Colonoscopy prep: make it easier

Sep 8, 2020 | Joey Keillor | @joeykeillor | Comments (68)

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Among the many discomforts of having a colonoscopy, people often say that the prep work before is the worst part. Below are a few tips can help make the process easier:

  • Two days beforehand. Start eating a low-fiber diet. Avoid raw fruits and vegetables, whole grains, and nuts and seeds.
  • The day before. Don’t eat any solid food. Stick to clear liquids, broth soups, and popsicles and gelatin that aren’t red or purple. The evening before your procedure, drink the first dose of your laxative preparation as directed.
  • The day of. Drink clear liquids only and stop drinking all liquids two hours before your scheduled report time. Take the second dose of your laxative preparation at the time instructed.
  • Throughout. Take your medications as directed. Drink plenty of liquids to stay hydrated, except two hours prior to your test.

It’s important that you drink all of the laxative preparation. If you find it difficult to do so because of the taste, try these tips:

  • Refrigerate the solution and drink it cold.
  • Suck on ice or a lemon or lime wedge.
  • Chew gum right before you drink each glass of the solution.
  • Drink the solution through a straw.

There are several colon-prep products that involve significantly less fluid that the standard prep. Brand names include Prepopik, Suprep and Plenvu. The main downside to these is that they are not recommended for those with heart, kidney or liver disease, which may prevent many older adults from using them. Plus, they are more expensive.

 

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Profile picture for berekann @berekann

@shorts thank you! I will have chicken broth and apple juice and - good idea - ginger ale. Maybe Jello. I’m especially concerned as I weigh 90 lbs and called the GI doctor’s office & asked the nurse if I should reduce the amounts. She said no - everyone’s colon is the same length. But I’ve seen other preps with 1 bottle MiraLAX and 4 Dulcolax.

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If you have jello make sure it is not red or purple color.
You need to avoid food with those color dyes in them. The colon can take on those colors and appear different because of them. This detail is usually listed in the prep sheets the office gives you.

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Profile picture for berekann @berekann

@barbaradh thanks for the tips - i plan to swish water in my mouth and spit it out, if needed. And, i'll plan to take a snack if they don't have one. . . something easy like a fruit bar or protein bar.

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It never hurts to have a snack on hand. I was super hungry after each of my colonoscopies.
They will weigh you before the procedure starts. The nurse said everyone is amazed how much weight is lost after the colon is emptied. But you can it back quickly.

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Profile picture for barbaradh @barbaradh

It never hurts to have a snack on hand. I was super hungry after each of my colonoscopies.
They will weigh you before the procedure starts. The nurse said everyone is amazed how much weight is lost after the colon is emptied. But you can it back quickly.

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@barbaradh the other day I took one morning dose of MiraLAX and then two Ducolax in the evening cause the MiraLAX hadn’t been working as well as I would like - and even that amount really cleaned me out and I lost a couple pounds. Still not back to ‘normal’

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Profile picture for jeannesf1 @jeannesf1

@berekann colonoscopy was uneventful except for one thing I haven’t read anyone addressing. The first one I had when I was in the short recovery I could hear my neighbors passing gas. I was horrified that I might do the same so i refrained from releasing gas. As soon as I stepped inside my doorway I doubled over in such pain that I thought for sure my intestines were perforated. My son immediately called the Gasteronology department listed on my discharge papers. I spoke to a nurse. She immediately asked “did you release gas after your procedure?” I said “of course not”. She said please do so now and I’m pretty sure your pain will go away. Sure enough it did. So don’t be shy release away.

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@jeannesf1 The nurse said i farted a lot during the procedure, and felt fine. But, I made the mistake of eating oatmeal when i got home - and oh, boy, did that cause horrific gas pains! after simethicone and hot water and abdominal massage, and yoga positions, it finally all farted out - but, i ate very lightly the rest of the day. Follow a very light diet for the rest of the day after your procedure!

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Profile picture for barbaradh @barbaradh

If you have jello make sure it is not red or purple color.
You need to avoid food with those color dyes in them. The colon can take on those colors and appear different because of them. This detail is usually listed in the prep sheets the office gives you.

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@barbaradh During my prep, i did eat green jello, along with drinking lemon-lime gatorade with miralax, and some apple juice and lots of water! everything was so sweet! and the chicken boullion was too salty. My prep was rough - 6 Dulcolax and 2 bottles of Miralax in 3 bottles of Gatorade - i was pooping clear Gatorade by 3pm and gave up on the rest after that as it was making me ill. The procedure went fine- and no polyps or other problems, so never again!!
For all the advice to "finish your prep" - you know your own body and judge accordingly.

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Profile picture for shorts @shorts

@barbaradh
This is going to be slightly indelicate, but along with staying very clean during the prep, I suggest using some Vaseline to protect the external area which does become irritated from overuse. All this is mostly gone and done with the next day. You’ll be surprised how good you feel. Oh, and make sure you have something healthy and yummy to eat when you get home, right before you nap.

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@shorts Just be sure whatever you eat is low fiber!! applesauce, white toast, scrambled eggs. No oatmeal!! Save that for the next day

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Profile picture for berekann @berekann

@barbaradh During my prep, i did eat green jello, along with drinking lemon-lime gatorade with miralax, and some apple juice and lots of water! everything was so sweet! and the chicken boullion was too salty. My prep was rough - 6 Dulcolax and 2 bottles of Miralax in 3 bottles of Gatorade - i was pooping clear Gatorade by 3pm and gave up on the rest after that as it was making me ill. The procedure went fine- and no polyps or other problems, so never again!!
For all the advice to "finish your prep" - you know your own body and judge accordingly.

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So happy that it’s over and you came out of it without any complications. Do you write it is your last one because at your age the doctor said you are finished?

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Profile picture for barbaradh @barbaradh

So happy that it’s over and you came out of it without any complications. Do you write it is your last one because at your age the doctor said you are finished?

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@barbaradh my doctor said well see in 10 years- but by then I will be 80 and I don’t plan to have another one. Cologuard
or one of the fit tests will work fine for me.

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