Hello and Colonoscopy/Prep Advice Please

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Regular Member

Date Joined Nov 2008
Total Posts : 192
   Posted 11/6/2008 4:56 PM (GMT -7)   
Hi everyone.
I have been really sick for the past few months with severe D, nausea but no vomiting, and I've lost a lot of weight. Based on symptoms and my sibling's severe bout of Crohn's, they think it is likely Crohn's (although I am hoping it's just IBS). I have a colonoscopy scheduled for Tuesday.
My first colonoscopy 10 years ago didn't go so well. The prep made me vomit horribly, as did the sedation they used for the procedure (I vomited for the next 3 days).  [They found UC, but that ulcer went away after a few years on Asacol and they changed the diagnosis to IBS without further testing (just a sigmoidoscopy)].
This time, my doc prescribed OsmoPrep pills. Has anyone tried these, and if so, did they cause vomiting? Should I ask for an anti-nausea prescription? Any words of advice for this type of prep?
Also, does the sedation make anyone stomach sick? My doc said they may have used general anesthesia 10 years ago, which is different from twilight sedation he plans on using. However, I am sensitive to most pain medications and sedatives, so I am nervous. I am even considering asking for no sedation/pain medication, b/c I don't want to be in bed sick for the next 3 days.
I apprecate your responses. Thanks!

Regular Member

Date Joined Mar 2006
Total Posts : 310
   Posted 11/6/2008 5:15 PM (GMT -7)   
Hi Catpower, I haven't heard of OsmoPrep pills. I don't know what your diagnosis will be, but your symptoms are almost identical to those that I had when I was diagnosed with Crohn's... but it could easily turn out to be something else.

As for the anesthesia/sedation options, I have had general anesthesia for surgeries twice in my life and threw up both times after the operations. With the colonoscopies, though, I have had no problems with the various sedatives used... my GI used to use Demerol, which is what I had the first few times, but has now gone to some kind of anesthesia that puts you to sleep quickly and helps you wake up quickly afterward... I don't know what it's called, but it never makes me sick or causes any problems.

If you have questions about the twilight sedation before your procedure, ask the anesthesiologist about your prior history with sedation. He/she should be able to help out. As for skipping anesthesia/pain meds altogether, I wouldn't want to do that... it's much easier not to know what's going on or be able at least to be relaxed while the doctor performs the procedure.

Best of luck to you with your scope and diagnosis. Keep us posted.

Take care,

Betsy (-:
Dx Crohn's Disease 1996
Have taken Prednisone, Pentasa, Rowasa, and Asacol
Currently on Asacol 2400 mg daily to manage remission

Veteran Member

Date Joined Jul 2006
Total Posts : 6927
   Posted 11/6/2008 5:16 PM (GMT -7)   
Personally I think osmoprep is really good. I think the best thing would be to ask for an antinausea precription just in case.
Forum Co-moderator - Crohn's Disease
...I will find a way, or make one. -Philip Sidney 1554-1586
Make sure your suffering has meaning...
All suggestions/options/opinions are caveated with please consult with your local health care provider...

Regular Member

Date Joined Sep 2006
Total Posts : 101
   Posted 11/7/2008 5:06 AM (GMT -7)   
Ask your doctor for Fleet Phospho-Soda, Ginger Lemon flavor - this may be a better choice. I used this ("Fleet Soda" in USA and "EXELYTE" in India) for my colonoscopy this month.
Male India 45 years Diagnosed CD in 1990 Fistula surgery 1988
Mesacol Iron Folic Acid B12 Omega Diagnosed MVP/MR in 2007 Dilitiazem Dothiepin

Regular Member

Date Joined Nov 2008
Total Posts : 192
   Posted 11/7/2008 7:23 AM (GMT -7)   
Thanks everyone! I am asking for antinausea meds just in case, and I will definitely talk to the anesthesiologist beforehand.

Veteran Member

Date Joined Apr 2005
Total Posts : 3763
   Posted 11/7/2008 7:55 AM (GMT -7)   
I've only used the pill preps for about 4 years. If the doctor won't let me use it, I won't have the test. You still have to drink an incredible amount of liquid, but it is a liquid of your choosing so, it isn't foul. You WILL be uncomfortable from the volume. It would be a good idea to get an anti nausea med just to be safe though. I think I have had just about every prep out there, and the pills are by far the best!

CD 19 years offically, 29 unofficially. 3 resections '93, '95 '97
Symptoms constantly but all tests show only minor ulcerations. Currently having multiple episodes of gastritis with no known cause.

Prednisone, 6MP,Prevacid, B12 shots, Bentyl, Xifaxan.....

Regular Member

Date Joined Nov 2003
Total Posts : 351
   Posted 11/7/2008 8:39 AM (GMT -7)   
Sorry you have to go thru another scope...I'm not a big fan of them either. I've always had to take the Fleet Phospho stuff for prep and my experience with that is not a good one. IMO that stuff is disgusting and made me want to vomit the whole time I was drinking. I think I threw the glass away by the end of the night because just the thought of it made me regurgitate(sp?). In fact, I've come to the conclusion that the prep is worse then the procedure. Of course no one likes the liquid bm's but the taste of that stuff could very well be one of the worst things I've ingested.
Again my opinion and I know that there are those out there that have dabbled with the different flavors and found some relief but I am of a different perspective.
Good Luck in your prep.

Regular Member

Date Joined Jul 2008
Total Posts : 113
   Posted 11/7/2008 8:49 AM (GMT -7)   
ask for zofran before they put u out...they can give it to u thru ur iv and it prevents u from getting sick to ur stomach..i usually got a shot of it before i was given any pain meds because they often make people sick to their stomachs!
21 year old female
Diagnosed with Crohn's August 2008 (hospitalized for over a month right after)
Taking...canasa, rowasa, 6mp, and Remicade every 6 weeks
As needed...zofran, lortab, tylenol 3, bentyl
Weaning off of Prednisone!

Veteran Member

Date Joined Mar 2006
Total Posts : 501
   Posted 11/7/2008 3:29 PM (GMT -7)   
I JUST had my colonoscopy monday! The doc said I cleaned out sooo well for the procedure, I actually used Miralax and Gatorade. You can find the prep directions all over the internet or just reply and I will cut and paste them. NO taste whatsover. Although the pills sound easy too.
I had the twilight sedation and I was completely OUT. Remember nothing. They even did a baloon dilation on a stricture and I felt nothing. No upset stomach. The next day I had some nausea but I think that was from emptying out my bowels.....
Diagnosed Crohns 1/06
CD of Terminal Ileum
Taking Pentasa. Adverse reactions to Remicade. Also take Forteo Injections, Actonel, Calcium and Vitamin D, B12 injections.

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