BowelPrepGuide https://bowelprepguide.com Your guide to excellent bowel prep Mon, 19 Feb 2018 00:01:04 +0000 en-US hourly 1 https://wordpress.org/?v=4.9.4 92279279 Do I have diverticulitis of the colon? https://bowelprepguide.com/do-i-have-diverticulitis/ https://bowelprepguide.com/do-i-have-diverticulitis/#respond Sun, 18 Feb 2018 05:43:57 +0000 https://bowelprepguide.com/?p=7300 Diverticulitis is inflammation of the sac-like opening or pocket in the wall of the colon called diverticulum. Only patients with diverticulosis can have diverticulitis. Diverticulosis is the presence of diverticula. Inflammation is characterized by swelling, redness, and pain. How Common is Diverticulosis? The occurrence of diverticulosis varies by age. The older we get, the likelier […]

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Do I have diverticulitis?

Diverticulitis is inflammation of the sac-like opening or pocket in the wall of the colon called diverticulum. Only patients with diverticulosis can have diverticulitis. Diverticulosis is the presence of diverticula. Inflammation is characterized by swelling, redness, and pain.

How Common is Diverticulosis?

The occurrence of diverticulosis varies by age. The older we get, the likelier we are to have diverticulosis. About 60% of people over the age of 60 have diverticulosis.

What are My Chances of Having Diverticulitis?

Only about 5-15% of patients with diverticulosis develop diverticulitis.

Do I have Diverticulitis? What are the Symptoms of Diverticulitis? 

  • Abdominal pain. This is usually left lower quadrant because diverticulitis is most common in the sigmoid colon. However, any part of the colon and therefore the abdomen may be affected.
  • Nausea and vomiting.
  • Fever.
  • Diaphoresis (sweatiness).
  • Low Blood Pressure.
  • Change in bowel habits. Either diarrhea or constipation.
  • Blood in the stool. This is not common with diverticulitis.
  • Symptoms of perforation.
  • Symptoms of sepsis.

What Causes Diverticulitis?

While the main cause of diverticulitis is unknown, certain factors have been associated with diverticulitis.

  • Diet: Low fiber, high fat, and red meat are associated with symptoms of diverticular disease. Contrary to popular opinion, nuts, popcorn and corn do not cause diverticulitis according to research studies.
  • Physical Activity: Regular exercise appears to reduce the chances of having diverticulitis.
  • Smoking appears to be associated with severe diverticulitis.
  • Obesity is associated with diverticulitis.
  • Medications: Steroids, opiates, and non-steroidal anti-inflammatory drugs like ibuprofen, naproxen, aspirin are associated with diverticulitis. Statin medications and Vitamin D may protect against diverticulitis.

 

What Should I do If I Think I have Diverticulitis? 

  • Contact your physician.
  • Go to the nearest urgent care or emergency room.

 

How is Diverticulitis Treated? 

Some patients can be treated as out-patient because they are stable and the diverticulitis is not complicated. Others need to be admitted for treatment. Treatment usually involve one or more of the following:

  • Antibiotics: Ciprofloxacin plus metronidazole OR Trimethoprim-sulfamethoxazole (Bactrim) plus metronidazole OR Amoxicilin-clavulanate (Augmentin) OR Moxifloxacin.
  • Pain medications.
  • Intravenous fluids.
  • Surgery.
  • Colonoscopy after the diverticulitis has subsided to make sure other conditions are not masquerading as diverticulitis.

 

What Else Can Happen with Diverticulosis? 

  • Diverticular bleeding.
  • Symptomatic uncomplicated diverticular disease (SUDD).
  • Segmental colitis associated with diverticular disease (SCAD).
  • Stricture from diverticular disease.

 

Do I have diverticulitis? If you think, you have diverticulitis, contact your physician. Click HERE for more information.

 

 

 

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What food can I eat before colonoscopy https://bowelprepguide.com/eat-before-colonoscopy/ https://bowelprepguide.com/eat-before-colonoscopy/#respond Sun, 04 Feb 2018 18:41:56 +0000 https://bowelprepguide.com/?p=7358 Just because you’re scheduled for colonoscopy, does not mean you have to starve. You can eat before your colonoscopy.      The kind of food you eat depends on your health problems, previous cleanliness levels during colonoscopy and your doctor’s preference. Some people are easier to clean out than others. Read Predictors of Inadequate Bowel Preparation.   There […]

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eat before colonoscopy

Just because you’re scheduled for colonoscopy, does not mean you have to starve. You can eat before your colonoscopy.      The kind of food you eat depends on your health problems, previous cleanliness levels during colonoscopy and your doctor’s preference. Some people are easier to clean out than others. Read Predictors of Inadequate Bowel Preparation.   There are 2 main diets before colonoscopy. The clear liquid diet and the low fiber diet. The low fiber diet is also called the low residue diet. Please, follow the specific diet recommended by your doctor.

What diet is recommended for most patients before colonoscopy?

Most providers recommend a clear liquid diet a day before your colonoscopy. This means a clear liquid diet for breakfast, lunch and dinner.

 

What is a clear liquid diet?

Clear liquid diet excludes red and purple colored substances. Alcohol is also not allowed. Examples of clear liquid diet include water, tea, plain coffee, lemonade from powdered mix, carbonated beverages and soda, clear juices such as apple and white grape, plain or flavored gelatin, sports drinks such as Gatorade® , All-Sports®, Powerade®; sorbet, popsicles, honey, sugar, hard candy, fat-free broth, bouillon or consommé.

what to eat before colonoscopy

 

Can I eat real food before colonoscopy?

Some doctors allow a low fiber diet for breakfast and lunch a day before your colonoscopy as long as you follow the split-dose instructions. You still have to be on a clear liquid diet for dinner. This type of instruction only works in certain patients.

If you had a poor bowel prep before, you may need to be on low fiber diet for 72 hours before your colonoscopy and clear liquid diet on the day before your colonoscopy OR clear liquid diet for 48 hours before your colonoscopy.

What is low residue (or low fiber) diet?

Residue refers to undigested food or fibers that make up part of the stool. A low residue diet reduces the frequency and volume of stool while prolonging the time it takes food to travel the intestine. You should avoid the following food items: whole wheat breads, cereals, crackers and rolls; whole wheat pasta, brown or wild rice; any item with nuts, seeds and fruits; buckwheat, granola, cornbread, pumpernickel bread; tough meat and meat items with skin; raw fruits, prunes and prune juice, berries, raisins and dried fruits; raw or partially cooked vegetables. You should also avoid milk and milk products.

If you are on a low residue diet, you may be allowed to have white bread, rolls and biscuits; white rice or noodles; plain crackers, potato rolls, skinless cooked potato; skinless chicken, skinless turkey, fish and other sea food; canned fruits without seeds or skin; eggs; vanilla wafers.

what to eat before colonoscopy

 

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How to Handle Belly Pain after Colonoscopy https://bowelprepguide.com/how-to-handle-belly-pain-after-colonoscopy/ https://bowelprepguide.com/how-to-handle-belly-pain-after-colonoscopy/#respond Sun, 31 Dec 2017 00:04:29 +0000 https://bowelprepguide.com/?p=7264 Belly pain after colonoscopy is uncommon. When it happens, it can be due to many reasons. What causes belly pain during colonoscopy Less experienced physician. Type of sedation used. Patients feel less pain when propofol is used compared to IV sedation with fentanyl and versed.  Patients without sedation feel more pain compared to IV sedation. […]

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belly pain after colonoscopy

Belly pain after colonoscopy is uncommon. When it happens, it can be due to many reasons.

What causes belly pain during colonoscopy

  • Less experienced physician.
  • Type of sedation used. Patients feel less pain when propofol is used compared to IV sedation with fentanyl and versed.  Patients without sedation feel more pain compared to IV sedation. An experienced physician may do colonoscopy with little or no sedation.
  • Type of air used to insufflate the colon. During colonoscopy, air is introduced into the colon to distend it and make it easier to see polyps. Using carbon dioxide (C02) for insufflation causes less pain than room air. C02 is absorbed across the intestine faster than room air.
  • Low body weight. Patients with low body weight are more likely to have belly pain during colonoscopy than normal or overweight patients.
  • Patient’s anticipation of pain level. Patients that have a high expectation of pain during colonoscopy actually experience more pain.
  • Poor bowel preparation. Patients with poor bowel prep are more likely to have prolonged colonoscopy. Prolonged procedure may cause belly pain.

 

What causes belly pain after colonoscopy

  • Gas
  • Complications of colonoscopy like perforation, injury to the spleen, appendicitis, post-polypectomy electrocoagulation syndrome. Post polypectomy syndrome is caused by electrocoagulation injury to the wall and muscle of the colon.

 

How to prevent belly pain during colonoscopy

  • Get colonoscopy from an experienced physician.
  • Do not anticipate belly pain during colonoscopy.
  • Ask for C02 instead of room air during colonoscopy.
  • Make sure you have a good bowel prep for colonoscopy.

How to treat belly pain after colonoscopy

  • Release gas. Please, fart away!
  • If you have persistent abdominal pain or cramps or if your pain is getting worse, you should contact your doctor immediately.

 

Further reading:

How to spot a complication after colonoscopy.

Why People Hate Colonoscopy and What to do about It.

Bowel Prep and Colonoscopy Frequently Asked Questions (FAQ)

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Colonoscopy Secrets You Need to Know https://bowelprepguide.com/colonoscopy-secrets-you-need-to-know/ https://bowelprepguide.com/colonoscopy-secrets-you-need-to-know/#respond Mon, 25 Dec 2017 03:56:57 +0000 https://bowelprepguide.com/?p=7287 You love your morning coffee but you’re scheduled for colonoscopy. Go ahead! Have your coffee. There are many false information regarding colonoscopy. These are the top 10 secrets of colonoscopy you need to know before your colonoscopy.   Colonoscopy secret #1: You can have coffee before your colonoscopy It is okay to have coffee or […]

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You love your morning coffee but you’re scheduled for colonoscopy. Go ahead! Have your coffee. There are many false information regarding colonoscopy. These are the top 10 secrets of colonoscopy you need to know before your colonoscopy.

 

Colonoscopy secret #1: You can have coffee before your colonoscopy

coffee before colonoscopy

It is okay to have coffee or tea without milk or diary products.

 

Colonoscopy secret #2: You can have sweets before your colonoscopy

sweets before colonoscopy

It is okay to have honey, hard candies, and sugar before colonoscopy.

 

Colonoscopy secret #3: You can use tablets to prep for colonoscopy

tablets for colonoscopy

While most bowel cleansing agents are liquid in form, tablets can be used to prep the bowel for colonoscopy. Osmoprep is a drug in tablet form that can be used for colonoscopy. It is not commonly used due to concern about kidney problems from its use. Read How to Use OsmoPrep for Colonoscopy Bowel Preparation.

 

Colonoscopy secret #4: You don’t have to be asleep for colonoscopy

awake during colonoscopy

If you want to watch your own colonoscopy you can. Colonoscopy can be done without sedation; with minimal sedation; with moderate sedation; with deep sedation or with general anesthesia. If you receive no sedation or minimal sedation, you can watch your own colonoscopy.

 

Colonoscopy secret #5: You don’t need colonoscopy every 5 years even if you have colon polyps

colon polyp

There are different types of colon polyps. If you are an average risk person and you have a hyperplastic polyp, you do not need colonoscopy every 5 years. Read How to Understand Your Colonoscopy Result.

 

Colonoscopy secret #6: You don’t need colonoscopy every year even though you have had colon cancer before

colon cancer

A complete colonoscopy should be performed in patients with colon cancer. If a complete colonoscopy cannot be performed due to obstruction, one should be performed 3 to 6 months after surgery. Another colonoscopy should be performed in 1 year. If the examination at 1 year is normal, then the interval before the next subsequent examination should be 3 years. If that examination is normal, then the interval before the next subsequent examination should be 5 years. Shorter intervals may be indicated based on polyp findings, certain disease conditions, family history, and genetic disorders.  Read Colonoscopy Surveillance after Colorectal Cancer Resection.

 

Colonoscopy secret #7: You can eat a day before your colonoscopy

eat before colonoscopy

Yes, you can eat a day before your colonoscopy. Even if you are placed on a clear liquid diet, you don’t have to starve. Read Low Fiber Diet for Colonoscopy and Clear Liquid Diet for Colonoscopy.

 

Colonoscopy secret #8: You can use Miralax and Gatorade to prep for colonoscopy

how to use miralax and gatorade

Even though the Miralax/Gatorade combo is not FDA approved for bowel cleansing prior to colonoscopy, it is widely popular. The drug inside Miralax is the same as the drug inside Golytely and MiraLax is approved for constipation.  Read How to Use Miralax and Gatorade for Colonoscopy Bowel Preparation.

 

Colonoscopy secret #9: You don’t need to have a relative with you for colonoscopy

relatives for colonoscopy

A responsible adult should accompany you for your colonoscopy but the adult does not have to be a family member. Since most colonoscopies are done with sedation, you cannot drive or take yourself home. A friend, neighbor, colleague or medical aide may qualify as a responsible adult.

 

Colonoscopy secret #10: Screening colonoscopy is free

colonoscopy is free

The Affordable Care Act eliminates co-pays for preventive services including colorectal cancer screening. Unfortunately, you may have a co-pay if a polyp is removed during your screening colonoscopy.

Don’t keep these colonoscopy secrets.

Please, share the colonoscopy secrets.

 

 

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How to Relieve Chronic Constipation https://bowelprepguide.com/chronic-constipation/ https://bowelprepguide.com/chronic-constipation/#respond Sat, 25 Nov 2017 02:04:52 +0000 https://bowelprepguide.com/?p=7238 Constipation mean different things to different people. Hard stools, infrequent stools, excessive straining, sensation of incomplete evacuation, and use of digital maneuvers are examples of what people describe when they talk about constipation. Constipation can be acute or chronic. Acute constipation can occur due to changes in diet, stress, travel or change in daily activities. […]

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chronic constipation

Constipation mean different things to different people. Hard stools, infrequent stools, excessive straining, sensation of incomplete evacuation, and use of digital maneuvers are examples of what people describe when they talk about constipation. Constipation can be acute or chronic. Acute constipation can occur due to changes in diet, stress, travel or change in daily activities. It can also occur due to blockage in the colon, rectum or anus. Acute constipation does not last long unlike chronic constipation. Chronic constipation can cause psychological stress and poor quality of life.

 

What is chronic constipation?

The Rome IV diagnostic criteria for functional constipation are :

  1.  Two or more of the following in more than 25% of defecations: straining, lumpy or hard stools (Bristol stool types 1-2), sensation of incomplete evacuation, sensation of blockage in the rectum or anus or manual maneuvers to facilitate defecation.
  2.  Loose stools are rarely present without the use of laxatives.
  3. Insufficient criteria for the diagnosis of irritable bowel syndrome.
  4. The criteria should be fulfilled for the last 3 months but symptom should have started at least 6 months before diagnosis.

 

How common is chronic constipation?

  • It affects 20% of the population.
  • It affects over 30% of elderly persons.

 

What are the different manifestations of constipation?

  • Straining.
  • Lumpy or hard stools (Bristol stool types 1-2).
  • Sensation of incomplete evacuation.
  • Sensation of blockage in the rectum or anus.
  • Manual maneuvers to facilitate defecation such as use of fingers to remove stools or use of hands to support the belly or pelvis.

The Bristol Stool Chart

chronic constipation

What are the types of chronic constipation?

  • Primary constipation
  • Secondary constipation

What causes chronic constipation?

  • No apparent cause is found in most cases especially patients with primary constipation.
  • Diabetes mellitus.
  • Hypercalcemia.
  • Hypothyroidism.
  • Pregnancy
  • Parkinson’s disease.
  • Spinal cord injury.
  • Colon obstruction from cancer, stricture, or inflammation.
  • Medications such as opioids, antipsychotics, anti-hypertensive medications such as amlodipine, and diltiazem.

What tests do I need for chronic constipation?

  • You do not need a test for the diagnosis of constipation.
  • In the appropriate setting, your physician may do a digital rectal exam, order certain blood tests, Xray, CT scan, MRI, colonoscopy, wireless motility capsule, and anorectal manometry.

How can I find relieve for chronic constipation?

  • Dietary fiber.
  • Fiber supplements.
  • Non-prescription laxatives like docusate sodium (Colace), bisacodyl (Dulcolax), lactulose, senna, Miralax, magnesium citrate.
  • Prescription laxatives like lubiprostone (Amitiza), linaclotide (Linzess), plecanatide (Trulance).
  • Prescription medications for opioid-induced constipation like methylnaltrexone (Relistor), naloxegol (Movantik).
  • Biofeedback therapy for dyssynergic defecation. This includes diaphragmatic breathing, pelvic floor retraining and simulated defecation training.
  • Surgery. Surgical options in the appropriate patients and always the last resort include colectomy, cecostomy.

 

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Cologuard for Colorectal Cancer Screening. Should I Take It? https://bowelprepguide.com/cologuard/ https://bowelprepguide.com/cologuard/#respond Fri, 24 Nov 2017 04:14:15 +0000 https://bowelprepguide.com/?p=7224 Cologuard colon cancer test. You may have seen the commercial on T.V or your primary care provider may have recommended one. But, should you take the test? What does cologuard test for? DNA markers associated with colorectal cancer and precancerous polyps. Non-visible blood (hemoglobin). How does cologuard work? It detects abnormal cells that are mixed with stools. […]

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cologuard colon cancer test

Cologuard colon cancer test. You may have seen the commercial on T.V or your primary care provider may have recommended one. But, should you take the test?

What does cologuard test for?

  • DNA markers associated with colorectal cancer and precancerous polyps.
  • Non-visible blood (hemoglobin).

How does cologuard work?

  • It detects abnormal cells that are mixed with stools.

How effective is cologuard?

  • It detects ninety two percent of colorectal cancer but only forty nine percent of precancerous polyps.
  • The test cannot remove a polyp so if the test is positive you will need a colonoscopy.

Who should not take the cologuard test?

  • Person with history of colorectal cancer.
  • Person with history of colon polyps.
  • Person with family history of colorectal cancer.
  • Person with family history of pre-cancerous polyps.
  • Person with a positive test from other colorectal cancer screening test like FOBT, FIT, CT colonography, sigmoidoscopy, colonoscopy.
  • Person with blood in the stool.
  • Person with diarrhea.
  • Person with inflammatory bowel disease (ulcerative colitis or Crohn’s disease).
  • Persons with certain genetic disorders that predispose them to colorectal cancer such as Lynch syndrome and polyposis syndromes.

What are the other tests for colorectal cancer screening?

  • Colonoscopy.
  • Flexible sigmoidoscopy.
  • CT or virtual colonoscopy.
  • Guaiac fecal occult blood test (gFOBT).
  • Fecal immunochemical test (FIT).

What screening test can prevent colorectal cancer?

  • Only colonoscopy has the ability to look at the entire colon and remove precancerous polyps before they grow into cancer.

How long does it take to get the cologuard test result?

  • About 2 weeks.

How often should I take the cologuard test?

  • Every 3 years but in consultation with your physician.

What happens if my cologuard test comes back positive?

  • If your test comes back positive, you will need a colonoscopy. Colonoscopy done for this reason is not considered a screening colonoscopy but a diagnostic colonoscopy. A diagnostic colonoscopy is not covered free like a screening colonoscopy. Depending on your insurance, you should consider this factor when choosing a test to screen for colorectal cancer.

For more information about the cologuard test, click HERE.

 

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How to Deal with Symptoms of Hemorrhoids https://bowelprepguide.com/how-to-deal-with-hemorrhoids/ https://bowelprepguide.com/how-to-deal-with-hemorrhoids/#respond Sat, 18 Nov 2017 21:07:52 +0000 https://bowelprepguide.com/?p=7196 Hemorrhoids are swollen veins around the anus or lower part of the rectum. They are common affecting more than 50% of people over the age of 50. Sometimes they bother people and sometimes they don’t. They can be inside or outside. They do not lead to cancer. What is it? Hemorrhoids are swollen veins around […]

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hemorrhoids

Hemorrhoids are swollen veins around the anus or lower part of the rectum. They are common affecting more than 50% of people over the age of 50. Sometimes they bother people and sometimes they don’t. They can be inside or outside. They do not lead to cancer.

What is it?

Hemorrhoids are swollen veins around the anus or lower part of the rectum.

What are the types of hemorrhoids?

  • Internal or external. Internal hemorrhoids are inside the rectum. You cannot see them. They usually do not hurt but may bleed. External hemorrhoids are under the skin around the anus. You can see them and feel them. They can hurt and bleed.

internal hemorrhoids

  • Symptomatic or asymptomatic. Hemorrhoids may be present without causing symptoms. Symptoms of hemorrhoids include painless bleeding, pain or discomfort around the anus, lump around the anus, itchiness, and irritation.
  • Reducible or non-reducible. Reducible hemorrhoids can go inside the rectum on their own or by pushing them in. Non-reducible ones do not go into the rectum even when pushed in.
  • Thrombosed or non-Thrombosed. A Thrombosed hemorrhoid is an external hemorrhoid with blood clot inside. The blot clot makes them look blue, purple or black. Thrombosed hemorrhoids are very painful and may require an incision and drainage.

What causes it?

  • Genetics. It appears that people with family history of hemorrhoids are more likely to have them.
  • Straining. Any activity that causes straining can lead to hemorrhoids. These include constipation, cough, heavy lifting, prolonged standing or sitting, pregnancy, obesity.

What are the symptoms?

  • Painless bleeding. This is usually bright red blood.
  • Pain or discomfort around the anus.
  • Lump around the anus.
  • Itchiness and anal irritation.

How can I prevent hemorrhoids?

  • Avoid straining.
  • Fiber.
  • Adequate hydration.
  • Exercise.

What is the treatment?

  • Fiber. To avoid constipation and ensure regular bowel movements.
  • Sitz bath. This is done by sitting on 3 inches or more of warm water for 10- 15minutes, two to three times a day. Epsom salt may be added to the water.
  • Cream and suppositories. There are several creams and suppositories available over the counter to treat hemorrhoids. Some of them contain hydrocortisone, a steroid medication. They can relieve itchiness and anal irritation.
  • Medical procedures and surgery: These are done by a physician, usually a gastroenterologist or colorectal surgeon.
  1. Sclerotherapy.  This is done by injecting a chemical into the blood vessel of the hemorrhoid to shrink it.
  2. Coagulation or cauterization. An electric probe, laser beam, or infrared light is used to burn the hemorrhoids.
  3. Rubber band ligation.  A small rubber band is placed over the internal hemorrhoid to cut off blood flow. rubber band on hemorrhoids
  4. Staples.  The hemorrhoid is stapled to cut off blood supply and shrink it.
  5. Hemorrhoidectomy.  A knife is used to cut off the hemorrhoids. This is usually the last resort if all else fails.

When should you see a doctor?

  • If you have symptoms of hemorrhoids.
  • If the symptoms persists despite treatment.
  • If the symptoms are getting worse.

 

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How to use your bowel cleansing agents for colonoscopy https://bowelprepguide.com/how-to-use-your-bowel-cleansing-agents/ https://bowelprepguide.com/how-to-use-your-bowel-cleansing-agents/#respond Tue, 07 Nov 2017 13:51:21 +0000 https://bowelprepguide.com/?p=7172 Bowel cleansing agents are used to clean out the colon before colonoscopy. A clean colon allows the physician to find polyps and remove them. GoLYTELY, Nulytely, Trilyte, Colyte, MoviPrep, SUPREP, OsmoPrep, Prepopik are examples of bowel cleansing agents. Bowel cleansing agents can be used alone or in conjunction with over the counter laxatives like bisacodyl […]

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bowel cleansing agents

Bowel cleansing agents are used to clean out the colon before colonoscopy.

A clean colon allows the physician to find polyps and remove them.

GoLYTELY, Nulytely, Trilyte, Colyte, MoviPrep, SUPREP, OsmoPrep, Prepopik are examples of bowel cleansing agents.

Bowel cleansing agents can be used alone or in conjunction with over the counter laxatives like bisacodyl or magnesium citrate. If an over the counter laxative is also recommended, it is usually used about 1 hour before using the bowel cleansing agent.

There are 2 main ways to take your bowel cleansing agent: the day before regimen and the split dose regimen.

In the day before regimen, the entire bowel cleansing agent is used the evening before the colonoscopy.

In the split-dose regimen, half the total dose of the bowel cleansing agent is used the day before your colonoscopy and the 2nd half is used 4 hours before the time of your colonoscopy. You should finish the 2nd half at least 2hours before your procedure time.

Split dosing leads to better colon cleansing and improved detection of polyps.

For patients scheduled for colonoscopy in the afternoon, a 3rd way of taking the bowel cleansing agent exists. This is called the same-day regimen. In this regimen, the bowel cleansing agent is used in the morning of the colonoscopy.

Follow the advice of your physician regarding how you should use your bowel cleansing agents before colonoscopy.

Additional Information

How to Use Suprep for Colonoscopy Bowel Preparation

How to Use Golytely for Colonoscopy Bowel Preparation

How to Use Prepopik for Colonoscopy Bowel Preparation

How to Use Moviprep for Colonoscopy Bowel Preparation

How to Use Miralax and Gatorade for Colonoscopy Bowel Preparation

How to Use OsmoPrep for Colonoscopy Bowel Preparation

How to do the 2 Day Bowel Prep for Colonoscopy

 

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How to Hack Your Colonoscopy https://bowelprepguide.com/how-to-hack-your-colonoscopy/ https://bowelprepguide.com/how-to-hack-your-colonoscopy/#respond Mon, 06 Nov 2017 13:51:46 +0000 https://bowelprepguide.com/?p=3310 Colonoscopy hack is a strategy for getting the best out of your colonoscopy. If you or your loved one is scheduled for colonoscopy, these hacks can change your experience from awful to pleasant. Colonoscopy Hack #1: Google your doctor Google your physician: Even though there is poor correlation between physician online rating and quality of care, online information […]

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colonoscopy hack

Colonoscopy hack is a strategy for getting the best out of your colonoscopy. If you or your loved one is scheduled for colonoscopy, these hacks can change your experience from awful to pleasant.

Colonoscopy Hack #1: Google your doctor

colonoscopy hacks

Google your physician: Even though there is poor correlation between physician online rating and quality of care, online information about your physician is still helpful. Is she board certified? Where did he train? How does she perform on quality measures such as completion rates (cecal intubation rate), complication rates, and the ability to detect pre-cancerous polyps (adenoma detection rate)? For additional information, read The 3 P’s of colonoscopy: Factors that determine the outcome of colonoscopy.

 

Colonoscopy Hack #2: Pick prime time

colonoscopy hacks

What is prime time is different for many people. You should pick the prime time that satisfies your health condition and circumstances.

  • If you are diabetic, pick a morning appointment. This will avoid prolonged period of fasting and fluctuations in blood sugar.
  • If you work late into the evenings or nights and can only be off for 1 day, consider an afternoon appointment. This gives you time to do your bowel prep.
  • Pick the day and time that is convenient for the person that will take you for the procedure and take you back home.

 

Colonoscopy Hack #3: Split the prep

colonoscopy hacks

There are many medications approved by the Food and Drug Administration as bowel cleansing agents. These include Colyte®, GoLYTELY®, NuLYTELY®, TriLyte®, HalfLytely®, MoviPrep®, SUPREP®, OsmoPrep®, and Prepopik®.

Regardless of the bowel cleansing agent used, the split dose regimen has been proven in multiple studies to be the most effective way to use the medication. In the split dose regimen, half of the bowel cleansing agent is taken the evening before the colonoscopy. The 2nd half is taken 4 hours before the scheduled colonoscopy.

 

Colonoscopy Hack #4: Chill the prep

colonoscopy hack

 

Bowel cleansing agents are better served cold. Chill the bowel cleansing liquid by putting it in a fridge or ice bucket.

 

Colonoscopy Hack # 5: Suck on candy

colonoscopy hacks

Sucking on menthol candy while you ingest the bowel cleansing liquid has been shown to improve the taste, leading to better bowel preparation. 

 

Colonoscopy Hack #6: Add flavor

colonoscopy hacks

Add flavor with lemon juice, lemon slices or sugar free flavor enhancers like Crystal Light®.  

 

Colonoscopy Hack #7: Lube and Wipes

colonoscopy hacks

The bowel cleansing agent will cause diarrhea, so stay near a toilet. Use a soft toilet tissue. For anorectal irritation or discomfort, use baby wipes, Vaseline, Desitin or hemorrhoidal agents.

Colonoscopy Hack #8: Use a straw

colonoscopy hacks

Use straw to drink the bowel cleansing agent. Sipping is better than gulping and reduces the bitter taste.

 

Colonoscopy Hack #9: Get a champion or navigator

colonoscopy hacks

  • Get someone to motivate you. The person can be your friend, partner or relative.
  • Get a guide. Visit BOWELPREPGUIDE.COM.
  • If available through your physician, take advantage of patient engagement and reminder tools like mobile device app, text messages, or email.

 

Colonoscopy Hack #10: Be a scout

colonoscopy hack

 

Go prepared:

  • Get the day off.
  • Arrange for transportation and escort. You need an adult and responsible person to take you home.
  • Wear loose and comfortable clothing.
  • Keep expensive jewelry and other valuables at home.
  • Go with a photo ID, insurance card and a form of payment for any copay or deductible.

 

Colonoscopy can be hacked. If you know any hack that is not mentioned here, please let us know.

 

 

 

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How to do the 2 Day Bowel Prep for Colonoscopy https://bowelprepguide.com/2-day-bowel-prep-colonoscopy/ https://bowelprepguide.com/2-day-bowel-prep-colonoscopy/#respond Mon, 06 Nov 2017 00:51:05 +0000 https://bowelprepguide.com/?p=7164   The 2 day bowel prep is often recommended for patients with prior inadequate bowel prep for colonoscopy. There are many reasons for having an inadequate bowel prep. If a 2 day bowel prep is recommended, a large volume bowel cleansing agent like Golytely, Nulytely, Trilyte or Colyte is used in addition to an over the […]

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2 day bowel prep for colonoscopy

 

The 2 day bowel prep is often recommended for patients with prior inadequate bowel prep for colonoscopy. There are many reasons for having an inadequate bowel prep. If a 2 day bowel prep is recommended, a large volume bowel cleansing agent like Golytely, Nulytely, Trilyte or Colyte is used in addition to an over the counter laxative like bisacodyl or magnesium citrate. A split-dose regimen is recommended for 2 day bowel prep.

 

The Traditional 2 day bowel prep

What do I do 2 days before the colonoscopy?

  • Have a clear liquid diet throughout the day. Clear liquid diet excludes red and purple colored substances. No solid foods, milk products, fruits, seeds & nuts.
  • Be sure to keep hydrated by drinking 8oz of clear liquid every hour.
  • If you have diabetes mellitus, you may need to take half the dose of your medication while on clear liquid diet. Please, talk to your provider about this.

What do I do a day before the colonoscopy?

  • Have a clear liquid diet throughout the day. Clear liquid diet excludes red and purple colored substances. No solid foods, milk products, fruits, seeds & nuts.
  • Be sure to keep hydrated by drinking 8oz of clear liquid every hour.
  • If you have diabetes mellitus, you may need to take half the dose of your medication while on clear liquid diet. Please, talk to your provider about this.
  • Mix your bowel prep agent with water as instructed in the package label.
  • Refrigerate to chill.
  • Take 4 tablets of bisacodyl (Dulcolax) around 3.00-4.00PM.
  • Starting at 5.00-6.00PM, Drink the 1st half of the bowel prep agent at a rate of 8oz every 10-15mins until 2L is completed.

What do I do on the day of the colonoscopy?

  • Drink the 2nd half of the bowel prep agent (2L). Start 4 hours before your scheduled colonoscopy. Drink at a rate of 8oz every 10-15mins until finished. Be sure to finish 2 hours before your scheduled colonoscopy.
  • Be sure to keep hydrated by drinking 8oz of clear liquid every hour in addition to your prep agent. Avoid further fluid intake 2hrs before your scheduled colonoscopy.
  • If you are diabetic, do not take oral diabetic medications or short-acting insulin on the day of your colonoscopy. Talk to your provider about this.

 

The Modified 2 day bowel prep

In the modified 2 day bowel prep, patients are on low residue diet (low fiber diet) 3 days before the colonoscopy instead of clear liquid diet for 2 days.

What do I do 3 days before the colonoscopy?

  • Have a low residue diet throughout the day.
  • Be sure to keep hydrated by drinking 8oz of clear liquid every hour.

What do I do 2 days before the colonoscopy?

  • Have a low residue diet throughout the day.
  • Be sure to keep hydrated by drinking 8oz of clear liquid every hour.

What do I do a day before the colonoscopy?

  • Have a low residue diet throughout the day.
  • Be sure to keep hydrated by drinking 8oz of clear liquid every hour.
  • Mix your bowel prep agent with water as instructed in the package label.
  • Refrigerate to chill.
  • Take 4 tablets of bisacodyl (Dulcolax) around 3.00-4.00PM.
  • Starting at 5.00-6.00PM, Drink the 1st half of the bowel prep agent at a rate of 8oz every 10-15mins until 2L is completed.

What do I do on the day of the colonoscopy?

  • Drink the 2nd half of the bowel prep agent (2L). Start 4 hours before your scheduled colonoscopy. Drink at a rate of 8oz every 10-15mins until finished. Be sure to finish 2 hours before your scheduled colonoscopy.
  • Be sure to keep hydrated by drinking 8oz of clear liquid every hour in addition to your prep agent. Avoid further fluid intake 2hrs before your scheduled colonoscopy.
  • If you are diabetic, do not take oral diabetic medications or short-acting insulin on the day of your colonoscopy. Talk to your provider about this.

 

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