This topic is about preparing for a colonoscopy when you have a loop ileostomy. The person sharing their experience had a previous colonoscopy that wasn't successful because there was still some stool left in the bowel. For the next attempt, the medical team has a plan:

- They will follow a standard clear-liquid diet the day before the procedure.
- The patient will arrive at the hospital two hours early so that the staff can administer GoLytely through the second opening of the loop ileostomy.

The person is concerned because the ostomy nurse isn't familiar with this specific situation and needs guidance on the preparation protocol. This has led to worries about:

- How common it is to administer GoLytely through a stoma in a hospital setting.
- Safety concerns, particularly the risk of dehydration.
- Whether there are better or more typical alternatives, especially since the person cannot use rectal enemas due to an internal perforation.

The person trusts their gastroenterologist but is looking for reassurance and practical advice from others who have been through similar experiences.

Here are some helpful insights and advice from others:

- The method of administering GoLytely through a loop ileostomy in a hospital is not commonly discussed, but its rarity doesn't necessarily mean it's inappropriate.

- If GoLytely needs to be taken orally, you can request the orange flavor, which some people find more palatable.

- Consider using pill-based bowel preps to avoid GoLytely. Suprep, often misspelled as "SurePrep," comes in tablets or a solution and can replace the gallon drink. Coupons are available at Walgreens to help with the cost. SUTAB, also known as "Sue SUB tabs," requires drinking only glasses of water between doses and has been effective for those who can't tolerate GoLytely.

- Use extra-large capacity ostomy pouches during the prep to handle the increased liquid output. Manufacturers often provide a few large-bag samples for free upon request.

- Although the planned approach is uncommon, it might be suitable for cases with significant retained stool. Being under clinical supervision should help reduce the risk of dehydration.