The topic is about having a colonoscopy done through both the stoma and the rectum during the same appointment. People are sharing their experiences and advice on how to handle this procedure, especially concerning the preparation process.

Here are some helpful insights and advice from those who have been through it:

1. Procedure Method:
- Many have had the scope inserted through the stoma only, while some have experienced it through both the stoma and rectum, but never simultaneously.
- One person mentioned that having both routes used was not a big deal, and they were given Entonox (gas & air) for comfort.

2. Sedation Options:
- Choices range from no anesthesia to using Entonox or even full general anesthesia.
- Opting for no anesthesia allows for a quicker discharge, while those who had general anesthesia reported waking up without pain.

3. Prep Expectations & Management:
- Modern preparation might involve taking pills instead of drinking large volumes of liquid.
- After taking the prep, expect watery output in bursts, not continuously.
- The output can be sudden and forceful, so keep extra pouches, wipes, and towels handy, and stay near a bathroom.
- Plan your timing to get to the hospital soon after finishing the prep to reduce the risk of leakage.

4. General Reassurance:
- Many people found the dual-route colonoscopy and the preparation process to be manageable and not as intimidating as they initially thought.
- The key is having the right supplies and staying close to a toilet.