Preparing for a colonoscopy involves specific steps to ensure the procedure’s success. A thorough bowel preparation allows the gastroenterologist to clearly visualize the colon’s lining, which is important for detecting polyps or other abnormalities. If the colon is not adequately clear, the procedure may need to be repeated, making proper preparation a worthwhile effort.
The Prescribed Laxative Solution
The specific laxative solution prescribed by a healthcare provider is the most important item for colonoscopy preparation. These solutions are typically osmotic laxatives, which draw a large volume of water into the colon. This action creates watery bowel movements that clean the digestive tract for examination. Common types include polyethylene glycol (PEG)-based preparations like GoLYTELY, NuLYTELY, and MiraLAX, often mixed with a sports drink. Other options include Suprep, Plenvu, Clenpiq, Sutab, or OsmoPrep.
Patients should strictly follow their doctor’s instructions regarding the exact solution and its consumption schedule. Many protocols involve “split dosing,” where half the solution is consumed the evening before the procedure and the remaining half several hours prior to the appointment. To make the solution more palatable, chilling it in the refrigerator beforehand and drinking it through a straw can be helpful. Some individuals find it beneficial to add clear, light-colored flavorings, such as lemon or ginger, to mask the taste, while avoiding any red or purple additives that could interfere with the procedure.
Clear Liquid Diet Provisions
Adhering to a clear liquid diet is an essential part of colonoscopy preparation, typically starting the day before the procedure. This diet provides hydration and some energy without leaving solid residue, ensuring optimal visibility during the examination. The liquids allowed are those that are transparent and can be seen through.
A shopping list for this phase should include a variety of clear beverages and items.
- Plain water and ice chips.
- Clear broths, such as chicken, beef, or vegetable bouillon.
- Clear sodas like Sprite, 7-Up, or ginger ale.
- Light-colored sports drinks (avoiding red or purple dyes).
- Fruit juices without pulp, such as apple, white grape, or clear lemonade.
- Clear gelatin (yellow or green varieties are preferred, avoiding red or purple).
- Popsicles without fruit pieces or creamy textures.
- Plain, clear hard candies.
- Black coffee and tea (without milk, cream, or non-dairy creamers).
It is important to avoid:
- Liquids with red, blue, or purple dyes, as these can mimic blood and obscure visibility.
- Opaque liquids like milk, cream, or juices with pulp.
- Alcoholic beverages.
Comfort and Hygiene Necessities
Beyond the prescribed solution and dietary items, several non-food purchases can enhance comfort and hygiene during the colonoscopy prep process. The laxative action will lead to frequent bowel movements, making bathroom comfort a priority. Soft toilet paper is advisable to minimize irritation, and flushable wet wipes can provide a more thorough and gentle cleaning than dry toilet paper alone.
To prevent skin irritation from frequent wiping, purchasing a protective barrier cream such as diaper rash cream or petroleum jelly is recommended. Applying this before significant bowel movements begin can create a protective layer. During the prep, wearing comfortable, loose-fitting clothing is practical, as it allows for easy access to the bathroom and promotes overall relaxation. Since much time will be spent near a restroom, having entertainment readily available, such as books, a tablet, or a phone charger, can help pass the time more pleasantly.