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@Nara posted:

Is it necessary to do oral prep before pouchoscopy just as the way we did before colonoscopy?

The oral prep is designed to clean out the large volume of material in the colon. The pouch is both small and highly accessible. Providers vary a lot in what preps they advise, and they vary a lot in how much thought they’ve given it (it seems to often be no thought at all). My prep, which is probably not quite enough, is to eat nothing after dinner the day before, and to do a couple of warm tap water enemas (until the output is clear) before leaving the house for the procedure. I don’t get pouchoscopies very often, but I’ll probably stop eating earlier next time. FWIW my GI is fine with my prep, but he does have to do a little rinsing during the procedure.

If you use this site’s search function you can probably find dozens of threads discussing pouchoscopy preps.

Last edited by Scott F

Hi Nara, I had a pouchoscopy on Thursday this week. The kind of prep involved varies from doctor to doctor and your circumstances. In my case, I had a serious stricture that needed dilation and because my gastroenterologist suspected pouchitis she needed to take plenty of biopsies. For that reason I had to stick with clear liquids the day before and drink two bottles of magnesium citrate (yecchh) the night before. My doctor needed a clear view. Your doctor will provide you with instructions for what will be appropriate for you. Wishing you all the very best!

@Portia posted:

Hi Nara, I had a pouchoscopy on Thursday this week. The kind of prep involved varies from doctor to doctor and your circumstances. In my case, I had a serious stricture that needed dilation and because my gastroenterologist suspected pouchitis she needed to take plenty of biopsies. For that reason I had to stick with clear liquids the day before and drink two bottles of magnesium citrate (yecchh) the night before. My doctor needed a clear view. Your doctor will provide you with instructions for what will be appropriate for you. Wishing you all the very best!

I hate that stuff to but it works!

I am having a scope soon and my doc orders the standard sigmoidoscopy prep:

Clear liquids the day before, 1 bottle of mag citrate (10 oz) the night before, Fleet enema morning of and tap water until clear after that using the Fleet bottle.

Two bottle of mag citrate seems like overkill to me, but it won’t kill you.

Jan

@Jan Dollar posted:

I am having a scope soon and my doc orders the standard sigmoidoscopy prep:

Clear liquids the day before, 1 bottle of mag citrate (10 oz) the night before, Fleet enema morning of and tap water until clear after that using the Fleet bottle.

Two bottle of mag citrate seems like overkill to me, but it won’t kill you.

Jan

This is essentially exactly my prep. One bottle of mag citrate is enough. As far as tap water I would use bottled water warmed in the microwave to around 98 degrees or so. I go through that same drill with microwaving bottled water for  my sinus rinses, which are essentially a nasal enema.

Make sure you use the CLEAR lemon flavored mag citrate and not the cherry flavored which has red dyes in it. That will totally mess up your test!

Last edited by CTBarrister

My pharmacy carries clear cherry and grape flavors now.

By the way, your pouch mucosa is nowhere the same as your sinuses. Yes, they are both mucosa, but there is no way for the water to get into your lungs witha rectal rinse. That said, if your tap water is not fit to drink you should not use it for an enema (such as some well waters). I just wanted people to know that tap water enemas are safe and not something to worry about.

Jan

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