Question: What should I expect during colonoscopy prep with a colostomy, and how can I manage nighttime output?

Answer: Based on the forum discussions, here are some general tips and advice for managing colonoscopy prep with a colostomy:

- Bowel Prep: The process is similar to pre-ostomy colonoscopies. You will need to follow the prescribed prep solution to ensure the bowel is clear.
- Output Management: Use a drainable ostomy pouch during the prep to handle the increased liquid output. This will allow you to empty the pouch frequently without needing to change it entirely.
- Timing and Duration: Output typically begins soon after consuming the prep solution and continues until the bowel is clear. Staying near a bathroom is advisable.
- Nighttime Concerns: To manage nighttime output, consider using a high-capacity drainable pouch or connecting the pouch to a bedside collection bag to minimize disruptions.
- Appliance Changes: Bring a complete spare set of ostomy supplies to the procedure in case a change is needed.
- Diet Adjustments: Light eating or a low-residue diet a few days before the prep can make the process easier.
- Comfort and Positioning: Practicing with your appliance and finding a comfortable position can help manage back pain or discomfort during frequent emptying.

These tips should help you manage the prep process more comfortably and effectively.

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