Reaction to prep; colonoscopy cancelled

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mbeezie
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Reaction to prep; colonoscopy cancelled

Post by mbeezie »

Hi Everyone,

Has anyone ever reacted to bowel prep soultions, other than the normal bloating nausea etc.? I was scheduled to have a colonoscopy today and when I drank the first 8 oz. of MoviPrep I got tachycardia and a headache within 15 minutes. I called my GI and he said I was just anxious (seriously, if he was next to me I would have decked him - grrrr :mad: ). He told me to wait an hour and take some more. It took about an hour for my tachy to resolve, so I didn't take anymore. Lucky me, I drank enough to give me bad diarrhea, even now.

I have done bowel prep solutions before, without problem, but that was before I got sick/pre-flu shot. I read that reaction to polyethylene glycol is rare . . .guess I am just super sensitive. The only other thing I thought of was maybe fluid/electrolytes were off a bit. Not sure - any thoughts would be appreciated.

Mary Beth
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barbaranoela
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Post by barbaranoela »

hi MaryBeth----my girlfriend !!!PASSES OUT!!!!!! when she does that prep--

Soooo---they are trying to come up with a better way for her to get ready for the *BIG DAY*--which I think they should come up with a better way for all of us~~~~

That is the most horrid prep to go thru----

To add when I did that prep--including the laxatives U take --even after finishing and waiting an HOUR to go--I had to stuff a suppository to START the FLOW!!!! Figure that out---

I said NO more for me----

Wish I could add some solutions to your Question~~~~

Stay well--
Barbara
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MaggieRedwings
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Post by MaggieRedwings »

Morning Mary Beth,

I too had my heart start racing but then again I have a heart condition and that probably just assisted the speed up. It is without a doubt the most horrid concoction they ever dreamed up. My husband's doc just prescribed the 4 oz treatment without laxatives and it went fine. Go figure!

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tex
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Post by tex »

Every prep solution gave me major nausea, but I never noticed any tachycardia from any of them. If I were in your shoes, though, I would have done the same thing. They'll always tell you to go ahead, at any cost, because they don't want to have to re-arrange their precious schedule. :roll:

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Post by Dee »

There is a young woman at the campground, that works for a GI north of us who was telling me that the GI uses MiraLax & gatorade as the prep now for all colonoscopies.
I will see here this weekend and try ro get the dosage and all info.



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mbeezie
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Post by mbeezie »

Thanks everyone,

I am thinking I might be able to tolerate a few smaller doses of a milder laxative sans the PEG, clear liquid diet, and then follow up with a saline suppository. I am also thinking a sigmoidoscopy might be enough - I only want to know about MC, no need to go digging around further. We'll see what he says - he's hasn't called me back - probably pissed that I cancelled. I, on the other hand, am glad I now have a free day . . . hmm, maybe a pedicure or some other indulgence. :wink:

Mary Beth
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Post by tex »

Mary Beth,

Dr. Fine recommends a sigmoidoscopy, because it is less likely to cause splitting of the epithelia of the colon, (due to the additional insufflation of air necessary for colonoscopy exams, to say nothing of the reduced risk of perforations), making a sigmoidoscopy a safer procedure. However, (and this is a big however), he knows enough about this disease that he can visually identify the areas where micro-inflammation is occurring, and take biopsy samples accordingly, (they are typically a slightly darker shade of pink, when compared with the light pink background of a normal, healthy colon). Most GI docs are not going to be able to tell where to take the samples, and since the inflamed areas are present in scattered "patches", most GI docs are stuck with the "luck of the draw", and are thereby more prone to missing the areas of inflammation. MC is typically more prevalent in the ascending colon, (right side, or proximal end), than in the descending and Sigmoid colon, (distal end), and therefore way out of reach of an exam with a Sigmoidoscope. The inflamed areas are still likely to be in the form of scattered patches, in the right side colon, but the patches will be more numerous, raising the probability that the samples may be taken from "productive" areas, if a naive GI doc is doing the sampling, (especially if he is stingy with the number of samples).

That said, many, many cases of MC are diagnosed by means of a sigmoidoscope. A colonoscope simple improves the odds of avoiding a false negative exam report. How much improvement, depends, of course, on the luck of the draw, and how widespread the inflammation is, in the first place.

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Post by mbeezie »

Thanks Tex,

I do remember Dr. Fine talking about sigmoidoscopy vs. colonoscopy. He actually also talked about developing a milder prep - let's hope that happens. I was not aware that more patches of MC were proximal than distal.

I am now thinking about not rescheduling right away. My last colonscopy was 4 years ago and eveything was normal (no biopsies were taken since I wasn't symptomatic, but no polyps or other abnormalities) and had endo in Novemebr and also normal. When I scheduled the colonoscopy back in April I was still very symptomatic and really wanted to know what was wrong with me - hadn't found the Potty People yet. I was GF/CF but not SF. Now I am clearly responding to diet and no longer have a burning need to have a name for what I have . . .I suspect with the colonoscopy the diagnosis will either be MC or IBS, but what I am doing won't change. I don't think my GI will have any magic tricks up his sleeve that I don't already know about. So correct me if my thinking is way off, but what would be the point of putting myself through that if I am responding to the diet, other than bumping up the "official" MC statistics?

Mary Beth
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tex
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Post by tex »

Well, it's always good to have an official diagnosis, just in case someone disputes your claim, but frankly, no doctor has ever questioned my claim that I am gluten sensitive, (or sensitive to anything else, for that matter), so hospital procedures have not been a problem. If Dr. Fasano ever gets his zonulin-suppressing pills on the market, and you should want a prescription for them, you might need a diagnosis, (unless you are have an exceptional doctor). Frankly, I'm not convinced that such an approach to controling GS symptoms is completely sound, in the first place, but I'm guessing that many, many celiacs will line up to try it, since most people would vastly prefer popping a pill, over watching their diet. I view the treatment as more of an insurance policy, when traveling, or eating out, rather than as a daily program, but I suppose we'll see how it fares, when it hits the drug store shelves.

Otherwise, as you say, "what's the point". I believe that someday, the evidence from the Enterolab test results will be accepted as factual, in the mainstream medical community, but of course, that day is still a ways off. :roll: I've been GF for almost 8 years now, and absolutely no one, has ever asked to see any diagnostic evidence, when I told them that I was gluten sensitive. I've even told some doctors that I'm not sure if I have MC, or I'm "just" a celiac - all I know is that I'm as sensitive to gluten as any celiac alive, and I had to remove a bunch of other foods from my diet before I was able to achieve remission, and they've never questioned that, either. If someone ever does dispute it, I'll probably insist on chowing down on a big plate of pasta, followed by a big slice of cake, sweet roll, or whatever, and then sitting in their office until the proof "presents" itself. :lol:

Seriously, it's never been a problem for me, but as always, YMMV.

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Post by JLH »

I had a sigmoidoscopy for my biopsies. (I had my first colonoscopy some months previous.) I called my GI's office and said I was going to become a recluse because of the D, so she scheduled the biopsies. I "only" had to do 2 Fleet enemas. It really wasn't bad at all. Still, I wish she'd done the biopsies at the same time as the colonoscopy.
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Post by mbeezie »

Joan,

Thanks - good to know. If I decide to do it that is what I will request.

Mary Beth
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Post by Gloria »

Like Joan, I had a sigmoidoscopy for my biopsies, too, even though I'd already had a colonoscopy as part of the diagnostic procedures.

The sigmoidoscopy prep was much easier than the colonoscopy prep. Two enemas, like Joan, no solution to drink.

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Post by JoAnn »

Hi Dee and others, my GI office also has quit using the preps and totally uses the Miralax and gatorade. I used this for my colonoscopy last Aug. and it was a much better experience than using those preps. My husband also used this and agreed it was much better and cheaper. JoAnn
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Post by starfire »

The last time my husband had a colonoscopy they had him use the gatorade route and he ended up throwing up. I know I would because I can tolerate the preps better than gatorade. The stuff makes me feel ill just from a little, much less in large quantities. Funny how we are all so different.

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Post by Polly »

Some comments:

I have never been able to drink more than 1/3 of the swamp-water cleanout juice (Go-Litely). I start gagging after a while and that's it! Fortunately, that was enough both times. I am not a very big person (5'5 and 118 lbs.) so I'm guessing that the full gallon is for a 300 lb. man.

MB - why was the colonoscopy scheduled? Was it for proof of MC? (IBS wouldn't be diagnosed this way - it would be based on excluding the IBDs and other causes of diarrhea). Proof might be necessary so that you would know that (scientifically) you need to stay on a restricted diet. My GI recommends every 5 years for me, but that is because I have a family history of colon cancer and I have had polyps both times before.

Actually, there is one possible benefit of the cleanout procedure, according to Dr. Fine. It can mechanically wash out lots of antibodies to gluten and other foods. It is not uncommon for people to improve after the cleanout for this reason. In fact, at one point Dr. Fine was developing a mild cleanout regimen (using magnesium salts I believe) that could be used on a regular basis at home.

Love,

Polly
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