Tips to make colonoscopy bowel prep easier

ROCHESTER, Minnesota — For many people, one of the most uncomfortable parts of a colonoscopy is the preparation for the procedure.

The purpose of a colonoscopy is to examine the colon and rectum for abnormalities such as polyps, tumors or inflammation, aiding in the detection and prevention of colorectal cancer. To do that, it's important your medical team has a clear view.

Dr. Derek Ebner, a Mayo Clinic gastroenterologist in Rochester, Minnesota, offers tips on how to make colonoscopy bowel prep — essentially a strong laxative — easier.

"The entire spirit of doing the colonoscopy prep is to make sure that there is nothing in the colon," Dr. Ebner says.

That's so your medical team can detect and remove polyps or lesions.

"We frequently hear that the colon preparation can be a challenge," he says.

Review your prep guidelines one to two weeks before your procedure for any special instructions. You may be encouraged to make small changes in your diet starting a week before the procedure.

Often, the day before the colonoscopy is when you'll start the bowel prep solution. Dr. Ebner says this is where people may struggle.

"There are a couple of tricks. Cooling the solution and drinking it through a straw can often be helpful. Others like to have a small lime or lemon wedge that they just bite into after doing some of the solution," Dr. Ebner says.

Chewing gum between sips of the solution may also help. He says taking the solution is often spread out over two days, and that can help, too.

"Half of the volume is done the day before the procedure, the other half is done the day of the procedure. That helps make it a lot more tolerable. And, in fact, we get a better cleanout by doing that splitting," he says.

Dr. Ebner says some adnominal cramping, bloating, discomfort or nausea during the bowel preparation is normal.

"For those that do have nausea, slowing down how fast you're consuming the fluid can oftentimes be really helpful," he says.

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