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My Next Sigmoidoscopy

As you know from my past articles, I have had twenty-two colonoscopies and sigmoidoscopies.  I have only had to do the full prep a few times when I was first diagnosed with Crohn’s.  Now that I do not have a colon, I do not need to do the full prep.  I just have to do two enemas a few hours before the procedure and no eating after midnight.  After my last scope in May, my doctor felt very uneasy.  In the post-op room, he told me that he was not thrilled with the prep.  He said he could not see anything above my J-pouch.  Although he wasn’t concerned (I had no symptoms), he really wanted to get a good look at the small intestines above the pouch.  He told me there was still lots of food blocking his view.  I was to do a full prep for my upcoming sigmoidoscopy on May 15th.

Sigmoidoscopy prep

I was browsing through the paperwork today. I had not had time to file it.  I saw my gastroenterologist last week and he confirmed what he told me last year.  The prep is to look like this:

  • No eating for twelve hours before my procedure.
  • I have to take four stool softeners.
  • I have to drink 36 ounces of Gatorade mixed with Miralax.
  • I can only have clear liquids up to midnight the night before.

Sigmoidoscopy concerns

For the most part, I am OK with the clear liquids and no eating for twelve hours.  Heck, I didn’t eat for six months! Here is what I am worried about:

  • I don’t have much of a stomach. I get full so easily, so getting down the thick Gatorade and Miralax is going to be interesting.  I hope I can keep it down!
  • I already go to the bathroom so much already. On a good day,  I use the restroom 18-20 times a day.  I can’t imagine what is going to happen once I start the prep.  I really have to be careful about dehydration.  I hope that when I do get to the hospital for my test that they will be able to give me some IV fluids.
  • I can’t imagine that I would need stool softeners since I always have diarrhea. So, this should be interesting.

I have to be honest and say that I am very nervous for this procedure.  I am usually not nervous at all, but this is going to be different.  This is the first time with the J-pouch that I do the full prep.  I am scared about getting dehydrated and fainting.  This is something that has happened to me in the past whenever I lose a lot of fluids.  I know that I shouldn’t worry and that I am in a much better state of health then I was ten years ago.

I am going to reach out to my doctor sooner rather than later.  I want to run the prep by him to see if he might be willing to cut it down a little bit.  It is just way too harsh!  Or is it me being nervous? I will keep everybody updated.

This article represents the opinions, thoughts, and experiences of the author; none of this content has been paid for by any advertiser. The team does not recommend or endorse any products or treatments discussed herein. Learn more about how we maintain editorial integrity here.