Colonoscopy Prep....need advice...

Posted by kathy49 @kathy49, Feb 16 1:53pm

on which one is considered the best to clean you out? Also which is tolerated best by someone in their 70s? Thanks.

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I had the best colonoscopy and post recovery ever at 67 yrs of age. Days before the procedure I made sure I was well hydrated. I drank the electrolyte enhanced mineral waters that people drink for sports. During the time when you drink the colon prep if I drank any additional fluids it was electrolyte water. After the procedure I drank electrolyte water too and went home feeling well rested!

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My surgeon had me follow this prep & it worked very well, without any nausea: 2 dulcolax pills. 2hrs later, combine a 8.3 oz bottle of powdered miralax into your favorite flavor gatorade( no red/blue). Drink 1 cup every 15 min, ( should take 1 1/2-2 hours) . Two hours later, 2 more dulcolax pills. I had a previous issue with my bowel prep not being " complete". The addition of 2 dulcolax at the end, made a difference. I also followed a low residue diet for three days prior.

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@beebe

I had the best colonoscopy and post recovery ever at 67 yrs of age. Days before the procedure I made sure I was well hydrated. I drank the electrolyte enhanced mineral waters that people drink for sports. During the time when you drink the colon prep if I drank any additional fluids it was electrolyte water. After the procedure I drank electrolyte water too and went home feeling well rested!

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@beebe This sounds similar to what my father follows and now I do too. Hydration and sports drinks (minus the colours you mention) are great.

There are also strong rules about what you can and can’t eat and drink leading up to the procedure. No cheating!

The other issue is around the amount of prep you have to drink. Some people have difficulty getting through it. My surgeon gave me a miralax based one drunk in 2 stagea but starting with 2 ducolax tablets. I was cleaned out well and had got over the diarrhea before getting into the car. I had bought an adult diaper just in case I needed it, but didn’t.

It’s important to work with your surgeon to find the prep that suits you best and to follow the instructions closely - and stay very close to the toilet when it all starts happening!!

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I have gastroparesis ( slow bowels)
4 days one a day miralax
Day before 4 ducolax and 150 mgs gas ex
Miralax- 8 ounces every 30 minutes
I had to go longer than 30 minutes I would get very full unable to drink
I was told when that started to happen slow down
I was ready to next day for my colonoscopy

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@kathy49

Some say no more after 75 I guess some say 70. But it does make a difference your history and lets say you reach 75 but have not had one for 8 years....rather be safe and have one more while still easy (relatively) to do prep. This will be my third with no history of polyps. Doctor ordering this at Mayo is not in the GI department and is fine with me using any of the preps. It is routine. Just seeing if anyone had a story about taking xxx and not complete clean out? I also think it might be more difficult in terms of electrolytes etc. the older you are.

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@kathy49 - I have a story about taking sodium sulfate, magnesium sulfate, potassium chloride (SUTAB) and not having a complete cleanout. I'm in my 50s. I thought the Peg-3350 (Golytely) tasted a bit yucky before and it was a ton of liquid, so when my gastroenterologist gave me many options and did not just automatically prescribe Peg-3350, I thought taking tablets seemed far nicer.

It was not nicer than Peg-3350. It made me vomit twice, which put me in doubt about how well the whole process was going for me. I had to set various alarms all night to take more water and pills. Because of that, I did not sleep with my husband and slept on the couch in the living room.

The next day when I arrived at the medical center it turned out I was not cleaned out enough. They offered to give me a sodium phosphate rectal (Fleet's enema) to help, and I "enthusiastically" said yes. What I mean by the enthusiasm is that the last thing I wanted was to go through all the prep and go home. That would have been really disheartening. In the end, I needed two sodium phosphate rectals.

So, with the feeling like I was on the verge of being sent home due to a prep process that didn't work, plus the poor sleep on the sofa and vomiting, I determined the next time to go back to Peg-3350. I'd say if you know one prep works for you, stick with it.

kathy49 - of the three prep options you were given, what did you choose?

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@lisalucier

@kathy49 - I have a story about taking sodium sulfate, magnesium sulfate, potassium chloride (SUTAB) and not having a complete cleanout. I'm in my 50s. I thought the Peg-3350 (Golytely) tasted a bit yucky before and it was a ton of liquid, so when my gastroenterologist gave me many options and did not just automatically prescribe Peg-3350, I thought taking tablets seemed far nicer.

It was not nicer than Peg-3350. It made me vomit twice, which put me in doubt about how well the whole process was going for me. I had to set various alarms all night to take more water and pills. Because of that, I did not sleep with my husband and slept on the couch in the living room.

The next day when I arrived at the medical center it turned out I was not cleaned out enough. They offered to give me a sodium phosphate rectal (Fleet's enema) to help, and I "enthusiastically" said yes. What I mean by the enthusiasm is that the last thing I wanted was to go through all the prep and go home. That would have been really disheartening. In the end, I needed two sodium phosphate rectals.

So, with the feeling like I was on the verge of being sent home due to a prep process that didn't work, plus the poor sleep on the sofa and vomiting, I determined the next time to go back to Peg-3350. I'd say if you know one prep works for you, stick with it.

kathy49 - of the three prep options you were given, what did you choose?

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Thanks for the report. I don't have the procedure until mid May but will probably pick the Moviprep or the generic version...I think it is a bit less liquid and it is split dose so 1/2 evening before and 1/2 in the morning with report time 12:30pm....it seems to be a bit easier and yet cleans you out. I am in fear of what happened to you...not cleaned out!! Guess I will do a bit more research on that vs the Golytely.

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@kathy49

Thanks for the report. I don't have the procedure until mid May but will probably pick the Moviprep or the generic version...I think it is a bit less liquid and it is split dose so 1/2 evening before and 1/2 in the morning with report time 12:30pm....it seems to be a bit easier and yet cleans you out. I am in fear of what happened to you...not cleaned out!! Guess I will do a bit more research on that vs the Golytely.

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I had an allergic reaction to the Golytely and had the procedure cancelled. I did the movie report without issues. No bloat, no vomiting, no spasms.

My experience.

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@wittygoose

I had an allergic reaction to the Golytely and had the procedure cancelled. I did the movie report without issues. No bloat, no vomiting, no spasms.

My experience.

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Hi, @wittygoose - You mentioned you had an allergic reaction when you took the Peg-3350 (Golytely). What happened? I'm guessing you are saying that you did the polyethylene glycol 3350/sodium sulfate/sodium chloride/potassium chloride/ascorbic acid/sodium ascorbate (Moviprep) without issues?

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@lisalucier

Hi, @wittygoose - You mentioned you had an allergic reaction when you took the Peg-3350 (Golytely). What happened? I'm guessing you are saying that you did the polyethylene glycol 3350/sodium sulfate/sodium chloride/potassium chloride/ascorbic acid/sodium ascorbate (Moviprep) without issues?

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My blood pressure went through the roof. Vomiting and severe stomach spasms. I have liver cancer which they attribute to the reaction as I have had it before.

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@wittygoose

I had an allergic reaction to the Golytely and had the procedure cancelled. I did the movie report without issues. No bloat, no vomiting, no spasms.

My experience.

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Wittygoose is that Moviprep that you took without issues? I have read that one can be a bit better.

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