Prep suggestions?

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helen098
Posts: 2005
Joined: Sun Jul 01, 2007 2:07 pm
Location: Forest Hills New York

Prep suggestions?

Postby helen098 » Mon Jun 03, 2019 9:29 am

It has been three years since my last colonoscopy
I have a new doc at NYU
My other colon doc the best doc on the world
Retired

I have done the pills a few times
But last time I almost threw up
And I think it’s time for a different prep

What is the new best prep?
stage 3A surgery 6/6/6 finished chemo jan 07
11 5FU/12 Levcouorin/10oxaliplatim
port removed jun 07
anal fistula surgery oct 05 may 07 feb 08 sep 08 jun 09

Kbelo
Posts: 18
Joined: Tue Aug 07, 2018 8:19 am

Re: Prep suggestions?

Postby Kbelo » Mon Jun 03, 2019 3:30 pm

I just had a colonoscopy last week (blessedly normal!) and used Pico Salax. I found it to be as effective (perhaps better) as the BiPeg Lyte I used last year. I will be using Pico Salax going forward. You only drink 2 sachets of the solution in 150 mls of water (with Bi-peg Lyte I had to drink 2 litres of awful tasting stuff). The oweness is on you with Pico to drink lots of clear fluids, including a lot of electrolyte based drinks like Gatorade, but at least you can choose what you are drinking.

Good luck to you!
Stage 3B CC - diagnosed at 40
Bowel resection May 2018
28 nodes removed 1 with cancer traces
FOLFIRINOX started July 2018 for 6 months, finished Jan 2019.
1/19 - CT Scan shows NED
2/19 - CT Scan shows NED
5/19 - CT Scan shows NED
8/19 - CT scan + MRI show NED

KimT
Posts: 668
Joined: Sat Feb 20, 2010 8:53 pm

Re: Prep suggestions?

Postby KimT » Mon Jun 03, 2019 8:55 pm

I always do the miralax prep. It’s the least horrible imo. You have to drink a half gallon of Gatorade but at least I can pick a good flavor and it doesn’t cramp me up.
2/10 dx colon cancer
right hemicolectomy 3/19/10
Stage 2a 0/43 nodes
Lynch syndrome
3/14/10 colon resection/ removal of metal clips
Nov 11 dx ovarian cancer

NHMike
Posts: 2197
Joined: Fri Jul 21, 2017 3:43 am

Re: Prep suggestions?

Postby NHMike » Mon Jun 03, 2019 9:05 pm

I just follow the directions from the hospital
6/17: ER rectal bleeding; Colonoscopy
7/17: 3B rectal. T3N1bM0. 5.2 4.5 4.3 cm. Lymphs: 6 x 4 mm, 8 x 6, 5 x 5
7/17-9/17: Xeloda radiation
7/5: CEA 2.7; 8/16: 1.9; 11/30: 0.6; 12/20 1.4; 1/10 1.8; 1/31 2.2; 2/28 2.6; 4/10 2.8; 5/1 2.8; 5/29 3.2; 7/13 4.5; 8/9 2.8, 2/12 1.2
MSS, KRAS G12D
10/17: 2.7 2.2 1.6 cm (-90%). Lymphs: 3 x 3 mm (-62.5%), 4 x 3 (-75%), 5 x 3 (-40%). 5.1 CM from AV
10/17: LAR, Temp Ileostomy, Path Complete Response
CapeOx (8) 12/17-6/18
7/18: Reversal, Port Removal
2/19: Clean CT

NedPlease
Posts: 545
Joined: Fri Mar 23, 2012 3:56 pm

Re: Prep suggestions?

Postby NedPlease » Mon Jun 03, 2019 9:21 pm

Miralax/Ducolax prep- instructions easily found on Internet. Rather than Gatorade, I drink Smart Water. Gummie bears (only the yellow and white) and broth get me through without hunger. Easing up on eating a few days ahead of the prep is helpful.
I’ve had many scopes since 2010 dx (don’t even dread them anymore) and this has always worked for me and yielded an “excellent prep” report from my doc. I’m also a fan of the split dose where half is done the night before and rest early morning but requires a midday-ish scope appt. This info can be googled.

Good luck,
N
F-54- St 4- Ascend Colon, 2 Liver mets, Poorly dif, Mutant
6/10- Folfox
9/10- R Liver Resect/Colon/Gall/Appendix
11/10-3/11- Folfox
11/11- R Lung, 1 met, VATS
3/12- 9/12- Xeloda
2/12- 6/18 Clear Scans
6/19- first time no scan
Today- NED

User avatar
Green Tea
Posts: 202
Joined: Mon Oct 24, 2016 10:48 am
Location: Nusa Tenggara

Re: Prep suggestions?

Postby Green Tea » Tue Jun 04, 2019 12:14 am

Here are links to some prep solutions from the University of Michigan Hospital web site:

• PEG/Electrolyte colonoscopy prep
http://www.med.umich.edu/1libr/MPU/UMHS_Colonoscopy_PEG_EL_Prep.pdf
• 2-day colonoscopy prep
http://www.med.umich.edu/1libr/MPU/UMHS_Colonoscopy_PEG_EL_2_Day_Prep.pdf
• Miralax/Gatorade colonoscopy prep
http://www.med.umich.edu/1libr/MPU/UMHS_Colonoscopy_Miralax_Gatorade_Prep.pdf
• MoviPrep colonoscopy prep
http://www.med.umich.edu/1libr/MPU/UMHS_Colonoscopy_MoviPrep.pdf
• Prepopik colonoscopy prep
http://www.med.umich.edu/1libr/MPU/UMHS_Colonoscopy_Prepopik.pdf
• Suprep
http://www.med.umich.edu/1libr/MPU/UMHS_Colonoscopy_Suprep.pdf
• OsmoPrep
http://www.med.umich.edu/1libr/MPU/UMHS_Colonoscopy_OsmoPrep.pdf
• 8-liter colonoscopy prep
http://www.med.umich.edu/1libr/MPU/UMHS_Colonoscopy_8L_PEG_EL_Prep.pdf

And the link below contains additional infomation about colonoscopy preparation procedures, including links to videos, as well as a link to all of their colonoscopy prep solutions.
Source: http://careguides.med.umich.edu/medical-procedures-unit

Utwo
Posts: 255
Joined: Mon May 23, 2016 10:14 am
Location: T.O.

Re: Prep suggestions?

Postby Utwo » Tue Jun 04, 2019 6:47 am

NedPlease wrote:Miralax/Ducolax prep- instructions easily found on Internet. Rather than Gatorade, I drink Smart Water.
Apparently peoples' favorite Ducolax+Miralax+Gatorade is getting a "Tasters Choice" award. :)

Once I even prepared a spreadsheet to compare tonicity of PegLyte and Miralax+Gatorade.
I found that Miralax+Gatorade was not a perfect substitution for PegLyte (and other similar compositions).
However it tasted so good! :)

Are you sure that Smart Water is a good substitution for Gatorade?
Once I briefly studied a list of ingredients on a Smart Water bottle and got a perception that (unlike Gatorade) it was mostly water with very minimal additional electrolytes.
58 yo male at diagnosis: T1bN0M0, 0/15 nodes, low grade/moderately differentiated adenocarcinoma
03/2016 colonoscopy #1: 2 small polyps removed in left colon; CEA = 1.3
04/2016 colonoscopy #2: caecum sessile 3.5 cm polyp piecemeal removed with kind of clear margins
05/2016 "prophylactic" laparoscopic right hemicolectomy - bleeding, leak, infection
06/2017 CT scan, colonoscopy OK; CEA = 1.6
A lot of funny stuff discovered by CT scans in liver, kidney, lungs, arteries, gallbladder and a lymph node

NedPlease
Posts: 545
Joined: Fri Mar 23, 2012 3:56 pm

Re: Prep suggestions?

Postby NedPlease » Tue Jun 04, 2019 9:44 pm

Utwo,
I can’t argue your research but a little Gatorade (or any flavored drink) goes a long way with me so drinking mostly Smart Water has allowed me to drink the necessary amount of liquid and then some. Gatorade only leads to some vomiting. If you like Gatorade, then that’s probably the way to go. I look forward to your recipe details:)

Happy prepping,
N
F-54- St 4- Ascend Colon, 2 Liver mets, Poorly dif, Mutant
6/10- Folfox
9/10- R Liver Resect/Colon/Gall/Appendix
11/10-3/11- Folfox
11/11- R Lung, 1 met, VATS
3/12- 9/12- Xeloda
2/12- 6/18 Clear Scans
6/19- first time no scan
Today- NED

Utwo
Posts: 255
Joined: Mon May 23, 2016 10:14 am
Location: T.O.

Re: Prep suggestions?

Postby Utwo » Tue Jun 04, 2019 10:08 pm

NedPlease wrote:Utwo, I look forward to your recipe details :)
You can find several slightly different versions of Miralax+Gatorade prep on the Internet.
I do not believe that one is significantly better than the others.
58 yo male at diagnosis: T1bN0M0, 0/15 nodes, low grade/moderately differentiated adenocarcinoma
03/2016 colonoscopy #1: 2 small polyps removed in left colon; CEA = 1.3
04/2016 colonoscopy #2: caecum sessile 3.5 cm polyp piecemeal removed with kind of clear margins
05/2016 "prophylactic" laparoscopic right hemicolectomy - bleeding, leak, infection
06/2017 CT scan, colonoscopy OK; CEA = 1.6
A lot of funny stuff discovered by CT scans in liver, kidney, lungs, arteries, gallbladder and a lymph node

User avatar
Green Tea
Posts: 202
Joined: Mon Oct 24, 2016 10:48 am
Location: Nusa Tenggara

Re: Prep suggestions?

Postby Green Tea » Wed Jun 05, 2019 12:37 am

Utwo wrote:...You can find several slightly different versions of Miralax+Gatorade prep on the Internet.
I do not believe that one is significantly better than the others.

Here is one version of Miralax+Gatorade prep, with very elaborate instructions:
http://www.med.umich.edu/1libr/MPU/UMHS_Colonoscopy_Miralax_Gatorade_Prep.pdf

helen098
Posts: 2005
Joined: Sun Jul 01, 2007 2:07 pm
Location: Forest Hills New York

Re: Prep suggestions?

Postby helen098 » Wed Jun 05, 2019 8:19 pm

Thanks for the reply’s

Unless the doc gives me a strong argument for
Another prep I thing the Miralax is the way to go
stage 3A surgery 6/6/6 finished chemo jan 07
11 5FU/12 Levcouorin/10oxaliplatim
port removed jun 07
anal fistula surgery oct 05 may 07 feb 08 sep 08 jun 09

User avatar
CRguy
Posts: 9969
Joined: Sun Feb 10, 2008 6:00 pm

Re: Prep suggestions?

Postby CRguy » Sat Jun 08, 2019 12:47 pm

A bit late here Helen,
BUTT I've always had just the PicoSalax (Prepopik) until last scope 2016
where the Doc changed the timing and added Dulcolax the first morning.

Never had any issues with cleanout :shock:

Cheers
CRguy
Caregiver x 4
Stage IV A rectal cancer/lung met
12 Year survivor
my life is an ongoing totally randomized UNcontrolled experiment with N=1 !
Review of my Journey so far

NHMike
Posts: 2197
Joined: Fri Jul 21, 2017 3:43 am

Re: Prep suggestions?

Postby NHMike » Sun Jun 09, 2019 6:41 pm

Just finished the first half of the prep for colonoscopy tomorrow afternoon. I suspect that I'm fairly well cleaned out as I haven't eaten since last night and didn't really have much yesterday overall. Dulcolax at 2 PM, then 1/2 Miralax 8.3 ounce bottle and bottle of Gatorade from 5-6 PM.

One thing about clustering - you get used to sitting on the toilet a lot - it's good practice for colonoscopies.
6/17: ER rectal bleeding; Colonoscopy
7/17: 3B rectal. T3N1bM0. 5.2 4.5 4.3 cm. Lymphs: 6 x 4 mm, 8 x 6, 5 x 5
7/17-9/17: Xeloda radiation
7/5: CEA 2.7; 8/16: 1.9; 11/30: 0.6; 12/20 1.4; 1/10 1.8; 1/31 2.2; 2/28 2.6; 4/10 2.8; 5/1 2.8; 5/29 3.2; 7/13 4.5; 8/9 2.8, 2/12 1.2
MSS, KRAS G12D
10/17: 2.7 2.2 1.6 cm (-90%). Lymphs: 3 x 3 mm (-62.5%), 4 x 3 (-75%), 5 x 3 (-40%). 5.1 CM from AV
10/17: LAR, Temp Ileostomy, Path Complete Response
CapeOx (8) 12/17-6/18
7/18: Reversal, Port Removal
2/19: Clean CT


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