My prep took a while to work. It was the gallon prep and drank it in 10 - 15 minute intervals. I started at 5:00pm (my procedure was in the afternoon). It took a few hours before it started working. I noticed even after going 10 times that it still wasn’t clear. A couple more hours and maybe 5 more trips to the bathroom it was still cloudy. No stool just cloudy yellow liquid. Since I suffer from constipation at time I decided to take some mag citrate as well. By this time it’s around midnight (12 hours before my procedure). I finally had clearer results at 1:00am. Went to bed. Used the restroom a couple times during the night. Still not completely clear. Finally around 10:00 am the morning of I was having completely clear liquid bowel movements. Next time I would probably start a day before the prep with some laxatives because of my constipation issues. Because I was definitely barely able to complete the procedure. My doctor said I did a great job and I was so happy to be done! Hopefully this helps someone out there!
Really helpful...particularly with specifying very clear signs/thresholds for successful prep. I was surprised that it matters so much to have very clear vs. nearly clear 'output'. Thanks for this video.
Great info to have. Especially if you are one of those patients who are concerned that it won't work! Tyvm! Saving this video for my upcoming colonostomy Dec 6th 2024
I have to say I was stunned when you talked about calling your doctor and waking them late at night... in this day and age of big health care - good luck getting any human on the phone. I called my office at 3pm after having no affect after the first dose at 1pm, but I did have extreme bloating and stomach pain. It is now 9pm and still nothing after the 2nd dose and still no return call from my doctors office. No idea what to do now
i was just thinking this as a public patient in Australia i have never ever been able to speak to a doctor on the phone regarding a colonoscopy problem- ever !!!
Iam in horrible cancer pain but my family dr insisted on a colonoscopy. My chemo nerve damage is unbearable even at max dose of gabapentin. My osteoperosis is hurting worse after zometa. I had breast cancer and it spread to my spine. The family doctor said if I dont do the colon check I could die from colon cancer. Well Iam already dying for gods sake. Iam 69 yrs old. I wonder why bother worrying about a colon cancer when breast cancer is already going to kill me. What turnip truck did my family dr fall off of. Iam almost 70. Good lord. I hope I can manage it, but my cancer pain feels too painful to go do that. Its hard just walking in my house. 😮
I think it's ok to tell your doctor that you are respectfully declining their medical advice on this issue. Your comfort and mental health are important. I'm very sorry for what you're going through.
Prep worked but gave me bad headaches each time I drank the prep. Also I get migraines from carbs so all ingested was bone broth and was extremely hungry. Overall it was a horrible experience.
Going in for mine tomorrow morning. Listen - Call the number on your prep sheet and ask if it's ok (given your circumstances) to take fewer Dulcolax tablets. Most everyone I've asked mentioned ~8/10 or extreme stomach cramping after taking 4 Dulcolax tabs (20mg Bisacodyl) When I asked, the nurse told me it was perfectly fine to take 3 or even 2 of these tablets, provided I've been diligent with the rest of the prep requirements. As long as you get the OK from someone in your gastro dept to do this, please save yourself some of the struggle and be sure to drink a lot of water even prior to chugging the 4L of prep solution. Best of luck y'all!
Thank you for the informative video. I was wondering if it is okay to mix miralax with hot liquids, such as green tea or clear chicken broth? I have gastroparesis and have noticed that it is easier to tolerate larger volume of liquids if they are hot, rather than cold. I wasn't sure if temperature of a liquid will affect the absorbtion. Thank you very much.
Your right, enemas do suck. But if you are a patient like me just trying to get a diagnosis of why I can't poop or pass gas for the past 8 months or longer... Then a person is to the point that they are begging for an enema to work and begging to get a colonoscopy. I am looking so forward to drinking the nasty prep just to get relief for the first time in a long time. 🤷♀️
I was told by my VA nurse to start in the morning day prior and day of and the color is still brownish yellow! Im a big man and have been fasting for 2 days! My procedure is at 1300. This sux!
I drink apple juice with the other stuff. I start a week before and try to cute thing out. I cut drink apple juice it goes right through me. So it the best thing to drink for a colonoscopy.
I am about doing the prep because I wonder if I will clean out in time for the Colonoscopy. I was on the diarrhea side and now I'm in the constipated end. And If I'm either way I am not comfortable. Getting this Colonoscopy I don't believe I will come out of it alive.
My prep was the Golytely, because that's the only one Medicare would pay for. My dr gave some of the same helpful hints as Dr Gandolfo and it made a huge difference. After the 4 dulcolax, I started the prep, which had been refrigerated all day. It seemed to mitigate the brutal salty taste some. Then I used a straw, placing it back in my mouth to try to keep that junk off of my tongue, and took small but rapid sips and when I got the rhythm going by using my tongue, was able to take 20-30 sips without a problem. Was still nasty, but much less so than the last time I used it.
I had a colonoscopy last Friday. I used the Golytely prep. It was awful and I won't use it again. I have to go back in 5 years and I'm making sure I do the prep this dr recommends. I love Gatorade, so that should not be a problem.
I did the prep started off with the 2 pills of Ducolax 4 hours later was working fast but threw up right until the morning of the procedure. Nausea and throwing up acid for a week after nausea continued. I hadn’t eaten much prior due to some family news. Maybe this is why. However bad experience and still need to get this done. HELP ANY Advice? thank you 🙏
@@precisionGIInsurance and the cost of the prep can play a huge part in the choice, too. Our insurance wouldn’t pay for the pills. There is a coupon out to help with the cost of the pills, but at this time, no pharmacies have been able to get the coupon to be honored. I don't understand the process behind manufacture coupons, but apparently whoever is in charge of honoring the different drug coupons is not in service. It’s not just for one drug, one manufacturer, or one pharmacy, either. All of the different pharmacies that we contacted told us that they have not been able to get any of the manufacturer's coupons to work for the past couple of weeks. The pills would cost $200-ish. With the coupon, I think the patient's cost was going to be $50-ish. Since the insurance wouldn’t cover them, I have no idea what the copay would be for someone who’s insurance did cover the pills. While the pill option sounds great, paying $200 for them is a…uhm…hard pill to swallow.
I have only used the pills for my past 2 colonoscopy and they worked great. This time I'm told my insurance will not cover it and they want over$200 for the tablets! So I'm praying I can drink the liquid ($0) without throwing up, as I've always had a strong gag reflex.
I have never had a colonoscopy before at age 35 but I have chronic constipation issues and I have had to use Dulcolax as well as restoralax on the same day. I find that if I start getting severe cramping from the Dulcolax after my system lets loose, I sit in a warm bath and gently rock my hips to get my stomach moving a little bit. Using the doctor Ho pain patches on my abdomen also really helps. Good luck
@@proud2bktsmama It's a powder that you mix with water. It comes in 2 part dose. First dose is supposed to be mango, the 2nd fruit punch. Most disgusting prep I've ever had.
Don't start the prep before the day of....Start to take the prep 2 days before the op. Mix miralax with liquids 2 days before. Take durolax 2 days before. Don't wait 24 hours, start 2 days before. Another doctor vid said to take 4 ducolax at one time.
I have gastroparesis …. The prep doesn’t ever seem to work fully and even doing it a day early didn’t work in time for my colonoscopy. Any suggestions?
Help! I just don’t drink a lot, never have and I have a colonoscopy next month so this is going to be brutal. Was going to take the pills, but I also know I will gag on them and I have a very sensitive stomach and people get sick from them. Am I better off doing the Dulcolax and MiraLAX Because I know I won’t be able to drink that mix and now I’m worried about the pills. I’m not normally a baby. I’ve been through a lot medically in my life, but this is just something I know is going to be a huge struggle.
@chloenkitty I mentioned it in a comment today, sort by newest firt - Call the number on your prep sheet and ask if you can take fewer Dulcolax tablets to lessen the cramping. It's not going to be fun either way, but you can save yourself some pain so long as you clear it with someone at your gastro center first.
hope you doing okay! how was the process?? Share how did it go i am a fellow emetophobia person i hate feeling nauseous which i experience very much everyday
My advice .. and I’m a total hypochondriac. .. so I thought it’d never work and or they’d find something awful. For me I thought it took a bit to kick in. I kept looking at the clock. I’d say.. don’t do that. Just do what you might normally do. Aside from eating obviously. I just mindlessly played a game on my iPad. Took my mind off it, and before I knew it… bam. And what they never mention ..l because it’s not about the prep itself, but the pre-work they do before the procedure, set you up with that IV line so they can also push the knock out drugs. (Mine used propofol … and omg love the stuff.) but before that, they couldn’t find a vein. Two techs tried. Failed. I got nervous thinking this whole thing would be a bust and I’d have to do it again, I freaked out,, and then I needed oxygen just to settle down. Everything turned out fine and a third one got the vein. She was a nurse who was an absolute expert, got calmed down .. wheeled me in.. I was done in what felt like a flash, they yanked 7 polyps.. all less than 2mm. Because of the number .. instead of 10 years to return.. it’s 7. My prep was the myralax plus 2 dulcalax pills. Lime Gatorade. I didn’t mind it at all
Here's how constipated I am: My doctor prescribed an extended bowel prep. I did Miralax for 5 days. Today I took FOUR Dulcolax pills plus another swig of Miralax. The result: A series of normal bowel movements, all solid, nothing close to diarrhea. My colonoscopy is tomorrow. I think we'll have to reschedule it until we figure this out. The doctor told me to start the Dulcolax at 3 PM, and it's now 8 PM. It's too late to do anything about it.
@@joannajamerson35 I'm sorry you're having trouble. Depending on your colonoscopy appointment, the prep may be working against your normal bodily rhythms. I normally go to the bathroom in the late morning, an hour or two after breakfast and coffee. No matter how many laxatives I take, I can't make myself go to the bathroom at 8 PM! And as I feared, after going through all that, my colonoscopy appointment was canceled due to bowel prep failure.
you want people make prep that taste good i dont care how long you put that crap in the frig it still taste like shit you wouldnt think it would be that hard to make something to taste better
Check out my gastro podcast! realgidoc.start.page/
everyone everyone should watch this.
Dr. Gandolfo is very clear on all points for colonoscopy prep.
no pun intended 😅
My prep took a while to work. It was the gallon prep and drank it in 10 - 15 minute intervals. I started at 5:00pm (my procedure was in the afternoon). It took a few hours before it started working. I noticed even after going 10 times that it still wasn’t clear. A couple more hours and maybe 5 more trips to the bathroom it was still cloudy. No stool just cloudy yellow liquid. Since I suffer from constipation at time I decided to take some mag citrate as well. By this time it’s around midnight (12 hours before my procedure). I finally had clearer results at 1:00am. Went to bed. Used the restroom a couple times during the night. Still not completely clear. Finally around 10:00 am the morning of I was having completely clear liquid bowel movements. Next time I would probably start a day before the prep with some laxatives because of my constipation issues. Because I was definitely barely able to complete the procedure. My doctor said I did a great job and I was so happy to be done! Hopefully this helps someone out there!
Really helpful...particularly with specifying very clear signs/thresholds for successful prep. I was surprised that it matters so much to have very clear vs. nearly clear 'output'. Thanks for this video.
Glad it was helpful!
Great info to have. Especially if you are one of those patients who are concerned that it won't work! Tyvm! Saving this video for my upcoming colonostomy Dec 6th 2024
Thank you so much for the advice it has really helped me.
Glad it helped!
I have to say I was stunned when you talked about calling your doctor and waking them late at night... in this day and age of big health care - good luck getting any human on the phone. I called my office at 3pm after having no affect after the first dose at 1pm, but I did have extreme bloating and stomach pain. It is now 9pm and still nothing after the 2nd dose and still no return call from my doctors office. No idea what to do now
i was just thinking this as a public patient in Australia i have never ever been able to speak to a doctor on the phone regarding a colonoscopy problem- ever !!!
100% right
Iam in horrible cancer pain but my family dr insisted on a colonoscopy. My chemo nerve damage is unbearable even at max dose of gabapentin. My osteoperosis is hurting worse after zometa. I had breast cancer and it spread to my spine. The family doctor said if I dont do the colon check I could die from colon cancer. Well Iam already dying for gods sake. Iam 69 yrs old. I wonder why bother worrying about a colon cancer when breast cancer is already going to kill me. What turnip truck did my family dr fall off of. Iam almost 70. Good lord. I hope I can manage it, but my cancer pain feels too painful to go do that. Its hard just walking in my house. 😮
I think it's ok to tell your doctor that you are respectfully declining their medical advice on this issue. Your comfort and mental health are important. I'm very sorry for what you're going through.
🫂
Prep worked but gave me bad headaches each time I drank the prep. Also I get migraines from carbs so all ingested was bone broth and was extremely hungry. Overall it was a horrible experience.
Sorry to hear that!
What if you get a headache during the fasting part of the prep? Can you take meds for your headache?
Going in for mine tomorrow morning. Listen -
Call the number on your prep sheet and ask if it's ok (given your circumstances) to take fewer Dulcolax tablets.
Most everyone I've asked mentioned ~8/10 or extreme stomach cramping after taking 4 Dulcolax tabs (20mg Bisacodyl)
When I asked, the nurse told me it was perfectly fine to take 3 or even 2 of these tablets, provided I've been diligent with the rest of the prep requirements.
As long as you get the OK from someone in your gastro dept to do this, please save yourself some of the struggle and be sure to drink a lot of water even prior to chugging the 4L of prep solution.
Best of luck y'all!
I have to start mine a week ahead.
I have been impacted for 3 years and I'm suffering
I feel ya. I don't know if I am impacted or have something more serious going on. But it's total hell!
Thank you for the informative video. I was wondering if it is okay to mix miralax with hot liquids, such as green tea or clear chicken broth? I have gastroparesis and have noticed that it is easier to tolerate larger volume of liquids if they are hot, rather than cold. I wasn't sure if temperature of a liquid will affect the absorbtion. Thank you very much.
Your right, enemas do suck. But if you are a patient like me just trying to get a diagnosis of why I can't poop or pass gas for the past 8 months or longer... Then a person is to the point that they are begging for an enema to work and begging to get a colonoscopy. I am looking so forward to drinking the nasty prep just to get relief for the first time in a long time. 🤷♀️
I was told by my VA nurse to start in the morning day prior and day of and the color is still brownish yellow! Im a big man and have been fasting for 2 days! My procedure is at 1300. This sux!
Do they put you to sleep during?
I added. Crystal light. Tea flavor
I drink apple juice with the other stuff. I start a week before and try to cute thing out. I cut drink apple juice it goes right through me. So it the best thing to drink for a colonoscopy.
What about severe cramping stabbing sharp pains? I still did the prep but wow. It was the vomiting that cancelled it. 😢
Thank you for all of the tips!
I had a colonoscopy done in 2018. I did the prep. And it did not work until 4 hours before I had to get the test done.
I am about doing the prep because I wonder if I will clean out in time for the Colonoscopy. I was on the diarrhea side and now I'm in the constipated end. And If I'm either way I am not comfortable. Getting this Colonoscopy I don't believe I will come out of it alive.
On Long Island in New York
Thanks for the video I was wondering can I get colononics to clean colon a day before
My prep was the Golytely, because that's the only one Medicare would pay for. My dr gave some of the same helpful hints as Dr Gandolfo and it made a huge difference. After the 4 dulcolax, I started the prep, which had been refrigerated all day. It seemed to mitigate the brutal salty taste some. Then I used a straw, placing it back in my mouth to try to keep that junk off of my tongue, and took small but rapid sips and when I got the rhythm going by using my tongue, was able to take 20-30 sips without a problem. Was still nasty, but much less so than the last time I used it.
I had a colonoscopy last Friday. I used the Golytely prep. It was awful and I won't use it again. I have to go back in 5 years and I'm making sure I do the prep this dr recommends. I love Gatorade, so that should not be a problem.
The magnesium citrate is really cheap, like $4 per bottle at Walmart
I did the prep started off with the 2 pills of Ducolax 4 hours later was working fast but threw up right until the morning of the procedure. Nausea and throwing up acid for a week after nausea continued. I hadn’t eaten much prior due to some family news. Maybe this is why. However bad experience and still need to get this done. HELP ANY Advice? thank you 🙏
Any advantage using liquid vs the pills? Or should I ask are the pills less safe or less effective than the liquid?
They both work. It’s patient and doctor preference.
@@precisionGIInsurance and the cost of the prep can play a huge part in the choice, too. Our insurance wouldn’t pay for the pills. There is a coupon out to help with the cost of the pills, but at this time, no pharmacies have been able to get the coupon to be honored. I don't understand the process behind manufacture coupons, but apparently whoever is in charge of honoring the different drug coupons is not in service. It’s not just for one drug, one manufacturer, or one pharmacy, either. All of the different pharmacies that we contacted told us that they have not been able to get any of the manufacturer's coupons to work for the past couple of weeks. The pills would cost $200-ish. With the coupon, I think the patient's cost was going to be $50-ish. Since the insurance wouldn’t cover them, I have no idea what the copay would be for someone who’s insurance did cover the pills. While the pill option sounds great, paying $200 for them is a…uhm…hard pill to swallow.
I have only used the pills for my past 2 colonoscopy and they worked great. This time I'm told my insurance will not cover it and they want over$200 for the tablets! So I'm praying I can drink the liquid ($0) without throwing up, as I've always had a strong gag reflex.
I've done both. The pills are way better than the liquid stuff. Just drink lots of water and a laxitive if things aren't moving enough or not clear.
I loved the pills.
Fasted 2 days before followed prep to a T. stuff still coming out. Nuclear option. Epsom salt. On top of prep!
What about for the painful cramping?
Yes, or bad cramping from constipation in general. Gas X does little.
I have never had a colonoscopy before at age 35 but I have chronic constipation issues and I have had to use Dulcolax as well as restoralax on the same day. I find that if I start getting severe cramping from the Dulcolax after my system lets loose, I sit in a warm bath and gently rock my hips to get my stomach moving a little bit. Using the doctor Ho pain patches on my abdomen also really helps. Good luck
I'm a high normal pooper, and just did plenvu for my 3rd colonoscopy. It was gross, but it kicked in 45 minutes later.
What is plenvu?
@@proud2bktsmama It's a powder that you mix with water. It comes in 2 part dose. First dose is supposed to be mango, the 2nd fruit punch. Most disgusting prep I've ever had.
Sounds like the GoLytely we use in the US.
Don't start the prep before the day of....Start to take the prep 2 days before the op. Mix miralax with liquids 2 days before. Take durolax 2 days before. Don't wait 24 hours, start 2 days before. Another doctor vid said to take 4 ducolax at one time.
Do people that have had distal RNY gastric bypass need to do anything different for their colonoscopy?
I channel my college days and chug the 8 oz doses like they are a Miller pony!
Some of these preps are hard on the system. 😮
I have gastroparesis …. The prep doesn’t ever seem to work fully and even doing it a day early didn’t work in time for my colonoscopy. Any suggestions?
On LI!! 😘
Help! I just don’t drink a lot, never have and I have a colonoscopy next month so this is going to be brutal. Was going to take the pills, but I also know I will gag on them and I have a very sensitive stomach and people get sick from them. Am I better off doing the Dulcolax and MiraLAX Because I know I won’t be able to drink that mix and now I’m worried about the pills. I’m not normally a baby. I’ve been through a lot medically in my life, but this is just something I know is going to be a huge struggle.
@chloenkitty
I mentioned it in a comment today, sort by newest firt - Call the number on your prep sheet and ask if you can take fewer Dulcolax tablets to lessen the cramping. It's not going to be fun either way, but you can save yourself some pain so long as you clear it with someone at your gastro center first.
How did it go?
hope you doing okay! how was the process?? Share how did it go i am a fellow emetophobia person i hate feeling nauseous which i experience very much everyday
Put in fridge over night and use straw and chaser saved me.
Thanks
My advice .. and I’m a total hypochondriac. .. so I thought it’d never work and or they’d find something awful. For me I thought it took a bit to kick in. I kept looking at the clock. I’d say.. don’t do that. Just do what you might normally do. Aside from eating obviously. I just mindlessly played a game on my iPad. Took my mind off it, and before I knew it… bam. And what they never mention ..l because it’s not about the prep itself, but the pre-work they do before the procedure, set you up with that IV line so they can also push the knock out drugs. (Mine used propofol … and omg love the stuff.) but before that, they couldn’t find a vein. Two techs tried. Failed. I got nervous thinking this whole thing would be a bust and I’d have to do it again, I freaked out,, and then I needed oxygen just to settle down. Everything turned out fine and a third one got the vein. She was a nurse who was an absolute expert, got calmed down .. wheeled me in.. I was done in what felt like a flash, they yanked 7 polyps.. all less than 2mm. Because of the number .. instead of 10 years to return.. it’s 7. My prep was the myralax plus 2 dulcalax pills. Lime Gatorade. I didn’t mind it at all
Here's how constipated I am:
My doctor prescribed an extended bowel prep. I did Miralax for 5 days. Today I took FOUR Dulcolax pills plus another swig of Miralax. The result: A series of normal bowel movements, all solid, nothing close to diarrhea. My colonoscopy is tomorrow. I think we'll have to reschedule it until we figure this out. The doctor told me to start the Dulcolax at 3 PM, and it's now 8 PM. It's too late to do anything about it.
I'm going through this too.
I'm in so much pain
@@joannajamerson35
I'm sorry you're having trouble.
Depending on your colonoscopy appointment, the prep may be working against your normal bodily rhythms. I normally go to the bathroom in the late morning, an hour or two after breakfast and coffee. No matter how many laxatives I take, I can't make myself go to the bathroom at 8 PM!
And as I feared, after going through all that, my colonoscopy appointment was canceled due to bowel prep failure.
@stevenlitvintchouk3131 my last one too today I'm trying pill prep hopefully it works
you want people make prep that taste good i dont care how long you put that crap in the frig it still taste like shit you wouldnt think it would be that hard to make something to taste better
It is absolutely disgusting… 🤮 I’m so surprised they can’t make it taste better
I've found that the headaches, which I also get during prep, are probably due to dehydration. They aren't pleasant but they are temporary.
My prep was very salty. I don't why I drank it still
I did sutab, started 8 days before, fasted two days before…super easy. I don’t know why people find this hard.