In this episode, we’ll delve into the essential adjustments you need to make a week before your procedure. We'll cover everything from which prescription medications to continue or pause, to managing medications for specific conditions like heart or liver issues. We’ll also discuss how to ensure reliable transportation for the day of your colonoscopy.
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Time Stamps:
00:00 Intro
Medications
General:
03:08 Prescriptions.
Heart Conditions:
05:58 managing medications for heart conditions such as hypertension or atrial fibrillation
Liver Conditions:
08:13 cirrhosis or hepatitis
Stomach Conditions:
10:50 acid reflux, ulcers, or other stomach conditions
Diabetes (including weight loss medications like Ozempic):
13:20 Modifications necessary for diabetes
Kidney Conditions:
16:15 kidney conditions such as chronic kidney disease (CKD) or are on dialysis.
Autoimmune Disorders:
19:13 Conditions like rheumatoid arthritis or lupus
Respiratory Conditions:
20:15 Asthma or COPD
Thyroid Disorders:
21:05 Hypothyroidism or Hyperthyroidism
Mental Health Conditions:
21:55 Antidepressants, anti-anxiety meds, or mood stabilizers.
Specific Considerations for Chronic Conditions:
22:55 supplements I should avoid due to my chronic disease(s)
23:08 Vitamins
25:50 Probiotics, Fibers, Prebiotics, Synbiotics:
28:33 Herbs and Spices
29:45 Ashwagandha, turmeric, or ginger
General:
31:38 Allergy Medications
32:25 NSAIDs and Painkillers
Additional Concerns for Chronic Diseases
33:30 Managing Flares or Symptoms
Emergency Contact:
34:29 Chronic Conditions
34:50 Smoking, drinking alcohol?
Transportation and Support
36:10 Support
36:43 Transportation
37:40 Ride Arrangements
38:10 Other Transportation services
38:45 Information for driver
General Pre-Procedure Preparations
39:26 Documents or medical information
39:51 What to wear?
References:
Medications General:
Cleveland Clinic https://my.clevelandclinic.org/health/treatments/22657-colonoscopy-bowel-preparation
Heart Conditions:
Kaiser Permanente https://healthy.kaiserpermanente.org/washington/get-care/additional-services/gastroenterology/colon-prep
Liver Conditions:
Cancer Care Ontario https://www.cancercareontario.ca/sites/ccocancercare/files/guidelines/full/ColoQMP-QIResources-BowelPrepGuidelines.pdf
Stomach Conditions:
European Society of Gastrointestinal Endoscopy (ESGE) Guideline https://www.esge.com/assets/downloads/pdfs/guidelines/2019_a_0959_0505.pdf
Diabetes (including weight loss medications like Ozempic):
Endocrinology Advisor https://www.endocrinologyadvisor.com/diabetes/recommendations-issued-for-diabetes-specific-colonoscopy-preparation/
Kidney Conditions:
Nova Scotia Health https://www.nshealth.ca/patient-education-resources/1475
Autoimmune Disorders:
European Society of Gastrointestinal Endoscopy (ESGE) Guideline https://www.esge.com/assets/downloads/pdfs/guidelines/2019_a_0959_0505.pdf
Respiratory Conditions:
MUHC Patient Education https://www.muhcpatienteducation.ca/DATA/GUIDE/431_en~v~colonoscopy-royal-victoria-hospital-montreal-general-hospital-lachine-hospital.pdf
Thyroid Disorders:
Gastroenterology & Hepatology of CNY https://gandhofcny.com/procedures/colonoscopy/
Mental Health Conditions:
MUHC Patient Education https://www.muhcpatienteducation.ca/DATA/GUIDE/431_en~v~colonoscopy-royal-victoria-hospital-montreal-general-hospital-lachine-hospital.pdf
Vitamins:
Penn Medicine https://www.pennmedicine.org/-/media/documents%20and%20audio/patient%20guides%20and%20instructions/gastroenterology/colonoscopy_prep.ashx?la=en
Probiotics, Fibers, Prebiotics, Synbiotics:
Medical News Today https://www.medicalnewstoday.com/articles/types-of-colonoscopy-prep-kits
Herbs and Spices General:
SAGES Guideline https://www.laparoscopyhospital.com/pdf/guidelines/SAGES_Guideline_BOWEL.pdf
Specific Herbs (Ashwagandha, Turmeric, Ginger, etc.):
SAGES Guideline https://www.laparoscopyhospital.com/pdf/guidelines/SAGES_Guideline_BOWEL.pdf
Allergy Medications General:
Penn Medicine https://www.pennmedicine.org/-/media/documents%20and%20audio/patient%20guides%20and%20instructions/gastroenterology/colonoscopy_prep.ashx?la=en
NSAIDs and Painkillers General:
Penn Medicine https://www.pennmedicine.org/-/media/documents%20and%20audio/patient%20guides%20and%20instructions/gastroenterology/colonoscopy_prep.ashx?la=en
Additional Concerns for Chronic Diseases:
European Society of Gastrointestinal Endoscopy (ESGE) Guideline https://www.esge.com/assets/downloads/pdfs/guidelines/2019_a_0959_0505.pdf
Transportation and Support:
MUHC Patient Education https://www.muhcpatienteducation.ca/DATA/GUIDE/431_en~v~colonoscopy-royal-victoria-hospital-montreal-general-hospital-lachine-hospital.pdf
General Pre-Procedure Preparations:
MUHC Patient Education https://www.muhcpatienteducation.ca/DATA/GUIDE/431_en~v~colonoscopy-royal-victoria-hospital-montreal-general-hospital-lachine-hospital.pdf
Colonoscopy Preparation Timeline Handbook. Episode 3