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Medical Forum / Diseases and Disorders / Arthritis / May 2004joint replacement and colonoscopy
Hi all Has anyone with joint replacements had a colonoscopy and did they need to take the antibiotics before it. I am somewhat perturbed because the surgeon that I consulted says that I don't need the antibiotics before it. I said that I had a card from my orthopedic surgeon that said I did. I also mentioned that the card said I needed it before dental appointments. He said that that was not needed. Didn't ask to see the card. Just said that he would only order before proceedure antibiotics for people with heart valve replacements. I am somewhat upset about his attitude. Just wanted to know other people's experience. Lorrie F > Hi all > Has anyone with joint replacements had a colonoscopy and did they need to [quoted text clipped - 7 lines] > know other people's experience. > Lorrie F Are you on any other medications? I did not require antibiotics before endoscopy/colonoscopy (I have two THRs). I do not require them before dental appointments, either. I'm also immunosuppressed (aplastic anaemia and cyclosporin). If I was having dental surgery, that's another matter.  Signatureremove the underscores to unmung the email address... Last year when I had my first one I asked the same question. They said no, not needed, even though I took them for dental procedures for two years following replacement. I don't know the reasoning. > Last year when I had my first one I asked the same question. They said no, > not needed, even though I took them for dental procedures for two years > following replacement. I don't know the reasoning. With most dental work and surgery, they are working in a highly 'dirty' (as in 'full of germs') environment and quite possibly an already existing infection, and it is probable that you are going to bleed some. With a colonoscopy, believe it or not, the only way you are going to get any bleeding is if they perforate the colon, and if they do that you have considerably more problems than worrying about your joint replacement getting infected! At least, that's what I think...and I'm not a doc or a nurse, just thinking in type... >>Last year when I had my first one I asked the same question. They said > [quoted text clipped - 14 lines] > At least, that's what I think...and I'm not a doc or a nurse, just thinking > in type... They do often take biopsies during colonoscopy. Signatureremove the underscores to unmung the email address... > >>Last year when I had my first one I asked the same question. They said > > [quoted text clipped - 16 lines] > > They do often take biopsies during colonoscopy. True. They didn't during mine, so I didn't think of that. So...WHY don't they require prophylactic antibiotics? (and that is a procedure that I think I will skip if it is proposed again. shudder...) >>>>Last year when I had my first one I asked the same question. They said >>> [quoted text clipped - 31 lines] > (and that is a procedure that I think I will skip if it is proposed again. > shudder...) Perhaps because antibiotics can through off the natural balance of flora in our bodies, paving the way for normal bacteria and fungi to reach pathological numbers by removing a range of their competitors. Just like you're not supposed to use the surgical antibiotic soap too soon before or after your operation: you'll get skin infections. Signatureremove the underscores to unmung the email address... I have to have them before dental appointments with my THR. Gwen Signature--------------------------------------------------------------------------- ----------- Nobody can make you feel inferior without your permission. -Eleanor Roosevelt- --------------------------------------------------------------------------- ---------- | Hi all | Has anyone with joint replacements had a colonoscopy and did they need to [quoted text clipped - 7 lines] | know other people's experience. | Lorrie F Call your orthopedic surgeon's office and ask to have the surgeon return your phone call. Tell them why you need him to call and you actually want to hear his answer from his mouth which is why you are asking for him to call you personally. Tell them your concern for messing up his work by another doctor's refusal to follow his orders. You can tell them that even though the colonoscopy surgeon may be right, it conflicts with what you know to be right and you really need the peace of mind. Hope that helps. Duckie > Hi all > Has anyone with joint replacements had a colonoscopy and did they need to [quoted text clipped - 7 lines] > know other people's experience. > Lorrie F Signature_('> (_<_) _ _('< -quack (_<_) _ __('< *QUACK!* <_{__) _('< "|,,|_" (_<_) _('< "AFLAC!" (_<_) > Call your orthopedic surgeon's office and ask to have the surgeon return > your phone call. Tell them why you need him to call and you actually [quoted text clipped - 5 lines] > Hope that helps. > Duckie very good advice >> Hi all >> Has anyone with joint replacements had a colonoscopy and did they need to [quoted text clipped - 11 lines] >> know other people's experience. >> Lorrie F Signatureremove the underscores to unmung the email address... Lorrie, I hope all goes well for you with the colonoscopy. SignatureLove and hugs to all Good thoughts coming your way too. Squirrely Jo > Hi all > Has anyone with joint replacements had a colonoscopy and did they need to [quoted text clipped - 7 lines] > know other people's experience. > Lorrie F Thank you. It is a long wait ( I'm in Canada) before I get the date. Lorrie F >Lorrie, > [quoted text clipped - 20 lines] >> know other people's experience. >> Lorrie F Lorrie, call your original surgeon and have him call your doctor or give you a new prescription for the antibiotic if he thinks you need it for the colonoscopy. I had a TKR, and I have to take antibiotics EVERY time before I go to the dentist, and that was 5 years ago. You always need to listen to the surgeon who did the joint replacement. I guess some orthopedic surgeons say they aren't necessary after 2-3 years, but mine says "life". Good luck. I found the colonoscopy to be better than I had anticipated, as long as they give you something to help you relax. Nanny > Hi all > Has anyone with joint replacements had a colonoscopy and did they need to [quoted text clipped - 7 lines] > know other people's experience. > Lorrie F Thank you Nanny. I have a card that says I'm supposed to have antibiotics before dental work and possible infections risk. I think I may talk to my family Dr. as I have an appointment with him next week. This surgeon who will do the colonoscopy, seems to an "I'm God" complex. Lorrie F >Lorrie, call your original surgeon and have him call your doctor or give you >a new prescription for the antibiotic if he thinks you need it for the [quoted text clipped - 4 lines] >I found the colonoscopy to be better than I had anticipated, as long as they >give you something to help you relax. Nanny Oh, one of *those*, huh? It would be nice if more doctors could work together rather than wanting to have a one-man show. Nanny > Thank you Nanny. I have a card that says I'm supposed to have antibiotics > before dental work and possible infections risk. I think I may talk to my [quoted text clipped - 14 lines] > they > >give you something to help you relax. Nanny Lorrie, I had a TKR and two THR and my doctor ordered the antibiotic before the colonoscopy and double checked to make sure I received it before he began the procedure. Perhaps he was being super cautious, but he felt the antibiotic was important and necessary. I hope all goes well for you. I found the procedure itself was much more tolerable than I had expected. Mary Mary Thank you. I've had two hips, two knees replaced. I'm not afraid of the procedure. Just worried about the antibiotic problem. Seems some people have had it done without AB's, so I'll asked my family doctor when I see him to-day. Lorrie F Lorrie, I had a TKR and two THR and my doctor ordered the antibiotic before the colonoscopy and double checked to make sure I received it before he began the procedure. Perhaps he was being super cautious, but he felt the antibiotic was important and necessary. I hope all goes well for you. I found the procedure itself was much more tolerable than I had expected. Mary |
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