Ileostomy reversal prep?

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New Member

Date Joined Apr 2011
Total Posts : 3
   Posted 4/25/2011 10:08 PM (GMT -6)   
I had a total colectomy and formation of a jpouch in Feb. of this year due to familial polyposis. During the same surgery a temporary ileostomy was created to allow the jpouch to heal. Long story short, I'm going to have the ileostomy taken down this Thursday and I am quite concerned about the prep instructions I was given by my surgeon's office. I've read everywhere (including here on this forum) that folks with ileostomies should never ever drink mag citrate and/or take Dulcolax tablets as it causes severe dehydration. The prep instructions include drinking a full 10 oz. bottle of mag citrate with water or a clear liquid following this and then 2 hours later take three tablets of Dulcolax with plenty of water. When I was given this prep guide I questioned it but the nurse insisted that it was the correct prep for me; however, I'm still very scared to do it. Please advise me if this prep is correct and/or what I need to do! Thank you for your help!!!!

Another UC wife
Veteran Member

Date Joined Jun 2007
Total Posts : 2111
   Posted 4/26/2011 8:20 AM (GMT -6)   
I'm bumping this...don't know the answer.

Definitely call the surgeon's office and re-state your concern to put your mind at ease.
64 yr old male suffered with UC & in May 06 had a severe flare & hospitalized 6 days...various prednisone treatments leading to steroid dependence and osteopenia, 12 asacol, 200 mg Imuran, failed remicade infusions Jan-May 2010 Dependence on pain meds. Made decision 6/10 to have surgery which was on 12/17/10 (total proctocolectomy & ileostomy - unable to have the j-pouch) and no longer in pain.

Veteran Member

Date Joined Apr 2009
Total Posts : 587
   Posted 4/26/2011 9:24 AM (GMT -6)   
I had to take the mag citrate, but not the Dulcolax. I also questionned the nurse. It did say on the instructions that it was for ostomy patients. Really, I cheated and ate a few crackers that day and it all came clear after the mag citrate (a few hours after I took it). Just make sure you DRINK A LOT. They gave me an iv with potassium the next day, so I may have been a bit dehydrated. I hope your reversal goes as well as mine did. Good luck!
Diagnosed 2006. 1st step of 2 step j-pouch 1/3/11. 2nd step April 4, 2011. So done with this disease.

New Member

Date Joined Apr 2011
Total Posts : 3
   Posted 4/26/2011 4:55 PM (GMT -6)   
Thank you both for your replies! I spoke with the surgeon's office twice today and they still insisted that the prep was correct for me. However, when I purchased the Dulcolax, I noticed it is enteric coated and I definitely remember being told not to take enteric coated or delayed release tablets! Plus, bisacodyl works on the colon, which I do not have! This is alarming and annoying. I don't think I'll be taking the Dulcolax at all. I think the mag citrate will work just fine, even though a liquid diet should have been sufficient!

Veteran Member

Date Joined Apr 2009
Total Posts : 587
   Posted 4/26/2011 8:15 PM (GMT -6)   
I think that's a good plan. Like I said, it was all liquid. It was a little yellow, but clear.

Veteran Member

Date Joined Aug 2006
Total Posts : 6571
   Posted 4/26/2011 8:16 PM (GMT -6)   
ive been told no preps ever, that a clear liquid for a day would work, i mean you know how fast stuff goes through us anyway!
UC for 8 years, before finally kicking its butt and having a permanent ileostomy April 17 2007!
-I have gone to find myself, if i get back before i return, keep me here-
No matter what kind of day you are having, take five minutes to sing loudly and dance like a fool!

Regular Member

Date Joined Sep 2009
Total Posts : 254
   Posted 4/27/2011 9:08 PM (GMT -6)   
For my takedown, I had zero prep other then don't eat after 9 PM and don't drink anything after midnight. And then take a shower with this special soap, it's an exciting feeling getting ready for it haha! Good luck on your surgery and keep us updated
21 Year Old Male

Diagnosed with Moderate/Severe Ulcerative Colitis May 2008
3 Flair ups (first flair- 2 months/Second Flair- 2 months/ Third flair- One week, then surgery)

-Full Ileostomy surgery done on july 22!
-J pouch DONE--January 6th

Living a COMPLETELY normal and active life with a J pouch!

New Member

Date Joined May 2011
Total Posts : 8
   Posted 5/23/2011 9:57 AM (GMT -6)   
Reply: kali_wynter.
Hello kali_winter,
Wondering how your surgery went, I hope all is well. :-)
I had a temporary ileostomy put on me in February 4th of this year & I had it reversed on April 6th.  All is great for me right now.
As far as the prep, no one told me to drink anything special becuase the reversal was an urgent decision from my Primary Care Physician because I kept becoming severely dehydrated due to large, liquid output from my bag. All I did before the surgery was drink plenty of fluid to stay hydrated. The main fluid I drank was "Gatorade" which really helped.
I hope all is well with your recovery.  Seems we both had our ileostomy for about the same amount of time.

New Member

Date Joined Apr 2011
Total Posts : 3
   Posted 5/23/2011 11:19 AM (GMT -6)   
Hi VonnyJ!
Thank you so much for your reply!
I was having the same problems as you it seems! I too was having large output of liquids but my surgeon just told me to bump up my liquid intake to compensate. (I drank water and powerade mostly... and did fine!)
So, I did end up drinking the mag citrate after calling the surgeon's office numerous times crying and crying making sure I was doing the right thing. A nurse called me back that day to let me know NOT to take the Dulcolax! I was right about that. Dulcolax is for people with colons and um, yeah, I don't have one anymore! So, anyway, everything went great with the prep and the surgery. I did end up having to go back into the hospital the day after I was discharged because of an unfortunate ileus (a functional problem) and had to have a NG tube placed down my nose and throat for 5 days. After all of that, I am doing well, but slow to get my appetite back up to speed. I'm certainly trying!
I hope you are doing well! Again, thank you for your reply. It's great to know others are out there that know what I'm going through and that I'm not alone!
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