Colonoscopy prep not working? This doctor shows you how to fix it!
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- Опубликовано: 3 мар 2024
- Dr. Fred Gandolfo, a board certified gastroenterologist, shares important tips about how to save your colonoscopy prep. The bowel prep can be tough...learn what to do when you can't drink the prep due to the bad taste, or the prep just isn't working to make you poop, or you just threw up all the prep!
0:23 Why a good clean-out is important
1:34 What to do when the prep tastes disgusting and you just can't drink it!
4:07 What to do when the prep doesn't work. You drank the prep but you're not pooping clear!
8:30 How do you know you are clean enough? What does the toilet look like?
9:45 What to do if you drank the prep and vomited. Oh no!
12:50 What to do a few hours before your colonoscopy if you're not cleaned out fully.
LINK TO THE FREE EBOOK "EVERYTHING YOU NEED TO KNOW BEFORE YOUR FIRST COLONOSCOPY"---- ebook.retroflexions.com
The ebook covers all of the above, as well as:
-what lifestyle factors can cause colon cancer and colon polyps
-what are the RISKS of colonoscopy
-what are the ALTERNATIVE TESTS to colonoscopy
-how the colonoscopy anesthesia and sedation works
-when you need to repeat a colonoscopy
-how to select a good doctor to do your colonoscopy
-how to EAT TO PREVENT COLON CANCER
-and much more!
Located in Long Island, NY? Visit Dr. Gandolfo's medical practice here precisiondigestivecare.com
Follow Dr. Gandolfo on Instagram: / frederick_gandolfo_md 
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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 😅
Thank you for all of the tips!
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 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.
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!
Thank you so much for the advice it has really helped me.
Glad it helped!
Thanks
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!
On LI!! 😘
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 !!!
What about for the painful cramping?
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.
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.
I have to start mine a week ahead.
I have been impacted for 3 years and I'm suffering
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.
Do people that have had distal RNY gastric bypass need to do anything different for their colonoscopy?
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.
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!
My prep was very salty. I don't why I drank it still
Fasted 2 days before followed prep to a T. stuff still coming out. Nuclear option. Epsom salt. On top of prep!
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.
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.
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