Four Tips for Prepping for a Colonoscopy

I wasn’t going to write about going for a colonoscopy. Not because I’m embarrassed or because I’m worried about grossing you out. But because it’s been done so many times by so many other people. What could I possibly add to the discussion?

Mood music, in honor of my only nutrient for the next several hours:

http://youtu.be/BLKcDiOspsY

Since most of you will have to go for a colonoscopy at some point, let me help you make the best of it. After all, thanks to a lifetime of Crohn’s Disease, this is old hat to me. I have to have the procedure every two to four years because all of the scar tissue in me has raised my colon cancer risk significantly.

If you have to have a test like this, there’s nothing to be embarrassed about. Your ass is nothing special to the doctors performing the procedure. They see scores of butts every week, and to them that’s no different than the car mechanic who stares at scores of tires, timing belts and radiator hoses every week. When’s the last time you got excited about staring at those things?

I’ve developed my rituals over the years, as any good OCD case will do, and they have made this procedure a lot less dreadful. This is a good time to share.

  • Drink plenty of black coffee, tea and water. Black coffee and tea are among the liquids you’re allowed the day before, so drink lots of them. The caffeine will keep you going in the absence of food. But drink a lot of water, too, because too much caffeine will dehydrate you. I normally don’t worry about that, but fasting is a different story. I have a steady flow of black coffee on hand today, and while I prefer a little cream in there, black suits me fine.
  • Watch good TV to distract you. During the clean-out part, you’ll have to drink massive amounts of water or clear juice loaded with a laxative. I have to drink four big bottles — 8 ounces every 20 minutes or so until it’s gone — of green Gatorade with a mountain of Miralax dumped in. That’s actually a lot better than the 2 gallons of gross salt water they used to prescribe, but you still need a distraction. This time, I’ll watch the American Masters episode on Pearl Jam’s 20 years of music making.
  • Move as little as possible. I’ll spend most of the day sitting at my desk working, another welcome distraction. When I get home, I won’t do much that doesn’t involve lying on the couch, until the bathroom trips commence. You won’t have much strength, so don’t blow it all early in the day.
  • Read about other people’s colonoscopies. Reading about others’ colonoscopies will make yours seem a lot less scary. Ozzy Osbourne’s account is worth the price of his memoir, I Am Ozzy, all by itself. Also worth a read is this account by author Laurel Hermanson. My favorite part is her account of the recovery room, where farting is a sure sign of success.

Boy in Giant Colon

For A Girl Recently Diagnosed With Crohn’s Disease

The daughter of close friends just found out she has Crohn’s Disease. She’s suffering a lot right now, and I know exactly what she’s going through. This post is for her.

Mood music:

[spotify:track:3l4L10OL1gbfypzTwjvINb]

Hello, my young friend. I’m sorry that you’re hurting so much right now. I was diagnosed with Crohn’s Disease when I was around your age, and spent many weeks in the hospital between ages 8-16. It stinks. But if there’s one thing I’d like you to remember after reading this, it’s that it WILL get better.

I experienced all the things you are now — the massive loss of blood, the knifing pain in the gut, sleepless nights in the bathroom, and more blood.

A couple times, I’ve been told, the doctor’s came close to removing the colon. Too much of it was under siege and they didn’t know where to start in terms of targeting it. But it never came to that.

The pain was pretty intense. I really don’t know how my parents were able to get through it. I think it would cause me more anguish to see one of my kids suffer than to go through it myself. That had to hurt. Especially since they lost another child along the way. It also couldn’t have helped that I would be in the hospital for six-week stretches in 1978, 1979, 1980 and 1981.

I mention this because you should know how hard it is for your Mom and Dad to see you hurting. They’re new to this Crohn’s thing, and they will worry endlessly about what they are doing for you and whether it’s the right thing. Be patient with them if you can. But if you need to yell at them once in awhile so you can cope, go ahead. That’s what parents are for.

As you will probably soon discover, the most popular drug to treat what’s making you sick is Prednisone, which comes with a long list of side effects. Your face might get puffy and you’ll want to eat everything in sight. But you’re a strong kid and you can handle that.

A lot of people helped me survive a childhood of brutal Crohn’s Disease: My parents, great doctors, school friends who helped me catch up with my schoolwork and rooted for me whenever I got out of the hospital, and a great therapist who helped me sort through the mental byproducts of illness.

I think you’re going to get through the current attack and that you will be able to move on to a better life. Again, I lean on my personal experience.

I’m probably one of the luckiest Crohn’s patients on Earth. The last bad flare up was in 1986 and I haven’t had once since. I still go through frequent periods of inflammation, but nothing that requires drugs or hospital stays. The colon is checked out every other year to make sure the layers of scar tissue don’t run wild and morph into cancer.

Had the doctors removed the colon when I was a kid, I think things still would have worked out. I would have learned to live with it. Whatever you have in front of you, I think you can make the best of it and push through.

Be strong and keep the faith, my young friend. I hope you feel better soon.

–Bill