The most dreaded part of a colonoscopy Nike Air Yeezy 2 is prepping for it. The day before the exam, patients often drink large amounts of a vile-tasting liquid, then it's off to the throne for the better part of the day and night.
Though unpleasant, this extreme intestinal purging is a critical part of the process. The more thoroughly Cheap Jordan fusionthe colon is cleaned out beforehand, the easier it is for a doctor to detect and remove potentially dangerous precancerous polyps.
Colonoscopies, or exams of the lining of the rectum and large intestine through a flexible tube called a colonoscope, are recommended for everyone starting at age 50 and every 10 years after that. But the prep can be so nasty and time-consuming that it's often poorly executed or avoided altogether.
Research suggests doctors will missNike Air Yeezy 2 at least one precancerous growth in about one-third of patients who didn't properly prepare, according to a study published in the journal Gastrointestinal Endoscopy.
"There's no debate; people are afraid of the prep. It's the No. 1 barrier to getting a colonoscopy," said Andrew Spiegel, head of the Colon Cancer Alliance, a patient advocacy and education group. Colorectal cancer screening rates are a bit more than 50 percent nationally. An easier prep could boost screening rates and potentially save lives.
Colorectal cancer is the second-leading cause of cancer death in the U.S., striking 1 in 19 Americans. It's also the Cheap Jordan fusion most preventable major cancer, Spiegel said, because small polyps can be removed before they turn cancerous.
Though the exam is highly invasive, it's relatively painless; most patients are sedated.
The day Cheap Jordan fusion before the procedure, however, requires some fortitude. Bowel cleaning methods can include drinking large amounts of liquids or downing 32 pills, which empty the colon by causing diarrhea. Patients abstain from eating solid foods and drink only clear liquids, including Popsicles, Jell-O, clear broth, coffee and tea.
The original liquid "gallon" preparation was a product called GoLytely, which contained 236 grams of MiraLAX Nike Air Yeezy 2(polyethlene glycol or PEG), an over-the-counter constipation treatment, and salts to prevent patients from getting dehydrated by the diarrhea.
Another version, NuLYTELY, has 420 grams of MiraLAX but no sulfate and less salt, making it slightly more tolerable than GoLytely.
Still, both require drinking a full gallon of liquid to induce diarrhea, a tall order for many patients. The solutions also can have side effects. GoLytely, for example, may cause abdominal pain, Cheap Air Jordan Shoesnausea and vomiting.
Researchers are working to improve the taste, which humorist Dave Barry described as "a mixture of goat spit and urinal cleanser, with just a hint of lemon," and to reduce the volume of liquid patients have to drink. Here's what's emerging:
Gatorade
People who drank a mixture of 64 ounces (nearly 2 liters) of Gatorade with 306 grams of MiraLAX experienced less bloating and cramping compared with those who prepped using a traditional solution,Cheap Air Jordan Shoesaccording to a recent study published in the journal Clinical and Translational Gastroenterology. MiraLAX flushes electrolytes from the body; pairing it with Gatorade or a similar drink helps maintain electrolyte balance.
"Gatorade cleaned the colon as well as the NuLYTELY and was far better tolerated," said gastroenterologist David Gerard, the study's lead author.
"Patients are able to drink 99 percent of their Gatorade/MiraLAX and rarely complained. Ninety-six percent of Cheap Air Jordan Shoescolons were adequately prepared, and there was no evidence the lower levels of salts in Gatorade caused dehydration."
Gerard said only two-thirds of his patients can drink the entire gallon of the traditional prep solution.
"It's a poor experience for them, and those who do not finish their prep solutions have lower-quality preparations which prevents the doctor from see everything," he said.
Drugs
Prepopik, a new drug approved by the Food and Drug Administration for cleansing the colon, requires drinking 10 ounces of an oral solution — 5 ounces at night and 5 more ounces the morning before the exam. Though touted as a low-volume option, it still must be taken with an additional Nike Air Yeezy 264 ounces of other fluids.
Prepopik, a combination of magnesium oxide and citric acid with sodium picosuflate, isn't widely available.
Moreover, the studies used for FDA approval showed that it did not cleanse the colon as well as some other methods, said Gerard, lead author of the Gatorade/MiraLAX study. Moreover, many patients do not like the taste of magnesium citrate. Side effects include headaches, nausea and vomiting.
Other drugs include oral sodium Cheap Air Jordan Shoesphosphate tablets, such as OsmoPrep and Visicol, which are available by prescription. OsmoPrep involves taking 32 pills along with drinking 64 ounces of clear liquids.
