Can't Handle Colonoscopy Prep? WATCH THIS for Advice/Tips
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- Опубліковано 22 тра 2024
- Can't handle the taste of colonoscopy prep? Are you unable to finish the prep or getting too sick from drinking it?
In this video, we will discuss how to make the prep more manageable, which temperature is the best for the prep, how to contrast the prep with different tastes, how to split up the prep between the night before and the morning of the colonoscopy, how to handle nausea, and more.
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DISCLAIMER: While I am a Gastroenterologist, I am not acting as your Gastroenterologist. The information provided on this channel is intended to be general educational content and not directed towards any one individual. If you believe you have a medical condition that deserves attention please seek care from your healthcare provider. If you are experiencing a life threatening emergency, call 911.
A patient recently shared their preference is to flavor the prep with Diet Dr. Pepper. Can’t fault that. What’s your favorite mixer or chaser for colon prep!?
Golytely....I used Countrytime Lemonade Mix. It was amazing. Small teaspoon size scoop in each 8oz, and it was a tremendous saver! I think it was the "tart" taste after. DO IT!
I'm trying something new called plenvue it's a liquid for my procedure in April
I did the miralax with sports drink dulcolax and linzess
@@sherryknapp3011 I went to drug store to pick up Plenvue couldn't believe cost of that at $150. I'd much rather have Suprep prep a lot less expensive and taste isn't bad compared to Plenvue prep.
Lemon
My #1 tip: eat light a couple days before the prep. Its better to have less matter to get rid of. Once I am running clear I stop drinking the prep and switch to water, otherwise I will still have diarrhea in the car on the way to the procedure.
I found this to be true and low load foods like scrambled eggs and toast
My advice to the doctors is to give patients choices. I was just given Plenvu without any input from me. That night I could not get it down. I called the Dr around 7 PM for advice and she started mentioning alternatives and one was pill based (Sutab). I requested that and luckily got it before the pharmacy closed. It was so much easier and I had my colonoscopy the next day. If I hadn't gotten that, I would have had to cancel. It would have been much less stressful to have had that option from the start.
I absolutely agree with you. I realized there were choices too late to replace mine. The nurse at the doctor's office said that they automatically prescribe that nasty prep solution since not all insurances cover the pill form. I will know next time to insist I be given the option. All patients should have the choice - especially since the prep keeps people from getting the procedure. It's so short-sighted not to give patients a choice.
The only way I could get the prep down was by one mouthful prep, two mouthfuls apple juice. Did it slowly over the day. Taking a tablet would be preferable.
Had my colonoscopy in May. Drank my prep with a drink of Gatorade after each glass! Not bad at all! Removed 3 polyps. So glad I had it done! Just do it!
I was told to make it cold, but I couldn’t keep any of the 2nd half down. Changed drs when he moved to another hospital. The nurse at my new dr said to keep it room temp and take a drink of peppermint tea after each glass and a whole cup in between, that did the trick.
The over the counter prep is what I was prescribed directly from the facility. I was told to not and didn’t have anything by mouth for 17hrs after finishing the prep. And I saw why. I don’t know how someone could just not have nothing by mouth for only 2 hrs before the colonoscopy. I would have been very embarrassed if was given that instruction as it actually took about 12 hrs to clear even after eat a star clear liquid diet all morning before prep. Good luck everyone.
The problem with the prep is starving myself for 14 hours and the feeling of my stomach destroying itself after being empty for so long. It's torture and by the time I get there I'm the most annoyed hangry pissed off person in the world.
same here. I could care less about the drinking the junk and bathroom trips. Not Eating Solid Food For Over 24 hours? That's a problem. And is singlehandedly the biggest reason I haven't made an appointment. For me, that will result in a horrible, horrible headache.
I go hypoglycemic if I don’t eat regularly. There’s no way I can go over 24 hours without eating.
I guess I just have to hope I don’t get colon cancer.
@@amigos4erin you can do a stool test screening and as long as it's normal you are good. Regarding hypoglycemia, everything you drink has sugar in it so you shouldn't go hypoglycemic. I have blood sugar issues too and that wasn't a problem. There are preps that allow you to eat a low residue diet up until you take the laxative or maybe even later.
@@_star_e_D I just did it and have huge issues with not eating and also have stomach pain when it's empty. The liquids only was ok regarding hunger and stomach. There are calories in the liquids and fruit sorbets are on the list which eased my stomach and those were really good. Some hot broth is good after so much sweet stuff. Staining the noodles out of chicken noodle soup is pretty satisfying. Watered down Gatorade is my go to and it gives me energy without sugar spikes and crashes. It wasn't awesome but not as traumatic as expected. What makes me so angry is they people ignore how stressful the prep is even though that's the biggest reason people don't get Colonoscopies.
@@FortheBudgies oh that's a good idea bout the gatorade. I didn't think of it like that. I need to get it done regardless of how much I hate it. My dad died from metastasized CC by the time he was 61. so appointment is getting made. Thanks for that about the gatorade. That helps quite a bit.
I had a colonoscopy a few hours ago, and when I purchased my prep materials, I went with unflavored miralax, actually, the Walmar equivalent. I couldn't taste anything except the sugar-free Gatorade I drank. So, go for the unflavored stuff!
Thanks for sharing!
That miralax solution sounds fantastic. I don't know why it's not recommended all the time. Why is that doc?
@@samhoskins8706I just had a colonoscopy and used the miralax prep. My favorite prep so far, only half a gallon total split in two doses. Very easy to take. However, I don't think I'm going to be wanting any gatorade for a long time! One other tip, drink it through a straw. That seems to help a lot.
The reason they recommend mixing it with Gatorade is to replace lost electrolytes.
I filled up 8 oz water bottles that I was supposed to take every 10 minutes. Half the jug of solution .half the next day. Put some In crystal light sugar free lemonade powder When I was about to drink each one. Drank them very fast they went down good. Make sure the water is Cold but not ice cold. I was nervous about the procedure but is was pain free and fast.
As an RN I can't say enough how I appreciate my doctors
And to have doctors take time to provide PSAs via videos, is just kinda comforting
I'm putting on a nonchalant face, but I am internally going bat skat crazy at the prospect of being on the other side.
I'm 45, my scope is in 7days...
I'm beyond tripping out
Thanks. I consider doing it awake myself. Not out of concern of anesthesia but wanting to see for myself.
How did you go?
In 2 of my 13 colonoscopies, I woke up in the middle of it. NOT FUN. Lol. It was seriously uncomfortable. I quickly shut my eyes and went back to dream land.
It's 2023, why don't we have a pill system to clear us completely out, without a ton of liquid?! I'm sure Taco Bell could help with the research.
Haha. There is a pill but liquid is still needed. The fluid has to come from somewhere - so if you’re not drinking it, then it comes from you, causing dehydration and injury to the kidney.
They could make a pill or two, then drink 4 litres of fluid instead of the gloop that is the prep, would be so much better.
Ask for Sutab. It's 12 pills, no nasty prep to drink. Stay hydrated and it's easy!
Lol right?!
😂😂😂😂
I had a colonoscopy yesterday. I took 2 dulcolax at 5 pm and started drinking a bottle of Miralax in 128 ounces of water/lemon-lime gatorade mix at 6 pm. So it was quite diluted but just as effective. Drank more than half in the evening and the rest between 5-7 am. I didn't have my procedure until 3:15 pm, which sounds horrible but it really wasn't that bad. Clear broth, lemon ice pops and lemon jello the day before really helped stave off hunger. This prep solution is 1000x better than SuPrep, which is disgusting and really tests your gag reflex. The dulcolax/Miralax prep is the way to go. Much gentler and easier to drink.
I’m having mine tomorrow and I did exactly as you and the drink wasn’t to bad it’s the quantity! About 45 min after drinking I vomited so much. Fingers crossed I’m still good for tomorrow.
I have to have a Colonoscopy done in August. My prior surgeries I used the Miralax, Gatorade and dulcolax prep but this time they prescribed Plenvu Powder Packets. I never even heard of this before. I hope I can stomach it though!
@marlat.4221 My doctor gave me 2 options. I went with Miralax + duocolax. Did it in 2 phases (2nd one the morn of my procedure that wasn't until 2pm). It worked great!
@@MH-zr3reomg 😢
@@MH-zr3reHow did it go?
I can’t do the standard prep as I threw up the first half dose I struggled to get through within 10 minutes. It also caused me heart palpitations and hives. When I called the doctor’s office (25 minutes before they closed) the day before my prep, I explained what had happened and the doctor himself called me back about an hour later and guided me through the process for the Miralax prep. He said he also can’t stomach the usual prep as this is what he does. He suggested sports drinks, iced tea or non pulp lemonade. I did iced tea which worked great it’s no issues.
just had mine a couple of days. The doctor and nurses were amazing and I chose to be knocked out so it was like aesthesia in and they said you feel tired and the next thing I know I hear my heart beat in the monitor and the nurse slowly waking me up. It was all a blur and a great power nap lol My GI got me to use something called pico lax and like you 2 sachets at 150 ml each which is nothing and then drink 2 to 3 litres of water, gatorade, just not red, purple or blue, or apple juice gradually over the next 4 hours. It was explained it is not a race so don't guzzle it all done at once or you risk throwing it up. Because this process can easily dehydrate you I found orange gatorade was great. The pico lax was amazing because I honestly felt I was drinking orange tang. It took about an hour or less to work and it really cleaned me out. Taking the one the next morning was just as easy because the taste was so yummy and amazing and again about an hour later it flushed me out, but I was clean at that point so it was water in water out. Anyone that is afraid honestly don't be and remember you are doing this for your own health. I hope this helps anyone who reads this :)
Thank you for your calm and therefore calming explanation. I wish all doctors would realise how important their demeanour is in a patient's ability to face and overcome these "challenges".
Thanks John - I appreciate you sharing that. Take care.
Had my fifth procedure last week. This time was the easiest prep I have had yet. I've never used Gatorade. Don't remember what I used the first two, but the second two I just drank the Miralax in plain water. The solution was double the strength as prescribed - I would chug down 4 ounces as fast as possible and then chug 4 ounces of clean water. First time wasn't too bad. Second time, I was gagging by the time I was almost done and frankly, didn't finish. But the Dr. still got a good view.
So, this time? This time I measured dry Miralax to just over an ounce and mixed with 3-4 ounces of liquid. I would have the rest of the liquid on hand in another glass. The liquids? I alternated between cream soda and white grape juice.
Gotta say, as a guy with a lot of practice, trust me on this!
This is a great presentation! I'm still a "poor prep" patient, but my wonderful doctor managed to deal with it without scolding me. Certainly I tried my best with the prep! The 1st 4 Miralax drinks weren't too bad. I mixed Miralax with a chilled organic lemon drink which, unfortunately, had too much sugar! Luckily, I had 4 extra packets of Miralax so I was able to use another lemon drink with much less sugar (sweetener is stevia, not sucralose which I can't stand). I eliminated one of those lemon drinks by mixing Miralax with hot pepermint tea, unsweetened. The tea was very good and it helped a lot! I could even have had an extra cup of tea instead of the lemon drink. Miniature ice cubes also helped with the cold drinks. When I struggled to finish off the last 2 glasses of lemon drink, I actually licked the salt off a few of my favorite crackers which helped also. I had 8 polyps removed 😢! The next time, I will reduce portion size of food to about half the usual about a full week before the procedure as eating more lightly seems like a good idea. Colon cancer is in our family, so I am very grateful that colonoscopies can prevent cancer. I'm willing to have 1 day of fasting so I can enjoy 3 more years before the next colonoscopy! That puts it in perspective. The breakfast I had after the procedure was the very best, along with milk in my coffee! I had some of my favorite salty crackers later that day! Oh the joy of solid food and coffee ☕ with milk in it! I hope this helps someone who might be reading this!
Your post is comforting to me as I'm also a "poor prep" patient. Odd that I rarely feel hungry, but of course, day of prep, food is all I think about! I am having Colonosopy tomorrow and have been whiney all day. It's 8:30 p.m. and still haven't finished prep. Might be a late night! Lol
thanks for this. im having a colonoscopy tomorrow and have to drink 2 litres of fortrans for it. Last time i had to drink only 1 litre and had a full on motivational session with eye of the tiger playing. Seeing your comment made me feel better knowing others share in this pain hahah. Cheers to a healthy gut and stomaching the prep drinks 😁
@winkeydink. My procedures done yesterday, and I was fully cleaned out from prep. Oddly proud of myself. 😆
Two polyps removed. I never eat junk food, but endulged in McDonald's afterwards. Can't believe you are rqrd to drink 120 oz of prep. I did break prep into 2 parts. Did 2nd part morning of procedure (started at 4:30 a.m. procedure was at 2pm. I'm still recovering day after. Good luck!!
I'm still freaking out 😮😳
I had Colonosopy yesterday. Watched this video before I started prep. Very helpful!! Initially I fought idea of 2-step prep. But your comments convinced me. Thank you, Dr. Cooper. I got a score of 9 on prep. I credit doing 2nd part of prep the morning of procedure. Since I couldn't sleep anyway, I started @ 3:30 a.m. (2nd step). Very successful procedures. He did find Cameron lesions + confirmed large hiatal hernia, and 2 polyps. Procedure was yesterday and I'm still quite sore, but worth it!! I would have caved in on proper prep if not for your video! Thank you so much.
Cool. Thanks for letting me know it went well.
@MarkCooperMD If anything, I hope feedback encourages you to keep educating us! This was my 4th Endoscopy, but the Cameron lesions were missed by previous gastro doctor. I really needed this Intel after so long with mystery occult blood loss. So happy it's going to be fixed!!
@@MarkCooperMD what percent of patients get anesthesia? You recommend for most ppl?
Super helpful video , thanks. Half way thought the prep and doing great.
For my one and only colonoscopy 4 years ago, the doctor ordered a Happy Colon Foods kit. It was actual food that I ate along with tablets that I took to get things cleared out. I was super surprised because I had only seen the jugs of liquid others had to drink. It worked really well and I had the procedure with a clean colon.
Excellent video, very helpful. Thank you for the information!
Your welcome. Judging by your picture, you're a member of our uniformed services? Thank you and happy Memorial Day!
Thank you so much. you made me feel better.
I liked the tip about splitting the liquid into 8 oz glasses and chilling it. That stuff is awful tasting anyway you look at it but, this method seems to help a little. The explanation of the procedure was very helpful to help understand why the prep is necessary and why the awful tasting liquid is necessary. A great video! ! !
Hey there! I'm going for my first colonoscopy tomorrow and after watching your videos, I'm not as nervous...thanks!
I have one scheduled for August and I’m so ready to get it over with but I’m not feeling the prepping. I hope everything turns out well for you!!
How was is it ? Mine on Friday afternoon
Thank you so much for this!!
USE A STRAW PEOPLE. You can bypass some of your tastebuds doing this. Also keep the prep ice cold. Did this,for my first colonoscopy and it really helped!
That’s a great tip!
Absolutely does not work
I have had 3 colonoscopies in the past and am having another next week. I have always had a clean colon but your inflammation with explaining why certain things have to be done has made me even more determined to do it correctly. I want to thank you for your time and insight
Super Merci 🎉for your verbalisation of what we can do to make it easier while drinking the colon cleansing ❤
Glad it was helpful! Thanks for watching.
I make the prep very cold and put a flavor I like in it. I do it like you said. I drink it fast and get it down easily. I know it is to help me so I don't think of the prep. I don't do the second half that close to my procedure as I fear not being cleaned out. 3 days before the procedure I go to a light day of eating such as yogurt,, etc. and nothing that is heavy. It helps shrink my appetite too. I gulp and have never had nausea.
Thoroughly chill and suck it through a straw worked for me. I followed up each 8 ounce glass with some Gatorade. Half gallon night before, half gallon 5 hours before. I needed almost every bit of the prep to get my stools solid free, yellow colored.
Great video
I have had around 20 colonoscopies in my lifetime and prep has never gone well. Suprep was the best but my insurance won't cover it anymore. I usually develop hyperthermia from the prep. And can never seem to start the prep when i'm supposed too. I just can't get my mind over matter going. Plus i can't seem to finish the whole prep. Have one in 2 weeks. Really dreading it!😞
I've done 13 of them. This year was the first time I saw generic Suprep so maybe your insurance will cover it. I paid nothing this time whereas the last 9 or so were Suprep costing me $150 each time. But I'm not going back to the other stuff. I think you're dehydrating too quickly. Drink some electrolyte the day before and in between your preps. I know drinking more liquid in between is insane. But that did happen to me on one occasion. Ever since I make sure I'm very hydrated and not lacking salt in my body by the day before my prep.
Just fast (only water) for 2 to 3 days before the procedure, then drink 600ml of prep and 600ml of water 12 hours before your procedure, don't drink anything 6 hours before the the procedure, I done this it worked perfectly
thank you for the video. It is good
Thank you!!
I’ve got mine on 27th dec this has helped me a lot to be ready 👍
Thanks for sharing. I hope your exam goes well and the prep is smooth. Remember - egg nog is not a clear liquid. 😉
GOD BLESS YOU AND THANK YOU SO MUCH FOR THIS!!❤ I can't say that enough. I am having my colonoscopy tomorrow morning. This answers so many questions and quashes a whole lotta fears. 😅
Thanks for sharing. I hope your exam went well and you enjoyed a good celebratory meal afterwards!
Today was my third colonoscopy and this prep was totally different from the first two. The first two involved Golytely(may have been Suprep,don't remember), drinking two bottles of nasty carp mixed with a bunch of water. Those made me gag trying to get them down. In fact the second time I couldn't get the second bottle down, thankfully it was enough to complete the colonoscopy. THIS time however was light years different. The prep included taking two Dulcolax 5mg tablets at 4pm (my procedure wouldn't be till the next day at 2pm), then mix 4ozs of Miralax powder with 32oz of the flavor of Gatoraide you prefer and drink 8oz at a time for a hour till it's gone(make sure you like the taste, it'll make all the difference because you'll be drinking a lot of it and refrigerate it, it's easier to get down). Then at 9pm, two more Dulcolax tabs drinking lots of water through the day. The next day I mixed 4oz of Miralax with the second 32oz Gatoraide and drank that at 9 am and that was it. This was LIGHT years easier than the Golytely/Suprep junk! I was dreading the prep before this but man this was so easy it was crazy! What a difference Miralax and Ducolax made. SOO much easier prep! I wrote it down in fact because that's the prep regimen I'm going with next time Not unpleasant at all. That's why I said chose a good/better tasting Gatoraide because basically that's all you're going to taste. It was great and highly recommended. It was so easy I told my wife I can't believe I just prepped, doesn't feel like it at all. Just feel like I drank too much Gatoraide lol.
9pm up all night ? or could you sleep at all thx
Slept fine. Had to go once.
For me, I rinsed my mouth out with ginger ale and immediately gulped down the prep. And rinsed my mouth immediately after.
Masks the aweful taste almost completely
So you only did half of the total miralax dosage? 4oz day before, and 4oz day-of? Instead of 8oz day before and 8oz day-of?
I'm getting my colonoscopy today at 1:30 pm. I started the prep 2 days prior, taking 20 mg Dulcolax at 2pm; this caused me nausea; the next day suffers headache and started my clear diet. At 2pm I got another 20 mg Dulcolax and at 5pm start drinking 110 g Miralax mixed with Gatorade. My other half of Miralax and Gatorade drinking now and feeling good.
just got my fit test result and it's positive. i'm 51 and i have a pacemaker
After not eating for an entire day, I have a hard time sleeping. I have found that sleeping with a hot water bottle on my stomach helped mask the hunger pangs and allow me to sleep.
Thank you for sharing that. Helpful.
Excellent videos. Short and informative. After four or five colonoscopies, I had an unusual problem before my last colonoscopy. The prep did NOT work. Yeah, it worked, but I wasn't cleaned out. I had to cancel the scheduled colonoscopy in the morning and do the prep a SECOND time. At the end of the day, I still wasn't where you want to be. Have you ever had a prep not work for a patient? What do you do?
You sound like Ryan Reynolds. Anyway thank you for the tips. This puts my mind at ease.
Having the drinks cold and not room temperature is a must for me. Having to drink a lot of cold prep in a short time can cause me to chill so I have a heating pad and blanket handy.
Nice. Tip for the complications of the tip.
I had a failed prep last October and in conversation with my doctor we cancelled the procedure. We rescheduled and had a virtual visit with my doctor about 2 weeks prior. I started eating a low residue diet a week before and drank a bottle of milk of magnesia in two doses about 6 hours before I started the prep. This time I’d gone clear about 4 AM and we had a good result with a 5 year return date. I finished my prep anyway and I also had propofol for anesthesia and I highly recommend it. I was neither groggy nor nauseous when I woke up. Don’t be afraid to call your doctor if you aren’t clear the morning of the procedure!
Oh and doctors, if you don’t have a nurse on staff please be aware “The office manager said to do X” is not enough, CALL your patient or have a virtual visit a couple weeks prior to the proceedings, in the 5 years since my last go-round the recommendations had changed to something I knew wouldn’t work for my body. I said that to the office staff and when they wouldn’t change the instructions I asked for the doctor to call me, he never got the message 😢and as a result I wasn’t fully prepped and we had to cancel the procedure!
I have had several Colonoscopies in my life time. The prep doesn't bother me and the procedure is a piece of cake. What bothers me is the starving for a day or two! It is hard not eating. Yea there is jello and broth but no real food! Oh the humanity! I am happy by the time I have to drink the prep because it fills me up!
I have a tube stomach and intestinal failure. I live on TPN, I can drink very little I am admitted a day earlier and flushed through the tube. I'm having it under general anesthesia or lots of propofol sedation. We have a professor who is developing a poop vacuum cleaner so that you don't have to rinse anymore or much less
Thank You! I cancelled my last one because I couldn't get that horrible stuff down. I keep putting it off, but I know I really need one, I have another in a few months and I'm doing it! I am mad at myself!
Get the sutabs, they're so much better! See my comment above.
I understand. It is overwhelming. I like the alternative suggestions if the dr Will approve. My mom and sister died of colon cancer.
I'm 10 years away from needing to do this but am already looking for ways to get over the prep issues..
Hope something better will be available, maybe you will make it.
@amandaallen9460...I'm 70 and 20 years ago had my first colonoscopy talk about how bad prep was back then can I say horrible. It took all I could to drink that horrible prep medication. Trust me there has been a big improvement in 20 years.
been doing this for over 20 years ( ulcerative colitis) there is NOTHING you can do to make the taste better PERIOD. I started using the MiraLAX prep about 3 years ago and my first reaction was WHY wasn't I told about this sooner. The taste is NO taste to a slightly sweet taste which is SO much better than tasting like someone just poured a full salt shaker into a can of 7up.
I mix it with my favorite vitamin water and have no problem drinking it.
Now the GI establishment has decided to not use this prep anymore saying it's not clearing ppl out as well as they like. ( not once did my GI doc say I wasn't cleaned out)
well lucky you don't need a script. I will only do MiraLax prep. I've decided to do that last drink with YUCK Magnesium citrate but it's only 8oz. followed by the vitamin water.
i have hemiparesis, and with that spaticity which does affect bowel. first prep(miralax) failed as there wasnt enough time. started at noon, still diahreaha hour b4 appt. NOW am trying the gallon jug and had half of it down when i threw up. i'm taking an hour break and starting again. positive cologuard this test needs to happen!
i started taking a stool softener 3x week 2wks before the prep, did only liquids 2 days before. last time i bled like crazy-hemmoroids..but softener kept them more small n liquid. cant get past the salty part of the PEG(?) tho no matter what i do! its lemon but more like alkaseltzer ugh nasty!
I had colonoscopy last week and took Sutabs as prep since I could NOT tolerate the alternate liquid laxatives I've used in the past. The Sutabs were much better and easier to tolerate, although I still had to drink lots of water and I did get the 'tummy rumbles" for a bit. If I ever have to get another colonoscopy, I'll definitely take Sutabs even if I have to pay out of pocket (insurance may not cover the cost as they're expensive)
Sutab is good but it’s important to understand that it’s not a pill and a glass of water. It’s a lot of water. Skimping on the water will equal a bad prep and may leave you feeling shabby.
Thank you for this video. So informative. I get nauseous if I drink too much liquid. Any suggestions?
A lower volume prep may help (there are several). Try to drink liquids throughout the day ahead of your colonoscopy and I sometimes have people start a bit early to spread the prep over a longer period of time.
Had a colonoscopy & endoscopy yesterday @ HRH by Dr Sohi 😇I was prescribed as colon cleanser Peglyte fruit flavour, delicious easy to drink the 4 gallons divided in 2, day before & next morning before 6 am: The whole experience was painless easy & rewarding, overcoming my immense fears & apprehension: Merci Dr Cooper your series of UA-cam videos were so reassuring for me ❤What a Champ🏆
Delicious ??? I wouldn’t go that far
Very informative and you are also gorgeous
What do you think about a low residue diet that people are doing with good results?
I've been getting colonoscopies for nearly 30 years. My tip is to drink the prep stuff through a straw quickly then follow with a Coffee flavored hard candy. Have it un -wrapped and ready to pop in your mouth after finishing the the prep liquid. It makes it lees terrible
Thanks for sharing.
I am 83 almost 84 and I had my colonoscopy over the years every two or three years for a long time. And what I have noticed is that each time I had one it seemed like the prep was different than the time before so that each time it was easier so on the last two it seemed pretty easy withless fluid to down. On my last one the doc said when are we going to schedule your next one? 2yrs? 5yrs? He was joking of course.
Also good prep for bottomming
I agree with the "go to the moon guy"! I do not fast well. I am on a lot of other medications and without food I start vomiting. My doctor appointment consisted of me paying a $150.00 to sit in the waiting room, (aptly named) for 1 1\2 hours to see a man in a white coat (dr?, janitor?, lab tech?, toilet cleaner?, cook?) take 3 seconds to point at a lady down the hall and say " Schedule your appointment with her."
I was frightened! I had tried to take the prep a few years before and after the first gallon (or whatever). I barely made it to the bathroom, blacked out & my husband said he walked in to me projectile vomiting & seizing (?) with my head slamming into the floor. He got a towel under my head & when I woke I asked him to please go & quickly get another bottle of prep so I could be ready for the am appointment. The pharmacist said absolutely not. That was a severe allergic reaction & I should not even attempt to drink that prep again. I tried to tell the Dr.? that and he barely listened. We need better medical care. The kind I just watched on this video was a million times better than at that facility!
That is Awful. I would do a complaint.
It's barbaric. Got to the moon 50 years ago, gotta be able to do better than this.
We got to the moon by understanding laws of nature. Which include that matter can’t cease to exist. There’s no way to clean the colon without getting poop out. There’s no way to know what’s going on in there without looking. It’s the dark side of the moon.
Totally agree
@@MarkCooperMDThe procedure will look like a lobotomy at some point in the future. Or bell bottom jeans lol
@@MarkCooperMDI though this video was gonna be about the easier methods like the pills and powder. Even using those methods, I will need a lot of help. I was shocked that it was about the liquid! No thank you, not doing that
Omygawd, I agree! I can’t believe we don’t have an easier and quicker way to have this done with all of our technological advances today!
I've heard that colon hydrotherapy is AMA approved for colonoscopy prep. In fact there's a hospital a few hours north of me that offers that prep to their patients. I asked my doctor about it and he never heard of it.
It depends on what the actual procedure is. The American Medical Association doesn’t make statements about this sort of thing to my knowledge and would defer to the GI societies.
I know of GI practices who offer what I would describe as hydrotherapy for colon prep. I think it’s effective for the purpose of preparing for a colonoscopy.
Hey Doc, thanks for the video. for someone of low body weight of 120 pounds and is hypersensitive to any medication and supplements, would it be necessary or possibly even dangerous, to take the full dosage of Dulcolax and MiraLAX? How can it be the same dosage for any body weight? Thanks!
Most pediatric medications are weight based dosing but by the time you weigh 120 your weight based dosing will usually match the adult dose or there’s little difference. If you have concerns start with a low dose and see how you tolerate it.
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I have problems with low blood pressure I think from long covid. I have Covid now again. I was wondering what I could do to keep me from being low or passing out. I dread this.
What if you also got Bisacodyl 5mg tablet delayed release? It does say take 2 tablets by mouth one time at 4pm. on the day before procedure. I know it says it on the pill bottle but making sure bc I don’t remember having to take any pills the last 2 times I got one.
Oh and this other pill I got. Gas relief 80mg chewable tablet. Says take by mouth per gastroenterology dept. colonoscopy instructions. With this pill do I just bring with me and they will tell me when to take it?
Man I pretty bright and could figure most things out on my own pretty quickly. But I see ppl. each day that get confused about everything and could see them do everything wrong for this prep and take the pills given all during their prep. You almost need a medical certificate to know all the things you need to do and not the 3 mins. speech they give you when giving you the meds. Lol!
Please call the GI office performing your procedure. Usually the pills are all taken day before procedure just ahead of the actual liquid prep. Hope you do well.
Ive done Moviprep & it was vile - i couldnt get there. Second time, they gave me Glycoprep - perfect. Did all the prep beginning around 4pm the night before ... done in about 3 hours. I interspersed the chilled prep with kemonade, and half-way through, had a rest, and had a cup of strainedchicked stock i' d made the day before - it was delicious & warmed my stomach up. I think an all-in-one night-before prep is great - getting up at 4am to start more prep is awful.
Yes Picolax is preferable. Powder fizzes in Glass. Sent by post. Moviprep is disgusting 3 sml bottles sent by post. Free prep n colonoscopy.NHS
And when you diabitic and you take medication to clear my blood because i have 3 P.E?
Question. How does bowl prep compare to gastrograffin? Just curious. I had a CT and the above was no Bueno. I did make it home before it hit. Inside of my mouth was red and sore and my tongue felt like it had been burned. My GI system didn't normalize for around 2 weeks after. The bowel prep doesn't have the same effect does it?
Gastrograffin is used for contrast. It contains iodine which makes it a non started for those with iodine allergy. I’d estimate its rougher on the gut and less effective for prep. So bowel prep should be easier.
Did my split prep but a few hrs before going to my appt I was not cleaned out ! They did not tell me to come to the appointment ,so I canceled . They asked me if I wanted to come the next day but I couldn’t comprehend what I was supposed to do for the whole day ! Was I supposed to fast for the whole day ?
Can i start drinking the prep 1 or more hours before the recommended time frame?
Currently doing the pre colonoscopy diet, on day 4 and it sucks, but it’s important. I’m really not looking forward to drinking all that liquid but I shall prevail. I do not want to screw this up! I’m most worried about not being sedated enough during the procedure though. 😳
I hope it goes well and thanks for your vigilance with the prep. Regarding your concerns:
1. Sedation works extremely well and you’ll be as sedated as is safe.
2. People do this completely awake - it’s not actually that bad. The prep is worse than the procedure.
Generally people wake up and are surprised it’s done as they have no recollection that we started.
@@MarkCooperMD thanks!
@@MarkCooperMD it was pretty painful. Apparently I have a floppy colon, fun times.
@@river8760ohh gee, I hope mine isn’t dang floppy
I hot a colonoscopy and endoscopy with biopsy in 3 weeks but 2 weeks before i have it done ima start cleaning out my system with miralax laxatives, and water enema while being on a clear liquid diet, because the prep i cant do it.
I had the Miralax treatment, starting at 6 pm. I vomited from 8 to 3am, projectile. Luckily I had no polyps. I'm 68, I will never again have this test.
I prefer Champagne and Flowers afterwards.
I had a colonoscopy 9 years ago, and the prep consisted of one day of clear liquid diet and a bottle of Miralax in the early evening. I will be having a second colonoscopy next week, and my current gastroenterologist requires a prep consisting of two days of clear liquids, one bottle of Miralax on the first evening, and two bottles of Miralax on the second evening. Is there some reason for such an increased regimen? The doctor requires this of all his normal-health patients.
The first prep you describe is typical. The second generally is reserved for people with constipation.
My poor father had cancer (esophageal) and had to have regular colonoscopies. They made him throw up every time he had a sip. 😢
Had my first colonoscopy yesterday. Ended up being wide awake and despite following the prep I was still full of crap! 4 polyps found two 4mm 1 -6mm and 1 - 9 mm
Definitely gotta do it again.
Ugh.
What did you use on the prep?
Did anyone mention drinking the prep through a straw? I find that very helpful.
Yes that’s been mentioned and is worth mentioning again.
Dr Cooper, I failed my scope last year do to nausea and getting sick 🤢..I have Parkinson's and chronic constipation. My next upper and lower scope is in 4 days. I did the Suprep last time. This time it's the Miralax Colace and Mag citrate. If I can't stomach the citrate can I switch to an enema? I do have zofran but it's the moment I keep having to take the liquids I get stomach pain fullness and gagging.
PD is often complicated by these symptoms. I’m sorry you’re suffering them. An enema can definitely help. It may also help to do a prep over multiple days. I hope this one goes more smoothly. Sorry my response doesn’t come early enough to be as much help as it would have earlier.
Was the miralax easier
@@brieestar0307sorry I didn't see your message but Yes!! I highly recommend the Miralax method.
I did good and didn't need the enema
Y’all. GINGER BEER missed with the prep saved me. I quite literally could not taste the prep at all!! I got permission from my doctor to do this because I could not handle the prep.
Was there much sediment in the ginger beer?
Ginger beer was an excellent chaser because the ginger flavor really overpowers the prep taste. Mine didn't have any sediments - it was actually a soda stream cordial
I didn't know that Paul Rudd was also a gastroenterologist! 😆
I took a gravol an hour before and mixed crystal lite into CoLyte. I have an extremely strong gag reflex to anything that doesn't taste good/trying to get anything down when I'm feeling sick. Was instantly nauseated by the first sip and am currently struggling to get through the remaining litre. And I have to get up at 5am and do it all over again. Chilled, through a straw - doesn't matter. Gagged and got it up my nose every single swallow. Puked a couple of times too. The only thing that's helping is mixing a bit of clear fruit juice into the same glass.
colyte is absolutely disgusting. If your insurance covers it, try Suprep. It taste like cough syrup which you drink 16 oz of followed by lots of plain water over the next hour. Then you repeat the next day. I mix mine with ginger ale.
Do you have advice nurse you can call 24 hours a day. Definitely they can notify dr and intervene.
What about orange gatorade? Is that colour okay? Im guessing since it's not purple or red.
Orange usually works out well.
ginger tea?
I was really nervous about my prep because I'm prone to fainting (when I haven't eaten, dehydrated, or getting a needle). I was very vigilant with my fluid intake and all was going well until about midnight when I started feeling bad. Went to the bathroom and ended up on the floor shivering and feeling super nauseous and awful, don't think I actually blacked out. Vomited (hardly anything came out) and then felt better. I was ok after that and could finish my prep without issues the next morning as scheduled.
Is there a way to prevent this in future?
Did you take any anti-nausea medication beforehand?
@@RachelJane101 no. That might've helped
@@jentan4531 I was wondering as that has been recommended to me by my physician for when I do my prep.
OK, thank you! @@RachelJane101
Hydrate well the day before with electrolyte. You need the salt.
Omg. It was so bad.
I had to add a ton of extra water.
I powered thru the first bottle. The second bottle was worse. The issue was no matter how much water I added it tasted bad.
I had to do both preps at night.
First one at 6 pm Second one at 9pm. Then nothing.
Procedure was scheduled for 9am. I had to be there at 8am.
I regularly fast for 20 hours per day. Fasting for me that long isn't a problem. It's that prep that is the problem. I haven't been able to do a colonoscopy just because of that. Nausea, dizziness, weakness. I can't leave the house when I take that stuff. I don't know what it is about that stuff but it just makes me horribly sick. And having hemorrhoids doesn't help anything either. After all that irritation back there, the last thing you want to do is go get a colonoscopy. There has got to be a better way to do this without blowing your rear end out. It was a horrible experience for me. I couldn't do it and cancelled. 🥺
I feel you ,I'm coming up with my own plan to clean my colon out my way,2 weeks before the day I'm going on a clear liquid diet,I'ma take 2 cap full of miralax every other day in hot tea ,a2 days before I go in I'm going to do a water enema at home.I thought about doing a colonic but it cost to much,but good luck
I have colonoscopy 2moro at 2pm. They want me to do part 1 at 5pm and then part 2 at 4am. I feel like these times are incorrect with the procedure so late in the day. Any tips?
Thanks for watching. I hope you were able to contact the office of the GI you are seeing. Sorry I can’t give appropriate advice as I don’t know their specific protocols. Hopefully you have a good exam today!
ok, on my way to a test. I found that drinking 80z. slowly and taking a breath, did not feel nauseus, but the taste is pretty yuckky, like salty water.
I have mine tomorrow and keep throwing up…I puked the water/liquids before the prep and then threw up my second glass of prep.
Sorry you’re going through that. Prep is difficult if you have IBS symptoms, especially if you lean toward the constipated side. I hope once things start to move, your nausea is relieved.
This is a yr old and I have seen ok to use red color jello?
I don't think that is true. Everything I've read still says no red or purple.
I’m so nervous, i’ve had a gastric bypass 13 years ago. I’ve done several colonoscopies in the past, which has caused dumping syndrome. The prep solution I I’ve used in the past were Plenvu and magnesium citrate last time.
I almost had to go to hospital because of how severe the dumping syndrome was.
I swore off colonoscopies for the rest of my life.
Due to extreme weight loss and constant diarrhea, I’m faced with having to do another colonoscopy.
This time I’m going to try the MiraLAX mixed with a sugar free drink. Do you think this might help prevent the dumping syndrome? Is the dumping syndrome from the sugary prep in the past or the the volume of drinking? Thank you!
The sugar is a big driver. I hope this goes better. Please update how it works.
Thank you, I appreciate the response!
Prep went well, no dumping thank God! Not enough info out there about p/o bariatric patient prep for colonoscopies. Miralax is the way to go plus low sugar Gatorade. Thanks again!
@@claudsdale that’s great it went well. Thanks for the great question.
What is dumping syndrome?
Currently gagging drinking this nulytely. Only half way to go!
Hope you finished strong and have a good exam and enjoy the meal after.
@@MarkCooperMD just finished the colonoscopy and had some chicfila! No crohns which is a huge relief, got some biopsies done and I’ll get the results in a week or two they said.
I can't believe that every doctor on You Tube talking about the "prep" totally IGNORES the worst part of the whole thing and it kinda ticks me off.
apparently you read the comments and that says alot about you as a professional. I am 73 never had a polyp or family history of colon cancer. I would prefer to do the cologard. Does that sound wise ?
I think it depends on your goals and what your comfortable taking as a good test. Please check out my video on this topic. Spoiler I recommend a FIT test over cologuard for those choosing non invasive screening.
Thanks for watching.
Mag citrate made me so sick, I was up all night and was so weak, I couldn’t walk on the day of. Never again.
Thanks to cooper I got a clean pooper 🎉
Thanks, that’s high praise in my line of work.
I was instructed to drink water and 12 sutabs around 6am and be NPO by 8am. Check in time is 1pm just 5 hrs. Is that long enough to be NPO?
NPO times vary. 2 hrs is usually enough. Longer times are needed for patients with diabetes who may have delayed stomach emptying and those who take certain medications (such as Wegovy and similar).
@@MarkCooperMD I'm a diabetic and will take a 2 day prep. My main concern is I've been on Ozempic 9 months 0.5mg injection per week. And I'm terrified of aspirating because they really don't know how long stomach contents take to empty out even with long NPO times. Worried about aspirating. They're going to give me propofol and they refuse unsedated colonoscopies.
Asked MD about Sutab pill prep....he said they do not work well enough??? Do you concur ?? Thanks
They work if you’re not constipated at baseline. It’s important you drink copious amounts of water per instructions.
@@MarkCooperMD Thanks!
Why does it taste so bad. Theres got to be someway to make it taste better or not taste like anything.
After mine I was talking with a coworker about how bad it was.
He said it was not that bad.
He chugged the medicine straight down then drank all the water.
I cannot imagine how foul one of those bottles was much less two
What prep was this?
What doesn't make sense is giving the same amount of prep to people of all sizes. How can you give a person who weighs 100lbs and eats little the same amount of prep as person who weighs 250lbs and eats huge meals. How can you expect them to drink the same amount?
Their colon tend to be pretty similar in length. I’d estimate most people are only 10 cm give or take from the “norm.” The colon just lays differently to pack it all in the abdomen.
We do vary prep amount based on regularity of stool.