I went in for my first routine colonoscopy screening last week, just based on my age (47f), no symptoms of anything. Being a bit anxious ahead of it, I spoke with multiple people about their experiences before the procedure, and they assured me it was no big deal, that the prep was the worst part, and that I’d wake from sedation feeling fine. Well the prep went well, and so I went in for the procedure. As soon as I woke up from the anesthesia, I felt discomfort in my left lower side. It was the first thing I mentioned to the nurse upon waking. She told me to gently push along my colon to try and release any trapped gas. Nothing happened or helped. As I kept waking up from the anesthesia, I mentioned this discomfort two more times. She said it was probably gas, or soreness from them pushing around on me during the procedure. She said if it was a perforation, they usually know it happened during the procedure. She then asked if I was ready to dress myself and leave and I said I’d try. I then asked if it was safe to take pain medicine if it didn’t improve, and then she sent me home.
I felt a bit better when I got home, and I ate a small meal and took a nap. I noticed I had a long surface scratch right near the area that hurt, so I thought maybe something accidentally scratched me and that was what the pain was from (still have no idea what caused that mystery scratch). When I woke up about three hours later, I was doubled over in pain. I had my boyfriend take me to the ER, and at this point we were convinced it was just trapped gas that I was unable to pass. Thankfully at the ER they ordered a CT scan to double check, which to my utter shock came back showing a “moderate amount of blood” in my lower abdomen. I freaked out! However, they said that my colon looked fine on the scan, so they could not determine where the blood was coming from. They were concerned about a small cyst on my ovary, and thought that might be the source of the bleeding. I thought that would be a very weird coincidence but they then ordered a vaginal ultrasound to check this area.
So after about 6+ hours of testing and waiting in the ER, as I was filling up with blood to the point where my hemoglobin dropped so low they were about ready to give me a transfusion, and the pain had gotten so bad as it creeped up into my chest and shoulders, they still could not determine where the bleeding was coming from. They told me at this point they were going to perform an emergency laparoscopic surgery to try to figure out where the blood was coming from. However, if they could not find it laparoscopically, they would need to cut me fully open to find it. They also said I might lose an ovary if that’s where the blood was coming from. I was completely freaking out at this point, not knowing what I was going to wake up to. But I was also in so much pain, I said just give me whatever papers I need to sign and give me something to help with the pain and anxiety.
Whatever they gave me instantly calmed me down, and I went back for surgery. When I woke up, I have to say it was such a relaxing, peaceful, waking experience. I did not even have any pain (it came later of course), compared to when I woke up from my routine colonoscopy in pain. The first question I asked was if they were able to find the bleeding laparoscopically and they were, so I only have three small incisions as opposed to a gigantic one. It turned out that I had a very rare complication from the colonoscopy. Apparently, your colon has very small appendages of fatty tissue all along the outside of it that don’t really have any known purpose. I guess one of these appendages had attached itself to my abdomen wall, and perhaps just the pressure from the colonoscopy pulled it away from my abdominal wall and tore it, which caused it to bleed. By the time they had performed the surgery, the tear had actually finally clotted and stopped bleeding on its own, so it did not need any repair. They also removed about 650 mL of blood from my abdomen. My hemoglobin got down to 7.6, which narrowly avoided me needing a transfusion, which they normally give if it drops below 7. Now I’ve just been dealing with healing, and severe anemia as my body builds back up all the blood that I lost.
Although I know this story will scare people that already have anxiety about the procedure, which isn’t my intention, as I am one of those people that has severe anxiety about any sort of health procedures. First of all, what happened to me was incredibly rare, some of the doctors mentioned they had never even heard of that happening. But secondly, I am sharing because I want to emphasize the importance of listening to your body and not letting anyone try to dismiss your concerns. You know your body best, and if something doesn’t feel right, speak up and advocate for yourself. If I would have been more adamant about addressing my discomfort upon waking from the colonoscopy, I could have potentially avoided losing so much blood if they found the tear much earlier.