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Colonoscopy Guide: When to Prep & Making It More Bearable

Despite being the second most common  cancer in the US, colorectal cancer can be prevented. At least one-third of deaths linked to colon cancer may be avoided in those 45 years of age or older with routine tests. Even though most individuals don’t look forward to their routine colonoscopy, you may reduce your anxiety by learning when to get ready and how to make it more tolerable.

When to Begin Colonoscopy Prep

You will need to begin preparing for your colonoscopy up to 1 week prior to your procedure.

  1. One week before the exam: No Fiber supplements, Vitamins, Iron, Vitamin E, Aspirin or blood thinners. 
  2. Three days before your colonoscopy: Begin a low-fiber diet three days prior to your colonoscopy, and stop the use of fiber supplements or anti-diarrheal medication. Non-Steroidal Anti-Inflammatory Drugs (NSAIDS), including aspirin, ibuprofen, and naproxen, should be stopped prior.
  3. Two days before your colonoscopy: Maintain a diet of only low-fiber foods for the two days leading up to the procedure.
  4. On the day before the procedure: Transition to a clear-liquid diet, NO solid foods.

Clear liquids include water, apple juice, tea, coffee without cream white grape juice, Sprite, 7-Up, Ginger Ale, lemon-lime, lemonade, chicken broth, Jell-o, Gatorade, Powerade, Vitamin Water, Crystal Lite

doctor checking colonoscopy machine.
  1. The evening before your colonoscopy: Consume the prescribed laxative drink to thoroughly cleanse your colon in preparation for the procedure. (If doing a split prep you may have to drink half now and the remainder in the morning)
  2. The morning of your colonoscopy (if doing a split prep): Complete the remaining portion the following morning. Do not wear any lotion or jewelry.

Click here for the colonoscopy preparation instructions.

How to Make Your Colonoscopy More Bearable

Talk With Your Doctor

First and foremost, talk with your doctor to learn what you can anticipate before, during, and after your procedure. Having a clear understanding of the process can enhance your sense of security and alleviate any concerns you may have regarding your colonoscopy. Ask about the available options for preparation solutions and seek guidance on their proper usage to guarantee that you are fully prepared ahead of your procedure.

Eat Lighter Meals Prior to Prep Day

In the days leading up to your preparation day, adjust your usual meal routine. Opt for a substantial breakfast, followed by a light lunch, and a small dinner in the days preceding your colonoscopy. This approach can contribute to a more comfortable experience on the prep day.

Your Prep Method

Your physician may offer a selection between a prescription solution or an over-the-counter product such as Miralax.

There’s the possibility of following a split dose regimen. In this scenario, you would take half of the preparation solution the night before and the remaining half 5 to 6 hours prior to the procedure.

To improve the taste, consider mixing the prep solution with a sugar-free and low-calorie drink like Crystal Light to make it taste better and easier to swallow.

Preparing for Your Liquid Diet

Prepare by having a supply of clear liquids such as broth, strained chicken soup, Gatorade, and jello in advance of your prep day.

Steer clear of all liquids with red food coloring.

Make a point to stay well-hydrated by consuming plenty of water. This is essential, especially as the prep solution takes effect.

Stay at Home for Prep Day

Do not plan to attend school or work on the day of your colonoscopy prep. The last thing you want is to find yourself rushing (and we do mean rushing) to the bathroom every half hour or even more frequently. It is strongly recommended to spend the day in the privacy and comfort of your own home.

Keep Your Mind Busy

Distract yourself from the discomfort by watching movies or reading a book. Involving yourself in activities you find enjoyable will help time pass more smoothly and alleviate any nervousness. Consider inviting a friend over or keeping your significant other nearby for support and distraction.

Moist Wipes Are a Good Idea

Your bum will thank you! Other items to soothe the area include vaseline and barrier creams (zinc oxide, Desitin, A&D ointment)

Take Comfort in Knowing the Worst Is Over

The actual colonoscopy procedure is pain free and a breeze compared to the prep.

In most cases, you can get back to your usual routine the following day. However, in certain circumstances your doctor may alter your activities/diet (such as if a large polyp has been removed).

Seek the necessary medical care for your well-being and reach out to Colorectal Wellness Center at (770) 325-2275 to schedule your colon cancer screening in Atlanta.