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The day before the colonoscopy (or colorectal surgery), the patient is either given a laxative preparation (such as bisacodyl, phospho soda, sodium picosulfate, or sodium phosphate and/or magnesium citrate) and large quantities of fluid, or whole bowel irrigation is performed using a solution of polyethylene glycol and electrolytes.
However, the prep for a colonoscopy is another story. You may need to drink a lot of fluids, spend quite a bit of time in the bathroom and temporarily change your diet.
Macrogol came into use as a bowel prep in 1980 and was approved for medical use in the United States in 1999. [ 10 ] [ 11 ] [ 12 ] It is available as a generic medication and over the counter . [ 3 ] [ 13 ] In 2022, it was the 209th most commonly prescribed medication in the United States, with more than 1 million prescriptions.
Here's how to prepare for the screening and what happens during the procedure.
When Phospho soda is used as preparation for colonoscopy, 1.5 fluid ounces (45ml), mixed with an equal amount of water or any clear liquid and followed by 8 oz of water, is taken, followed by a second dose 6 hours later (3 oz total). It will cause very loose, eventually watery stools, usually starting within an hour or so and lasting several hours.
"Today when I do the actual prep, rather than drinking the yucky stuff in one 2-3 hour go, my [doctor] has recommended I start late morning and drink a couple of glasses then wait an hour or two ...
Orally administered sodium picosulfate is generally used for thorough evacuation of the bowel, usually for patients who are preparing to undergo a colonoscopy. It takes 12–24 hours to work, since it works in the colon. [3] Abdominal cramps and diarrhea are normal effects of picosulfate and should be expected.
Melissa Gilbert shared her colonoscopy prep detailing past IBS struggles with the solution. She shared how she approaches the procedure to avoid distress.