Struggling with Colonoscopy Prep

Struggling with colonoscopy prep? 

Here’s what to do to make it easier

A colonoscopy is an essential procedure for diagnosing and preventing serious bowel conditions, but the preparation can be frustrating, especially when it doesn’t seem to be working. Many people find that standard prep solutions like MoviPrep, Plenvu, or Citramag don’t have the desired effect, leaving them wondering what to do next. If your colonoscopy prep isn’t working or you want to ensure the best results, here’s what can help.

Why your prep might not be working

Colonoscopy prep solutions are designed to clear your bowel completely, but sometimes they don’t work as expected. Common reasons include:

Not drinking enough fluids: The prep solution works by drawing water into your bowel, so staying hydrated is essential.

Slow gut transit: If you have chronic constipation, your bowel may take longer to respond to the laxative.

Incorrect timing: Taking the solution too quickly or too late in the day can affect its effectiveness.

Dietary choices before prep: Eating heavy, high-fibre foods in the days leading up to prep can make it harder to clear your system.

Medication interference: Some medications, including opioid painkillers and iron supplements, can slow down bowel movements.

What to do if your prep isn’t working

If you’ve followed the instructions but nothing is happening, don’t panic. Try these steps:

Keep drinking fluids: Water, clear broths, herbal tea, and electrolyte drinks can help move things along.

Walk around: Gentle movement can stimulate your gut and encourage the prep to work.

Try warm liquids: A cup of warm herbal tea or clear soup may help kick-start the process.

Check the timing: Some people need more time before the prep takes full effect, especially if they have a slow digestive system.

Consider additional laxatives: If nothing happens after several hours, your doctor may recommend an extra dose or an alternative laxative like magnesium citrate or a glycerin suppository.

Contact your healthcare provider: If your bowel isn’t clearing properly, your doctor may have other recommendations to ensure the colonoscopy can still go ahead.

Preparing for a more effective cleanse next time

If you’ve struggled with prep before, there are ways to make it more effective:

Adjust your diet in advance

1. Start a low-fibre diet three to five days before your procedure. Avoid whole grains, nuts, seeds, raw vegetables and fibrous fruits.
2. Stick to easily digestible foods like white rice, pasta, eggs and lean protein.
3. Switch to clear liquids a full day before the prep for an easier cleanse.

Choose the right prep for you

1. Some people tolerate certain brands better than others. If MoviPrep doesn’t work well for you, ask about alternatives like Plenvu, Citramag, or Picolax.
2. Consider split-dose prep, which means taking half the solution the night before and the rest in the morning. This method is often more effective and easier to tolerate.

Stay hydrated

1. Drink plenty of clear fluids throughout the day before your prep.
2. Avoid alcohol and fizzy drinks, as they can cause bloating and discomfort.
3. Electrolyte drinks like coconut water or rehydration salts can help prevent dehydration.

Support your digestion

1. If you struggle with constipation, speak to your doctor about taking a mild laxative (such as magnesium citrate) a day or two before starting your prep.
2. Probiotics or a gentle fibre supplement in the weeks leading up to the procedure  may help regulate digestion.

Follow the instructions carefully

1. Mix the prep solution as directed and drink it at the right pace. Too fast can cause nausea, too slow may reduce effectiveness.
2. Use a straw and chill the solution to make it more palatable.

If you can’t bear the taste of prep

Some people find that adding a clear soft drink (but not purple varieties, as they can hide blood during the procedure) or a light broth can help make the prep more tolerable, but fizzy drinks and high-sugar options may cause bloating. Light broths are generally fine, but they should be fat-free and free of solid bits. Always check with your doctor to make sure these options are suitable for you.

Quick takeaways

1. Start a low-fibre diet a few days before prep.
2. Drink plenty of fluids before and during prep.
3. Walk around and try warm liquids if things aren’t moving.
4. If prep isn’t working, contact your doctor for guidance.
5. Consider split-dose prep for better results.

Need more support?

If you struggle with digestive issues and need personalised support, get in touch. I work with clients to improve gut health naturally. Let’s find a plan that works for you.