A Simple Colonoscopy Screening Can Save Your Life 

A colonoscopy can feel intimidating, especially if it’s your first one. Many people delay screening because they’re embarrassed, worried about discomfort or afraid of what might be found. These feelings are completely normal. But understanding what to expect and how to prepare can ease much of that anxiety.   

A colonoscopy is one of the most effective tools for preventing colorectal cancer because it allows doctors to detect and remove precancerous polyps before they become dangerous.   

Organizations like the American Cancer Society recommend regular screening starting at age 45 for people with average risk. Catching issues early often means simpler treatment and better outcomes.   

Keep In Step with Your Prep  

Preparation is often the part people fear most, but with a little planning, it should be manageable. Our expert team with Oak Ridge Gastroenterology Associates has shared a few answers to frequently asked questions to help you navigate colonoscopy prep. 

Do I need to take all the preparation?  

The short answer is yes. While some people’s colons will be cleansed out before they finish all the preparation, this is highly variable. The odds of having a clean colon are best if you take all the preparation. Failure to do so could result in a colon that is not clean enough, which increases the chance that something could be missed. Additionally, if the colon is not clean enough, you may have to reschedule your colonoscopy and repeat the preparation again.  

I am taking the prep and already have loose, watery stool. Do I still need the rest of the prep?  

Yes. Even if you are experiencing loose, watery stool, you may still have solid stool higher in the colon that needs to be eliminated.  

Is there anything I can do to make the preparation easier to take?  

Some people find that it is easier to drink the preparation if it is cool. You can place the preparation in the refrigerator or set it on top of ice to cool it. You should not put ice directly into the preparation as it will melt, dilute and increase the total amount of fluid that you have to drink.  

Some of the preparations come with flavor packets which can be added to improve the taste. Alternatively, you can also flavor the preparation with Crystal Lite as long as it is not red or purple in color. It is important that you do not add anything to the preparation that contains sugar, as it will interfere with the proper function of the preparation.  

I am nauseated and having difficulty taking the preparation, what should I do?  

Often cooling the preparation liquid or adding sugar-free flavor powder will help with the nausea. Additionally, drinking the preparation through a straw will decrease how much you taste it. If you are experiencing nausea, try drinking the preparation a little more slowly. You can also give yourself a 30-60-minute break, rinse your mouth or brush your teeth, then resume drinking the prep.  

When will I start moving my bowels?  

Everyone is different. Some people will start moving their bowels within half an hour of taking the preparation, whereas others may have come close to finishing all of the preparation before their bowels start to move.  

Will the preparation irritate my hemorrhoids or skin?  

Usually not, though in some cases the diarrhea that is caused by the preparation can irritate hemorrhoids. Using baby wipes instead of toilet paper may help prevent irritation of hemorrhoids or your skin. If your skin is becoming irritated, you can use a moisture barrier such as petroleum jelly or over the counter Destin or Preparation H to help protect it.  

What are the side effects of the bowel preparation?  

You will have lots of diarrhea from the bowel prep. Plan to be home and near a bathroom. Most people have some bloating and abdominal discomfort. This is normal. Do not be alarmed if you feel these symptoms.  

I have taken all the preparation, but I have not started moving my bowels yet. What should I do?  

If you have taken all your preparation but have not started moving your bowels, there are a few things you can do to encourage the preparation to start working. The first is to walk around. Being more active stimulates the colon and will help the preparation.   

If that does not work, taking a bottle of magnesium citrate (available over the counter) will often do the trick. You should not take magnesium citrate if you have significant kidney disease, a history of congestive heart failure, or if you have been told by a doctor not to take products that contain magnesium.  

When will I stop moving my bowels?  

Most people stop moving their bowels within a couple of hours of finishing the preparation. However, responses vary, and some will continue to pass liquid bowel movements right up until the time of the procedure. As long as what is coming out is pure liquid, it usually is not a problem.  

I ate solid food the day prior to my colonoscopy. Can I still have the procedure?  

In most cases, your exam will need to be rescheduled if you eat solid food the day prior. However, if you are passing just clear liquid prior to your procedure, then you will likely be able to have it. If you do have any solid food the day prior to your procedure, contact your gastroenterology office to determine whether rescheduling will be necessary.  

The Next Steps After Prep  

On the day of the colonoscopy, you’ll receive sedation, so you shouldn’t feel pain during the procedure. Most people remember little to nothing afterward. The exam itself usually takes 30 to 60 minutes, and you’ll need someone to drive you home.   

Don’t Risk Your Health Over Nervousness   

It’s okay to feel nervous, but don’t let fear stop you from protecting your health. With preparation, support and clear information, a colonoscopy can be a straightforward step toward peace of mind. Find a Covenant Health colonoscopy center near you.