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Probiotics and bowel prep Probiotics and bowel prep

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Unread 03-26-2012, 04:38 PM
Probiotics and bowel prep

First off, when I asked my doc about a bowel prep, he said, oh, you might want to take an enema the night before and eat a low-res diet for a couple of days before. He made it sound like it was up to my discretion, so I would not have problems after surgery. BUT THEN - I just got my marching orders in the mail for the low-residue diet 2 days before, and nothing but clear liquids the day before. The orders include Flagyl, which is an antibiotic- generic name: Metronidazole "eliminates bacteria and other microorganisms that cause infections of the reproductive system, gastrointestinal tract, skin, vagina, and other areas of the body". I think he prescribed 2 @ 500 mg each. Hope I tolerate that well on empty stomach. Does anyone know if it is ok to take probiotics before surgery? I am also ordered to drink the magnesium citrate cocktail (18 oz) at 4PM the day before. Last time I took a bowel prep for a colonoscopy, I took it late in the day and was up all night "going". I think I'll start it at 3:00 instead. Surgery is at 5:30 AM so I'd like to get at least 6 hours of decent sleep without having to "go" all night. LOL Surgery is 4/4/12.
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Unread 03-27-2012, 12:21 AM
Re: Bowel Prep / Clear Liquid Diet?

Well, the probiotics are technically safe, up until the start it e of the clears liquids. However, they will be pointless because the flagyl will decrease the numbers of all bacteria, whether you put it there or not. Save yourself the risk and eat yogurt if it makes you feel better, and resume the probiotics after the surgery. It's not enough of a dose to kill off everything and leave you with intestinal problems. Worse case scenario would be a yeast infection, and the risk is there with gynecological surgery anyway. Pretty much every surgeon gives antibiotics either just prior to, or during surgery, so either way, we have all had them, and we are all fine! No special bowel care needed. Just follow the prep to wash out all the solid wastes, and expect to not have a BM for quite a long time after you surgery. It takes a few days for everything to wake up, for you to have enough food I your system, and for all the waste to move to the exit, regardless of the type of bowel prep, or the normal bacterial levels!
Hope this clears up some of your concerns! Good luck!
Unread 03-27-2012, 07:23 AM
Re: Bowel Prep / Clear Liquid Diet?

My bowel prep=clear liquids the day before surgery. So that's great, I wont be pooping my brains out! But the bad thing is that the day before surgery is Easter, so while my family is chowing down on a smorgasbord of indulgences, ill be eating beef broth with a side of jello and a popsicle
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Unread 03-27-2012, 11:06 AM
Re: Bowel Prep / Clear Liquid Diet?

If you mix the mag citrate with Sprite or 7up, it really isn't too bad. I mixed 1/2 7up and 1/2 mag citrate in a glass and drank it. Then about 30 minutes later, I did the remaining half. It worked well and while I could still taste the meds, the 7up worked wonders with it. I did bowel prep on Sunday, only to have the surgery cancelled. I get to do it all over again on Thursday. :/ Good luck!
Unread 03-27-2012, 02:55 PM
Re: Probiotics and bowel prep

Oh no stacykins! Your surgery was cancelled after you did the prep? Ugh, that is just not right!
Unread 03-27-2012, 05:16 PM
Re: Probiotics and bowel prep

@ Jaci RN - thanks for the tips on the probiotics & bowel prep. Good luck with your pathology results! Prayers & good wishes!
Unread 03-28-2012, 01:19 PM
Re: Probiotics and bowel prep


It's wonderful that we can read about the experiences of others here. However, as a reminder please remember that for questions regarding your bowel prep, liquid diet, any medications or supplements, etc. you need to follow your own doctor's orders for you. If you have a question not answered by your doctor, please call the office. Your doctor expects you to do what he ordered--no more and no less--and the success of your surgery can depend on it. The women here can only post as women supporting women, not as medical professionals as we don't know you or your medical history and can't do in person assessments.

Unread 03-28-2012, 01:28 PM
Re: Probiotics and bowel prep

Hi there I just got back from my pre -op and I was told the bowel prep I should start at 3pm and my surgery is at 7:30am.

Good luck to us both!
Unread 03-28-2012, 02:42 PM
Re: Probiotics and bowel prep

My doc said I could continue my probiotic even before surgery. I've taken a probiotic for several years now because my body tends to get very yeasty since breastfeeding (I had a nasty case of thrush in my milk ducts).

Flagyl is typically given for bacterial vaginosis, a super common bacterial vaginal infection that is frequently mistaken for yeast infections. My doc said most women have bacterial vaginosis and don't even know it. It's pretty harmless and you can't pass it to a partner. Your doc probably just wants to make sure you don't have this infection before doing your surgery. Continuing a probiotic along with the antibiotic will help you put back the good bacteria that your antibiotic kills, which will help prevent intestinal upset due to the antibiotic and help prevent a yeast infection.

My doc said the same exact thing about bowel prep. She said I "could" eat light and then do an enema the night before. I totally plan to follow her suggestion to a T.

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