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Regular Member

Date Joined Apr 2011
Total Posts : 58
   Posted 7/24/2011 8:21 AM (GMT -7)   
Hey guys. I have to go in for some xrays tomorrow. A barium xray to be exact i think where they put some barium in my colon and take pictures... I got this thing in the mail and it said that I was supposed to take the Pico Salax prep. I thought it was a mistake since i have an ileo and nothiong goes through my colon anyway but the receptionist at my surgeons office said that because i still had working bowels i had to take it. Has anyone else ever taken this prep with an ileo? I hate drinking the stuff. it makes me gag. and im really nervous with an Ileo if i throw up. Sigh. Any help quickly would be appreciated

Equestrian Mom
Veteran Member

Date Joined Mar 2008
Total Posts : 3115
   Posted 7/24/2011 8:43 AM (GMT -7)   
I always did an enema right before any procedures involving my colon...I really would feel more comfortable with an answer from the doctor/pa/or nurse.
formally known as OHIO76 ~ honoring my daughter's passion!
Crohn’s dx 1989
some terrible years before my temporary ileo in 2001
Proctocolectomy w/end ileo in 2008
...wish I knew then what I know NOW!

Veteran Member

Date Joined Dec 2008
Total Posts : 1325
   Posted 7/24/2011 9:52 AM (GMT -7)   
It is very dangerous for anyone with an ileo to do a bowel prep. We will dehydrate with a bowel prep. You need to call and speak with the nurse and have her ask the doctor. Be safe....Tracy

Regular Member

Date Joined Apr 2011
Total Posts : 58
   Posted 7/24/2011 9:59 AM (GMT -7)   
Yeah I read that a lot of places that it's dangerous for ileostomy to take a laxative. But i didnt really feel any concern until now when i have to take it. I feel so stupid. I had 10 days to find out this information but i didn't and now that i need to take it I cant get ahold of anyone. Blah. I talked to an xray tech who is going to talk to someone in raediology and im waiting to call back in a few minutes. but from what Ive read here hospitals and such are very mis-informed about Ostomies in general. But im thinking if i do take it I will only take one satchet. And not the second one at 5pm tonight.

Regular Member

Date Joined Apr 2011
Total Posts : 58
   Posted 7/24/2011 10:19 AM (GMT -7)   
Success! I got out of taking the bowel prep. Hopefully i dont go tomorrow and get yelled at haha. But I'm going to stick with the clear fluids today (chicken broth, Apple juice water etc) and hopefully achieve the same result. Whew. That Pico Salax stuff is yuckie and hell lol. I gag just thinking about it :P. Thank you so much though guys for the quick responses. I appreciate it a lot. <3

Veteran Member

Date Joined Mar 2010
Total Posts : 1595
   Posted 7/25/2011 9:13 PM (GMT -7)   
How did you "get out of taking the bowel prep"?
It's amazing how ignorant that the medical community in general is regarding ostomies.


Regular Member

Date Joined Apr 2011
Total Posts : 58
   Posted 7/25/2011 9:36 PM (GMT -7)   
Yesterday morning when i was about to take the first satchel of the Pico I felt a little uneasy and I was talking to my online friend and was concerned about taking it because i was worried about getting dehydrated. He searched online for me and he found an article where a lady was talking about how she did the prep and was emptying her bag every 10 minutes and how much it stung her stoma and her skin when the magnesium citrate would come out. So i was really nervous about it. I called the hospital and talked to a tech in radeology and he talked to a doctor for me and said that it really wasnt necissary to take the pico solution and clear fluids for the day would be good enough :D. So i did. and the doctor didnt say anything about me being not clean enough. I was really happy. :D

Forum Moderator

Date Joined Feb 2003
Total Posts : 1250
   Posted 7/26/2011 4:56 AM (GMT -7)   
I'm glad you found out that info before downing that stuff. 24 hours of clear fluids is more than enough to clean out ileostomates (different story for colostomates though unfortunately - you may still need to take it depending on where your colostomy is located). The medical community really does need to be more educated regarding the different types of ostomies.
Ileostomy for 34 years due to UC. I had my surgery at 10 years of age.

Moderator of the Ostomy and Psoriasis Forums


I'm not a complete idiot - some parts of me are missing!

Veteran Member

Date Joined Jun 2005
Total Posts : 981
   Posted 7/26/2011 6:41 AM (GMT -7)   
Hey guys I thought that if you had an ileostomy you had no colon left? I know I don't

Regular Member

Date Joined Apr 2011
Total Posts : 58
   Posted 7/26/2011 1:01 PM (GMT -7)   
Andorable. Not always. Most people with a permanent Ileo have no colon left. Some do. Mine is only temporary. At least its supposed to be which is why im getting all these tests done to make sure my colon is in the proper shape to be reconnected to my small bowel.

Veteran Member

Date Joined Dec 2010
Total Posts : 3332
   Posted 7/26/2011 2:47 PM (GMT -7)   

Glad it worked out .... sounds scary, but you did the right thing in taking your concerns seriously. It would be great if the medical folks knew these things, but we do need to be our own advocates.
48 years old, female.
2004 dx indeterminate colitis. Back and forth between Crohn's and UC dx. Many drugs, minimal success.
2010-11 Crazy skin and eye complications, high fevers, bad flaring. Out of good drug options, tired of scary drugs.
Feb 2011 -- proctocolectomy with permanent ileolostomy; abscess, blood clot. Still healing, still glad for the surgery
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