Colonoscopy prep: Pills vs liquid prep?

Posted by dwmeeks @dwmeeks, Sep 4, 2023

I heard there is a pill to replace liquid prep for colonoscopy, Is this true?? I had rectal cancer back in 2010. Have not had a colonoscopy since 2014. HATE the liquid prep!

Interested in more discussions like this? Go to the Colorectal Cancer Support Group.

Profile picture for seracut @seracut

I had a rare GIST carcinoma 20 years ago. I started with quarterly then bi-annual then yearly for the last 15 years endoscopy and colonoscopy.
All this to say that I’ve gone through the gamut of prep solutions.
The best ever for me was in the very beginning, the 3oz bottles of Fleet, over and done with fast but that got banned 🙁
Since then there haven’t been any good ones until a couple of years ago. CLENPIQ is game changer. It’s just 2 small bottles that don’t taste terrible.
I did the Osmoprep tablets, all 24 of the horse pills and it was probably the worst prep ever!
Here’s some tips for you that I have learned along the way.
Firstly, 3-5 days before you start the prep eat a “low residue” diet, white bread, white rice, broth, apple sauce, well cooked boiled vegetables and chicken or fish.
The idea is to cut fiber down to a minimum, this way, when you start the prep it’s much easier to eliminate and get a clean prep.
Drink lots of bone broth, the collagen in it is good for your gut Heath and supports it while you do the prep. A little known fact, you can eat gummy bear candy during the prep as long as they aren’t red or purple. This is a lifesaver if you need “mouth feel” to be satisfied while eating.
If you can’t drink black coffee but need the caffeine switch to light colored (usually citrus) energy drinks.
And lastly, most important for me at least as I’m emitaphobic, when prescribed the prep ask for a prescription for Zofran anti emetic. If you should feel sick from the prep it eliminates throwing up.
I hope these tips help.
Colonoscopies aren’t pleasant but they are a necessary evil and save countless lives every year.
Encourage everyone you care for to get theirs starting at 45. No excuses since it’s one of the few FREE screening tests we have.

Jump to this post

Thank you for such thorough information.

REPLY

I am so happy my insurance will only pay for colonoscopy every five years, but I am so afraid the rectal cancer will come back and it will be too late after five years.

REPLY
Profile picture for hopenjoy2024 @hopenjoy2024

I am so happy my insurance will only pay for colonoscopy every five years, but I am so afraid the rectal cancer will come back and it will be too late after five years.

Jump to this post

I believe it’s standard practice with a physicians’s order to have a colonoscopy one year after surgery date. If there are 0 polyps then it should be 3 years not 5 as far as I know. You should discuss with your oncologist. The above is for colon cancer. I don’t know if guidelines are different for rectal cancer. Your periodic blood work can change the frequency if they show anything concerning as well.

REPLY
Profile picture for di341 @di341

I tried the pill routine...ugh. It was actually 24 "horse pills". Very large in size and you take 12 the night before and 12 in the morning with a copious amount of water. I have difficulty swallowing pills and had to split them down. It was a tremendous struggle for me.

I just had my yearly colonoscopy/endoscopy two weeks ago and asked my doctor what the feedback on them was. She told me that their practice wasn't using them any longer because they were finding too many pills that had not dissolved, in patients.

As I have a long history of yearly scopes, my best tips are to mix the liquid with Coke Zero, specifically, over a lot of ice and drink with a straw to the back of the throat. Follow up with the water. Makes it much easier to get it down.

Please do yourself a huge favor and get regular scopes in light of your history!!

Jump to this post

I didn't realize a "dark colored soda" like Coke was allowed in a colonoscopy prep or clear liquid diet? That would be so very helpful!

REPLY
Profile picture for seracut @seracut

I had a rare GIST carcinoma 20 years ago. I started with quarterly then bi-annual then yearly for the last 15 years endoscopy and colonoscopy.
All this to say that I’ve gone through the gamut of prep solutions.
The best ever for me was in the very beginning, the 3oz bottles of Fleet, over and done with fast but that got banned 🙁
Since then there haven’t been any good ones until a couple of years ago. CLENPIQ is game changer. It’s just 2 small bottles that don’t taste terrible.
I did the Osmoprep tablets, all 24 of the horse pills and it was probably the worst prep ever!
Here’s some tips for you that I have learned along the way.
Firstly, 3-5 days before you start the prep eat a “low residue” diet, white bread, white rice, broth, apple sauce, well cooked boiled vegetables and chicken or fish.
The idea is to cut fiber down to a minimum, this way, when you start the prep it’s much easier to eliminate and get a clean prep.
Drink lots of bone broth, the collagen in it is good for your gut Heath and supports it while you do the prep. A little known fact, you can eat gummy bear candy during the prep as long as they aren’t red or purple. This is a lifesaver if you need “mouth feel” to be satisfied while eating.
If you can’t drink black coffee but need the caffeine switch to light colored (usually citrus) energy drinks.
And lastly, most important for me at least as I’m emitaphobic, when prescribed the prep ask for a prescription for Zofran anti emetic. If you should feel sick from the prep it eliminates throwing up.
I hope these tips help.
Colonoscopies aren’t pleasant but they are a necessary evil and save countless lives every year.
Encourage everyone you care for to get theirs starting at 45. No excuses since it’s one of the few FREE screening tests we have.

Jump to this post

I recently had an "abnormal" Cologuard result and will have to undergo colonoscopy. I've had 4 before and had no problem with the MiraLax/Gatorade/Bisacodyl prep, but this GE team is prescribing 2 liters of GoLytely plus Dulcolax x 3 times, starting 2 days before, 1 day before and day of, for total of 6 liters. Is that much laxative safe? How bad is GoLytely?

REPLY
Profile picture for dwmeeks @dwmeeks

Thanks. I have no trouble with pills (large or small). I do have trouble with the crap they make you drink though. LoL! I hate that stuff! I’ll try the pills this time. We will see after that. Thank you for your reply!

Jump to this post

I had the liquid at the end of May of this year. It was horrible. I had to do everything I could to keep it down. Back of the throat trick didn't work. I couldn't even fully complete my second full bottle and my prep was not complete. However a mass was seen and I have a Colonoscopy this coming Thursday and a surgical resection Friday. For this prep I am taking the pills. At least I know I won't feel like vomiting. I will start my prep a little early. They are also having me take one bottle of magnesium citrate but I've had it before and it is manageable. Let me know how you make out with the pills.

REPLY
Profile picture for luhn @luhn

I recently had an "abnormal" Cologuard result and will have to undergo colonoscopy. I've had 4 before and had no problem with the MiraLax/Gatorade/Bisacodyl prep, but this GE team is prescribing 2 liters of GoLytely plus Dulcolax x 3 times, starting 2 days before, 1 day before and day of, for total of 6 liters. Is that much laxative safe? How bad is GoLytely?

Jump to this post

It is safe but I won't sugar coat it. The taste is horrible. Definitely use ice. Get it as cold as possible and if you can drink it fast. We are not all the same but I had a hard time keeping it down. Best of luck.

REPLY
Profile picture for rjjacobsen @rjjacobsen

Found this on the web:
https://www.ccalliance.org/blog/prevention/new-colonoscopy-prep-tablet-approved-fda
Sounds like a press release...

Research what else you have to do when you take the pill.

Note that the physician who does the colonoscopy will have his recommendations for prep which may exclude this.

Jump to this post

I mix MiraLax with chilled lemon-lime Gatorade…more tolerable that way.

REPLY
Please sign in or register to post a reply.