What are some good alternatives to bowel prep medication?

This question was asked in Lansdowne, Virginia on 01/18/2012.
Given the choice of wood splinters being shoved up my fingernails and drinking the bowel prep meds I would choose the former. Please tell me that there is/are some pill(s) I can take that won't require me to drink 46 gallons of warm, unsweetened pig salivia. Help! Sorry for my graphic description. But in all seriousness, I can not drink the liquid that has been prescribed no matter what I add to try and get it down. I have now cancelled my procedure twice.

Doctors Answers (2)

David Myles Nolan
Answered on: 1/21/2012

There are alternatives, some people chill the prep solution - its much more palatable if you cool it off in the freezer first before you start (and doesn't affect the quality of the prep).? You can also discuss split dose prep and possibility of alternative solutions such as miralax.? Unfortunately, all of the currently available preps pretty much require high volumes of liquids (most are 4 liters) to work.? The alternatives such as phospho-soda prep are unsafe and shouldn't be used (but did require much less liquid).

Shahram Javaheri, M.D.
Answered on: 1/21/2012

There are pills available (Osmoprep) for the preparation. However, you will need to take 32 pills (four pills at a time with 8 oz. of water) amounting to 8 sessions of 8 oz. of water (64 oz. of water. Ask your physician about whether you are a candidate for the pills since the pills do come with a Black Box Warning. The pills can rarely cause a phophate nephropathy resulting in a permanent kidney impairment requiring kidney dialysis. Unfortunately, the current choices for bowel preparation do not taste good (to say the least) and the bowel preparation is the worst part of the process. Most gastroenterologists will prescribe an anti-nausea medication if requested by the patient. This will really help you with curbing the nausea.