Buzz
There are numerous indicators that you're aging. For instance, your neighbors might start appearing noisy and irritating rather than fun party hosts. You might find yourself favoring shoes that prioritize comfort over style. You may also notice you’re clueless about the identities of some of the world’s top-earning celebrities. And then there’s the inevitable: colonoscopies.
Typically, the idea of letting someone insert a camera into your rear would either lead to a quick rejection or a conversation about personal preferences. However, there comes a time in everyone’s life when their doctor strongly recommends not just permitting it, but actively seeking it out. The recommended age was once 50, but it has recently been lowered to 45 due to an increase in colon cancer diagnoses among younger individuals.
The silver lining? There’s plenty of it. A colonoscopy is the most reliable method for detecting colon cancer, identifying over 95 percent of colorectal cancers. This is crucial, as colorectal cancer ranks as the third most common cancer in the U.S. and is both highly preventable and often curable when detected early. In short, while no one looks forward to a colonoscopy, it can be life-saving. Plus, once you’ve had one, you typically won’t need another for a decade, unless your doctor recommends otherwise. However, while the procedure itself is beneficial and necessary, the preparation process is far from enjoyable.
The most challenging aspect of a colonoscopy is the preparation
Since colonoscopies are conducted under sedation, you’re spared the awkwardness and discomfort of having a medical team observe as a flexible camera is, in clinical terms, inserted into your rectum. This means the true ordeal lies in the preparation. To ensure a clear view, your doctor requires your colon to be impeccably clean, which involves two key steps: a diet restricted to clear liquids and the use of highly potent laxatives. Just how potent? Suffice it to say, your doctor will likely emphasize, in no uncertain terms, that you should plan to stay home after taking them.
Usually, you’ll be instructed to follow a clear liquid diet for the entire day preceding your procedure. The laxatives are divided into two doses—one the day before, which is manageable, and another approximately six hours before the colonoscopy. This second dose is when your body will revolt, and you’ll develop a newfound closeness with your bathroom.
The preparation is so notoriously unpleasant that it’s the primary reason many people avoid colonoscopies, despite the significant benefits. The risk of injury during the procedure itself is minimal, at around .04—.08 percent. However, there are strategies to make the prep process slightly more bearable—or at least a bit less miserable.
Plan your schedule wisely
The timing of your procedure significantly influences when your preparation starts, so plan carefully. Typically, the second dose of laxative must be taken roughly six hours before the procedure. If you schedule your colonoscopy for the morning to get it done early, you’ll need to wake up in the middle of the night to take the dose, followed by spending the early hours in the bathroom. While this might be worthwhile if you want to free up the rest of your day, opting for an afternoon appointment allows you to enjoy a full night’s sleep.
Avoid fiber-rich foods
While most doctors recommend starting your prep the day before the procedure, it’s wise to adjust your diet a few days in advance. Reduce your fiber intake—steer clear of beans, nuts, most vegetables, and other high-fiber foods. Although fiber is excellent for colon health, it tends to, well, “cling” inside, so minimizing it can make the process of clearing out your system slightly less challenging.
Diversify your liquid options
Many assume a “clear liquid” diet refers to colorless liquids, but “clear” actually means liquids without pulp or particles. This means coffee and tea are acceptable (and you can usually add sugar unless your doctor advises otherwise), as are broths, most gelatins (avoid red, purple, or orange dyes to prevent complications during the procedure), and frozen ices. Stock up on a variety of options to avoid monotony during the 24-hour period. Additionally, stay hydrated—drinking plenty of fluids can help the procedure go more smoothly.
Handle the laxatives with care
The process of preparing for a colonoscopy has seen significant improvements, especially regarding laxatives. Gone are the days of overwhelming quantities of unpleasant-tasting solutions. Nowadays, the volume you need to consume is considerably less. For a more tolerable experience, chill the solution in the refrigerator and consider enhancing its flavor with additives like Crystal Light. Using a straw can help minimize the taste, and keeping a soft drink or hard candy nearby can alleviate any lingering aftertaste.
Remember, there's no need to rush through the process. It's crucial to consume the solution at the right time, but there's no prize for speed. Approach it leisurely, unlike hastily downing a shot of tequila during a festive celebration.
Ensure your comfort
After ingesting the second dose of laxative, you'll quickly notice the effects as it works through your system. Expect to spend a considerable amount of time in the bathroom, so it's wise to prepare your space accordingly:
Opt for comfortable attire, as you'll be frequently changing over the next several hours. Choose clothing that you wouldn't mind potentially ruining, just in case of any accidents.
Equip your bathroom with entertainment and essentials. Bring a tablet for streaming shows, along with books and music to keep yourself occupied. Turn your bathroom into a relaxing retreat with candles and soothing tunes.
Protect your skin. Use flushable wipes and apply baby rash cream to prevent irritation from excessive wiping.
While preparing for a colonoscopy isn't exactly enjoyable, you can reduce discomfort by planning ahead and prioritizing self-care. Perhaps this experience will motivate you to maintain your bathroom as a permanent sanctuary.
This post was revised after publication to correct the statistics regarding the risks of injury during a colonoscopy.
