Bad experience with suprep: colonoscopy tomorrow

What you are describing is not normal for the the Suprep. Instead of going to the ER, maybe you should contact the on call GI and see what they recommend.

Thanks guys! i'm glad folks are still awake! BwithUC, I think I don't have a bowel obstruction because I went to the bathroom today before the prep and everything looked completely normal and a good amount came out. The pain only started an hour after the suprep solution. Think you are right with the constipation angle.


Sherry, I called the GI on call (great idea) and he said pain is likely because I have not emptied after drinking the solution (only went once a tiny amt) and told me to get a fleet enema and see if that moves things along. sent partner to go get one of those.

I still have pretty sig bloating (look pregnant) and abdominal pain is 7/10 ....ugh! Pain is worse than UC cramps.

I really hope things move along and I can do this colonscopy!!!!

Post Edited (Jane974) : 4/2/2017 10:09:35 PM (GMT-6)

UPDATE: after a long night without sleep, I was able to do the colonoscopy! the suprep did not work for me and caused intense abdominal pain without any BM's for hours. I also vomited the entire second dose of the prep. Anyhow, I ended up taking two fleet enemas in the end and was able to make it through the procedure no problem!

Now I know to call the doctor on call and keep fleet enemas just in case. Next time I am definitely not doing anything that requires liquid and am asking for laxative pills given the vomiting from the prep.

My results: GI said colon looked completely normally visually. He said that there was inactive inflammation in the rectum only. He took biopsies so we'll see what he finds.

Does anyone know what that means if there is inactive inflammation in the rectum? He said you can see there was inflammation there previously.

Definitely give that prep a miss next time. That's good news your colon looks completely normal, hopefully the inactive inflammation will improve soon too.

Thanks everyone!

I found the sheet where the GI doc wrote his impressions. He wrote the the colon looked normal but there were minimal vascular changes. He did not say inactive disease--that was my interpretation.

I couldn't find any info on minimal vascular changes. Is this related to active inflammation? Is this what you guys are referring to in regards to changes to the architecture of the colon?

Thanks again!

iPoop said...
Yes vascular change is a permanent architectual change indicating IBD from repeat patterns of inflammation and healing with a chronic illness patient.

A normal large intestine has an orderly and predictable pattern of small blood vessels and capillaries. IBD patients have a chaotic and seemingly random pattern of blood vessels and small capillaries, it's quite distinct when viewed from a colonoscopy or endoscope. When inflammation occurs, the walls of the intestine swell to multiple times their normal thickness (looking like a lead pipe in an xray). When we heal our intestine returns to a normal thickness. That process really jumbles up the pattern.

Thanks, ipoop. That is very helpful. My GI was not able to explain this to me when I asked what it meant!

Many of you guys have more knowledge of IBD than any of the GI docs i've seen!

FlowersGal said...
YAY for being in remission! Go, You! :-D

Weird that suprep did that to you! Sorry you had to go through that, but glad you were able to get through the colonoscopy fine.

yay for being in remission I'm still waiting on the pathology report though before officially celebrating! I think i'm going to book a nice week long vacation if the pathology report comes back normal.

Yeah, suprep was the most difficult out of the many preps I've taken. The taste did not sit well with me and induced lot's of vomiting and pain. Next time i'm going with laxative pills or enemas.

DBwithUC said...
enemas are only a prep for flex sig.

use lots of fluid with laxative pills or you will not get washed out, and the scope might get canceled.

But why do you think laxative pills will work when liquid laxative did not? Don't you think the pills will just cause cramping and pain if you are unable to evacuate after taking them?

I think your question as to why the prep did not work is a good one. I drank more than enough liquid so that was not the issue. There was something in the suprep ingredients that did not sit well with me and for some reason I did not get intense pain when taking many laxative pills during the previous colonoscopy. Suprep has sodium sulfate, magnesium sulfate and potassium sulfate in it whereas the pills are a bit different. I think I was having stomach pain because I was not emptying hours afterwards. It was not until I took the enema that I went to the bathroom and then the pain went away. Additionally, I got my period the same day as the prep so I may have had more sensitivity to everything and more likely to get abdominal cramps. I have never had a colonoscopy prep while having my period.

Plus, the second dose I vomited entirely due to the taste and being on an empty stomach. I would have been able to stomach pills without any flavor in the early AM.

The two fleet enemas did in fact empty me enough for the colonoscopy along with the one dose of suprep.

Post Edited (Jane974) : 4/4/2017 4:57:07 PM (GMT-6)

Put out a new topic question...better than a thread from 3 years ago.
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