Why You Should Consider a Colonoscopy and How to Handle the Prep

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A year ago, at the age of 34, I found myself in the midst of a rectal cancer scare. Colorectal cancer, encompassing both colon and rectal cancers, is the second leading cause of cancer-related deaths in the United States, according to the Centers for Disease Control and Prevention. I was shocked to discover that cases are rising among younger adults. March is Colorectal Cancer Awareness Month, making it the perfect time to discuss this crucial topic.

Understanding the signs and symptoms of colorectal cancer is vital since routine colonoscopies are generally not recommended until you reach 50 years of age if you’re at average risk. Being aware of the warning signs enables you to advocate for your health, especially if you have concerns before reaching the standard screening age. If you notice any unusual symptoms—like rectal bleeding, which isn’t always linked to hemorrhoids—your doctor may refer you for a colonoscopy. Many people echo the sentiment that the bowel prep is far worse than the actual procedure. Yes, the prep can feel like a whirlwind, but honestly, it’s manageable.

Having gone through three bowel preparations in the past year, I consider myself somewhat of an expert. If the thought of bowel prep has held you back from getting screened, here’s a straightforward guide to help you navigate it and emerge with a healthy colon.

1. Keep It Light

The day before your colonoscopy typically involves a clear liquid diet. Rather than gorging yourself before this day, stick to a low-fiber, light meal. For dinner, I often opt for Rice Krispies and toast; it’s easy and won’t leave you feeling overstuffed.

2. Stock Up on Broth

During your clear liquid diet, be mindful to consume enough calories. On my first prep, I bought some broth that turned out to be only 5 calories per serving. That won’t cut it when you’re losing energy. Make your own broth—grab an Instant Pot and whip up some chicken broth with just a few cups of water. Strain it, and voilà, you’ve got some caloric sustenance.

3. Raid the Baby Aisle

Before your colonoscopy, make sure to grab two essentials: diaper cream and baby wipes. Trust me, these will be your best friends during prep. Apply generously as you navigate the tumultuous waters of bowel prep.

4. Stay Hydrated

In the days leading up to your prep, drink plenty of water. Follow your doctor’s guidelines on fluid intake during the prep. There’s nothing worse than being both hungry and thirsty during this experience. I often set an alarm to remind myself to drink right up until I’m told to stop.

5. Get to It

When it’s time to drink that bowel-cleansing solution, don’t procrastinate. The sooner you begin, the sooner it will be over. I once thought it was unnecessary advice to stay close to the bathroom, but it turns out that’s sage advice.

6. Lower Your Expectations

Instead of planning to read a book or watch a movie, prepare for some less engaging activities. You might find yourself cleaning the bathroom or pacing the hallway. Just keep yourself occupied—soon enough, the madness will pass.

7. Don’t Panic

This tip comes from my partner, who reminds me to stay calm during these moments. Everything will be alright. Remember, there are plenty of restrooms around, and you’ve likely mastered the art of handling bathroom emergencies.

A friend once exclaimed, “Isn’t there an easier way?” Unfortunately, no. While bowel prep isn’t a picnic, it’s a necessary measure to prevent and detect colorectal cancer, which is highly treatable when caught early. Join me this Colorectal Cancer Awareness Month in spreading the word about the importance of screenings and education on this critical health issue.

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Summary

In summary, a colonoscopy is an essential procedure for detecting colorectal cancer, especially as the incidence rises among younger adults. Although the bowel prep can be daunting, following a few simple tips can make the process smoother. Prioritize your health by recognizing symptoms, staying hydrated, and preparing adequately for the prep—these steps can lead to better outcomes.


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