The Last Word On Nothing

Back in September 2014 I wrote about my colonoscopy. Guess what, folks? I’m deep in the “prep” once again! (People with IBD have to do these things more often than most, unfortunately.) And that means I’m not feeling up for writing much, so instead I’ll share my previous review of the pre-test experience. Thankfully, this time around I’m using a tasteless powder in good-old Gatorade to prepare, and it’s much less awful than the 2014 version. Anyway, enjoy! I know I did!

Oh, and also: Stop procrastinating and get one. I’m looking at you, over-50 and full of excuses.

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So, today I’ll be writing about my colonoscopy.

Now wait, please don’t close this page! I promise not to dig too deep…er, I mean, I won’t get too mired in…oops, well, let’s just say I’ll try not to say a whole lot about poop. My real interest right now is actually in the “bowel prep.” Specifically, why does this particular prep drink taste like bubblegum flavored vinegar with two cups of salt and a bad egg? I’ve had this test before and the prep, while icky, wasn’t as foul as this one. With some ice cubes, a slosh of ginger ale, and a straw, I could almost pretend it was a new summer drink that I wouldn’t be ordering again.

Meanwhile, what the heck is it doing in there in order to leave a person empty as a kid’s Halloween bag on November 2? (I could make a tootsie roll joke, but I won’t.)

The SUPREP kit contains two 6-oz brown bottles that look benign enough. I’m supposed to drink one in the evening and one the next morning (mixed with 10 ounces of water each time)—that doesn’t sound too bad. And then, for the next hour after I down the stuff, I’m to drink 32 ounces of water every 15 minutes, in four 8-ounce servings. There’s even a little chart on which I can mark off each one as I go. That’s so helpful!

Now, let’s talk about the “drink” itself. The label reads: sodium sulfate, potassium sulfate, and magnesium sulfate, oral solution. I want to make an observation here, based on recent experience. This is not something anyone should be taking orally, and the only thing it solves is the problem of not being nauseated. I felt so ill after drinking it that I thought maybe I should have just accepted my gut problems as a part of me I didn’t like, like my nose. It was truly that awful. Sour, bitter, sweet like fake sugar, medicinal, heavily salty. Sort of like Red Bull. And (my fault) room temperature. Undrinkable.

But in the midst of all this unpleasantness, trying to ignore the nausea, reminding myself that colonoscopies save lives and all that, I am wondering what all these sulfates are and what each one does. I want answers. Can’t help it—that’s how my brain works in a crisis.

Before I get into those details, though, let’s talk about the water requirement. I’m no whiz with numbers, but I find out quickly that 32 ounces is a lot of liquid for a petite person such as myself, and 15 minutes is a blip in time to get it all down. I usually save my roaming-the-desert thirst for roaming the desert. Plus, I’ve been on a liquid diet all day, which makes me cranky, not thirsty.

My eyeballs are floating after the first two glasses—remember, I already drank the 16-ounce prep—and suddenly the timer is going off and I realize how behind I am. (I said behind.) The second 15 minutes has started and I’m barely halfway through water round #1. Already I’m a balloon. And I’m oddly nervous. Its like having pages to go of a test and the teacher calling out “pencils down!” (We used to use pencils in school.) But failure isn’t an option: To start this test over another day is unthinkable. I keep drinking.

Meanwhile, how about those sulfates? Here’s what I find out in between visits to the WC. (And yes, this is from Wikipedia because, as you can imagine, my time at the computer is limited.) Sodium sulfate is the white salt of sulfuric acid. It is used, among other things, in making detergents, explosives, dyes, batteries, and in the paper pulping process. It also has laxative effects, though how someone at the detergent, explosive, or paper factory found that out is unclear.

Potassium sulfate is another crystalline salt mostly used in fertilizers, which makes it sound toxic, but as a nutrient, which makes it sound almost healthy. One of its roles is to help regulate water flow in the cells and leaves of plants. That seems relevant.

And finally, magnesium sulfate, another inorganic salt. It contains magnesium, sulfur, and oxygen and, like its potassium brother, it is mostly used in agriculture—as a drying agent. Maybe, then, it balances out the effects of the sodium sulfate. You find it in Epsom salt, so feel free to take a bath in it. (Apparently it makes crops grow better and can be used in the removal of splinters.)

Together, this salty chemical slurry that is clearly inedible unless you are a fern is dynamite at regulating water in order to transform and get poop out. Really, really fast. It’s like it scares it out of there. Poop, be gone! Very effective.

I’ll leave it there. (I wouldn’t want to muddy the waters.) Maybe it’s for a good cause, but the Suprep prep kit really, really ruined my day. And as a new morning approaches I look forward to a second bottle of solution, another gallon or so of water, and then the test itself—for which I will be asleep, thank the bowel gods. Good times.

On a positive note, I learned a little chemistry and, better yet, I’m back to my high school weight!

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