Pouchoscopy prep question

Some docs do include MiraLax in their pouchoscopy prep, but IMO it’s only reasonable if the scope will be passed well into the small bowel (which might be the plan after bowel surgery) or if one tends to have firm stools. My (new) GI’s prep included MiraLax, but a phone call to the right person reduced it to clear liquids after midnight and a couple of enemas before leaving the house for the procedure.

Lucky you! I agree, I feel like this is a bit too much! Given that I pass everything in about 3 hours anyway.

I am hearing that Dr Shen says 2 Fleet water enemas the night before and 1 in the morning. I dont think you need to do Miralax or regular fleet saline enemas any longer

When i make pouchoscopy i dont eat drink after 18 p.m and not make enemas or something else only not eat drink and i am ready for pouchoscopy clean good

Then do u guys think it would be okay for me to just do a little bit of mirilax and then be good? I am nervous to not do anything.

I don’t think anyone has suggested not doing anything. The most common reduced prep seems to be (more or less) no food after dinner the night before, no food or drink the morning of the procedure (this varies a bit), and at least a couple of enemas, usually tap water, an hour or two before the procedure. It is very easy to rinse out a J-pouch with an enema, since they aren’t very big. The enemas are likely to be much more useful than MiraLax if your stool is normally unformed. If you want to add some MiraLax it won’t do any harm to the procedure, and you can answer “yes” when they ask if you used MiraLax as part of your prep.

Okay, I’ll have a protein shake for dinner I think. I’m nervous about having a full fledge dinner. Of course my kids’ parent teacher conference was swapped from tomorrow to tonight at 5:30! I’ll do half the Miralax and a fleet in the AM. My appt is at 7:30am so I’m be up early I guess! Thanks for the advice everyone! Even though this is supposed to be easier than a colonoscopy, I truly hate this and the prep. I’m such a baby.

I always do half the prep I did for a colonoscopy. (238g, 64 oz fluid)

therefore for pouchoscopy;  119g, 32 oz fluid.

i start at 8 pm, four 8 oz dozes. By midnight I am cleaned out. Works line a charm every year.  Very gentle and quick.

Thanks!! That’s exactly what they suggested- the 119 g  and 32 oz. I’m hoping to start at 5 when I get home. Hope I can get through the paren’t/teacher conference tonight and home by 6 before it kicks in!

How long did it take for it to kick in- do you remember New577?

I wanna say about 2 hours.

I  always think, it’s not working.  But then it starts and keeps going until I’m cleaned out

I just had my pouchoscopy yesterday. I did clear liquids only the day before, a bottle of magnesium citrate the morning of, and a quick enema rinse an hour before I left the house. Everything was fine. To be honest, the day of clear liquids had me pretty cleared out by itself. No sedation for me and I watched the whole thing on the monitor.

Jan

Jan, you are still a tough cookie! Lol. Unfortunately a lot of us had all scopes without sedation, and Lord knows I've had my share over the past 14 years! They wanted me sedated for my last pouchoscopy, which was 3 years ago. Sorry to hijack Bubbapups thread, but out of curiosity how often are folks getting a pouchoscopy these days? Just curious especially wanted yours and Scott's thoughts. Hope everyone is well, and has a blessed Thanksgiving. We are still in restoration and recovery mode here in WNC from Helene. Some of the worst devastation and disaster I've ever seen, and unfortunately I've seen a lot in my past 30 plus years doing fire/rescue response mode

Blessings,

Diesel

@Diesel  I tend toward less frequent pouchoscopies (without sedation), on an as-needed basis rather than for periodic screening. Folks who’ve had cancer or dysplasia (or other risk factors) tend to choose a more frequent and systematic approach to pouchoscopy.

I hope the continued recovery from Helene goes well.

I don’t think I am tough at all, but my pouchoscopies are nothing like a colonoscopy. I have been getting them without sedation since 1995 without issue. Definitely more comfortable since I have been in pouchitis remission.

Anyway, I get mine about every 3 years or so. My biopsies have always been negative for dysplasia.

Enjoy your Thanksgiving everyone.

Jan

I get mine every 5 years or unless I am having symptoms and they need to take a peek. I feel like the only good part is the sedation! Lol

@Bubbapup Hi I've had yearly pouchoscopy 's with sedation. Prep is liquid diet in afternoon, tap water enema in pm and 2hours before procedure. My previous surgeon said the preps for people with colons are risky with dehydration in jpouch patients. And always request a pediatric scope!  I always request IV fluids to limit dehydration once IV is in. Good luck!