I Hate Dialysis Message Board
Dialysis Discussion => Dialysis: General Discussion => Topic started by: Rerun on March 19, 2013, 11:59:43 AM
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A friend of mine on dialysis is having a Colonoscopy next week and was wondering if we can take that prep solution with magnesium in it...?? I told her I'd post the question and see.
She is on home Nestage treatment.
:waiting;
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I had a colonoscopy since my kidneys failed and I took the polypropylene glycol prep (basically Miralax) plus 4 Dulcolax pills.
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I had the same asCattlekid
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I was given something called Go Lightly. I was told that it was a special formula for dialysis patients. The stuff is nasty, but it does the job.. sucks if you are fluid restricted, though
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Don't honestly know. But the first place to check is what his magnesium level is to start with. Mine was always low and I was cramping. I actually was taking supplements for awhile.The cramping is better now that I am on Home Hemo and not taking off so much and my magnesium level was actually just a touch high. I have stopped taking the supplements and back to normal on the labs.
Actually Riki when you get cleaned out you lose a lot of fluid. You need to drink some when doing that except of the dyed fluids. just like when you get a stomach flu. Almost impossible to guess on what the balance is though. It's a guessing game. Nothing that does the job is fun. Especially when the waves start coming over you, that sucks.
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I have had what cattlekid and Riki have had pre and post tx. The last time I had what cattlekid had and they now have flavor packets (that was not available the last time), so that is one thing to ask about to. I am not sure what the flavor packets contain.
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Forget the 'flavor packets', they don't make it taste any better!
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simple ask your neph!
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I am allowed to mix in Jello packets. I use the peach flavor since it is not a flavor that I would normally eat. Check with the prescribing doc. I got the "recipe" from my gastro.
Forget the 'flavor packets', they don't make it taste any better!
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Forget the 'flavor packets', they don't make it taste any better!
Sooo true with kayexelate!
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i didn't know they made flavor packets for kayexelate... that stuff is nasty x15.. the Go Lightly was a mix that came with a 4 litre jug, and you had to drink the whole friggin thing.. I only drank half of it, and it did the trick... it tasted like you were drinking plastic.. I was living with my brother at the time, and he kept bugging me about drinking it... I debated replacing his beer with it, but I didn't do it
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I had to drink two bottles of magnesiun citrate and take Ducolax also, and the morning before the colonoscopy I had to do two enemas. Fun times were had.
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My Neph told me I could take the GoLightly and Dulcolax and use the Fleets, but not to drink the magnesium citrate. No one offered flavor packs for the GoLightly, it was like drinking spit - 4 liters of spit, ugh! Words fail me...
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Man, I remember straining to finish the whole damned 4l jug. Finished the last 1l the morning of my procedure, after having 'evacuated' about 10x during the night. The last 2 or 3 bits went trough me in less than 10 minutes!!! Now i know what they mean when they call the stuff "Colon Blow"!
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I don't know why they called it Go Lightly... there's nothing lightly about that go
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I used Go Lightly for my last one, and while the symptoms are similar, I thought it beat the crap out of the alternative.
(Hey, did I just say "Beat the Crap" for a laxative?? Now, that's funny.)
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The way they had me drink the stuff was one cup every 15 minutes till done. I got it down to somewhat of a science on when to take the stuff so I am done going every 30 min or so by morning, I start at 2:30 or 3 pm instead of the 4:30 pm I am told. Drinking it plain taste very salty to me, but never drank spit either!
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My best friend is doing it now. She has an appointment in the morning, so she's been drinking it all evening. I think she drank the whole thing. I couldn't, I only got half of it.. She shares facilities with other tenants in her building, so I have a feeling she'll have a long night of running, and hoping no one is in there
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It's probably easier to just sleep ON the crapper. Saves time and reduces accidents....
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I, too had the same as cattlekid. The Dr. knew I was a kidney patient and they simply marked off the instructions that I couldn't do.
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Thanks guys.... I'll pass this information along.
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It's probably easier to just sleep ON the crapper. Saves time and reduces accidents....
I suggested that, but since she shares the facilities with other tenants, it wasn't an option... she made it through the night ok, though.. and she said that her appointment went smoothly
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I am having one on Tuesday and soooo looking forward to it. They do put you out for this dont' they???? And, one more embarassing question, do I need to take my dentures out for the procedure???
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They put you out. They use anaesthesia that you wake up from faster. I don't know so much about the dentures. They always ask me if I have any but since I don't have them I don't know. You can call and ask.
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The used conscious sedation on me, where I was awake, but have no memory of the procedure, which is good, cuz they were coming at me from both ends that day.. I had 2 scopes, one down the throat and the other up the bum. *L*
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I always ask to be put out. I do not want to know what is going on, because I will be to nervous if they don't after a couple bad incidents I have had. Besides I like having a good sleep to after having a rough day with the prep! ;D
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I've had a coouple. I learned something. They tell you to go on a liquid diet 24 hours before the procedure. Do yourself a favor and start at least 48 hours before, if not 72. Sure, you'll overdue your flluid limit, but it really helps the "prep" as there's little to evacuate. Easier to have an extra 500 cc removed at dialysis through the machine. The prep solutions will sort of just flow on through you wthout um, er, encountering any obstructions. ;)
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^
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Blech. I have an introductory meeting in a couple of weeks so I can get mine scheduled. No horror stories please!
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Is your access in your left arm? Then you are going to have to go through some gyrations as the gastro doc will most likely want you on your left side for the procedure. I compromised by staying on my left side but sticking my arm out so it wasn't bent and I wasn't laying on it. It didn't get in the doc's way as he was working on the other side of the table anyhow.
I've had TRILYTE many a time for a colonoscopy, both before dialysis and while I was on dialysis. I can attest that it didn't seem to affect my labs or volume at all.
My turn on Thursday morning. This is my first time. Transplant Center put me on inactive since late April until I had it done. The physician my cardiologist suggested I use didn't have an opening for 10 weeks. Longer than I'm comfortable with being inactivated, but had to make the compromise to get a GI specialist to feel confident about.
I'm taking a generic form of TRILYTE because insurance wouldn't cover the brand. Ended up paying $1.80 as opposed to $75. Directions say to mix with Crystal Light to help with the taste, let it get real cold to help with drinkability and then drink a friggin gallon! I called the GI's nurse practitioner and he said not to worry, that this is the prep they give to dialysis patients. It supposedly stays only in the colon - then out of the body - while not being absorbed into the tissues. My neph is alright with it as well.
My major concern is my access arm. I don't want anything to happen to it. Made a sign out of a red index card and a rubber band that I'm going to put on my right wrist. It says: "THIS ARM FOR HEMODIALYSIS ONLY. NO BP CUFFS/NO IV'S/NO BLOOD DRAWS. DO NOT KEEP IN BENT POSITION OR ALLOW PATIENT TO SLEEP ON IT."
Procedure scheduled for 10:30 a.m. I have extended hours dialysis later that night. Lovely day planned!
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I had the generic go-litely stuff. I can't remember what the standard stuff is (which CKD patients are encouraged to avoid) -- but bring it up with your Dr. and it shouldn't be any problem.
I have just taken to asking about any medication/procedure/whatever -- "I am stage 5 ESRD -- is this safe for me? Are there any special precautions?" This has almost always worked just fine. With my insurance, sometimes they have had to specify the ESRD is why something out of the ordinary is being done, but it's always gone through after that.
As for the colonoscopy itself -- I've had four of them so far, and really, it isn't too bad. The prep is unpleasant, but not that difficult -- I just set a timer for 10 minutes, and then every 10 minutes drank 8oz of the stuff until it was gone. Making sure it is cold seems to help. I like the idea of starting the liquid diet and maybe the prep a bit earlier.
I (and probably you) really want to be cleaned out -- if there is too much fecal matter left, they can't see things clearly enough and you get to do it all over again!
But, I definitely categorize it as a nuisance rather than a horror.
cheers,
skg
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I had the one from the throat - issue is why don't these guys let you drift off before attacking you with that s called camera. and why are they always in such a rush. I grabbed her hand and said no way after she tried to push that snake down my throat while I was fully awake. She wrote non compliant in my note. Thanks NHS.
I had the solution for the alternative route - there is no way I could take it, its horrid. I have had many horrid medications but that is just mean. common GSK cant you make something that doesn't stink as well as taste bad.
I just lied when they asked if I had taken the solution and the id the procedure. they still managed to find out what was going wrong.
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Has anyone used MoviPrep? Thd gastro doctor said he wanted me to use this instead of whatever he normally uses because of my renal funcion. The MoviPrep website still says to use caution with renal patients.
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Just about everything says to use with caution in renal patients. Check with your nephrologist before using.
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In case it comes up for anyone else, MoviPrep is fine for us to use.
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Dialysis patients should avoid magnesium laxatives since their ingestion in this population could result in hypermagnasemia.
http://www.turner-white.com/pdf/hp_mar02_laxative.pdf
Magnesium has uses in anesthesia and is also used in toxemia of pregnancy. For dialysis patients, stay away from large doses of magnesium.