Preparing for your colonoscopy

Beginning at age 45, all adults should have a colon cancer screening and a follow-up screening every ten years after the first one. It’s important not to delay. One test can make a big difference for your health. For more information, talk to your doctor.

Below you can find answers to common questions you may have about preparing for your colonoscopy.

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I’ve taken the first half of my prep, but I haven’t had a bowel movement.

For many people, the first half of the bowel prep doesn’t lead to bowel movements. Some people don’t even feel an urge to move their bowels. In almost every case, the prep will eventually work as planned.

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You should keep on taking the second half of the bowel prep as it says in the directions. If your stool is not starting to clear three hours after you take the morning dose (amount of medicine) of laxative, call our office or the on-call doctor at 1-425-339-5421.

I’m nauseous and vomiting. What do I do?

The first thing to do is stop taking the bowel prep and take a break. That might mean 30 minutes or even an hour before you drink any more. After your nausea has decreased or stopped, you can start the bowel prep again, but you should drink it at a slower rate.

Sometimes, drinking too much, too quickly is too much for your system to handle. Another tip is to make sure the prep is chilled. It helps to refrigerate the liquid prep. Drinking some cold water along with the prep liquid may also help.

If you already have an anti-nausea medication at home and have done well with it in the past, you can try taking a dose. Examples might include:

• Ondansetron (Zofran)
• Promethazine (Phenergan)
• Prochlorperazine (Compazine)
• Metoclopramide (Reglan)

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If your nausea and vomiting persist, please call us to talk about your symptoms.

I accidentally took aspirin or iron.

You don’t need to cancel if you took aspirin or iron by mistake. It’s fine to take aspirin as needed and it should not cause any problems with the colonoscopy.

If you didn’t stop taking iron for the week leading up to the colonoscopy, there is a small chance that the quality of the bowel preparation may not be good. It’s hard to know if the iron will affect how well your prep will work.

If you have already started the bowel prep, it’s best to keep going with it. If you took one or two doses of iron by mistake, it shouldn’t be an issue.

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