Question: How should I prepare for a colonoscopy with a colostomy?

Answer: Based on discussions from the MeetAnOstoMate Discussion Forum, here is a summary of advice and insights on preparing for a colonoscopy if you have a colostomy:

1. **Preparation Process:**
- The preparation for a colonoscopy with a colostomy is similar to a traditional colonoscopy. It typically involves drinking a cleansing liquid to clear the bowel.
- It's important to follow the doctor's instructions regarding the prep solution, which may include options like MoviPrep, Half-Lytely, or Go-Lytely. If these cause discomfort, discuss alternatives with your healthcare provider.

2. **Dietary Adjustments:**
- Begin a low-residue diet a couple of days before the prep to reduce the amount of output.
- Switch to clear liquids approximately 24 hours before the procedure. Avoid fluids with red or purple coloring.

3. **Managing the Stoma:**
- Use a larger, drainable ostomy bag during the prep. Consider ordering an extra-large capacity bag with a spout for easier drainage.
- Bring spare stoma supplies to the procedure, including a new appliance, wipes, and a spare wafer and pouch.
- Using a two-piece system can make the process easier, as the pouch can be removed and replaced without disturbing the wafer.

4. **Hydration and Comfort:**
- Stay hydrated by drinking plenty of clear liquids like water, green tea, and chicken broth. This helps maintain electrolyte balance and prevent dehydration.
- Consider mixing the prep solution with lemon-flavored crystal light to make it more palatable.

5. **During the Procedure:**
- The colonoscopy is generally quick and not painful due to sedation. It is often performed through the stoma if you have a "Barbie butt" (closure of the rectum and anus).
- Bring an extra ostomy bag to the procedure in case the doctor needs to replace the one currently in use.

6. **Post-Procedure:**
- Recovery from sedation is typically straightforward, allowing you to go home and eat normally shortly after the procedure.
- Allow time for any bloating to subside before reapplying the bag to avoid issues like leakage.

7. **Communication with Medical Staff:**
- Clarify with your doctor where the scope will be inserted and if any special prep is required for that area.
- Ensure the medical team is aware of your specific condition and the need to preserve the existing pouch.

If you have specific concerns or need personalized advice, consider posting your question in the MeetAnOstoMate Discussion Forum for additional support and insights from others with similar experiences. Always consult with your healthcare provider for medical advice tailored to your situation.

Check out these links for more information:

← Back to all questions

Create Account
Currently Online: 58  
↑