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> The worst part, by far, was the emptying / prepping.

As described in one of the great modern tales of legend:

https://singletrackworld.com/2009/02/the-picolax-thread-retu...

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My doctor recommended a combination FIT+DNA test instead of colonoscopy (brand name "Cologuard"). She said it's not quite as good as the "gold standard" colonoscopy, but it also doesn't have the risks of colonoscopy.

And the FIT+DNA test is so cheap and easy, you can do it every year or three instead of every 10 years with the colonoscopy.

She still recommends colonoscopies for high-risk patients, but she thinks the risks outweigh the benefits for low-risk patients, so she recommends Cologuard in those situations.

I appreciate this risk-adjusted and probabilistic approach rather than one-size-fits all recommendations.

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Risks? The risks of a colonoscopy are crazy low though.
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There is still the rush of perferating the colon, but I assume it doesn't happen very often. Cologuard has got to be cheaper though.
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>"Risks? The risks of a colonoscopy are crazy low though."

Not at the statistical level. Death rate from complications is about 1 in 10,000: https://www.endoscopy-campus.com/ec-news/risk-of-death-from-...

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Yeh if you want to improve the screening rate then someone needs to figure out how to make the prep easier.
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> The worst part, by far, was the emptying / prepping.

This. The procedure itself was a snap (I was completely sedated; I'm in Canada), but it was NOT a fun 2 days of "pooping" pure liquid and being hungry. I don't think I was away from the toilet for more than 20 minutes at a time.

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I did one two years ago without sedation, I wanted to work afterwards. I didn't feel any pain, so sedation is really not necessary
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> The worst part, by far, was the emptying / prepping.

Protip to those who have it coming up: Ask for the pill prep instead of the "sludge" prep. You end up spending the day on the toilet either way, but at least it doesn't taste as bad with the pills.

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It depends, if you want the best possible colonoscopy quality, do the liquid/"sludge" prep, the general consensus is it cleans you out the best and gives the best possible view during the procedure. However that's only true if you actually do it properly and drink all the liquid.

A decent number of patients can't/don't get through all the liquid in which case the pills are far better.

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I’m doing it this year. Does the pill work as effectively as the drink?
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> Oral sodium sulfate in a single dose has been found to cause increased gastrointestinal (GI) events

> Sodium phosphate is no longer recommended as a bowel preparation regimen due to its serious side effects

Essentially, put in the effort and do the liquid bowel prep.

Consider adding flavour drops to your drink, icing it or turn it into a slushie to make it slightly more interesting to drink. The PEG will make the ice crystals slightly more smoother.

https://www.ncbi.nlm.nih.gov/books/NBK535368/

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> Sodium phosphate is no longer recommended as a bowel preparation regimen due to its serious side effects

Well in my country, it's still wildly used for people without renal issues.

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Some doctors will say yes, some no. Best bet is to do what your doctor suggests, but at least ask if the pills are an option.
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I can’t compare the two, but fwiw, in my experience, while the drink is mildly unpleasant it’s only the texture of the drink itself that’s bad and the fact that you have to drink quite a bit of it. It doesn’t taste bad per se (and you can add flavored drink mix to help) and the “purging” part is painless, ie no cramps or anything.
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I didn't actually mind the prepping too much personally. Just to be safe I started early to go on the long end of what they suggested with the diet and basically just ate baked, unseasoned chicken for 10 days. Then did the bowel prep; a lot of people hate the drink, but idk. I thought it was fine. Maybe better to assume it will suck though, that way you at least can't be disappointed.

> In the end they nothing was found, not even polyps.

Same here, thank god.

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These days, in the USA, they're starting to give you an over-the-counter laxative rather than that nasty drink.
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I just had my hole inspected and all the preparation was with over-the-counter supplies. My prep drink was gatorade with some flavorless powder mixed in. It made no change in the taste or texture of this drink. Having the squirts for a day was no fun, but other than that it was a breeze.
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I ended up paying 15000 usd due tó complications.. that was the worst part for me
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Which country are you in? Did you have insurance? What kind of complications? Have you recovered completely?
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I had a colonoscopy without any sedatives and I agree, the prepping was worse. Not eating for 24 hours was easy, drinking the solution the night before was unpleasant, and drinking the solution the day of was awful.

My pro tip would be to take the day off work. Trying to work while drinking the solution in the morning didn't really work.

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