What if pico salax doesn work

Be sure to follow the precise instructions given to you by your physician. To clean the colon, your doctor will send you to your pharmacy to purchase a purgative a drug that causes evacuation of the bowels to be taken the day before your colonoscopy. In addition to taking the purgative, you must restrict yourself to a clear liquid diet, and generally stay close to the bathroom.

Your doctor may also advise you to modify the way you take some of your other medications in the days leading up to the procedure. There are several types of purgatives. All are osmotic agents, which work by pulling water from the body into the bowel. They are safe and effective when used for appropriate patients according to the directions, but they vary from patient to patient in tolerability. Is the size of the rectal catheter for a virtual colonoscopy the same size for the conventional colonoscopy?

Can I have this procedure if I am pregnant? Can I still have a virtual colonoscopy if I am in a wheelchair? Does a CT colonoscopy or virtual colonoscopy involve more radiation than a conventional CT scan? What are my other options for colon cancer screening?

What happens if I decide not to have my virtual colonoscopy? If you cannot pick up your preparation kit yourself the week before your appointment, you are more than welcome to have a family member or friend to pick it up for you at the CT bookings area at the hospital. For best results your bowels must be cleansed. To do this you must take a laxative. There are several types of laxatives, however, for virtual colonoscopy, the laxative you will need to orally ingest is Pico Salax.

A lot of bowel preparations leave a residue in the colon which can interfere with the quality of the CT. We therefore prefer that you use our bowel preparation. However, if you have specific medical reasons why you think you shouldn't, we would be happy to speak with you. Many of your other medications could have caused this. For instance, pain medications such as phentanyl can cause adverse affects such as constipation.

In this situation, we will have to reschedule your virtual colonoscopy and ask you to follow a three day preparation with a low residue diet. This will help you cleanse your bowels while taking your needed medications. If you have forgotten to drink your barium at its scheduled time, continue to follow the preparation instructions, and just remember to drink it on the next scheduled time.

If you have significant cardiac or renal problems please let our bookings office know prior to booking in case it has any impact on the bowel preparation offered to you. If you are a diabetic please inform our bookings office at the time of booking so we can offer you an earlier appointment in the morning. If you take oral medications pills , you may take your morning medication, but hold your evening dose on the day before your procedure.

If you are taking insulin you will need to speak with one of our nurses to receive your individual instructions. If you haven't talked with a nurse within five days of your procedure please call our nurses number that is listed on the back of the instruction sheet. Can I have alcohol while I am doing my prep? No, you may not have alcohol while you are doing your prep, or on the day of the procedure.

Alcohol is dehydrating and dangerous to mix with sedation. You will need to monitor your blood sugar throughout the day. Remember, that the liquid that you drink is all the nourishment you are getting. Make sure that the drinks you are drinking contain sugar in addition to your diet drinks. Keep your instant glucose handy, drink a glass of liquid that contains sugar, or dissolve a piece of hard candy slowly in your mouth.

Remember nothing red or purple. Check you blood sugar in 45 minutes to an hour and repeat the sugar drink, candy or instant glucose if needed. If it does not come up or continues to drop, contact your physician or go to the Emergency Room. A clean colon will allow the doctor to carefully examine all of your colon and remove or treat or biopsy any small or flat polyps.

If areas of your colon are not completely clean, small areas may be missed which could potentially have pre-cancerous polyps or tumors. Also, if large sections of the colon are unclean then methane gas may still be in the colon.

This can be dangerous because electricity is often used to treat polyps. Most patients cannot tolerate 64 ounces of liquid all at one time. By dividing the laxative into two smaller doses, this allows any left over material in your colon to be removed with the second dose. This results in a better cleansing and a better examination. As long as your physician knows who your primary care physician PCP is and is your "doctor of record", then your PCP will be sent a copy of your procedure note the same day of your procedure.

Most patients feel gassy abdominal cramping after the procedure. While in the recovery area waking up from the procedure, you will be asked to push out air from the colon. You may still have a small amount of leakage and you may want to wear protection for your clothes. If you eat greasy or fried foods after your procedure you may still experience diarrhea.

We recommend a low-fat solid meal soon after the procedure to prevent diarrhea. A clear liquid is defined as anything that you can see through when you hold the liquid up to a light. This includes soft drinks, coffee, tea, Jell-O, popsicles, bouillon or broth, apple juice, or white grape juice. DO NOT drink anything that is red or purple because it may look like blood during the procedure.

Drink sugar free drinks. Do not take insulin to bring it down unless you use a sliding scale insulin. Be sure to check your blood sugar in an hour to see if it is going down. If it is too high or does not go down contact your physician or go to the Emergency Room. If by sensitivity you mean you develop a sore bottom: It's a good idea to pre-treat your bottom with something that will protect it even before the bowel movements begin.

Use wet wipes instead of toilet tissue. If by sensitivity you mean that a little bit of medication really gets your bowels moving: Then you may want to buy some underwear protection and stay very close to the bathroom.

People who have a history of having accidents are more likely to have accidents during their bowel preparation. Everyone is different. Some people begin having their bowels move within one hour of drinking all of their preparation. Some people are very sensitive to laxatives and will have accidents. This is especially true for patients who have had accidents in the past with routine "GI bugs". Other patients may not have their bowels move for four hours.

These patients usually require a little extra laxative preparation in order to get their colon clean. For decades we have administered IV or oral antibiotics prior to performing some colonoscopic procedures, but practices have changed. In April the American Heart Association update its guidelines.