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Colonoscopy prep not working? This doctor shows you how to fix it!
Рет қаралды 20,424
Күн бұрынDr. Fred Gandolfo, a board certified gastroenterologist, shares important tips about how to save your colonoscopy prep. The bowel prep can be tough...learn what to do when you can't drink the prep due to the bad taste, or the prep just isn't working to make you poop, or you just threw up all the prep!
0:23 Why a good clean-out is important
1:34 What to do when the prep tastes disgusting and you just can't drink it!
4:07 What to do when the prep doesn't work. You drank the prep but you're not pooping clear!
8:30 How do you know you are clean enough? What does the toilet look like?
9:45 What to do if you drank the prep and vomited. Oh no!
12:50 What to do a few hours before your colonoscopy if you're not cleaned out fully.
LINK TO THE FREE EBOOK "EVERYTHING YOU NEED TO KNOW BEFORE YOUR FIRST COLONOSCOPY"---- ebook.retrofle...
The ebook covers all of the above, as well as:
-what lifestyle factors can cause colon cancer and colon polyps
-what are the RISKS of colonoscopy
-what are the ALTERNATIVE TESTS to colonoscopy
-how the colonoscopy anesthesia and sedation works
-when you need to repeat a colonoscopy
-how to select a good doctor to do your colonoscopy
-how to EAT TO PREVENT COLON CANCER
-and much more!
Located in Long Island, NY? Visit Dr. Gandolfo's medical practice here precisiondiges...
Follow Dr. Gandolfo on Instagram: / frederick_gandolfo_md
@precisionGI 3 ай бұрын
Check out my gastro podcast! realgidoc.start.page/
@terrilreece8045 21 күн бұрын
My prep took a while to work. It was the gallon prep and drank it in 10 - 15 minute intervals. I started at 5:00pm (my procedure was in the afternoon). It took a few hours before it started working. I noticed even after going 10 times that it still wasn’t clear. A couple more hours and maybe 5 more trips to the bathroom it was still cloudy. No stool just cloudy yellow liquid. Since I suffer from constipation at time I decided to take some mag citrate as well. By this time it’s around midnight (12 hours before my procedure). I finally had clearer results at 1:00am. Went to bed. Used the restroom a couple times during the night. Still not completely clear. Finally around 10:00 am the morning of I was having completely clear liquid bowel movements. Next time I would probably start a day before the prep with some laxatives because of my constipation issues. Because I was definitely barely able to complete the procedure. My doctor said I did a great job and I was so happy to be done! Hopefully this helps someone out there!
@ycheerio 5 ай бұрын
everyone everyone should watch this. Dr. Gandolfo is very clear on all points for colonoscopy prep.
@precisionGI 4 ай бұрын
no pun intended 😅
@pnhnut 3 ай бұрын
I have to say I was stunned when you talked about calling your doctor and waking them late at night... in this day and age of big health care - good luck getting any human on the phone. I called my office at 3pm after having no affect after the first dose at 1pm, but I did have extreme bloating and stomach pain. It is now 9pm and still nothing after the 2nd dose and still no return call from my doctors office. No idea what to do now
@mandykitson7039 2 ай бұрын
i was just thinking this as a public patient in Australia i have never ever been able to speak to a doctor on the phone regarding a colonoscopy problem- ever !!!
@JP-vs1ys 4 ай бұрын
Really helpful...particularly with specifying very clear signs/thresholds for successful prep. I was surprised that it matters so much to have very clear vs. nearly clear 'output'. Thanks for this video.
@precisionGI 4 ай бұрын
Glad it was helpful!
@pohocker 2 ай бұрын
My prep was the Golytely, because that's the only one Medicare would pay for. My dr gave some of the same helpful hints as Dr Gandolfo and it made a huge difference. After the 4 dulcolax, I started the prep, which had been refrigerated all day. It seemed to mitigate the brutal salty taste some. Then I used a straw, placing it back in my mouth to try to keep that junk off of my tongue, and took small but rapid sips and when I got the rhythm going by using my tongue, was able to take 20-30 sips without a problem. Was still nasty, but much less so than the last time I used it.
@DonnaBrew Ай бұрын
I had a colonoscopy last Friday. I used the Golytely prep. It was awful and I won't use it again. I have to go back in 5 years and I'm making sure I do the prep this dr recommends. I love Gatorade, so that should not be a problem.
@sarafinn1464 Ай бұрын
The magnesium citrate is really cheap, like $4 per bottle at Walmart
@dedompler 3 ай бұрын
Going in for mine tomorrow morning. Listen - Call the number on your prep sheet and ask if it's ok (given your circumstances) to take fewer Dulcolax tablets. Most everyone I've asked mentioned ~8/10 or extreme stomach cramping after taking 4 Dulcolax tabs (20mg Bisacodyl) When I asked, the nurse told me it was perfectly fine to take 3 or even 2 of these tablets, provided I've been diligent with the rest of the prep requirements. As long as you get the OK from someone in your gastro dept to do this, please save yourself some of the struggle and be sure to drink a lot of water even prior to chugging the 4L of prep solution. Best of luck y'all!
@joannajamerson35 2 ай бұрын
I have to start mine a week ahead. I have been impacted for 3 years and I'm suffering
@lyn9432 4 ай бұрын
Thank you so much for the advice it has really helped me.
@precisionGI 4 ай бұрын
Glad it helped!
@stevenlitvintchouk3131 3 ай бұрын
Here's how constipated I am: My doctor prescribed an extended bowel prep. I did Miralax for 5 days. Today I took FOUR Dulcolax pills plus another swig of Miralax. The result: A series of normal bowel movements, all solid, nothing close to diarrhea. My colonoscopy is tomorrow. I think we'll have to reschedule it until we figure this out. The doctor told me to start the Dulcolax at 3 PM, and it's now 8 PM. It's too late to do anything about it.
@joannajamerson35 2 ай бұрын
I'm going through this too. I'm in so much pain
@stevenlitvintchouk3131 2 ай бұрын
@@joannajamerson35 I'm sorry you're having trouble. Depending on your colonoscopy appointment, the prep may be working against your normal bodily rhythms. I normally go to the bathroom in the late morning, an hour or two after breakfast and coffee. No matter how many laxatives I take, I can't make myself go to the bathroom at 8 PM! And as I feared, after going through all that, my colonoscopy appointment was canceled due to bowel prep failure.
@elizabethbest6992 Ай бұрын
I've found that the headaches, which I also get during prep, are probably due to dehydration. They aren't pleasant but they are temporary.
@jackielowman7268 2 ай бұрын
Thank you for all of the tips!
@tinablizard6670 5 ай бұрын
Prep worked but gave me bad headaches each time I drank the prep. Also I get migraines from carbs so all ingested was bone broth and was extremely hungry. Overall it was a horrible experience.
@precisionGI 5 ай бұрын
Sorry to hear that!
@patriciamiller5989 Ай бұрын
I added. Crystal light. Tea flavor
@katyaandreeva1313 4 ай бұрын
Thank you for the informative video. I was wondering if it is okay to mix miralax with hot liquids, such as green tea or clear chicken broth? I have gastroparesis and have noticed that it is easier to tolerate larger volume of liquids if they are hot, rather than cold. I wasn't sure if temperature of a liquid will affect the absorbtion. Thank you very much.
@elizabethbest6992 Ай бұрын
I'm a high normal pooper, and just did plenvu for my 3rd colonoscopy. It was gross, but it kicked in 45 minutes later.
@user-ir9bn6xw5s 3 ай бұрын
I drink apple juice with the other stuff. I start a week before and try to cute thing out. I cut drink apple juice it goes right through me. So it the best thing to drink for a colonoscopy.
@joannajamerson35 2 ай бұрын
What about for the painful cramping?
@jennifercline6866 26 күн бұрын
Yes, or bad cramping from constipation in general. Gas X does little.
@4seasonsTrucker 20 күн бұрын
I was told by my VA nurse to start in the morning day prior and day of and the color is still brownish yellow! Im a big man and have been fasting for 2 days! My procedure is at 1300. This sux!
@maureenmacdonald5259 Ай бұрын
On LI!! 😘
@gaurd3 3 ай бұрын
Fasted 2 days before followed prep to a T. stuff still coming out. Nuclear option. Epsom salt. On top of prep!
@daphnezeller5407 Ай бұрын
I had a colonoscopy done in 2018. I did the prep. And it did not work until 4 hours before I had to get the test done.
@travellerviajero1 5 ай бұрын
Any advantage using liquid vs the pills? Or should I ask are the pills less safe or less effective than the liquid?
@precisionGI 5 ай бұрын
They both work. It’s patient and doctor preference.
@CrankyPantss 5 ай бұрын
@@precisionGIInsurance and the cost of the prep can play a huge part in the choice, too. Our insurance wouldn’t pay for the pills. There is a coupon out to help with the cost of the pills, but at this time, no pharmacies have been able to get the coupon to be honored. I don't understand the process behind manufacture coupons, but apparently whoever is in charge of honoring the different drug coupons is not in service. It’s not just for one drug, one manufacturer, or one pharmacy, either. All of the different pharmacies that we contacted told us that they have not been able to get any of the manufacturer's coupons to work for the past couple of weeks. The pills would cost $200-ish. With the coupon, I think the patient's cost was going to be $50-ish. Since the insurance wouldn’t cover them, I have no idea what the copay would be for someone who’s insurance did cover the pills. While the pill option sounds great, paying $200 for them is a…uhm…hard pill to swallow.
@Christyi 3 ай бұрын
I have only used the pills for my past 2 colonoscopy and they worked great. This time I'm told my insurance will not cover it and they want over$200 for the tablets! So I'm praying I can drink the liquid ($0) without throwing up, as I've always had a strong gag reflex.
@jadedandcynical-sc9ri 2 ай бұрын
I've done both. The pills are way better than the liquid stuff. Just drink lots of water and a laxitive if things aren't moving enough or not clear.
@TheYvensADarilusPodcast 3 ай бұрын
My prep was very salty. I don't why I drank it still
@PatriciaMacartney-yt2yl 2 ай бұрын
Thanks
@chloenkitty 4 ай бұрын
Help! I just don’t drink a lot, never have and I have a colonoscopy next month so this is going to be brutal. Was going to take the pills, but I also know I will gag on them and I have a very sensitive stomach and people get sick from them. Am I better off doing the Dulcolax and MiraLAX Because I know I won’t be able to drink that mix and now I’m worried about the pills. I’m not normally a baby. I’ve been through a lot medically in my life, but this is just something I know is going to be a huge struggle.
@dedompler 3 ай бұрын
@chloenkitty I mentioned it in a comment today, sort by newest firt - Call the number on your prep sheet and ask if you can take fewer Dulcolax tablets to lessen the cramping. It's not going to be fun either way, but you can save yourself some pain so long as you clear it with someone at your gastro center first.
@rhoadestraveled 2 ай бұрын
Do people that have had distal RNY gastric bypass need to do anything different for their colonoscopy?
@user-zt1rv5ye5e 2 ай бұрын
you want people make prep that taste good i dont care how long you put that crap in the frig it still taste like shit you wouldnt think it would be that hard to make something to taste better
@christinet6336 2 ай бұрын
It is absolutely disgusting… 🤮 I’m so surprised they can’t make it taste better
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