Preparing for a colonoscopy

So, you’re going for a colonoscopy…don’t worry. It’s not as bad as you might think! A lot of people say that the preparation is worse than the procedure, so let’s look at how we can make it as smooth a ride as possible.

Two days before the colonoscopy

Reduce the amount of fibre in your diet and adopt a low residue/low fibre diet. Cut out fruit and vegetables and eat plain foods such as chicken without a sauce, white rice, white bread, and clear soups. This makes the preparation much easier on your body. Also eat lightly, try not to eat too much, have small portions and drink lots of water. You may feel quite hungry, but, this will certainly reduce the amount of toilet trips when you take your preparation agent.

Preparation dayOn the day before the colonoscopy

I prefer to book a morning appointment for my colonoscopy and not eat anything on the day before my colonoscopy. However, if you have booked a later afternoon or evening appointment, your doctor should give you a schedule for when to take your preparation agent and stop eating and stick to a clear liquid diet.

NOTE: You MUST tell the colonoscopy team or your doctor before doing the preparation if you are diabetic.

When I had my colonoscopy, my doctor gave me Citrafleet to use. It was in two sachets each of which were to be mixed in one glass of water. The Citrafleet tasted like lemon and was definitely fine to drink without too much trouble.

The preparation agent my doctor prescribed for me.

Some doctors give their patients different preparation agents, these can come in large bottles, sachets and some are difficult to drink. Tips for making these drinks more palatable include: keeping it cool, using a straw, adding a flavour or chasing it with a clear drink you enjoy.

REMEMBER: Avoid eating or drinking anything that is red, pink or purple in colour. This can stain the lining of the bowel and can affect the results of the colonoscopy.

Prep day kit!

  • prep agent
  • drinks – I had green tea, water, iced tea, Sprite
  • Vaseline
  • baby wipes
  • A show or set of movies that you know well and love to watch.
  • Someone to hang out with
  • hobby (crochet, reading, etc)
  • paint your nails, do a face mask, do your hair, etc.

The urge to go can be sudden and come from nowhere…be ready to spring up and run to the bathroom! Be careful of cables, yarn, being in a position or chair you find it difficult to get out of. Make sure your route to the bathroom remains clear. And that other family members or friends if possible can use a different bathroom if you’ve got your stuff set up in the most convenient one.

Ouch it burns!

Like with any time we get diarrhea, it can burn. So, to solve this, be proactive. Before you go for the first time, apply Vaseline or Sudocrem thickly. This will act as somewhat of a barrier and will protect your skin. Then after going to the bathroom, avoid wiping multiple times with toilet paper. If you suspect it is messy, consider using a bidet or using water to clean your bottom. Alternatively, I would recommend using baby wipes for sensitive skin. These can help you clean up without too much repeated wiping and are gentle on the skin. (the more you wipe over the same area, the more likely it is to become sore). When you’re clean, apply a new thick layer of Vaseline or Sudocrem ready to protect you the next time. This helped me so much!

NOTE: We love the environment so please don’t flush your baby wipes away. Of course it would be better not to use them at all, but it’s better to dispose of them in a bin rather than flushing them down the toilet where they can block drains or enter our waterways.

How do I know whether I’m empty and ready for the procedure?

In theory, by the end of the preparation, your bowel movements should be totally liquid, pretty much see-through and possibly yellow in colour.
If you are still passing loose stool with pieces in it or thick and not at all see-through, you should contact your doctor or a member of staff at the place where the colonoscopy is taking place.
Some places will do an enema if the bowel requires a little cleaning, but others would rather reschedule the colonoscopy and prescribe a different preparation agent.

Good luck for the procedure!

If you have any more questions about preparing for a colonoscopy, please ask them in the comments below and I’ll try to answer them or even add additional information to the blog post. How did your colonoscopy prep go and do you have any helpful tips?

7 Tips for good digestion

Eating is something we do to get all of the nutrients that we need to be healthy and live an active lifestyle. A lot of people suffer with poor digestion and get symptoms such as stomach ache, bloating, indigestion, acid reflux or even just feeling sluggish. So, what can we do to prevent these problems?

Try these 7 tips to help your digestive system work in tip-top condition.

1. Eat slowly

When eating, it’s a good idea to eat slowly. This way you’re more likely to chew your food and not eat more than your stomach needs to satisfy your hunger.

2. Chew your food well

Digestion begins in the mouth, here we physically break down food by using our teeth, but we also begin to chemically digest food using our saliva. An enzyme in our saliva called Amylase helps us break down carbohydrates into sugars that will give us energy before we even swallow our food. To make food easier for our stomach to digest, we should chew our food very well until it is like a paste and is easy to swallow.

3. Avoid drinking lots of liquid while eating

Drinking lots of water at the same time as eating can overfill our stomach and cause us a lot of discomfort. It can even cause our stomach to stretch over time.
It’s best to avoid drinking for around 20-30 minutes either side of your meal. Of course, you can have a couple of small sips to cleanse your palette or wet a dry mouth, but our stomach and stomach acid can do a better job to digest our food without a lot of water entering the stomach at the same time.

4 . Avoid eating after 7 pm

A lot of people suffer with indigestion or acid reflux in the evening or when in bed at night and one cause of this could be eating too late in the evening. When we sleep, our digestive system slows down and doesn’t work as efficiently as it does during the day. Because of this, it’s a good idea to avoid eating after around 7pm or for about 4 hours before you go to bed. This gives food time to be digested and exit the stomach, meaning there isn’t lots of acid when you go to bed. However, there are lots of other reasons why you might be getting acid reflux or indigestion on a regular basis and this should be discussed with your doctor.

5. Avoid laying down or napping after a meal

Just as I mentioned above, sleeping after a meal, although tempting isn’t good for digestion since it slows the process down, causing food to stay around in the stomach for longer than usual. Laying down is also not a great idea because it can mean acid is more likely to escape from the stomach and go up into the oesophagus, giving us that burning sensation in our throat.

6. Stop eating if you don’t feel hungry

We know it’s rude to waste our food, but, it’s bad for our health and our digestion to eat portions that are much too large for us. Large portions are difficult for us to break down all at one time and can also stretch our stomach and make us feel bloated and uncomfortable. Remember, it takes around 20 minutes for the hormones produced by the stomach to tell your brain that you’re full. This means that many of us overeat. Eating slowly will certainly help us to receive that signal before we indulge too much.

It’s okay to say ‘no thank you’ – in fact, your digestive system might even thank you for it!

7. Eat small portions regularly

As we’ve seen above, large meals are hard on the digestive system. It’s much better for your body to eat smaller meals more frequently throughout the day than going hungry all day and sitting down to a huge meal in the evening.
But doesn’t eating more meals each day mean more cooking? Not necessarily…you can easily cook your lunch and split it into several portions to eat later in the day.

Do you get discomfort after eating and have any of these tips helped you? Let me know in the comments below.

What is a clear liquid diet?

Sometimes when we have problems with our stomach or digestive system, we may be asked by our doctors to stick to a clear liquid diet for a couple of days.

So, what can we have while on a clear liquid diet? Well, that depends a little bit on why you’re following it. For example, if you are preparing for surgery or a colonoscopy, you may have extra restrictions in place.

Generally, though, clear liquid diets involve anything that is a clear liquid at room temperature. Examples of acceptable foods and drinks on a clear liquid diet are:

  • Water
  • chicken, beef or vegetable broth (strained to remove any pieces)
  • Black coffee/tea (no milks or creamers)
  • Herbal/green teas
  • clear soda drinks (e.g. Sprite/7up)
  • Jelly/Jello (US)
  • Clear fruit juices without pulp (e.g. clear apple juice)
  • Clear ice lollies/popsicles
  • drinks made from powdered sachets (e.g. Kool Aid, Bolero, etc.)

It’s a good idea to avoid any clear foods or drinks that have red or purple dyes. These can stain the inside of the bowel, making it look inflamed or can cause alarm if vomiting.

Are there any side effects of a clear liquid diet?

Well, this diet is not intended to be followed long term since it cannot provide all of the nutrients you need. You may notice while on a clear liquid diet that you feel hungry, maybe a little nausea at times and you may feel weak or tired. This is quite normal.

DISCLAIMER: If you are diabetic, please seek advice from your doctor before undertaking a clear liquid diet.

Have you been on a clear liquid diet before? How did it go? Let me know in the comments.