Clear liquids before colonoscopy8/12/2023 Now before anybody gets too excited, I ate a very limited and small amount of food, but it made a huge difference in the ability to tolerate the entire process. But what if I told you that I did something different but still achieved an excellent clean-out? Following this will lead to a good or excellent bowel prep in the vast majority of people. Pretty standard stuff, these are the instructions I usually give to my patients. I was given the usual instructions for split-dose bowel prep: 1) Clear liquids only the entire day prior to the procedure 2) Take the first dose of prep at 5 PM and the second dose of prep 5 hours before the procedure start time 3) Nothing to eat or drink after the second dose of prep. However, I wasn’t about to get two or three more colonoscopies just to test out all the preps, so the Suprep experience is what you get to hear about! That’s not to say that the other preps are inferior…I use them interchangeably. I choose Suprep because it is what I usually give out to patients…I’ve noticed that most people seem to complain the least about the taste of Suprep when compared to most other preps. So I scheduled a colonoscopy and requested Suprep bowel prep. I either talk to people about colonoscopies or perform them for most of my waking hours shouldn’t I also have some first-hand experience to reference for my patients? I’d also be lying if I said that I wasn’t just a little curious about the whole process too. As a gastroenterologist, I started getting into my own head and worrying that I had some rare or catastrophic disease (the availability heuristic is real!) Part of me knew that if the test was normal, I would probably feel better just with that knowledge alone. However, if results hold up, this could provide an easier experience getting ready for that test, particularly for patients with diabetes or other illnesses that make very restricted diets hard.I made a video about my prep experience! Please subscribe to my channel on YouTube for more fun stuff!įor the past year or so I have been having minor IBS-type symptoms on and off, mostly related to stress or periods of poor diet. The study was small and needs to be repeated in larger, randomized groups of patients preparing for colonoscopy. What This Means for Patientsĭoes this mean you can chow down before your next colonoscopy - or even have some creamed asparagus soup or ice cream? SOURCE: Gutkin et al., Poster #P412, ACG 2011 Scientific Meeting. Patient’s overall satisfaction scores were similar for full and clear liquid diets." "Our study demonstrates that a full liquid diet does not worsen bowel preparation, decrease the ability to detect polyps, or increase total colonoscopy time, when compared with a clear liquid diet. Strangely, even with more food choices, there was no difference in patient satisfaction. Researchers, led by Ellen Gutkin, DO at New York Hospital Queens, randomized 34 patients preparing for a colonoscopy the next day to either a traditional clear liquid diet or a full liquid diet that included milk, milkshakes, creamed soup, pudding, cream, fruit and vegetable juices, yogurt, and ice cream. One patient on a clear diet wasn't able to finish the prep - which also included 2 liters of MoviPrep. In addition, the number of patients where polyps were found wasn't different in the two diets. But are they really necessary for doctors to get a clear view of the colon?Ī small randomized study reported in a poster at the American College of Gastroenterology 2011 Annual Scientific Meeting found that a full liquid diet including milk, yogurt, pudding, fruit, and veggie juices - even ice cream - was just as good as a more restricted clear liquid diet in finding polyps.ĭoctors doing the exams didn't know which patients had clear liquids only and who got to eat a full liquid diet but rated them equally effective in satisfactorily cleansing the colon Normal preparation instructions for a colonoscopy call for clear liquids the day before the test. Share on Facebook Share on LinkedIn Share on Twitter Copy this URL Share via Email
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