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Doctor insights on: Colonoscopy Preparation Failure

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How safe is GoLytely BOWEL prep in patients with pré existing ventricular arrhythmia?

How safe is GoLytely BOWEL prep in patients with pré existing ventricular arrhythmia?

Take care: Studies show any bowel prep can lead to dehydration and electrolyte imbalances such as hypokalemia and hypomagnesmia which can lead to tachyarrythmias including torsade de pointes. Stay hydrated and prep with your cardiologists instructions. ...Read more

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Dr. Charles Cattano
2,042 doctors shared insights

Colonoscopy (Definition)

Colonoscopy is the procedure of using a long flexible camera to visualize the entire colon from the inside with the option to take pictures, video, perform biopsies, remove polyps, etc. Generally people are sedated and do ...Read more


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Does bowel prep medicines relieve severe fecal impaction prior to colonoscopy procedure night before ?

Does bowel prep medicines relieve severe fecal impaction prior to colonoscopy procedure night before ?

Possibly: Bowel preps are taken to assure that the colon is relatively clean as the scope is passed so that even small lesions in the mucosa can be visualized. Many of the preps contain polyethylene glycol which absorbs liquid into the bowel. This may help but you may need a stool softner. ...Read more

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Is golytely (polyethylene glycol) used for any medical purpose except colonoscopy prep?

Is golytely (polyethylene glycol) used for any medical purpose except colonoscopy prep?

Maybe: Some gastroenterologist use it to treat chronic constipation by dosing a glass or two per day. However, it is commercially available over the counter as mirilax or glycolax. ...Read more

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Is golytely (polyethylene glycol) fatal to pts with partial obstruction with colon perforation? (Stage 4 CRC with mets to lung)

Is golytely (polyethylene glycol) fatal to pts with partial obstruction with colon perforation?  (Stage 4 CRC with mets to lung)

No: Golytely (polyethylene glycol) is a bowel diuretic drawing fluid into the colon. If there is a patient with partial obstruction and with possible colonic performation, why would a bowel diuretic be employed that could cause a greater leak of GI fluid into the periotoneal cavaity, especially in the face of lung mets.? Laparoscopic evaluation of a possible leak may be necessary if not proven by radiologic evaluation ...Read more

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Is colonoscopy prep the same thing as colon cleansing?

Is colonoscopy prep the same thing as colon cleansing?

Mostly yes: In preparing for colonoscopy ist is necessary that the bowel be relatively clean so that small lesions can be recognized and biopsied if necessary. As such bowel prep is employed. In essence colonoscopy not performed without a prep. Colon cleansing is also a term employed to cleanse the bowel which has impacted with feces and a high colonic enema is used for cleansing. ...Read more

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Colonoscopy prep - is there a colyte (polyethylene glycol) alternative?

Colonoscopy prep - is there a colyte (polyethylene glycol) alternative?

Yes: Some use a small bottle of MiraLAX (polyethylene glycol) with 64 oz gatorade which can be supplemented by a few days of liquid diet. ...Read more

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Diagonised with rectal cancer, after ileostomy reversal, frequent bm's, abcess withleakage at the surgery site. alternatives tocolostomy ?bowel trnspl

Diagonised with rectal cancer, after ileostomy reversal, frequent bm's, abcess withleakage at the surgery site. alternatives tocolostomy ?bowel trnspl

Insert drain: Ileostomy after rectal cancer is used to protect the rectal resuturing to establish continuity in the bowel. II there is some kind of abscess and leakage it can occur where the ileostomy has been reversed or at the site of the rectal suture line which may not have been ready for closure. Interventional radiology can place a suction drain to the site and left there until everything has healed. ...Read more

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Will the colonoscopy prep trigger colitis?

Will the colonoscopy prep trigger colitis?

Some of the: Older preps could have irritated an already inflamed colon, but if your colitis is in remission, currently used preps should not cause a flair. ...Read more

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Redundant colon,candidate for elective colon resection. Linzess, miralax no help. Milk of mag or Sennokot 2-3x week helps.Use instead of surgery?

Redundant colon,candidate for elective colon resection. Linzess, miralax no help. Milk of mag or Sennokot  2-3x week helps.Use instead of surgery?

Chronic constipation: Most often, surgery is only considered as a last resort. For some people, having a bowel movement 2 to 3 times per week is normal. If you are able to achieve this using milk of magnesia, then I would not consider surgery at this time. It is always possible to have complications of surgery, and in your situation, it doesn't sound absolutely necessary. Fiber and hydration are key. Good luck. ...Read more

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Can the laxative prep for colonoscopy cause gall bladder attacks?

Can the laxative prep for colonoscopy cause gall bladder attacks?

It may: Potentially it could. More likely, though, it may cause colonic spasms, which in the right place could be difficult to tell from gall bladder attack ...Read more

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Is there any imaging test to detect colon cancer that doesn't require bowel prep? I'm symptomatic but can't do bowel prep due to heart & electrolytes

Is there any imaging test to detect colon cancer that doesn't require bowel prep? I'm symptomatic but can't do bowel prep due to heart & electrolytes

Colin ca test: You state that you are 20 years young! Whoever suggested to you that you get a colonoscopy at your age? Unless you have an inherited polyposis syndrome or some other rare disorder you would not have that done so early. If U have blood in stool it is most likely due to hemorrhoid, not to cancer. ...Read more

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Is the barium enema exam of the large intestine safe for heart patients?

Is the barium enema exam of the large intestine safe for heart patients?

Compared to what? Ca: Cancer? Any procedure or test comes with risk, so if it isn't needed, then best not to do it. However, whoever ordered the Barium enema did so for a reason & the risk-vs-benefit calculation was done based on symptoms, history, & a preliminary diagnosis. All-in-all, barium is safer than colonoscopy using Mag citrate or other laxatives that cause electrolyte problems & require sedation. Enema is OK. ...Read more

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Is colyte (polyethylene glycol) prep really needed before a laparoscopy?

Is colyte (polyethylene glycol) prep really needed before a laparoscopy?

Depends on...: Depends what the laparoscopic procedure is, also depends on your individual surgical risk profile and the comfort level of your surgeon. For example: for a tubal ligation it's probably not needed, for a retro peritoneal node dissection it is. I almost never use any bowel prep for the fertility and endometriosis surgeries i do. ...Read more

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Is there a colonoscopy prep without bisacodyl tablets?

Is there a colonoscopy prep without bisacodyl tablets?

Other options : There are many preps available. Options will vary with the endoscopist. It is best to discuss this with your doctor as he is the one who will advise you on the prep. A common option is a golytlely or CoLyte (polyethylene glycol) prep which involves consuming 4 liters of a peg solution. ...Read more

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Is colonic irrigation following bowel resection normal?

Is colonic irrigation following bowel resection normal?

Not sure: Not sure what kind of surgery you had, but colonic irrigation is not usually done after bowel surgery. You should ask your surgeon specifically what type of surgery you had and why. ...Read more