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Bowel Prep vs. No Bowel Prep? Bowel Prep vs. No Bowel Prep?

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Unread 03-12-2012, 01:53 PM
Re: Bowel Prep vs. No Bowel Prep?

I never even thought to ask my doctor about it. I was just planning on taking some stool softeners if needed. I had an appy in August that resulted in 9 days of nothing but build up. I thought I was going to die. I will def ask if BP would be something we can do. If it makes it easier afterwards, I am all for it, but I will check with my doctor.
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Unread 03-12-2012, 03:01 PM
Re: Bowel Prep vs. No Bowel Prep?

I had bowel prep for my hyster and didn't have much constipation. For one of my brain surgeries, I had terrible constipation, but the other one wasn't too bad and of course I was able to eat regularly for both of those until midnight.

I think the biggest difference is taking the stool softeners after surgery and eating fiber, esp if you are on a narcotic pain reliever. IMO, it was the narcotics that really messed with my intestines more than the surgeries.

I found that if I ate some fiber snack (bran flakes or ground flax mixed in applesauce) every time I took a pain pill and took my stool softeners as ordered by the doc after surgery then I did just fine. If I take pain meds and forget to eat the fiber foods, I notice a difference. I think this is the biggest key for me.

Follow your doctor's orders for no bowel prep. (If it makes you feel better about not doing it, mine made me sick and I threw up an entire 32 ounce bottle of Gatorade with Miralax in it. Luckily the nurse said I didn't have start completely over, but I think this made me a fairly dehydrated before surgery despite drinking another bottle of straight Gatorade before midnight. They had a terrible time getting an IV into me because of this.)

I think I would maybe avoid eating a lot of rice the day before and maybe until you have a good BM after your surgery.

Good luck and have a great day not bonding with your toilet.
Unread 03-12-2012, 09:20 PM
Re: Bowel Prep vs. No Bowel Prep?

I didn't have to have one. My surgeon told me that she would be no where near my bowels. I don't think that it caused me any additional constipation. Between the narcotics and the drugs given with surgery, you are going to get constipated anyway.
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Unread 03-12-2012, 09:26 PM
Re: Bowel Prep vs. No Bowel Prep?

He gave me all these options and to use as many as I felt I needed. thanks I will let them know.
Unread 03-12-2012, 09:53 PM
Re: Bowel Prep vs. No Bowel Prep?

Thanks for all the info. I'm going to ask my doc about it just to be sure, but I think you guys are right, it's probably more about the narcotics making us constipated than the actual surgery. I did another post for another question I have but haven't had much response, so I'll ask you guys that have been so responsive long does the swelly belly last and how big do you get in comparison with your normal clothes size? I'm trying to be as prepared as I can!
Unread 03-13-2012, 10:05 AM
Re: Bowel Prep vs. No Bowel Prep?

A lot of it depends on your current health and the fluids they plan to give at the hospital. Different hospitals use normal saline, half saline or lacerated ringers and they have varying amounts if electrolytes. Some, or most bowel preps will suck out your sodium and potassium, causing electrolyte imbalances that can cause cardiac problems in surgery. Also, if there are other conditions, such as kidney disease, or issues, this can effect how the bowel prep can put you at risk. It is all about risk vs. benefit, and each person is unique.
A stool softener like dulcolax or colace does not "clean you out". It simply keeps water in your stool to keep it soft. Same with miralax. It's the stimulant laxatives that make you go, no matter what, and these need to be carefully cleared by your doctor, based on your personal status. If you take any medication, vitamin, supplement or herbal anything, the week prior to surgery, you MUST get your docs blessing, and let the know at your surgery. Better to be cancelled, than dead!

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