Thursday I will be going in for a capsule endoscopy for unexplained abdominal pain. I received a call from the GI lab informing me that I would have to do a bowel prep the day before (Colyte). I've had a capsule endoscopy performed before my colon was removed and the bowel prep was standard, but I'm questioning whether or not I should have to do this with no colon. I've had pouchoscopy's and upper endoscopy's performed since my colectomy and just did clear liquids the day before and fasting w/ fleet enemas the day of. Has anyone else had to do a bowel prep with a j pouch?
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This happens everytime they wanted to scope mine. They always said to do a prep but my surgeon said its not necessary, she catches herself whenever a scope is needed and says " we never have you do preps right?" so no, i have never done a prep for it, not even enemas.
I just spoke to my GI dr and he said it is uneccessary as long as I am on a clear liquid diet the day before. The j pouch will just evacuate everything as liquid anyways. He left it up to me to do an enema (just in case). I probably will just to be sure everything is cleaned out below. I can only imagine us j pouchers having more diarrhea on top of the norm. Your just asking for an unwanted "accident".
All my surgeon ever says is NPO after midnight, but I always take a dose of Milk of Mag and do one fleet sized enema filled with tap water to be sure. Never had to do clears or anything the day before. It's always been enough.
So this is for a capsule endoscopy, which most of us haven't had, I think. Presumably the intent is to look at the small intestine, and I just don't know what it takes to clean out the small intestine sufficiently. I'm glad your doctor clarified the requirements for you.