I take nothing for my pouchoscopy. The very first time after my surgery 40+ yrs ago they gave me some type of anesthesia. But after that nothing. I’m in and out in less than an hour.

I'm sorry you have such bad PTSD.  I had a pouchoscopy last year and needed no sedation.  It is not comfortable but compared to what I have been through absolutely tolerable for the brief time they are having a look.  Like you said it only takes a few minutes.  I breath through it, say "ouch that's uncomfortable" when they inflate the pouch and by then it is usually done.  Unfortunately anything used for sedation has side effects that generally last a while.  Plain propofol wears off extremely quickly as does a dose of fentanyl.  Versed or dexmedetomidine have a much longer half life and will leave you loopy for a while.

@RenReeves I am sorry I can't help with any reasons why you would be experiencing back pain after a pouchoscopy, that's a new one and I'm sorry you are going through that. But as to the drug reaction, it would be helpful to send a note to your doc's office about your reaction and/or to tell the anesthesiologist before your next scope so she or he can adjust the dose or try a different drug.

As for PTSD reactions - you have my sympathy. I was initially so terrified of the first few post-surgical scopes that I had to go with a big, strong friend whose job was to hold on to me to keep me from bolting out of the waiting room and down the street. (I did that.) Thankfully, after a couple years of terror and anxiety, I got a new G/I doc I liked so much I actually *wanted* to remain unmedicated during the scope so we could talk and I could ask questions while he explained what he was seeing as I watched the monitor. I honestly looked forward to scopes with him.  I was fortunate to have had such a kind, personable doc for many years before he moved on to a new job, but after so many scopes without sedation, I came to realize they are quick, the discomfort is mild, and that cured me of the PTSD I had around the standard scope procedure. I wish you all the best in future pouchoscopies.