This topic is about preparing for a colonoscopy and ileoscopy when you have an ileostomy. The person in question has been living with a temporary ileostomy for six months due to Crohn’s disease and needs these procedures because of ongoing inflammation. The usual oral bowel preparations are challenging with an ileostomy, so the medical team has recommended using enemas instead. However, the person is curious if this is necessary and seeks advice from others who have been in similar situations.

Here are some helpful insights and advice shared by others:

1. It's important to confirm the preparation requirements with your endoscopist. Many people emphasize the importance of discussing directly with your doctor to ensure the prep is adequate. Inadequate preparation could lead to the procedure being canceled and having to go through the process again.

2. The standard preparation that most people recommend includes:
- Staying on a clear liquid diet for 24 hours. This means no red dye, but broths, clear juices, and gelatin are okay.
- Avoiding any food or drink after midnight or 12 hours before the procedure.
- Since an ileostomy typically empties the small bowel every 12 hours, this preparation usually leaves the colon clear enough.

3. Regarding enema use:
- Generally, one Fleet or saline enema right before the procedure is enough to clear the distal bowel. Many experienced patients feel that using five enemas is excessive.

4. About oral purge solutions:
- GoLightly, a PEG solution, is often considered very unpleasant, and most people with an ostomy try to avoid it.
- Some doctors suggest alternative methods, such as clear liquids combined with two glasses of a phosphate solution like Fleet Phospho-soda, along with Dulcolax tablets.

5. A key point repeated by many is that with an ileostomy, the lower colon and rectum receive little to no stool. Therefore, intensive cleansing is rarely needed, and a clear liquid diet plus a minimal enema is generally sufficient.