Episode Overview:
This morning, we will cover how to handle any remaining prep steps, finalize your preparations for traveling to the clinic, and discuss strategies to manage any last-minute anxiety.
Download Resources:
1. Welcome Guide User Sheet
2. Welcome Guide Checklist
Sign up for Colonoscopy Preparation Sms Reminders
www.gutsphere.com
Time Stamps:
00:00 Intro
No Liquid Consumption
Clarification on Restrictions:
02:01 Can you define 'no liquids'? Does this include water, clear broths, or medications?"
"Until what exact time am I allowed to consume clear liquids, and when must I strictly start the 'no liquid' period?
Medication Intake:
04:40 How should I take any essential medications during the 'no liquids' timeframe? Are there exceptions to the 'no liquids' rule for critical medications, and how should I manage them?
Reminder for Driver
Transportation Coordination:
05:52 What information does my driver need to know about pick-up times and locations post-procedure? How long is the colonoscopy expected to last, and how much time should my driver plan to wait?
Driver's Role and Requirements:
08:00 Does the person picking me up need to come inside the facility, or can they wait in the car? What if my designated driver cancels last minute? What are my options?
Health and Safety Concerns
Addressing Hunger and Weakness:
10:08 What should I do if I feel extremely weak or dizzy due to not consuming any liquids? Are there signs of dehydration I should be vigilant about during the 'no liquids' period?
Emergency Contacts:
11:33 Whom should I contact if I experience severe discomfort or symptoms during the 'no liquids' period?
Pre-Procedure Anxiety
Managing Anxiety:
12:12 How can I manage anxiety or nervousness in the final hours leading up to the colonoscopy? Are there relaxation techniques or practices recommended during this waiting period?
Morning of Procedure
Last-Minute Preparations:
14:30 Is there anything specific I should do or prepare for the morning of the procedure? Should I bring any documentation, medication lists, or ID with me to the procedure?
Post-Procedure Expectations
Recovery Timeframe:
16:20 How soon after the procedure will I be able to leave, and what are the immediate post-procedure care instructions? What are some common sensations or reactions I might experience immediately after the colonoscopy?
For Patients with Chronic Conditions
General Concerns
18:50 As someone with a chronic condition (e.g., diabetes, heart disease), are there specific symptoms or issues I should watch out for during the 'no liquids' period?
Diabetes Management
19:51 How should I manage my blood sugar levels during the 'no liquids' period, especially if I'm prone to hypoglycemia? Are there any adjustments I should make to my insulin or diabetic medication schedule in the hours leading up to the procedure?
Heart and Kidney Conditions
21:32 Given my heart/kidney condition, what precautions should I take to avoid dehydration or electrolyte imbalance during the 'no liquids' phase? Should I monitor my blood pressure more closely, and what signs should prompt me to seek immediate medical attention?
Chronic GI Disorders
22:55 If I have a chronic GI disorder like Crohn's disease or ulcerative colitis, how might the 'no liquids' rule impact me differently, and how can I prepare? Are there any last-minute adjustments I should consider for my condition before the colonoscopy?
Medication Timing and Adjustments
24:30 For medications related to my chronic condition(s) that I typically take during the 'no liquids' timeframe, what alternative instructions should I follow? How can I ensure that stopping liquids won't interfere with the medications I need for my chronic conditions?
References:
No Liquid Consumption
Clarification on Restrictions:
https://my.clevelandclinic.org/health/treatments/22657-colonoscopy-bowel-preparation
https://www.webmd.com/colorectal-cancer/prepare-for-colonoscopy
Medication Intake:
https://www.utmedicalcenter.org/sites/default/files/imported/wordpress/2019/02/colonoscopy_post_op_instructions_21.pdf
https://my.clevelandclinic.org/health/treatments/22657-colonoscopy-bowel-preparation
Reminder for Driver
https://my.clevelandclinic.org/health/treatments/22657-colonoscopy-bowel-preparation
https://health.usnews.com/health-care/patient-advice/articles/2017-10-10/what-to-do-about-pre-colonoscopy-anxiety
Driver’s Role and Requirements:
https://gastroconsultants.com/preparing-for-your-procedure
https://healthy.kaiserpermanente.org/washington/get-care/additional-services/gastroenterology/colon-prep
Health and Safety Concerns
https://my.clevelandclinic.org/health/treatments/22657-colonoscopy-bowel-preparation
https://doi.org/10.1136/bmjgast-2023-001193
Emergency Contacts:
https://my.clevelandclinic.org/health/treatments/22657-colonoscopy-bowel-preparation
Pre-Procedure Anxiety
https://health.usnews.com/health-care/patient-advice/articles/2017-10-10/what-to-do-about-pre-colonoscopy-anxiety
https://info.iowaradiology.com/6-tips-for-calming-your-nerves-during-colonoscopy
Morning of Procedure
https://stanfordhealthcare.org/content/dam/SHC/treatments/e/docs/colonoscopy-prep-revised-sep-6-2018.pdf
https://thewell.northwell.edu/digestive-health/colonoscopy-prep
Post-Procedure Expectations
https://www.verywellhealth.com/what-to-do-after-a-colonoscopy-796903
For Patients with Chronic Conditions
https://bmjopengastro.bmj.com/content/10/1/e001193
https://endovisionclinic.com/wp-content/uploads/2020/07/Preparation-Colonoscopy-Chronic-Constipation-2020.pdf
Transportation and Support for Chronic Conditions
https://stanfordhealthcare.org/content/dam/SHC/treatments/e/docs/colonoscopy-prep-revised-sep-6-2018.pdf
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