Is it necessary to do oral prep before pouchoscopy just as the way we did before colonoscopy?
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Some do and some do not. I personally do it just to plan for the worse. The day before I do not eat anything and I take 2 bottles of Magnesium Citrate, all clear liquid diet. Lemonade and gatorade should do the trick 
@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.
I just finished a scope. My GI ordered clear fluids from noon the day before procedure. 1 sachet pico salax at 1pm then 1 sachet at 8 pm. NPO at midnight. It was the easiest, most palatable prep I have ever done.
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 never had to prep before scope. Just no drinking or eating after midnight.
It does vary, but for my prep I usually just go on clear fluids the day before. My prior GI asked me to do an enema just before leaving home for the procedure (this was nearly 10 years ago), but no one else has ever asked me to do that.
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
@Spooky posted:It does vary, but for my prep I usually just go on clear fluids the day before. My prior GI asked me to do an enema just before leaving home for the procedure (this was nearly 10 years ago), but no one else has ever asked me to do that.
I am too scared to do an enema, I am afraid I might poke something.
@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!
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
I have pretty much the same prep as Jan and CTBarrister. I believe I am able to eat my lunch meal and then clear fluids, one small bottle of mag citrate and the fleet enema, I think one at night and one in the morning. Doing my next pouchoscopy in August. One bottle of mag citrate is enough for me! 😂
Thank you all for your response will discuss this with my doctor
@Nara posted:Thank you all for your response will discuss this with my doctor
Your welcome
The only prep I've ever done is to do clear liquids day before and nothing after 12:00 the night before.
Had a pouchoscopy today, no inflammation! Everything looks good. Just met my 5 years with a pouch and things are going well. For those in the New Haven, CT area, met my brother and walked over to Modern Pizza, one of the best in New Haven, and had a great white tomato pie with fresh tomato slices, olive oil, garlic and basil, with a great thin crust! Followed this with a trip to Willoughby’s Coffee where we picked up a pound of their House Blend. All in all, a successful day, even with the excessive heat!
Hi CTB,
Glad to hear of your good scope result. I have eaten at Modern Pizza many times and it is great and is considered part of the so called "Holy Trinity" of New Haven Pizza, the other members of that triumvirate being Sally's and Pepe's. I have eaten numerous times at all 3 of the Holy Trinity and they are IMHO all great, all featuring thin crust charred New Haven style pizza, but each with their own nuance of style. Sally's has a large outdoor seating area and would arguably be the most "Covid pandemic Safe and Friendly" of the 3.
Regarding the Willoughby's you mentioned, if it is the one at the intersection of Church and Grove Streets in New Haven, I know that store well as well. It's exactly one block from the New Haven Superior Court which is on the other side of Church Street, walking towards the New Haven green. However, I am not a big fan of their coffee. I have my pre and post Court coffee needs serviced at the Brueggers Bagels across the street from that Willoughby's, on 1 Whitney Avenue, marking the point where Whitney Avenue begins and Church Street in New Haven ends, though they are the same road.
CTBarrister
Yes, unfortunately Modern is dining in, but we got there just before 12, so it wasn’t too busy and the service was quick. The Wlloughby’s we go to is at the intersection of Grove and Church. My husband is more of a coffee person than I am and compares theirs to one of Starbucks select coffees that you can only get in certain shops, such as New York City.
Willoughby's is roasting their coffee in house and to my taste buds it's a very different taste, especially the dark roasts. A lot of people do like their coffee, including one of my coworkers who is a big fan, but I generally go elsewhere. I will say that Willoughby's corn muffins are GREAT, and sometimes I stop there and just buy their corn muffin and get the coffee elsewhere. They probably don't appreciate that, but they take my muffin money anyway LOL.
BTW- I also usually get pizza after my pouchoscopies are done, because I am so hungry!