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May 22, 2024

Colonoscopy Prep Tips Before Reversal Surgery

This topic is about preparing for a colonoscopy before undergoing ostomy reversal surgery. The person is seeking advice on how to make the bowel preparation process more manageable, especially since they will need to do it twice in a short period.

Here are some helpful tips and insights:

1. Follow the exact preparation instructions provided by your surgical or endoscopy team. It's important to communicate with them about your ostomy, as some centers may cancel procedures if instructions aren't followed precisely.

2. The standard colonoscopy preparation usually involves taking a strong laxative the night before, followed by sedation during the procedure. You won't feel anything and will wake up once it's over.

3. A common bowel-prep formula includes Miralax, Gatorade, and Dulcolax. Drinking the mixture through a straw can make it easier to consume.

4. Staying hydrated is crucial. Drink plenty of plain water or other clear fluids in addition to the prep solution to prevent dehydration and reduce the risk of nausea or vomiting.

5. Anti-nausea medication like Zofran (ondansetron) is often prescribed by surgeons. While it works for many, be aware that it can sometimes trigger migraines or worsen nausea in some individuals.

6. For managing your ostomy appliance during prep:
- Consider using a high-capacity drainable pouch with a tap, such as a Hollister high-capacity bag. You can also use optional tubing to connect to a larger bedside bag, reducing the need to empty frequently overnight.

7. For skin protection and comfort, especially after reversal:
- Use wet wipes instead of dry toilet paper.
- Apply Desitin (zinc-oxide cream) after every bowel movement to prevent or soothe skin irritation.

8. If your preparation is for surgery rather than a colonoscopy, additional oral antibiotics may be included. Look for these instructions in your surgical paperwork.
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