The topic is about preparing for a first colonoscopy that will be done through a stoma. Understandably, this can be a nerve-wracking experience, especially when thinking about the 24-hour preparation period. Here are some helpful tips and insights to make the process smoother:

1. Sedation options:
- It's a good idea to ask the endoscopy team beforehand about the availability of light or full sedation. This can help make the procedure more comfortable if you're feeling anxious.
- If you decide to go with sedation, remember to arrange for someone to drive you home afterward.
- Some people only receive sedation when both an upper (EGD) and lower scope are done together, often referred to as a "two-for-one."

2. Going without sedation:
- Many people with ostomies have had the scope through an ileostomy or colostomy without sedation. They often describe it as painless, with only slight discomfort when gas is introduced.
- Due to scar tissue, the scope usually doesn't go further than about 24 inches, making the exam shorter and easier than a standard colonoscopy.

3. Side effects of sedation:
- Be aware that sedation can lead to a "brain fog" that might last from a few hours to a couple of days. Keep this in mind when making your decision.

4. Extra resources:
- Consider searching the forum for previous discussions on this topic. One member shared their detailed experience, including their thoughts on sedation, which might be helpful.