With increased knowledge about the life-saving benefits of colonoscopies, the colonoscopy rate in the United States is steadily increasing. What is not increasing is palatability of the purgative solution for bowel preparation. Examinees agree, almost unanimously, that drinking the bowel prep solution is the worst part of the colonoscopy experience.
Yes, the volume of required prep liquid seems undrinkable and the taste is less than pleasant, but adequate bowel preparation is imperative for a successful and complete colonoscopy. Insufficient bowel preparation can cause many issues such as:
- Increased risk of complications
- Prolonging the procedure
- Insufficient visibility of the colon
- Repeat examinations
- Increased cost to patient
- Missed wages
Imagine the frustration you would feel if the first words you hear after waking up from your sedation are, “I’m sorry, but we need to repeat your colonoscopy.” Neither you nor your doctor wants this outcome, so remember this: the quality of your colonoscopy depends just as much on YOU as on your doctor (Source: Healio).
As you prepare for your colonoscopy, keep in mind that your goal is to have a clean gut so your doctor can see and remove any precancerous polyps or lesions. Here are a few guidelines to help you have a thorough and complete examination on the “big day.”
- Ask your doctor when you should have your first colonoscopy. Adults who are at average risk for colon cancer should have a baseline colonoscopy at age 50. African Americans are at increased risk and should be screened beginning at age 45. Other risk factors or a family history of colon cancer may affect your screening age, so talk to your doctor.
- Ask about your options. When your doctor says that it is time for you to schedule a colonoscopy, ask for options when it comes to the bowel prep. There are several methods for consuming the prep solution (single dose vs. split-dose) and various brands, so talk to your doctor about what regimen will work best for you. Also, ask your doctor for suggestions on how to make the prep more palatable.
- Listen well, ask questions and read directions carefully. Most likely, you will have a consultation before your colonoscopy. Listen carefully to the oral instructions your doctor gives you concerning your upcoming procedure. Feel free to take notes and ask questions. You will receive written instructions for your prep day and procedure day, so keep these instructions in a safe place.
- Get your prescription for your bowel prep solution filled several days before your procedure. Read all directions completely, and call your doctor if you have any questions about the bowel prep regimen.
Being informed and prepared will help ensure that your digestive tract is clear so your doctor can perform a complete examination of your colon. Then, you will be more likely to hear the words you do want to hear when you wake up from your colonoscopy: “See you in ten years!”