Miralax colonoscopy prep? help!

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star13
Regular Member


Date Joined Jul 2009
Total Posts : 31
   Posted 7/13/2009 9:49 PM (GMT -6)   
I am 19 years old and have been having a lot of stomach issues lately so I am going in for a colonoscopy and endoscopy in two days.
I am very very scared.
I start my prep tomorrow afternoon.
The prep is miralax with gatorade.

Has anyone used this prep before?
How did you do on it?
Any tips or suggestions?


I am terrified of throwing up so that is a major concern for me.

Also today I took a lot of ibuprofen for bad cramps and I just realized I wasn't supposed to take that up to 5 day before the test, what should I do?

Anything will help. Thank you.

idea

stilltiredofit51
Regular Member


Date Joined Jun 2009
Total Posts : 26
   Posted 7/13/2009 10:27 PM (GMT -6)   
Over several years, I have had 3 colonoscopies and 1 endoscopy.  All I remember, is getting on the table and being told to turn over on my side. I was asleep for the whole procedure. It's the prep that will be rough! Mine was a different kind. Here's a suggestion...take a blanket, pillow and book to the bathroom. That will be your 'home' for a longgggg while and don't be shocked, if you are still using the bathroom the next morning. I was told to stay on clear liquids the day before the procedure. Good luck with it all.

finallyfree
Regular Member


Date Joined Aug 2008
Total Posts : 470
   Posted 7/13/2009 11:16 PM (GMT -6)   
Star13,
 
I took the miralax/gatorade prep fpr my colectomy surgery last year and it was by far the BEST prep that I have ever taken!!!!!!  There is no terrible taste lke the others, it just tastes like gatorade and your clean out won't be too bad.  You should'nt have any vomitting.
 
As far as the ibuprofen goes, I would let then know that you took it just in case they take some biopsies because you might be at risk for some bleeding.  The procedures themselves aren't bad at all, you'll be sedated and before you know it you'll wake up and it will be all over.  You might be groggy the rest of the day and pass a lot of gas but that is normal.  But following all of mine I always went out to eat and then went home and crashed for a few hours.
 
I wish you the best and be thankful that you don't have to drink the yucky preps that most GIs give to you:)
 
Judy
 
 
Judy
 
spleen/appendix/gall bladder-removed/endometriosis/complete hysterectomy at 29/sinus surgery/numerous allergies & asthma/chronic kidney stones/ pancreatitis 3x's/2 knee surgeries-now need replacement/bunion & 2 neuroma surgeries/shoulder surgery w/ pins-which also froze following surgery/severe adhesions & scar tissue-stomach to chest-liver to ribs-colon to pelvis/severe IBS w/ constipation/subtotal colectomy 7/08/ c difficile
 
Am now down from 17 meds a day to 8 and VERY healthy:)
 
There's always hope and things will get better :)


star13
Regular Member


Date Joined Jul 2009
Total Posts : 31
   Posted 7/14/2009 12:49 AM (GMT -6)   
Thank you both for the replies. I really appreciate it.


Judy,
Should I start the prep earlier than they say because I have heard that it makes you stay up all night. And how long did you wait in between each drink?

I have heard that the faster you drink it, the sicker you feel, so I was thinking about waiting 30 minutes in between each.

finallyfree
Regular Member


Date Joined Aug 2008
Total Posts : 470
   Posted 7/14/2009 6:26 AM (GMT -6)   

Star,

If you don't have constipation issues then I would start it when the dr says; but if you have constipation issues then I would start it earlier.  Just make sure that you drink enough liquids because you become dehydrated and it is hard for them to start an IV when you don't have a lot of fluids in your body so make sure you are drinking water, apple juice, etc just nothing red or purple.

I always ate a lot of ice pops, it took away the feeling of not being able to eat something-just a suggestion.

Best wishes,

Judy


 
 
Judy
 
spleen/appendix/gall bladder-removed/endometriosis/complete hysterectomy at 29/sinus surgery/numerous allergies & asthma/chronic kidney stones/ pancreatitis 3x's/2 knee surgeries-now need replacement/bunion & 2 neuroma surgeries/shoulder surgery w/ pins-which also froze following surgery/severe adhesions & scar tissue-stomach to chest-liver to ribs-colon to pelvis/severe IBS w/ constipation/subtotal colectomy 7/08/ c difficile
 
Am now down from 17 meds a day to 8 and VERY healthy:)
 
There's always hope and things will get better :)


Marsky
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Date Joined Jul 2007
Total Posts : 1956
   Posted 7/14/2009 7:37 AM (GMT -6)   
I would also suggest that if you are instructed to consume a specific amount of fluids (I'm told to drink at least 64 ounces of fluids), try to drink these before your prep begins. At least half of them. I find that once I begin the laxative prep and it starts to work, I no longer want to keep drinking. I keep a log of how many fluids I consumed as the day progresses. Sometimes I fill a large 2 quart container of tap water and drink from it. That's another way to determine if I'm getting enough fluids.

I also take an old tupperware bowl we keep for times you want a bowl by your bedside (when my kids were little this came in very handy), in case you vomit. It's nice to have sitting next to the toilet if you are experiencing bm's but also feel nauseous and feel like you may throw up. You can't stand up to vomit and the bowl is just nice to have nearby, just in case you need it.

The prep is truly the worst part about a colonoscopy. You will be given an IV when checking in and if you can tolerate a needle prick well, that's the worst part of your out patient/hospital experience. They will give you the sedatives thru your IV and the next thing you'll know is you'll wake up in the recovery room. It will all be over with. You'll sleep off and on the rest of the day.

Might I also suggest you return to eating solids slowly. I have found that if I sip water in the recovery room and for the car ride home, I do so much better than if I down a large glass of water or soda. Once they offered me a full glass of Coke. I downed it. Laid back down to try and wake up. Got dressed and then promptly got sick. The nurse told me I returned to fluids much too quickly. So now I sip plain water. Pack a water bottle and small cooler for the car ride home. Take along saltines or pretzels too, just eat a few. Not bag full or large amount. By the time I get home I bring a tall glass of iced water and more saltines to my bedside. I sleep for an hour but if I wake up, I eat another cracker and sip more water. Then I have a light lunch and by dinner time I am back to eating and drinking normally again.

You can eat in a restaurant afterwards (you need a driver) but keep in mind you will be letting out gas from the procedure (they pump in air to see turns and pockets of the colon for a clear view). You cannot control this gas like normal gas. It just erupts sometimes and is noisy (all normal after a procedure)

Although they tell me to "pig out", go out to eat, enjoy eating again, I am always so glad I never thought I could do that! Usually on the ride home, I realize it's best to head straight home and go right to bed.

You'll do fine. I've had 9 colonoscopies. I've never felt any of them.
- Rectal Cancer 4/29/99, Stage I, no treatment necessary
(5 hour colon resection: 90% sigmoid removed, 15 inches of colon removed, gall bladder removed, temporary colostomy, reversed 8 weeks later)
- Chronic IBS/D symptoms, multiple bm's, on low residue diet
- Takes Colace 50 mg each evening

Post Edited (Marsky) : 7/14/2009 6:41:24 AM (GMT-6)


star13
Regular Member


Date Joined Jul 2009
Total Posts : 31
   Posted 7/14/2009 1:29 PM (GMT -6)   
Thank you all. I am a lot less nervous now.
I start my prep in a few hours and I have done a bit of research on the miralax and most everyone has had a good experience.

Thank you again,
Take care.

Wenhamhome
New Member


Date Joined Jul 2009
Total Posts : 1
   Posted 7/19/2009 9:01 PM (GMT -6)   
Miralax is definitely better tasting than anything else I have had for other colonoscopies.

However it took over six hours before I had my first bowel movement. Then it was fast and furious, unfortunately twice I didn't make it to the bathroom in time so then I moved into the bathroom.

I wish the dr. had told me to eat lightly the day before the prep. I didn't overeat, but I did eat normally and it was too much. So next time I will just eat low residue foods and I think that I will feel much better.

lutheran
Regular Member


Date Joined Feb 2006
Total Posts : 22
   Posted 7/24/2009 7:58 AM (GMT -6)   
I am getting a colonoscopy today at 2:30pm. I did the Halflyte prep and I am concerned that it didn't work out all that well. I had to drink half last night and half this morning between 6 and 7 am. I am done and my last bowel movement was all water but still not clear like it should be. It was still brownish liquid. I only had liquids yesterday and jello.

The reason I am going is because due to heart disease I started a vegetarian diet and I have lost almost 30 lbs since Feb 4th. I started having bathroom issues a month after starting the diet..hard stools , blood etc.. I can't imagine why as I ate a ton of fiber every day. Anyway I got nervous and wondered maybe that weight loss is not from the diet but something going on in my colon. I have already had 2 colonoscopys over the past 8 years. 1 in 2001 and 1 in 2005. I had a polyp each time , small. What are the chances something real bad is going on down there? I am scared , but crap its not like i ignored my colon as I am going on my 3rd procedure in less then 10 years.

And Starr how did your colonoscopy turn out? Hope all is well.

Canyonbabe711
Veteran Member


Date Joined Mar 2006
Total Posts : 1451
   Posted 7/26/2009 8:30 PM (GMT -6)   
You could be getting too much fiber and since this started after you started the diet that may be the problem. I would think that you would lose weight on a vegetarian diet. I have never seen a fat vegetarian.

as for the liquid not being completely clear, they can suck that extra out.

honestwoman50
Veteran Member


Date Joined May 2009
Total Posts : 833
   Posted 7/27/2009 12:01 AM (GMT -6)   
star13, Well my dear you can thank your doc because he gave you the easiest prep ever, and it has no taste...  I just went through mine and I do not remember anything except waking up, so nothing to be afraid of I promise you.  I had a upper GI and a lower GI at the same time , well one after the other ofcourse.  Just dont take any more Ibprophin and you will be ok.  Good luck to you and once you drink it stay close to the bathroom....Leslie

Leslie King


honestwoman50
Veteran Member


Date Joined May 2009
Total Posts : 833
   Posted 7/29/2009 12:41 PM (GMT -6)   
Well mine came back fine too, still dont know why everthing I eat swells me up so bad with gas.  The gas that the food causes keeps my bowels from moving..so have to get that one figured out.  They seem to have no ans...Leslie
Leslie King


spicer12
New Member


Date Joined Aug 2010
Total Posts : 4
   Posted 8/13/2010 9:10 AM (GMT -6)   
Oh yes, the miralax/dulcolax prep. I just used that for the first time a week ago and the dulcolax just tore me up inside. I've had two colonoscopies before this and both times I used Fleet's, as did my husband. That has got to be the easiest prep ever and from what I've read, also cleans you out better than anything else. Unfortunately, it was when I scheduled the test this time that I found out they stopped using the Fleets because of a small number of people who had kidney problems from it. Granted, these were mostly first-time users of Fleets, and - as stated by the FDA - either already had a kidney problem or didn't follow directions and drink enough water. Still they felt it necessary to pull it off shelves, leaving the majority of us who had no problems and prefer it with nothing to use. My doctor is using what many others are using now, this 'new' Miralax/Dulcolax prep, and I hesitated taking the pills because I've taken laxative pills twice in my life, and both times they didn't agree with me. A friend of ours had just had his test the week before, and his prep called only for miralax, no dulcolax, and he said he was fine for the test, but because I couldn't find anyone else who only used miralax, I was afraid his didn't do a good enough job of cleaning out the colon and would have an affect on the procedure. So. I took the dulcolax as prescribed, took the first two pills at 10:00 am and the second two at 3:30 with miralax in-between, and I was literally up all night in the bathroom. Which means I was 'going' from 2:00 in the afternoon until 6:30 the next morning - 16 hours. I know from the way I looked and felt that I should have been in the hospital with an IV in me but I couldn't have left the house. I cannot believe I'm the only one who was affected like this, I just cannot believe that other people are finished in three hours and are fine. And not only that, but I have a small area of diverticulosis which I know is common, and I've never been bothered by it, but after the test my doctor said part of it was inflamed and put me on cipro. I have NEVER had any problems with it and she knows it, but I told her I felt it during the night and knew something was wrong. She told me she wasn't using this prep anymore, she doesn't like it, she said she was going to start using the Golytely. I'll tell ya right now, that ain't gonna happen. My husband and I have been researching all the information on Fleets, because we've both used it with no problems - it's one glass, lots of water, finished in 3 hours. What we have found is, the problem is rare and usually affects people with no prior history of using Fleet's - this is posted right in the FDA recall, along with a notation they added, saying that most were users who either had kidney problems already or were not properly hydrated (didn't drink the amount of water they were told to). We also found that it was the double dose that actually caused the problem, and that one bottle would not do this. In other words, using the two bottles called for in the prep was considered an overdose, but one bottle is considered safe. We have also found that using only one bottle is sufficient to clean you out for the test, that two bottles are not necessary. And as an afterthought, obviously miralax by itself is also enough to sufficiently clean you out for the test, as confirmed by our friend, as his prep was given by a rectal surgeon who works out of a high-ranking hospital in my state. So this is a rectal surgeon who uses only Miralax for his pateints, so I will assume it works just fine by itself and the dulcolax is overkill. Also, we found that the recall included the store brands such as Walgreen's, CVS, Meijer's, etc, but they've put theirs back out on the shelves with the new required warning. And in comparing the store brands to Fleet's, they're identical. So, come five years from now when it's time for me to do another test, if Fleet's is back by prescription like they're trying to do, I will ask for that; if it's not, I will be using one bottle of the store brand. But anything that ends in 'lytely' will not be in my house. And the happy ending here is, other than an inflamation that my 'wonderful' prep caused me, I am good to go, no polyps, and very healthy.

Marsky
Veteran Member


Date Joined Jul 2007
Total Posts : 1956
   Posted 8/13/2010 9:50 AM (GMT -6)   
I am already leary of what my doctor will prescribe for my laxative prep when my next colonoscopy is due (2011). I've used the Fleet's Phospho Soda at least 10 times and tolerated it better than you just described spicer12. The second Fleet's dose was always hard for me to keep down but other than that I was usually done having bm's by midnight.

My mother is having a colonoscopy on Tuesday and I am her driver. She is 85 and this is a routine appt., no symptoms or concerns but she is very anxious and has already told me Dulcolax is one of the laxatives prescribed for her. I am not going to tell her how it's affected some patients. That would only increase her worries.

I just wish they could find the best laxative prep to clean us out and not have it continue to work hours after you took it.

Finally, when looking for a Fleet's saline enema the other day, I thought I saw a generic form of their Phospho Soda? Maybe that was my imagination...
- Rectal CA 4/29/99, Stage I, 90% sigmoid/15" of colon/GB removed, temporary colostomy, reversed 6-26-99
- Chronic IBS/D symptoms, multiple bm's, on low residue diet
- Colace 50 mg, twice daily + Probiotic: Renew Life/Ultimate Flora/Critical Care/80 Billion daily

spicer12
New Member


Date Joined Aug 2010
Total Posts : 4
   Posted 8/13/2010 9:56 AM (GMT -6)   
Oh no Marsky, you misread my post, I tolerated Fleet's phospho-soda extremely well, it was the miralax/dulcolax that I had all the trouble with last week.  And yes, you did see a generic form of that in the store, it was probably their store brand I was talking about.  And that will definitely be the one I use next time.   

Marsky
Veteran Member


Date Joined Jul 2007
Total Posts : 1956
   Posted 8/13/2010 11:41 AM (GMT -6)   
Oops, sorry for the confusion. I knew you meant that the miralax/dulcolax prep affected you this way. Not the Fleet's. Like you, I prefer the Fleet's myself.

My husband is always saying I'm not always clear in my speaking, this bad habit probably carries over to my writing. lol
- Rectal CA 4/29/99, Stage I, 90% sigmoid/15" of colon/GB removed, temporary colostomy, reversed 6-26-99
- Chronic IBS/D symptoms, multiple bm's, on low residue diet
- Colace 50 mg, twice daily + Probiotic: Renew Life/Ultimate Flora/Critical Care/80 Billion daily

ohnonotagain
New Member


Date Joined Aug 2010
Total Posts : 1
   Posted 8/18/2010 8:06 PM (GMT -6)   
I just had the Miralax and Dulcolax prep for a colonoscopy. I followed the instructions to the "T" up until I took a Reglan pill. From the time I took the Miralax the day before I was to start Dulcolax, I had a bursting headache, blurry vision, dizziness and diarrhea. Then I took the two Dulcolax with fluids as instructed and then the Reglan. (I never got to the liter or so of the mix that I was suppose to take---of course there was no need as I had nothing in me to begin with.) I took all the fluids I should have. I ended up being taken by ambulance to the hospital as I passed out three times. Had BP of 50 with no pulse. No feeling in feet and hands. Loss of vision and hearing. Pouring sweat and all clothes soaked even though I was freezing. Vomiting and throwing up at the same time. I was highly dehydrated and could have died! It was like a seizure as I could not control the shaking of my whole body. My tongue was so thick, I could only speak unintelligible words for the first hour afterwards. I did not know I had a rash until I came home from the hospital.

I have told every doctor that I am highly sensitive to all drugs and I feel they never listen. I am really unhappy that I went through this horrible experience when I had already had diarrhea for two weeks and that was the reason for the colonscopy. Why did I need to take so much stuff to clean me out?

Spicer12, I am with you. Never, never again. It was the worst experience of my life and there was no reason for it. I had a colonoscopy three years ago and took pills and all was well. This was absolutely horrible.

spicer12
New Member


Date Joined Aug 2010
Total Posts : 4
   Posted 8/18/2010 9:47 PM (GMT -6)   
Oh my gosh, I've heard of alot of reactions to this particular prep but I think yours is one of the worst.  I think it's really sad that we have this wonderful test that can detect a problem before it turns into cancer, and they don't have a safe prep for it.  I believe my reaction was to the Dulcolax pills, not the Miralax, but because I've never used Miralax before, I'm still going to be scared to use it again, even by itself, on the off-chance that it also contributed to what I went through.  What's a Reglan pill?

youri
New Member


Date Joined May 2010
Total Posts : 1
   Posted 9/15/2010 9:48 PM (GMT -6)   
I am scheduled for the c-spy tomorrow morning and took the 4pm dose of "119mg Miralax with 32oz of Gatorade".

I'd do this every week, I am feeling great!!

I have been on liquids the entire day, and drank more than half a gallon before 4pm. Some strained oj, apple juice, some Trader Joe's flavored waters, some black coffee and herbal tea, some low carb lemon juice, and a bottle of Trader Joe's water with electrolytes (1,5 QT). The Miralax/Gatorade was actually just some Gatorade, the rest was TJ's flavored water. It's just for the flavor, and I consider the electrolytes important for this procedure.

Taking the Miralax made me feel just slightly funny in my stomach. Do not forget to drink 3 more glasses of fluids afterwards. I actually drank another 1,5 QT of fluids. Then 4 BM's every half hour, starting two hours after the dose. That's all so far.

My biggest problem, really, is how to prevent the splashing back up from the bowl.... That's what I really hate...

Tomorrow at 5am I have to take a second dose of this Miralax/Gatorade.
Can't imagine it's going to bad, as I am already almost clean.

This is my first time, but fortunately I am not worried about the procedure.

Marsky
Veteran Member


Date Joined Jul 2007
Total Posts : 1956
   Posted 9/15/2010 10:02 PM (GMT -6)   
Well that's great you like the prep and are tolerating it so well.

Remarkable too.

Good luck tomorrow. Some of us have done these preps so many times (I've done them 12 times), that after a while they become harder and harder to manage. I don't even bother with broths, jello, etc. They remind me of the "food" they gave me in the hospital after my colon resection. For days on end. So I just stick to liquids, lol. I couldn't stomach broth or jello, bad memories there.

MTASCP
New Member


Date Joined Sep 2010
Total Posts : 1
   Posted 9/16/2010 9:12 PM (GMT -6)   
youri- I'm anxious to hear how your day 2 prep/procedure went. Well, I hope.

I'd like to skip the Dulcolax if possible, but don't know if that will do the trick. Mine is scheduled for Monday afternoon, and I work second shift Sunday. Call me stupid, but I'm HOPING, as I've dealt with IBS for some time now, I'll be okay getting to the bathroom? (Now I have the opposite problem) I guess we'll see, but I'd rather be prepared...

Canyonbabe711
Veteran Member


Date Joined Mar 2006
Total Posts : 1451
   Posted 9/17/2010 4:39 PM (GMT -6)   
I just scheduled my colonoscopy and they gave me a choice of drinking a liter of bad stuff  the night before and then another liter in the AM or the Osmaprep 14 pills the night before, 4 at a time with 8 oz of water every 15 minutes for an hour and then the same thing in the AM. My procedure is not till 2:30. I would love to find an alternative as I don't like either of these. Some doctors use Dulcolax and something else.  I had great success with the Fleets and would be willing to use it again. I found just putting it in apple juice made if very palatable. I had no problem with it 3 times and not bad cramping. I am going to look for it as I thought I saw it at Walgreens one day. In Canada they use something called Pico Salix which they say tastes like Tang and works well.

shawn12
Veteran Member


Date Joined Jul 2004
Total Posts : 1293
   Posted 9/17/2010 5:02 PM (GMT -6)   
Check with your doctor on what your gonna use and you need to be really cleaned out for the procedure and it would be a bummer to have to do it twice.

The preps bite, but are needed.
IBS Forum Moderator


I am not a doctor. All information I present is for educational purposes only and should not be subsituted for the advise of a qualified health care provider.

Please make sure you have your symptoms diagnosed by a medical practitioner or a doctor.

Canyonbabe711
Veteran Member


Date Joined Mar 2006
Total Posts : 1451
   Posted 9/17/2010 7:03 PM (GMT -6)   
Reglan increases the motility of the stomach so that things pass more quickly thru the stomach and intestine. It probably was the cause of problems as with the prep you probably didn't need the Reglan.

Love2cruise
New Member


Date Joined Oct 2010
Total Posts : 2
   Posted 10/7/2010 7:31 PM (GMT -6)   
Hi everyone, I have a colonoscopy using the miralex/gatorade method scheduled for October 21st. Directions say to have a light breakfast the day before and nothing but clear liquids the rest of the day. Then it says to take 4 Dulcolax tablets with 8 oz of water at 2:00p.m. At 4:00 I am to start the Miralax. My question is, they had me buy two 238 gram bottles of Miralax (according to info on bottle, there are 14 doses in each one)! I am to drink ONE capful of this mixed with 8 oz. of gatorade every 20 - 30 minutes until the first bottle is gone. The next morning, I have to start the NEXT bottle at 5:00 a.m. (4 hours before the procedure) and mix TWO capfuls of miralex with 8 oz of liquid every 20 minutes until I have 4 doses in.

I have a very sensitive stomache, in fact don't even know what constipation means, LOL. Basically, its not going to take long for this stuff to work. I have read that some people only take 2 dulcolax tablets and 1 bottle of miralex. I'm just concerned that I am going to overdose on this stuff. Any thoughts?
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