Urgent Preparations

And all of a sudden it’s panic stations; after last month’s sigmoidoscopy an appointment was made for me to have a full colonoscopy at the end of this month. Having just had a late lunch today the telephone rang; the endoscopy department had a cancellation and they wondered if I could go in on Friday afternoon. This means of course that I’ve unavoidably breached the dietary preparations for “Two Days before your Examination” and tomorrow will be the day for taking two sachets of the purgative solution (Sodium Picosulfate) and my last minimal low fibre food intake will be at mid-day, midway between the two doses, although i am permitted a clear soup or meat extract drink and perhaps a little clear jelly sometime between 7.00 and 9.00 pm.

It’s not a case of me having the largest of appetites but, as the appointment on Friday is not until 3.15pm, I feel pretty certain that I’m going to be somewhat pre-occupied with hunger pangs. On reading the preparatory notes I find that it’s necessary to “Talk to your doctor before taking the bowel preparation if you:”… – the relevant note here being “Have reflux oesophagitis (a condition where acid from the stomach enters the oesophagus”. As things stand, I’ve been treated for this condition for a number of years so, a hasty phone call to my GP’s surgery was in order. Within ten minutes a doctor called me back and assures me that, as the 2x30mg lansoprazole along with occasional doses of gaviscon kept it reasonably under control, it would be OK if I just continue with that medication. [My primary concern had been that the notes went on to state that “some conditions may require you to be an inpatient for administration of bowel preparation” and, somewhat ironically, I’ve always felt that when one’s feeling grotty hospital is the last place you want to be!]

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