Hi telephonepole,
to your question: "Were you completely naked for the entire exam with the gastroenterologist or did he let you leave your underwear on at first?"
To answer that, I think I have to write how my very first exam by the gastroenterologist went. It was, when I was 15 yrs. old - it was 1988 - when I stayed at our Childrens hospital for more that 3 weeks. It was the second day of my stay, in the morning I´ve been generally examined by a pediatric doctor for routine in the exam room of the section like every morning then, later in that morning, another doctor came in my room and told me that he is the gastroenterologist and wants to do an exam, too. I only wore my pants and this clinic shirt, I took on my bathrobe and then he took into another exam room at the end of the section. On the way, he told me again and again, that I need not be worried and that he "only wants to feel my stomach". How often he repeated this words, I got more and more nervous. When wie arrived at the exam room, a girl from the nursing school was already inside and assisted the doctor then, too. I was ordered to take off my bathrobe and the clinic shirt, so I was standing naked only in my pants. The doctor studied in the papers of my disease report and looked then with a very critical look on me and told me then that I look really sick, underweight and skinny, so that my stomach seemed to be very sick, so that he has to do a complete and very intense exam on me, too. This wass moment I didn´t like this doctor at all, because I thought it was a lie of him when he said on the way into the room, that he only wanted to feel my tummy!
In the next step, the gastro-doc ordered me to take off my pants, too, so that I was completely stark naked now. Then he wanted to know my exact weight. He ordered the nursing student to take my weight on the scales. It was embarrassing for me, because that nursing student was not much elder than I was (I think she was definitely younger than 20). The doctor was shocked than about my weight and I had to stand upright completely naked infront of him then. He took me on my arms and his eyes looked along on my body from head to feet very critically, a longer time on my stomach, too. He began to ask several questions, which I can´t remember all, mostly about my stomach about pain, nausea, vomiting and fallings, and he also noticed then, that I was sexually underdeveloped and late at puberty, because I still had no pubic hairs at that time. That was not new for me, because the public health doctor, who sent me into the clinic, noticed that before, too, but it bothered me now, that the gastro-doc noticed that in front of the nursing student, too. The doctor repeated now, that he has to do a lot of very intense exams on me and that it would last a longer time, too. I got a very nausea feeling in my stomach at that moment, when I was ordered to lie down on the exam table - flat on my back - then.
The gastro-doc started with his complete and full body exam then, beginning with looking in my mouth, palpating my lymph nodes, auscultating heart and lungs, too. I noticed, that he took so much time on everything and that he did everything so slowly (maybe that this was only my personal view, but all took much more time than by other exams and doctors before!), and it bothered me that the nursing student watched that all so interestingly. In between the doctor also noticed, that I am full of moles and dysplastic looking nevi all around my whole body, too, and he also began to ask about (my dysplastic nevi syndrome) and about my dermatological exams, too. It was so embarrassing for me to talk about that in that moment, too. The doctor continued then by auscultating my stomach, which took much more time then on heart and lungs. I think, he put his stethoscope on every centimetre of my stomach, what was sometimes uncomfortable because h epressed it so hard on my stomach, and he listened everywhere such a long time. I noticed now the doctors eyes were fully concentrated on my stomach now, and in my opinion his eyes starred most of the time on conspicuous outie navel, about what I was really ashamed, too. But he didn´t ask anything about my gnarly protruding navel and so my hope was, that he would not take any more notice of it and would not examine it later. In between I was ordered by him to blew my stomach completely up and down several times and for a while, during he went on listening everywhere on my stomach. From that blowing up and down of my stomach I got more and more nausea, so that I was in fear that I couldn´t hold it and had to vomit again (like it happened to me at the public health doctor two days before!). I was so concentrated not to vomit most of the time now, because that would have been the most shameful thing, I could think about at that situation, infront of that doctor, who I didn´t liked at all, and infront of the young nursing student.
After the doctor has finished the long auscultation on my stomach, he began to throb with his fingers everywhere on my stomach now, and it took also such a long time and was uncomfortable for me. After that, he now started the palpation of my stomach, which was the longest palpation I can remember at all. I can not say exactly, how long he now swirled, grapped, pressed and poked with his fingers of both hands in my stomach, but I guess it took at least 10 to 15 minutes! At the beginning, the doctor ordered me strongly to say at once, when I have stomach pain and when I get so nausea that I have to vomit. First he started with light pressure and palpation, but how longer he palpated everywhere how deeper and harder gets his pressure on my stomach, so that it was like a rack for me because I still felt so nausea! I remember, that I prayed to God for not having to vomit and that the doctor would have finished soon, but the doctor went on and on and on poking and pressing in my stomach. I felt like everything in my stomach got in disorder and that the doctor started from the beginning again and again like he wanted to feel every centimetre of my stomach and intestines so intensively. In between he asked many times about pain, nausea and vomiting again, and I was so worried about vomiting that I told him that I really feel so bad and nausea in my stomach now! The nursing student was ordered now to bring and hold a kind of bowl for the case that I would really have to vomit. I was so ashamed about that! But I am still wondering myself today, how I had managed it not to vomit during that long, and for me endless and intense abdominal palpation!
When the doctor finally stopped that awful pressing on my stomach, I was so relieved that I did a kind of sigh, but in the next moment the gastro-doc told me in a strong voice that he is still not ready at all yet with the exam of my stomach, and that he now has to do a very intense exam of my conspicuous outie navel, either, because it´s completely protruded and looks like I would have a prominent navel hernia, too! At that moment, all my hopes broke down and I was so dissappointed at that moment, that I said something like "Please not again!" The doctor became annoyed about my words and told me in a strong talk, that there is "no way" and that it would be "absolutely necessary" the way my navel would look like! I still tried to insist, that my navel had been examined by other doctors often before, too (like always by the paediatrician, but also by the public health doctor, and by another doctor at the preliminary exam in the clinc the day before), because I didn´t want to get it examined again by the gastro-doc now, too, because it still hurt a bit from the preliminary exam, where a doctor also did some harder pokes on my navel. But the gastro-doctor did not accept any arguments from me, he said now "No discussion, with that conspicuous and gnarly outie navel!" I saw the nursing student grinned now, and I was so ashamed and sad at that moment, that I was nearly before bursting into tears!
The following part of the exam was the worst part of all for me. The doctor began with a long inspection on my navel, he looked on it very closely and inspect it by fingering and poking with a kind of special tweezers on and around my conspicuous outie navel, about what I always have been ashamed of. Inbetween that, I was ordered to take and lay my arms above my head,so that I was lying in a stretched position on the exam table. He then began swirling and palpating on my navel knot for a long while with light pressure, when he suddenly poked it in as hard as he could. I oughed, because it really hurt me, but the doctor did not get any notice on it and went on palpating without any reaction. He tried to poke my navel inside with his finger and really hard pressure few more times, then he tried to squeeze it between his fingers, what caused still more pain and in the end he tried to pull it more out, as far as possible few times, too. That was so painful, that I got tears in my eyes and oughed every time, but the doctor only rereated "No way! That must be by your conspicuous and prominent outie navel!" This was the point, when I wished that I never have to see that doctor for any further exam again! But that wish never came true, it was only the very first exam of many other and regular appointments later.
When he still finished these intense navel exam (which he did at every appointment later, too!), which last at least nearly as long as the abdominal palpation before, I had such a burning and pulling pain on my navel, that I could not stand or sit upright without pain for the next two days! And what I hated most: my navel seemed to stuck out a bit more for a while after the exam (my naive hope was mostly, that it would be stay inside when the doctor pressed it in so hard, but that never came true, too!).
The doctor checked me for other hernias then, too, when he palpated my inguinal region then and in following on my scrotum, then. He explained, that I could maybe have other hernias, too, because I would already have a kind of navel hernia. Fortunately, that did not hurt so much and he did not found other kind of hernia. But when he palpated and on my scrotum and testes, he tried to retract my foreskin on my penis, too, noticed my phimosis, too, and asked why I still did not get surgery (circumcision) of it. I could only tell him, what I knew, that the paediatrician said it would not be absolutely necessary and that my mom don´t want that I got circumcised, when it is not absolutely necessary. The gastro-doc also noticed that mole on my glans and asked about it, since when I would have it and if it would ever been as big as it was. I was so ashamed of all his curious questions.
After that I was told to turn around and to stay on my elbows and knees on the exam table. I was really wondering what would happen now, because I never knew that position before. The strong doctor didn´t tell me more, he simply started percussing with his fingers from below on my stomach again, mostly in my navel area again, what was uncomfortable, too. Then he spread my cheeks and inspect my anal region, it was so embarrassing for me in that position, and still being observed by that nursing student, who watched so expectantly on me now! The next moment, I heard when the doctor took on some kind of hand gloves and the nursing student was told to give him a tube of gel, and the few seconds later I felt his finger inside, it was such an uncomfortable feeling for me, what I cannot really describe in words! It did not hurt, but after a while, I felt so "open" and suddenly, when he got deeper in it happened, what I never could imagine: my penis got completely erected, although I absolutely didn´t want that! I was so diddappointed, that I could not prevent that! Later, when the nursing student brought me back to my room, she told me, that I need not be ashamed of that and that this would be a normal reaction, but the doctor didn´t say anything before, so that I think, he wanted that I got that reaction. While the doctor still palpated in my anus, I remembered his words before the exam (that he only wanted to "feel my stomach"), and so I was surprised what he was examining now!
When he got finished with the anal exam, I was ordered to turn back and lie again on my back. It was still more embarrassing for me now, because my fully erected penis could be seen clearly now. The doctor took off his gloves and came back to me at the exam table and tried to pull my foreskin above my glans now, what he couldn´t manage because of the phimosis. His opinion now was, that I should have a circumcision and he decided, that I must have an intense and complete urological exam the next days, too, for clearing up my sexual underdevelopment and late puberty. I was really shocked, although I didn´t knew at all what to expect at such an urological exam, but I didn´t want to have any kind of further more exam. But it was not all, the gastro-doc told me that I would get more exams by him, too, he wanted that I got abdominal ultrasound by him and x-rays of my stomach and a coloscopy the next days, too, because he thought I could have a kind of colitis or Crohns disease. To me it sounded like I would stay in a bad film!
After that I was ordered to stand up again and stand upright infront of him. My penis was still erected, I was wondered about and hated it! I was ordered now to raise my arms above my head and stand completely stretched infront of him, the nursing student stood beside him and looked on me, too, then I was ordered to cough several times and during that the doctor did some more poking with his forefinger on my navel and did that again when I was also ordered to blow my stomach completely up and down again. All that touching on my navel was painful for me, so that in consequence the erection of my penis was gone, but I oughed again and so the gastro-doc explained to me, that I would get also some more exams by surgeons for clearing up appendicitis and my navel hernia more thoroughly, too!
I was so enervated at the end of the exam, when I was now allowed to dress on my pants and that clinic shirt. When the nursing student brought me back into my room, she said that she would never have seen such an intense exam before, but that I would look so ill and would have such a sick stomach and conspicuous funny navel, that she never likes to change in my situation for the upcoming exams! Back in my room and my bed, I couldn´t hold it and began to cry. I really didn´t liked to see that gastro-doc again at all, but what I did not knew at that moment, it was only the very first exam and many others followed regularly, when I leaved the hospital after 3 weeks after I had appendectomy and got treated a colitis.
These appointments by the gastro-doc were all three to four months at our the Childrens clinic until I was 18 yrs. and I hated these appointments every time, because they last always nearly a whole day at the clinic, starting with a complete general exam by a paediatric doctor in the morning, followed by blood and urine tests, and an electrocardiography, after what I was brought to the gastro-section to that gastroenterologist, who did always such an intense and complete exam again followed by abdominal ultrasound and sometimes x-rays, too. He often talked to my mom, that he wanted to see me staying at hospital regularly for several days for observation of the abdominal problems and further more exams, so my fear was always not to get back home from that appointment in the afternoon! Exactly that case happened one year later when I was 16, when I had again a colitis and an intestine cyst.