9/17/2023 0 Comments Maralix error![]() ![]() I use the blue gatorade as it is the least ghastly tasting. I have had a couple different prep solutions but now always do the Miralax/gatoraid. Because of the surgery and to be cautious, I have the standard colonoscopy every 5 years since then (although one time I had to repeat 3 months later). Before my gastro surgery in 2007, I had my first colonoscopy and it was tough, was dehydrated, very ill, projectile vomiting, etc. I’m so sorry to read of all the hardships faced when doing prep. Source: Samarasena et al, The American Journal of Gastroenterology, advance online publication May 8, 2012.Ģ9 thoughts on “ Have They Found a Better Colonoscopy Prep?” A clean colon is critical to an accurate exam. Splitting the prep in two doses - one the evening before your test and the other half the morning before the exam - will improve colon cleansing. What This Means for PatientsĪsk your gastroenterologist about combining MiraLAX with Gatorade as a preparation for colonoscopy. MiraLAX/Gatorade appears to be more tolerable than Golytely as a bowel cleansing regimen and was the preferred agent by the patients in this study. Split-dosed MiraLAX/Gatorade was an effective, safe, and tolerable option for bowel preparation before colonoscopy in the low-risk patients in this study. Jason B Samarasena MD and his colleagues concluded, It needs to be combined with two quarts of Gatorade to replace the electrolytes lost in watery diarrhea during the prep process. MiraLAX is also powdered PEG, but doesn't contain electrolytes. It is combined with about a gallon of water to draw fluid into the colon to flush out feces. GoLYTELY is a powdered form of polyethylene glycol (PEG-ES) and electrolytes. There were no significant changes in electrolytes before and after the prep between MiraLAX and GoLYTELY or in single-dose or split doses.96.8 percent of patients said they would be willing to repeat the MiraLAX prep compared to 75 percent of the GoLYTELY patients.On a questionnaire, patients reported better taste and tolerability for the MiraLAX prep.There was a significant difference in bowel cleansing when either prep was given in a split dose. ![]() There was no difference in bowel cleansing between the GoLYTELY and the MiraLAX/Gatorade preps.They also compared bowel cleansing quality between giving all of the dose the night before colonoscopy to splitting the dose between the evening before and the morning of the exam. Gastroenterologists at the VA Healthcare System in Long Beach, California and at the University of California Irvine developed a randomized clinical trial to compare the MiraLAX prep with traditional GoLYTELY. But there was no difference in cleansing between split-dose GoLYTELY and split-dose MiraLAX with Gatorade.Īlthough community gastroenterologists are using the combination of MiraLAX and Gatorade to clean the colon before colonoscopies, there hasn't been evidence that it was safe and effective. Splitting the dose between the night before the colonoscopy and the morning of the procedure did improve colon cleansing. In addition, doctors found no differences in how thoroughly the two preps clean the colon. In a randomized clinical trial, almost 100 percent said they would repeat it again, compared to 1 out of 4 who wouldn't take GoLYTELY® in the future. Now patients are reporting that combining MiraLAX®, an over-the-counter laxative, with two quarts of Gatorade tastes better and is easier to take than the standard 4-quart Golytely colonoscopy preparation. Share on Facebook Share on LinkedIn Share on Twitter Copy this URL Share via EmailĪsk almost anyone after their first colonoscopy, and they'll tell you, "The procedure was nothing, but the prep was awful." ![]()
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