Question Title: Endoscopy

1) I am currently on oral contraceptives. I read that sometimes, use of oral contraceptives can cause gall bladder problems. Is this true?

2). I am scheduled to have an endoscopy. I am against being sedated for this procedure. According to what I have read, conscious sedation is widely used preferred in the U.S. but not necessary in Europe. If I refuse to have sedation ( because I have arrythmias due to a heart murmur) can they still do the test?

3) Lastly, I raised my bed 2 inches. When I go higher than 2 inches, my arms fall asleep in middle of night. Is this an indication of a circulation problem, or could it be normal for circumstances of elevation?

Your answers to all three questions would be appreciated.

Dear Debby,

You are correct. There is a higher incidence of gallstones in pregnant women and in women who are on oral contraceptive pills. Endoscopy can be performed without sedation. You can also have the endoscopist spray the back of your throat with numbing medication. You may be uncomfortable and have a gagging sensation but it is possible for some patients to tolerate upper endoscopy without sedation. I do not think that your problem with head elevation is secondary to a circulation problem. It is possible that the position you are sleeping is compressing some nerves which can cause numbness. You may want to purchase a "bed-wedge" that elevates the head by placing a foamy mattress pad under the mattress instead of using blocks under the bedpost. I hope you find this information helpful.

This response is being provided for general informational purposes only and should not be considered medical advice or consultation. Always check with your personal physician when you have a question pertaining to your health.

If you want to be seen at our institution please call 1-800-653-6568, our Referring Physicians' Office and make an appointment to see Dr. Muszkat, one of our experts in Gastroenterology.

HFHSM.D.-ym
*Keywords: gastroesophageal reflux, gallstones, endoscopy