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1. Prep is important. With charming names like MoviPrep or Golytely, the colonoscopy preparation products leave very little to the imagination. The goal is to have a clean, empty colon.
However, the prep for a colonoscopy is another story. You may need to drink a lot of fluids, spend quite a bit of time in the bathroom and temporarily change your diet.
When Phospho soda is used as preparation for colonoscopy, 1.5 fluid ounces (45ml), mixed with an equal amount of water or any clear liquid and followed by 8 oz of water, is taken, followed by a second dose 6 hours later (3 oz total). It will cause very loose, eventually watery stools, usually starting within an hour or so and lasting several hours.
The day before the colonoscopy (or colorectal surgery), the patient is either given a laxative preparation (such as bisacodyl, phospho soda, sodium picosulfate, or sodium phosphate and/or magnesium citrate) and large quantities of fluid, or whole bowel irrigation is performed using a solution of polyethylene glycol and electrolytes.
Orally administered sodium picosulfate is generally used for thorough evacuation of the bowel, usually for patients who are preparing to undergo a colonoscopy. It takes 12–24 hours to work, since it works in the colon. [3] Abdominal cramps and diarrhea are normal effects of picosulfate and should be expected.
Macrogol came into use as a bowel prep in 1980 and was approved for medical use in the United States in 1999. [ 10 ] [ 11 ] [ 12 ] It is available as a generic medication and over the counter . [ 3 ] [ 13 ] In 2022, it was the 209th most commonly prescribed medication in the United States, with more than 1 million prescriptions.
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The scale assesses three components of the large intestine: (1) the rectosigmoid colon, (2) the mid colon and (3) the right colon. A maximum score of 4 is used for each section of the large intestine. A score of 0 is given if the bowel preparation is excellent, meaning the mucosal detail is visible, there is no fluid and almost no stool.