the start of your colon, or the very last portion of your small intestine, the ileum. Your doctor may go as far as the ileum if they are looking for conditions such as Crohn’s disease but in order to screen for colon cancer, they should not need to pass the cecum. Your doctor may recommend an endoscopy if you have any of the following symptoms:

  • Stomach pain
  • Digestive tract bleeding
  • Ongoing constipation or diarrhea
  • Gastritis (an irritation of the stomach)

Colonoscopy vs. endoscopy: when do you need a colonoscopy?

Your doctor will order a colonoscopy to check for colorectal cancer, most commonly known as colon cancer. If you are suffering from diarrhea, constipation, relentless gas or cramps, your doctor will want to rule out colon cancer first. These symptoms are present when the cancer is in its later stages. For this reason, it is recommended for people over the age of 50 to get regular colonoscopies every 10 years to check for colon cancer, even if you are not at high risk. You may be considered a high-risk patient if you are: male, African American, have a medical history of colon cancer or inflammatory bowel diseases, overweight, or smoke cigarettes.

There is an increased chance of experiencing perforation after a colonoscopy if you have been diagnosed with diverticulosis when pockets form in the walls of your digestive tract. You must also let your doctor know if you are pregnant, have any lung or heart conditions, or allergies to medication. If you take any blood thinning medication it is essential to inform your doctor as they may need to adjust your dosage before the procedure. If you experience or are concerned about any of the following, your doctor will likely recommend a colonoscopy:

  • Colon cancer
  • Bloody stool
  • Rectal bleeding
  • Changes in bowel movements

Colonoscopy vs. endoscopy: how are they performed?

The main difference between an endoscopy and a colonoscopy is where the endoscope enters the body.

In an upper endoscopy procedure, you will first receive sedation, usually through an IV. The endoscope then enters through your mouth and is passed through your throat to view the esophagus, stomach, and the upper part of the small intestine called the duodenum. An upper endoscopy is a non-surgical procedure but also a treatment; at this point, devices can actually be passed through the endoscopy to stymie any bleeding.

Similarly, a colonoscopy will also begin with sedation. Your doctor will instruct you to lie down on your left side. You may be asked to shift your position throughout the process in order to help them navigate the tube through your rectum up to the cecum. Once the endoscope reaches the cecum, your doctor will slowly begin to pull the endoscope out in order to identify any abnormalities with the camera on the end of the endoscope. During this, your doctor will blow air into your colon to help them see more clearly.

You may experience minor cramping throughout the procedure but this is normal. Both a colonoscopy and endoscopy procedure can last anywhere from 30 to 60 minutes. They typically don’t last longer than an hour.

Your gastroenterologist may decide to perform a biopsy in order to further examine any polyps, small growths, or other abnormalities. In this case, a small amount of the area of interest will be removed for analysis. This can increase the cost of your endoscopy or colonoscopy. Be sure to ask how much you can expect to pay if your physician orders a biopsy. Knowing what costs to expect before your medical procedure will be can help you budget for healthcare and save money.

Colonoscopy vs. endoscopy: how should you prepare?

Preparing for an endoscopy procedure is much less intensive than the preparation process for a colonoscopy. Your doctor will require that you fast 6 to 8 hours prior to the procedure, including water. Make sure to let your doctor know about any medications, particularly blood thinners, or other medical conditions.

In comparison, a colonoscopy requires your GI tract to be clean, meaning you’ll need to cleanse for several days prior to the procedure. You will be required to drink a large volume of a cleansing solution or simply a liquid diet with laxatives. You will need your colon to be completely clear so that your doctor can properly examine you. They will give you specific instructions on how to cleanse before a colonoscopy. You will also be required to have a minimum of one enema, though most patients have two.  Your doctor will give you clear directions on how to use an enema properly.

Colonoscopy vs. endoscopy: what happens next?

Once you’ve gone through your endoscopy or colonoscopy, you may be wondering: what happens next? To begin with, make sure to attend your appointment with someone to drive you home. Even if you feel alert following your procedure, you will not be allowed to drive yourself. Sedation can alter your judgment, slow down your reaction time, and make you drowsy.

Severe complications are very rare for both procedures. Minor bleeding can be present after, as well as cramping or feelings of gas immediately after a colonoscopy. These will be transient and should not be a cause for concern. You can begin eating normally again right away.

Report to your doctor if you feel that any bleeding is excessive, especially in the case of prolonged rectal bleeding. If you have severe cramps, fever, or chills, again report to your doctor right away. Otherwise, you should feel right up to speed and your normal self within a matter of days.

Need an endoscopy or colonoscopy? If you don’t have health insurance, these medical procedures could cost a lot out-of-pocket, depending on several factors. New Choice Health’s Patient Assist program offers cash pay discounts and special financing options on colonoscopies and endoscopies. Learn more about Patient Assist to see if you qualify.

 

Colonoscopy, Gastroenterology

Colonoscopy diet: your guide on what to eat before a colonoscopy

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Around the time you turn 50 years old, having a colonoscopy becomes a routine procedure that is performed annually. But why exactly do you need a colonoscopy and what happens during the procedure? A colonoscopy exam allows your doctor to see the inside of your large intestine and rectum to check for colon polyps and detect colon cancer. Your physician may recommend a colonoscopy diet to prepare you for your procedure. 

During a colonoscopy, you’ll be sedated and shouldn’t feel any discomfort. Your physician will then insert a long, flexible, tubular instrument with a tiny camera called a colonoscope through your rectum and into your large intestine. The colonoscope transmits images of your colon lining which are then displayed on a screen while your procedure is happening.

If necessary, polyps or other abnormal tissue observed can be removed through the scope for further testing. You may feel mild cramping during the procedure. Once the procedure is over and your physician has the information needed, the colonoscope is withdrawn while the lining of your bowel is examined.

Did you know? Colon and rectal cancers are the third most common type of cancer in men and in women and the second leading cause of cancer-related deaths in the United States.

What should you eat before a colonoscopy?

While the colonoscopy itself typically only takes 30 to 60 minutes to complete, you’ll need to follow the colonoscopy prep instructions given to you by your doctor in the days leading up to the exam.

In order for your physician to clearly see your colon during the procedure, it’s recommended to follow a colonoscopy prep diet to help decrease the amount of food residue during your procedure. This means changing to a low-fiber, low-residue diet for the five days leading up to your colonoscopy. Low-residue food refers to food that is easily digested. Eating less whole-grain bread and cereal, nuts, seeds, raw or dried fruits, and vegetables helps to clear your colon of residue and ease symptoms like diarrhea, bloating, gas, and cramping.

While your physician will provide clear instructions based on your circumstances, the following tips will give you an idea of what to expect during the week prior to your colonoscopy.

The colonoscopy diet: what to eat five days before your colonoscopy

Approximately five days prior to your colonoscopy, start eating a low-fiber diet. This means cutting out whole grains, raw vegetables, nuts, seeds, dried and raw fruit. You’ll also want to eliminate foods that are hard to digest like fried foods, tough meats like steak, popcorn, and vegetable skins.

During this time, it’s also imperative that you read food labels. Foods like yogurt, ice cream, and cereal may have added fiber that you don’t expect which can make them harder to purge. Unfortunately, when foods aren’t properly digested, they can get in the way of the camera during your colonoscopy. This could cause inaccuracies in the test.

While the five days prior to your colonoscopy may seem very restrictive, you’re still able to eat white bread, eggs, lean meat, pasta, tofu, smooth peanut butter, and well-cooked, skinless vegetables.

When preparing your food, try poaching, stewing, or steaming as much as possible. Roasting and grilling can dry out food which then makes it harder to digest. If you’re craving fruits, substitute raw with fruits that are canned, cooked, or pureed.

Reminder: drink extra fluids during this part of your colonoscopy prep diet to avoid constipation.

The colonoscopy diet: what to eat leading up to your colonoscopy

While it’s not 100% necessary, switching over to soft foods two days prior to the colonoscopy will make your cleansing process easier. Fortunately, there are plenty of great-tasting foods you can still enjoy including smoothies, soft fruits, vegetable soups, and scrambled eggs.

The Colon Cancer Alliance recommends the following sample menu for the days leading up to your colonoscopy:

Breakfast: Greek yogurt with bananas and honey on top

Lunch: Omelet with a side of sliced honeydew

Dinner: Vegetable broth with steamed veggies

Dessert: Jello or gelatin without added fruit or red or purple dye

The colonoscopy diet: what to eat in the 24 hours before your colonoscopy

The most crucial time leading up to your colonoscopy is the 24 hours before it happens. During this time, your doctor will place you on a clear liquid-only diet. This will allow your body to purge the remainder of the waste remaining inside of your colon. While this part of the preparation can be difficult for some, you can still intake:

  • Water—While you’re spending a lot of time focusing on foods during your colonoscopy preparations, it’s imperative to keep drinking water. It’s easy to become dehydrated when your body is purging itself of so much waste.
  • Soda—Here’s a trick, carbonated beverages can actually trick your body into feeling full.
  • Jello and clear broth—Tip: first eat cold Jello and then follow it with hot broth. The warm broth will expand the gelatin in your stomach and make you feel full.
  • Clear apple and grape juices
  • Tea

During this time, you shouldn’t have any alcohol, even it’s it’s clear. You should also avoid any milk products. Ask your doctor whether you should discontinue any prescription and over-the-counter medications in the days prior to your procedure.

The colonoscopy diet: what to eat the night before your colonoscopy

In the twelve hours leading up to your colonoscopy, you will only be able to drink a strong laxative prescribed by your doctor to clear out any remaining waste from your colon. Some doctors recommend splitting the laxative—taking half the night before your exam and the other half six hours before your exam. If your colonoscopy is scheduled first thing in the morning, you will have to finish the entire laxative before midnight. No food is allowed during these twelve hours.

While prepping for your colonoscopy may be uncomfortable, it’s important to do it right. This is the best way to make sure that your procedure can be done accurately in order to diagnose any potential problems.  

The colonoscopy diet: what to eat the day after your colonoscopy

Colonoscopies are typically performed in outpatient facilities, so you’ll be able to leave soon after your procedure. Since you’ll be sedated during the colonoscopy procedure, a friend or family member will need to take you home afterward. You shouldn’t plan on driving for at least 8 hours.

Once at home, you’ll still want to watch what you eat. Rehydrating after days of purging is extremely important—be sure to drink fluids and electrolytes during your colonoscopy recovery. For the next 24 hours, drink a lot and eat soft foods that won’t irritate your stomach, including:

  • Applesauce
  • Scrambled eggs
  • Yogurt
  • Jello
  • Popsicles
  • Mashed or baked potato

You’ll want to avoid the following foods and drinks for the 24 hours following your colonoscopy:

  • Alcohol
  • Hard-to-digest meat
  • Raw vegetables
  • Corn
  • Fried food
  • Nuts

If you feel up to it after a day, you can safely eat your regular diet again.

Finding a fair price for your colonoscopy

The national average for a colonoscopy is $2,750. If you’re worried about affording the high cost of a colonoscopy, New Choice Health’s Colonoscopy Assistance program may be right for you. Patient Assist works with a select group of doctors and facilities to provide high-quality medical care at affordable prices. Use New Choice Health’s Patient Assist program to save money on your colonoscopy today.

Colonoscopy, Gastroenterology

What is a colonoscopy?

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A colonoscopy is an exam used to look inside the large intestine (or colon) and rectum. A colonoscopy allows doctors to detect changes or abnormalities in the GI tract that could be signs of cancer. This exam can also be used to diagnose reasons for pain, weight loss, or a change in bowel movements. During the procedure, a flexible, long tube called a colonoscope is inserted into the rectum. The colonoscope has a tiny video camera and light attached to the tip of the tube. Doctors use the video camera to see the inside of the colon. They may take tissue samples for biopsy or remove polyps during the exam. Colonoscopies are outpatient procedures usually performed by gastroenterologists.

Patients are sedated and won’t feel anything during the procedure. Barring complications, which are very rare, the procedure lasts about an hour. Doctors recommend colonoscopies for patients who are age 50 or older and who are at average risk for colon cancer. After the colonoscopy, patients spend 30 minutes in recovery, until the sedative wears off. Patients may not drive immediately after the procedure, so it’s a good idea to bring someone with you.

Are there alternatives to a colonoscopy?

If your doctor tells you that you need a colonoscopy, it’s usually because you’ve tried other options without success. Colonoscopies are a valuable tool to prevent colorectal health issues, but there are other options to screen for colon cancer. Talk with your doctor to find out if any of these options are right for you.

  • CT colonography (virtual colonoscopy) – A computed tomography (CT) colonography, also called a virtual colonoscopy, uses X-rays and computers to generate 3-D pictures of the colon. The images are displayed on a computer screen for the doctor to review.
  • Flexible sigmoidoscopy – A flexible sigmoidoscopy is a procedure similar to a colonoscopy. A medical professional uses a long, flexible tube with a light and camera on one end, called a sigmoidoscope or scope, to look into the rectum and lower colon. This procedure may not require anesthesia.
  • Stool tests – Several stool tests are available for at-home colon cancer testing. The guaiac-based fecal occult blood test (gFOBT) uses a chemical to detect blood in the stool. The fecal immunochemical test (FIT) uses antibodies to test for blood in the stool. The FIT-DNA test, also called the DNA test, detects DNA in the stool and requires an entire bowel movement to be sent to a lab.

The type of procedure you get will depend on your personal health and your doctor’s recommendations. You can always ask your doctor why they’re recommending any procedure. If you’re unsure about their recommendations, feel free to get a second opinion.

How much should you pay for your colonoscopy?

Many patients don’t realize that they have the right to shop around for the best value for their medical procedures. If your doctor has recommended a colonoscopy, there are choices that you can make that will help you pay less for your test. Visit New Choice Health’s colonoscopy cost page to learn more about how much you should expect to pay for your colonoscopy, as well as what factors may affect the cost of your medical procedure.

Gallbladder Removal Surgery, General Surgery

What should you eat after gallbladder removal surgery?

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So, you’ve gotten a cholecystectomy. The hard part is over! You’re now on the path towards a healthier and happier life. Nevertheless, you might still be worried about having discomfort in your post-surgery life, especially within your digestive system. In this article, we’ll break down what you should eat after gallbladder removal surgery to reduce any uncomfortable symptoms, such as post-surgery irritation.

First, let’s start with a refresher about the gallbladder and its functions.

What is a gallbladder?

Your gallbladder is a small, round organ located underneath your liver, on the upper right side of your body. It has two jobs:

1. To store bile, a digestive fluid made by the liver.
2. To deliver bile to the small intestine, where its acidic nature allows it to break down vitamins and nutrients from food so they can be absorbed in the bloodstream.

Reasons for gallbladder removal surgery

Sometimes, the bile in your gallbladder can start to harden and form small, hard deposits called gallstones. If one of these gallstones gets lodged in a bile duct, it can cause intense pain and discomfort—this is called a gallbladder attack. If you’ve had one or more painful gallbladder attacks, your healthcare provider will likely recommend gallbladder removal surgery to prevent future gallstone issues.

Can changing my diet after gallbladder removal surgery help reduce pain?

Some pain following gallbladder removal surgery is normal. After all, your liver is now working without your gallbladder, sending bile directly into the opening of your small intestine. It may take your body some time to adjust to this change, leading to cramps and painful or inconvenient bowel movements.

Thankfully, there is a way to make things easier on your body and reduce digestive pain: changing your diet after gallbladder removal surgery.

In the first few days after your gallbladder removal surgery, you’ll probably need to stick to soft, bland foods that are easy for your body to digest. You’ll want to skip any celebratory post surgery dinners or parties, and instead consume the following:

  • Applesauce
  • Bananas
  • Bread
  • Mashed potatoes
  • Soft boiled or lightly scrambled eggs 
  • Steamed chicken or fish (not excessively seasoned or fried)
  • Soup

Don’t worry—you’ll only need to follow this diet for a few days after your surgery. But even after you feel fully recovered, it’s important to stay away from foods that may irritate your stomach. 

Eating fiber-rich foods after gallbladder removal surgery

Fiber is an indigestible part of food that comes in two types: soluble and insoluble. Both are necessary for having a healthy lifestyle, but adding more soluble fiber to your diet after gallbladder removal surgery can help regulate your bowel movements. Sources of soluble fiber include:

  • Apples
  • Bananas
  • Beets
  • Beans
  • Brussels sprouts
  • Carrots
  • Chia seeds
  • Lentils
  • Oats
  • Steamed vegetables

Adding healthy fats to your diet after gallbladder surgery

Although having your gallbladder removed makes it more difficult for your body to process fat, you shouldn’t cut it from your diet completely! Healthy fats are fats that are naturally occurring—not the fat that stems from sugar, refined carbs, and processed food. Healthy, high-fat foods include:

  • Avocados
  • Beans
  • Cheese
  • Coconut oil
  • Dark chocolate
  • Eggs
  • Nuts
  • Olive oil
  • Yogurt

Consuming lean protein after your gallbladder removal

To round out your diet after gallbladder removal surgery, be sure to include various lean meats. Just be sure to forgo fatty options like bacon for leaner cuts, such as:

  • Chicken breast
  • Cod
  • Pork tenderloin
  • Salmon
  • Sirloin
  • Turkey

In addition to making changes to what you eat, you might want to consider making changes to how you eat. You might find you have trouble consuming large amounts of food in one sitting after you have gallbladder removal surgery. So, it may be better to break up your meals—making two into four, for example. As long as you divide space your meals out over the course of a day, you can eat the same amount and maintain your desired weight without sacrificing comfort.

How can I save money on my gallbladder removal surgery?

Making these changes to your diet can help you have a faster, more comfortable recovery after your gallbladder removal surgery. But what about your financial recovery? The national average cost for gallbladder removal surgery is $15,250. That price tag may be enough to tempt you to put off scheduling your surgery, but it doesn’t have to be. Click here to learn more about finding a fair price for your gallbladder removal surgery.

 

Reviewed and updated 2/16/2023.

Gallbladder Removal Surgery, General Surgery

What is gallbladder removal surgery?

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Gallbladder removal surgery, also called a cholecystectomy, is the most common treatment for gallstones. Most of the time, gallstones don’t cause any symptoms. However, they can sometimes get stuck in a bile duct, blocking the flow of bile to the small intestine. This is called a gallbladder attack, and it can be very painful. Open and laparoscopic gallbladder removal surgery can eliminate gallstones and prevent them from forming in the future. 

What does your gallbladder do?

Your gallbladder is part of your digestive system. It’s a small, pear-shaped organ that site just below your liver. While your liver has many functions, your gallbladder has just two: storing a digestive fluid called bile created by your liver and passing it along to your small intestine during digestion. Your gallbladder empties during digestion and refills gradually as the liver makes more bile throughout the day.

Sometimes, the bile in your gallbladder can start to calcify, forming hard “stones” that can range in size from a grain of sand to a golf ball. These are called gallstones. Usually, these stones won’t cause any obvious symptoms. However, if they get stuck in a bile duct, they can lead to intense abdominal pain and nausea. If you experience one or more painful gallbladder attacks, your provider may recommend gallbladder removal surgery to save you from dealing with that pain in the future.

Your gallbladder is important, but it’s not an essential organ. Your liver will continue making bile without your gallbladder, and  your body shouldn’t have any trouble digesting food normally after your recovery.

Open and laparoscopic gallbladder removal surgery

Gallbladder removal surgery is a low-risk procedure, usually performed on an outpatient basis. A surgeon will remove your gallbladder using one of two methods: open (traditional) or laparoscopic.

  • An open cholecystectomy requires a 4- to 6-inch incision in the upper right-hand side of your abdomen. Through this incision, the surgeon separates the gallbladder from the other organs and removes it from your body. This procedure typically lasts about an hour. Open gallbladder removal surgery is recommended when laparoscopic surgery isn’t a safe option, such as in patients who are obese, pregnant, or have severe liver problems.
  • Laparoscopic gallbladder removal is less invasive. During this procedure, a surgeon will make 3 to 4 tiny incisions. Then, they’ll insert a long, thin tube with a video camera on the end, called a laparoscope, into one of them. This allows the surgeon to view and remove the gallbladder. Most gallbladder surgeries are laparoscopic. Laparoscopic gallbladder removal surgeries are usually associated with shorter, less painful recovery times than open surgeries.

Gallbladder removal surgeries are usually performed by a general surgeon. During surgery, patients are under general anesthesia and won’t feel any pain. Full recovery from a gallbladder removal can take four to six weeks, but many patients will be able to resume daily activities within one week.

Are there alternatives to gallbladder removal surgery?

If you have a perforation of your gallbladder or gallbladder cancer, having your gallbladder removed is the most effective option. However, if you have gallstones, there may be other options.

  • Medication: Sometimes, your provider may recommend taking medication, such as ursodiol, to dissolve the gallstones. These medications take time to work, and they’re not effective against all types of gallstones. Typically, providers only recommend this route for patients who don’t want to have surgery or cannot have surgery to remove their gallstones. Gallstone medication works best for people whose gallstones haven’t yet become painful or caused bile duct blockage. They may also be used in some patients to help prevent future gallstone formation.
  • Extracorporeal shockwave lithotripsy: This is another nonsurgical option to treat gallstones. It’s not as common as gallbladder removal surgery, and it’s only an option for people with small gallstones and otherwise healthy gallbladder function. During lithotripsy, high-energy sound waves are used to shock the gallbladder, which should cause gallstones to break apart and dissolve. Lithotripsy may be recommended before prescribing medication to help gallstones dissolve faster. This procedure is usually only recommended for patients who cannot undergo gallbladder removal surgery.

Finding a fair price for your gallbladder removal surgery

If your doctor recommends gallbladder removal surgery, you may have more options than you think. Surgery can be expensive, but shopping around can help you save thousands on your procedure.  New Choice Health has put together gallbladder removal cost information from medical facilities all over the country to help you find a fair price for your surgery. Click here to learn more about what you should pay for your gallbladder removal surgery today.

 

Reviewed and updated 2/16/2023.

General Surgery, Hernia Repair Surgery

Open hernia repair vs. laparoscopic hernia repair: What’s the difference?

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Hernia repair surgery is a treatment option for patients with hernias painful enough to affect their everyday lives. A hernia is when internal tissue protrudes through a weakness in the surrounding muscle. They aren’t always harmful, but hernias won’t go away without surgery. During hernia repair surgery, a surgeon gently pushes the organ or other internal tissue back into place and closes the hole in the muscle wall. Often, surgical mesh is used to add strength and support to the muscles as they grow back together.

If your doctor has recommended hernia repair surgery, it’s usually because your hernia is growing or causing chronic pain. When you schedule your hernia repair, you’ll have two options—open hernia repair and laparoscopic hernia repair. Below, learn the differences between open and laparoscopic hernia repair surgery so you can decide which is best for you.

Open vs. laparoscopic hernia repair: What’s the difference?

Hernia repair surgery, both laparoscopic and open, is usually an outpatient procedure. This means you’ll be able to go home a few hours after your surgery. Both procedures require general anesthesia or a local anesthesia and sedation. Either way, you won’t feel pain during the surgery.

There is no difference hernia recurrence rates for open and laparoscopic hernia repair surgeries. Though the two types of procedures have different recovery times, post-surgery recommendations are similar.  These include returning to light activities (such as walking) as soon as possible but avoiding any activities that put a strain on the site of your hernia.

What is open hernia repair surgery?

During open hernia repair surgery, also called traditional hernia repair, a surgeon makes a large incision over the hernia. They gently push the protruding tissue back into place before closing the weakened muscle area with either sutures or a combination of sutures and surgical mesh. Then, they close the incision with stitches.

This option allows surgeons to have a more complete view of the area surrounding the hernia. For this reason, open hernia repair procedures often have fewer complications during surgery and shorter operating times.

What is laparoscopic hernia repair surgery?

In laparoscopic hernia repair surgery, the surgeon operates through a series of small incisions around a hernia. They use a thin tube with a camera at the end, called a laparoscope, to guide the hernia repair. During this surgery, your stomach will be inflated with carbon dioxide, a harmless gas, to allow the surgeon more room to operate.

After gently pushing the hernia back into place, the surgeon will close the hole in the muscle wall, similar to the procedure for open hernia repair surgery. When the operation is over, they’ll close the small incisions with surgical tape or stitches. As your body heals, the cuts from your hernia repair surgery will become barely visible.

Because of the nature of the procedure, surgeons need special training to perform laparoscopic hernia repair. Special surgical equipment is also required for laparoscopic procedures. These factors can cause laparoscopic hernia repair to be more expensive than open hernia repair surgery.

Laparoscopic hernia repair surgery is associated with less blood loss during surgery. In addition, patients who undergo laparoscopic surgery have been shown to have less pain and numbness during the recovery process. Because of the smaller incisions, laparoscopic surgery often leads to shorter recovery times than open surgery. Laparoscopic hernia repair patients are typically back to their normal activity levels a week sooner than open hernia repair patients.

Open vs. laparoscopic hernia repair: Which option is right for you?

There are many things to consider when deciding which type of hernia repair surgery is right for you, such as:

  • The size and placement of the hernia
  • The risk for complications
  • The surgeon’s skill level
  • Your surgery budget
  • Your medical history and overall health

Talk with your physician about these factors, as well as any concerns you may have about your hernia repair. They’ll help you decide which type of surgery is best for your specific situation.

Open Hernia Repair Laparoscopic Hernia Repair
One large incision Several smaller incisions
Most common technique Less common; requires special equipment and training
Similar hernia recurrence rates Similar hernia recurrence rates
Easier to repair large or complex hernias Better for less complex hernias
Slightly more pain and numbness after surgery Less pain and numbness after surgery
Slightly longer recovery Shorter recovery
Less expensive More expensive
Less risk of complications during surgery Slightly higher risk of complications during surgery

Open vs. laparoscopic hernia repair: How much should you pay?

Whether you choose open or laparoscopic hernia repair surgery, you should be comfortable with your decision. If you’re unsure about your choice or your physician’s recommendations, you have the right to a second opinion. If you’re concerned about paying for hernia repair surgery, there may be more options than you think.

Our Hernia Assist program can help you find financing options to lower the cost of your hernia repair surgery. The national average price for hernia surgery is $7,750, but the hernia assistance program could lower that by as much as $4,000. For more pricing information, check out our blog post on hernia surgery cost averages in the U.S.

To learn more about saving money on your hernia repair, contact us on our Hernia Repair Patient Assist page.

 

Reviewed and updated 12/21/2022.

Ankle Replacement Surgery, Orthopedic Surgery

Before, after, and during ankle replacement surgery: what to expect

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If you’ve been suffering from chronic ankle pain due to arthritis or injury, your physician may have recommended an ankle replacement. Ankle replacement surgery, also called a total ankle arthroplasty, is a treatment option for patients whose ankle pain hasn’t responded to therapy, medication, or other nonsurgical treatments. During ankle replacement surgery, a surgeon removes damaged bone and cartilage from the ankle joint and replaces them with prosthetics. Many patients experience immediate pain relief from the removal of damaged and inflamed tissue.

As you prepare for your ankle replacement, you’ll probably have some questions about what to expect after the surgery. Your ankle replacement recovery time will be split into different stages. As your recovery progresses, your physician will give you guidelines to help you ease back into your normal activities. Below, you’ll learn some simple steps to help make your ankle replacement recovery time as smooth and comfortable as possible.

How should I plan ahead for my ankle replacement surgery?

There are steps that you can take before your ankle replacement to set yourself up for post-surgery success. In the weeks leading up to your surgery, your physician will give you specific health, lifestyle, and medication guidelines to help you prepare. Your doctor will need to know your medical history, including current medications and recent surgeries.

During the week before your surgery, you should prepare your home for your ankle replacement recovery. Your movements will be restricted after the procedure, so make sure that you will have easy access to important areas of your house, such as your kitchen, bathroom, and bedroom. If your bedroom is upstairs, you should set up a resting area downstairs for you to use while your ankle is healing.

Ask your friends and family in advance for help during your ankle replacement recovery. After your surgery, you will need assistance getting around your house for the first couple of days. You will also need help with chores, such as cooking, walking your pets, and running errands.

What will happen on the day of my ankle replacement surgery?

During your ankle replacement surgery, you will either be under general anesthesia or a regional nerve block. Either way, you will not feel pain during the procedure. Your leg might be numb for up to 18 hours following your surgery. If your surgery is being performed as an inpatient procedure, you’ll be in the hospital for two to three days. If your surgery is performed as an outpatient procedure, you will leave the outpatient surgery center as soon as your pain is at a manageable level and you are able to safely walk around using crutches. Someone will need to be there to drive you home after you get discharged.

What can I expect in the weeks following my ankle replacement surgery?

After your ankle replacement, your incision will be covered with a surgical dressing and you will wear a splint for around two weeks. During this time, you should avoid putting any weight on your new ankle. Patients are typically given a splint that is soft in the front and hard in the back. This helps protect the ankle from injury while allowing room for swelling after surgery.

In the days following your ankle replacement surgery, elevation is key. Any time you are resting, use a few pillows to prop your ankle above your heart level. Keeping your ankle elevated will help keep surgical swelling down, which could help prevent atrophy in the muscles surrounding the joint.   

After two weeks, you will have a follow-up meeting with your doctor. Your physician will perform x-rays on your ankle to monitor the healing process. They will remove any stitches and replace the splint with a removable ankle boot. You will wear your boot and continue using crutches for about six weeks after your ankle replacement.

A few weeks after surgery, you’ll be able to start putting some weight on your ankle. Your doctor will recommend gentle ankle exercises designed to strengthen and increase the range of motion in your joint.

You will return to work about four weeks after your surgery, depending on the amount of physical activity that your job requires. You can start driving again once you are able to press down on the gas pedal without feeling any pain.

During your recovery, take note of any new symptoms or issues that arise. Don’t hesitate to call your physician with any questions or concerns, especially if you’re experiencing any signs of infection. This includes fever, numbness or tingling in your toes, and swelling that isn’t relieved by elevating your ankle.

How long will it take to get back to normal after my ankle replacement recovery?

You will spend the first six weeks of your ankle replacement surgery recovery time healing and learning how to move around with your new joint. After six weeks, you should be able to put your full weight on your ankle. You will probably be able to stop using crutches at this point, but you will still wear a removable boot.

Three months after your surgery, your boot will come off. Your doctor might give you a special shoe with reinforcements to support your ankle position. Your physical therapist will start introducing more challenging ankle exercises to help build the strength of your joint.

It may take up to a year for you to regain full strength and mobility in your ankle. After your ankle replacement recovery, you will be able to return to your normal activity levels, including swimming, biking, and hiking. However, it’s still a good idea to avoid high-impact activities such as contact sports and running, as these can put wear and tear on your new ankle joint.

Every person’s ankle replacement recovery time is different. Factors such as age, overall health, and prior surgeries can affect the length of your recovery. For the best chances of surgery success, maintain communication with your doctor and follow their recommendations. You will probably be anxious to test out your new joint after surgery, but the recovery process shouldn’t be rushed. Once you’re completely recovered, you will be able to fully enjoy the benefits of your new ankle.

How much should I pay for my ankle replacement surgery?

When your doctor recommends an ankle replacement surgery, it’s usually because you’ve tried other options without success. If your pain has gotten to the point where you need surgery, you shouldn’t let the high medical costs associated with ankle replacements keep you from experiencing the pain relief that you need. New Choice Health’s Orthopedic Surgery Assistance can help you find discounts and payment plan options for your ankle replacement surgery. Being uninsured or underinsured doesn’t have to mean paying full price for your medical procedures. Use New Choice Health’s Patient Assist program to finance your ankle replacement surgery today.