Part of me knew that if the test was normal, I would probably feel better just with that knowledge alone. Q: Can I have a colonoscopy if I am having my menstrual period? Yogurt isn’t even an option. A gastroenterologist cheats on the colonoscopy prep and wins. A: Yes. We usually donât have white bread in the house, but we were lucky to have an unseeded loaf of Italian bread from the night before that I toasted in the toaster and buttered up. The afternoon or evening before the colonoscopy (typically 12-18 hours prior), you will drink a liquid that triggers bowel-clearing diarrhoea. If you are referring to drinking milk up to two hours prior to starting your prep there will be concern that there will be a slowing, especially if you are drinking whole milk, of stomach emptying leading to difficulties in taking the prep. Ugh, that would do me in for sure ð Good luck all! God I am doing the prep right now and it is horrible. You must follow the preparation instructions given to you. I had to start the clear liquids and no food at 2pm not 8am. I guess not, since it seems that research backs up what I did! Q. A: Yes. A: When you consume something red or purple, it can stain the colon or appear to be small amounts of blood. A: Generally, you can eat immediately after your procedure avoiding greasy or spicy foods. Is there pills that can do the trick? My regular doc does not approve of the clear diet and gentle laxatives. Q: I am diabetic. A: You can only have broth. Another 32 oz. On the day before colonoscopy try to refrain from taking anything after noon and follow the … A: Because your intestines were completely cleaned out for your procedure, it may take a couple of days of eating solid foods before you have a bowel movement. I am starving. Miralax AND Ducolax. Your colon is approximately 6 feet long and must be completely emptied to help ensure an accurate and thorough exam. If you are having severe pain, you should go to the emergency room. Drink the entire solution over three hours one day before the colonoscopy. A: Yes, except the ones listed on the enclosed medication information form. I stopped eating after lunch the day before my colonoscopy, drank all the magic potion as prescribed in the evening, and was fine the next morning for the procedure. When I was going over my paperwork for the exam to double check everything, I noticed I can't have milk-- but I had already drank a peanut butter & almond milk smoothie at around 4pm. The evening before the colonoscopy, drink a fluid that will trigger gut clearing diarrhea. A: We ask that you stop all clear liquids three hours prior to your procedure to allow your stomach to empty. The 64 oz. I got home around 6PM that day (a little later that the recommended 5PM start time) and began drinking the prep. Bowel movements started at 6:10 PM and pretty much ended by 7:30 PM. A: Yes. That being said, this is disgusting. Be sure to drink at least 12 tall glasses (about 8-10 ounces each) of clear liquids throughout the day in addition to what you drink with your bowel prep. A: The entire prep can take approximately four to eight hours. at a time, then rest for 10-15 minutes and repeat until done. Q: Can I take my antianxiety medications the morning of my procedure? Thatâs not to say that the other preps are inferior…I use them interchangeably. A: No. It A: The hulls from popcorn can stay in the colon for days. Magic! Thousands of readers visit us every day to learn about gut health and gastroenterology. Iâve been reading your posts tonight/early morning (itâs 3:3am) to prevent a failed colon prep. A: You will be given sedation during the procedure to help you stay comfortable. A: Due to the sedation given during the procedure, you are considered legally impaired. It is Tuesday, & the test is Thursday. My bowel prep was still adequate. Q: Do I need antibiotics before the procedure? There is no mention of milk or eggs in either list but cheese, butter, fats and oils are in the 'avoid' list whilst fruit flavoured yogurt is on the 'accepted ' list. Can I have yogurt the day before my colonoscopy procedure? Now before anybody gets too excited, I ate a very limited and small amount of food, but it made a huge difference in the ability to tolerate the entire process. Don’t get me wrong, Sloan Kettering Hospital in Manhattan is the best. Now would be a good time to talk about a study from a few years back. I think the straw is actually slowing the process down. Thinking that improving the tolerance of the prep would remove one of the classic barriers for some people to do colonoscopy as well as decrease the number of broken appointments and inadequate preps, researchers randomized patients into two groups: One group received a clear liquid diet the entire day prior, and the other was able to eat a light breakfast and lunch with several food restrictions the day prior. Q: I am having a lot of pain and discomfort after my procedure. Apparently, the doc didn’t like the way I prepared last year. Got something to say about Retroflexions? Since 2015, Retroflexions has been a trusted source of medical information. I also had a few pieces of white toast with butter. I also read in another article that about 8 % of the people who do this prep have vomitting. Cool, I did it! I ditched the straw and was able to drink the prep much faster. A: Yes. Drinking only clear liquids is designed to keep the colon clear during a colonoscopy. Q: Can I drink anything other than water? A: Yes! Q: I feel nauseous. My doctor told me to drink only liquids the day before, but didn't mention that I can't have milk. A colonoscopy exam allows your doctor to see the inside of your large intestine (colon) and rectum. Q: Why do I have to stop drinking three hours before I come in? So back to the title of this article: A gastroenterologist cheats on the colonoscopy prep and wins! Introduction. According to a new study, you many not have to go on the dreaded all liquid diet before a colonoscopy. Q: Can I smoke during the prep? I am getting my 3rd colonoscopy in about 12 years, in a couple of weeks.. dread the prep..? I ate solid food the day before. I cannot drink the liquid! My Grandmother’s Lentil Soup: The Perfect Pandemic Cuisine, All doctors must become COVID-19 doctors, or risk irrelevance. According to a new study, you many not have to go on the dreaded all liquid diet before a colonoscopy. Q: When can I eat after my procedure? Seeds, nuts, whole grains, fresh or dried herbs/seasonings, popcorn, and the like are definitely not allowed. The prep tasted like a mixture of seawater, dish soap, and grape cough syrupâ¦yum! Q. This is the pits. This is the third time I have to have a colonoscopy in 3 years. He started his solo practice, Precision Digestive Care, in 2018. Iâll just start out by letting you know that I had mixed feelings about posting this. If this were water I could have drank the whole thing in five minutes. The last 2-3 bowel movements were literally clear water, like as clear as the water that comes out of the faucet. I guess we are the lucky 8 percent. This was followed by another 16 oz. What does a positive Cologuard test mean? I took my first dose 5 hours ago (2:00 pm)and have not had a bowel movement yet. of Suprep over the next 45 minutes. Fibrous foods such as … -This was really no problem. No. • You may drink Boost or Ensure (without FIBER) for extra protein but only up until you start drinking the laxatives. Dr. Julie Abbott answered 44 years experience Preventive Medicine It's not advisable: Instructions for prepping before a colonoscopy suggest CLEAR liquids, which would exclude any form of milk. What should I do about my insulin? Throughout the day I drank black coffee and plenty of clear liquids. By 9PM, all was quiet. You may apply Desitin, A & D ointment, Vaseline or any other cream during the prep. Following this will lead to a good or excellent bowel prep in the vast majority of people. The beauty of this broth is that it's beneficial for gut health, provides vitamins, minerals, collagen, amino acids, and, most importantly, is warming. Itâs now about 6:20 PM and I suddenly felt a strange grumbling in my lower abdomenâ¦. Any milk products if you are lactose intolerant Beverages ••Coffee and tea • Carbonated beverages punch • Apple juice • • •Strained juice • Water (Tap, Bottled, Coconut) • Non-dairy milk (coconut and almond milk) Fruit drinks without pulp, such as fruit Kool -Aid or Hi C (without red or purple dye) Hunger is a powerful force to compete with! I made the prep solution and placed it in the refrigerator. The sedation medication impairs your judgment and reflexes. Q: I started my laxatives and I haven’t had a bowel movement yet. • At 10:00 am: Drink the 10 oz bottle of Magnesium Citrate – it is OK if this is red. You may not have a full appetite until the following day. Also included in a clear liquid diet is jell-O without added fruit. Depending upon the patient’s medical history and type of preparation used, a doctor will recommend that a patient cease drinking all fluids after midnight or at least six to eight hours before the procedure. Q: How long will it take to complete my bowel prep? A. It's something really promising that one can have ice cream and milk the day before the colonoscopy. The last time I did this, about three years ago, I vomitted quite a bit. You should plan to be at the facility for approximately 2 hours. We can also prescribe a medication to help with this. You may take your antianxiety medications with a small sip of water. Start your fitness journey with me at MDFITRx! Q. It is important that you drink a variety of allowed clear liquids to avoid the possibility of becoming nauseated and dehydrated. Can I have cream or milk in my coffee or tea the day before my colonoscopy procedure? My doctor wonât listen to me. Click here to use our contact page to send us a direct message! Preparation: Four days before your colonoscopy • Eat and drink as normal. And before 6pm I was allowed milk products, so I made a great coffee and added some creamer as my lunch. The day before your colonoscopy you'll need to drink sachets of laxatives to empty your bowels ready for the test. Anyone who has been through a colonoscopy will tell you that by the end of the day before your prep you are f-r-e-e-z-i-n-g. A: You may call our office to speak with one of the physicians. But what if I told you that I did something different but still achieved an excellent clean-out? The thing I wasnât expecting was the total lack of pain, cramps, or any discomfort whatsoever. It is important that you drink a variety of allowed clear liquids to avoid the possibility of becoming nauseated and dehydrated. Avoid all dairy products including milk, cream and powdered creamer. I know I have to go through with this, since I had rectal cancer in 2017. Q: Can I have cream in my coffee/tea? Did I really cheat? The afternoon before the colonoscopy, between 4:00 PM & 5:20 PM I drank one-half gallon of Trilyte. Keep focusing on drinking clear liquids and finishing ALL of your colonoscopy prep. I finished the rest of that eveningâs prep over the following 20-30 minutes in between several other sprints to the bathroom. Q: How long will the colonoscopy take? Pretty standard stuff, these are the instructions I usually give to my patients. ... See below: It is okay now 2 days before. Food and drink reviewed: August 2017 Page 1 of 3 Three days before your colonoscopy Food and drink Please follow the list below only: TYPE OF FOOD OR DRINK YES — OK TO EAT THESE FOODS NO — AVOID THESE FOODS Milk and dairy OK to eat: Milk – Drops in tea / coffee Cheese, including cottage cheese Yogurt – plain/natural I gag and vomit. For 2 days before a colonoscopy, you should only eat plain foods like: plain chicken not in a sauce; white rice, pasta or bread; clear soup; Your letter should tell you what you can eat and drink. UGH! Why wouldn’t processed creamy nut butter or commercially ground seeds be acceptable? During your procedure the hulls can appear to be growths in the colon. Before my first colonoscopy, I had some butterscotch candies, not knowing they had milk in them. I usually use skim milk- so that felt kinda special and fun. This time, the bowel movements started immediately after taking the first bit of the prep and were mainly yellowish water. Sooo, only pudding, ice cream, water and broth 2 days before the procedure. A. Q: Can I chew gum during the prep? A: If you have had a total joint replacement longer than 6 months ago, or if you have a mitral valve prolapse, then you do not need antibiotics. For lunch, I had a huge gelato without any nuts or toppings. Q: Can I take other medications before the procedure? I can’t wait until it is over this time tomorrow. Now they say you can take a light breakfast the day before. Q: Can I take a bus or a taxi home by myself after my procedure? What if I accidentally drank milk before my colonoscopy? In fact, you might get better results if you don't. If you stick around, you may also learn how to live a happier and healthier life too! 1 Nowadays, elective colonoscopy has become an essential procedure used in the screening of colorectal cancers. Thanks for your article I wish I read it sooner. Try drinking ginger ale or another clear liquid to help settle your stomach. [Warning: GRAPHIC]. If you have had a total joint replacement less than 6 months ago, or if you have had a mitral valve replacement, or if you require daily antibiotics for any other medical condition, then you do need antibiotics. I also noticed that I was incredibly thirsty all of a sudden. So please read on, but donât push the limits too much. Your colon is approximately 6 feet long and must be completely emptied to help ensure an accurate and thorough exam. In this case, the doctors recommend for split dose method, according to which you have to drink liquid laxative of half-gallon during the evening time, while another one 6 hours before you schedule your appointment with the doctor. If you eat or drink several hours before (actual time varies by doctor) your colonoscopy, there is a risk that food or liquid will travel up into your esophagus, where you could breathe it into your lungs. Have a leaflet telling me which foods to eat and which to avoid 2 days before my colonoscopy on Monday. I put the container back in the fridge since the colder the prep was the less bad it tasted. You may use sugar or sugar substitutes in your drinks during your clear liquid diet. I usually wake up starving and if I donât eat something within an hour or so of waking I usually feel weak and like my head is spinning. Advertisement Your specialist may likewise request that you take an enema or a laxative the prior night, or the morning of your colonoscopy process to guarantee that all residue and fecal matter are expelled from your colon and rectum. Q: Why can’t I drive myself home after my procedure? Can you ever call getting a colonoscopy âwinning?â I guess it depends on the findings. What is the real risk of colon cancer after a positive Cologuard test? I figured it would take an hour or so to have any effect, or at least give me some warning first. Please carefully review the medication information form. I could have died happy without the taste of this in my mouth – Eating??????????????? Then a little bit of milk probably won’t make a difference. TUESDAY, May 24, 2016 (HealthDay News) -- New research suggests that the grueling process of preparing for a colonoscopy may not have to be endured on an empty stomach. Q: Can I drink alcoholic beverages during the prep? I made sure to drink lots of lemon water & I took the first dose of a 2 dose laxative drink at 8pm. Night before you undergo with the procedure of colonoscopy you should make sure to intake strong laxatives for clearing your digestive tract. You may not have noodles, meat or vegetables. I vomited already stopped put in the fridge. The amount of time may vary from patient to patient, depending on how much sedation is needed and how you feel afterwards. ... said the study is useful, but patients should talk to their physician before changing their colonoscopy … If there are liquids in your stomach when given sedation, those liquids could be aspirated into your lungs causing serious complications. These include Coumadin, aspirin, Plavix, vitamin E, and ibuprofen. Failing to achieve a good bowel prep will require you to repeat the exam and prep again, and nobody wants that to happen! So that morning I ate a good-sized bowl of plain vanilla yogurt (no toppings, nuts, fruit, etc.) It is important that you drink a variety of allowed clear liquids to avoid the possibility of becoming nauseated and dehydrated. As a gastroenterologist, I started getting into my own head and worrying that I had some rare or catastrophic disease (the availability heuristic is real!) Q: Can I have soup during my clear liquid diet? Drink the solution at an early time. This prep is different from my first one years ago. of Gatorade down the hatch and the process was complete. I have been an RN for 35 years and I should have been forced to have done this in nursing school – to your point – it’s easier to relate to our patients when we can share their experience. Occasionally, there is mild nausea from the sedative medications. However, this time I have to double prepare. That means âdinnerâ is clears only: You donât want food and bowel prep in your stomach at the same time, trust me. For the past year or so I have been having minor IBS-type symptoms on and off, mostly related to stress or periods of poor diet. "The assumptions about no food on the day before colonoscopy are probably not correct. Continue drinking clear liquids and following your bowel prep instructions. Q: After the procedure, when will I have a normal bowel movement? I chugged 32 ounces of room temperature Gatorade in about five minutes flat. I am prepping for the procedure right now. I wanted more, but only had tomorrowâs ration in the house. Yes, you may have up to four ounces of cream or milk for the day with your beverage. The study showed exactly what we would expect: The people who starved all day were miserable, the people who ate a little were less miserable, and the quality of the bowel preps achieved were the same between the groups! It was about 7PM and the bowel movements were coming fast and furious now. âNot terrible,â I thought to myself, relieved that this process wasnât going to be as bad as many patients made it sound. I would gulp down about 4 oz. Samarasena pointed that the American Society for Gastrointestinal Endoscopy 's most recent guideline on the matter, published in January 2015, … Iâve been this way as far as I can remember, even back in elementary school. Taking Your Prep: By the day before your test you should already have your “bowel prep” You will be given instructions that will explain what you should and should not do in preparation for the colonoscopy. You must drink only clear liquids for breakfast, lunch, and dinner. Consume the solution slowly in 10 to 20-minute intervals over the course of three hours. I was given the usual instructions for split-dose bowel prep: 1) Clear liquids only the entire day prior to the procedure; 2) Take the first dose of prep at 5 PM and the second dose of prep 5 hours before the procedure start time; 3) Nothing to eat or drink after the second dose of prep. Therefore I drank a glass or two of water. It seems to have help the author. If you have an upcoming colonoscopy, there … Question for those of you who have had colonoscopy's before - have any of you eaten something you weren't supposed to and still gone through with the procedure? Q: Can I go back to work after my procedure? I also cannot drink a lot of liquids due to bypass surgery. So I scheduled a colonoscopy and requested Suprep bowel prep. Q: I am very thin. You must follow the preparation instructions given to you. I hope all went well with your colonoscopy. There were no survivors. The fats in milk, which make it appear creamy, could obscure something … You must follow the preparation instructions given to you. You'll start colonoscopy prep several days before by steering clear of these foods to avoid before a colonoscopy procedure and following a low-fiber diet. So far beginning at 8:00am I drank about 8oz of water every half hour. With 8 oz. Thinking that Iâd be really slick, I used a straw to try and bypass my taste buds. The clear-liquid diet is very restrictive, and probably too … That physician should determine diet and medication modifications related to the prescribed colonoscopy prep. However, I wasnât about to get two or three more colonoscopies just to test out all the preps, so the Suprep experience is what you get to hear about! After drinking about one-quarter of the first 16 ounces of the stuff, I put the container in the fridge and took a 10-minute break to pace around the house and rethink my strategy. I mixed the first part of the prep with water as recommended and took a sip. Now before you eat a bacon cheeseburger with fries, corn on the cob, and a salad the day before your colonoscopy, itâs very important to understand that these subjects (and yours truly) ate a very limited diet the day before the colonoscopy. Q: Will the procedure hurt? A trusted person must be with you to drive you home or accompany you on public transit. endo/colonoscopy prep instructions say no dairy. Colonoscopy is widely accepted and is currently practiced as one of the safest procedures to be carried out as an outpatient. A: Yes. Q: Why can’t I eat popcorn a week before my procedure? A: Yes! Plus the pandemic. Now before you eat a bacon cheeseburger with fries, corn on the cob, and a salad the day before your colonoscopy, it’s very important to understand that these subjects (and yours truly) ate a very limited diet the day before the colonoscopy. I either talk to people about colonoscopies or perform them for most of my waking hours; shouldnât I also have some first-hand experience to reference for my patients? Thanks for the opportunity. Make sure to never miss a post by subscribing! Iâd also be lying if I said that I wasnât just a little curious about the whole process too. The sedation medication impairs your judgment and reflexes. I was given Clinpiq to take for prep for a colonoscopy. • Stop taking any medicines that contain iron* as the active ingredient (these will have iron, ferrous, ferric or feredetate in the name of the medicine). Wish me luck! taking it the day before the colonoscopy because the prep tends to make you dehydrated. Nyquil before colonoscopy Download Here Free HealthCareMagic App to Ask a Doctor All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. I choose Suprep because it is what I usually give out to patientsâ¦Iâve noticed that most people seem to complain the least about the taste of Suprep when compared to most other preps. A: Alcoholic beverages can cause dehydration, so we strongly suggest you do not drink alcoholic beverages during your bowel prep. My procedure is at 11. Please contact the doctor who manages these conditions for the prescription. He is the founder of Retroflexions.com and enjoys writing about healthy living and the practice of medicine. I had a long day ahead of me at work, and knew that without some calories in me I would crash in the mid-morning while doing procedures and not be able to function well. A. Continue your prep when the feeling has subsided. Popcorn hulls can also clog the scope. The night prior to the colonoscopy, the patient will prepare the bowel by consuming a laxative, such as Golytely or Phospho-Soda. A: Yes! Q: Can I brush my teeth the morning of my procedure? Can anyone help me! 1 day before. I guess I needed to vent. Q: Can I use cream during my prep to avoid anal irritation? A few sips later and I was rethinking this whole thingâ¦the cumulative effect of drinking the prep made each sip taste grosser than the last. A: The entire procedure usually takes less than an hour. Q: Why can’t I drink or consume anything red or purple during my clear liquid diet? Fibrous foods such as any fruits or vegetables are not allowed. What should I do? Q: I seem to be all cleaned out but I haven’t finished my laxatives, do I have to finish them? I cheated on the prep. I woke from sleep around 1AM for one more small bowel movement, but it was no big deal. Be careful not to drink the solution for more than 4 hours. The next morning, I woke up at my usual time of 5AM. Thank you! Why was it taking so long to drink this stuff? Corn is probably the worst thing one can eat the day before having a colonoscopy! Clear liquids include: apple and white grape juice or other non-citrus juices without pulp, Gatorade, ginger ale, diet or regular 7-Up, Sprite or colas, Kool Aid, water, clear broth, Popsicles, honey and hard candies without filling. A: You can take a short break from drinking the laxatives. What kind of foods are OK to eat the day before the colonoscopy? Dr. Gandolfo is a board-certified gastroenterologist in Long Island, NY. Due to the sedation given during the procedure, you are considered legally impaired. It was as someone just opened the faucet, then closed it again. Do I still have to take all of the laxatives? Colonoscopy was first introduced in 1969. âItâs for the patients,â is what I told myself. If you want to become a new patient, go to precisiondigestivecare.com or call (631) 350-6077 to make an appointment. Press Esc to cancel. Proceed anyway. © Copyright 2020, Colon & Rectal Surgery Associates, All Rights Reserved • Continue to take all other medicines as usual. Like a commenter above, I’m worried I’ll vomit the prep up too. Thanks! Your colon is approximately 6 feet long and must be completely emptied to help ensure an accurate and thorough exam. A few gulps later I was half-way done with the first round. But did I win? Colonoscopy patients typically have to forgo all solid foods and go on a clear-liquid diet while taking laxatives the day before their procedure. Low residue foods (low roughage) are ideal; these are processed flours (white bread, etc. What should I do? Then you may have only clear liquids. The following is my âjustificationâ for my cheating, other than the obvious reason of âI was hungry.â I wake up around 5:00 AM or earlier every day. I dread 5pm when I have to drink the first half. I mixed tomorrow morningâs prep and put it in the fridge to chill overnight. You should plan to be near a restroom during this period. Going back to the prep in the fridge, I took a few more sips through the straw. Dr. Frederick Gandolfoâs gastroenterology practice is located in Long Island, NY. We recommend starting before 6 PM. However, you must not take anticoagulants (blood thinners) for at least 7-10 days prior to the procedure. A: Yes. You will not be permitted to drive for 12 hours following your procedure. Q: Can I have sugar in my coffee/tea during my clear liquid diet? A: No. However, I have to double prepare for the test. 3433 Broadway Street NE, Suite 115, Minneapolis, MN 55413, Surgical Patient Education Instructions / Preparations, Language Interpreters and Hearing Impaired Services, Capsule Endoscopy (Camera Pill). Can I drink low calorie or diet Gatorade/Powerade? The prep was definitely easier to drink when cold straight out of the fridge. I wished I’d gotten more broth actually as Gatorade and water didn’t really sound that good during the day. What should I do? It was terrible. Last bowel movements were clear. A: Yes, however it must be stopped the day before yoru procedure. Colon Prep Questions & Answers Q: Can I drink anything other than water while I'm prepping for the colonoscopy? You may resume your usual activities the day after your procedure. The most interesting finding was that the group of patients who were restricted to only having clear liquids cancelled their appointments more than twice as frequently as the patients that were allowed to eat just a little. I hope I can handle this tomorrow morning. Your procedure will have to be rescheduled if you do not follow the … A: Call the physician that manages your diabetes and tell them of your prep at least five (5) days prior to your procedure. pitcher to prepare in the morning. So much water this morning, magnesium citrate at 7 pm. 2 days before. ), white rice, pasta, yogurt, gelato, and related snacks, eggs, lean meats, and other foods. Immediate watery diarrhea was the result. I almost believed it, too! Generally, you should take prescribed medication, as directed, both on the preparation day and on the day of the procedure. These are essential nutrition for vegans. I already feel bloated. I drank 2 cups of black coffee as soon as I woke up. A light snack around lunch time is OK too, but after that itâs clear liquids only. A: Yes. I just drank black coffee and going in for the finale. I have truly drank all day as I was asked to do besides the 5 8 … read more Good luck everyone!!! To help ensure an accurate exam, these liquids should be avoided. 1 As the years passed, many advances have occurred. I was wrong on both counts! I actually got decent sleep. A light breakfast is fine. Both groups then completed the standard bowel prep. You will also get … of the nasty stuff down so-far, I was lucky that my bathroom was only a few steps away! Not because Iâm embarrassed to publicly discuss my colonoscopy experience (weirdly enough, I am OK with that part), but because I donât want to be responsible for people interpreting what Iâm about to disclose far too liberally and ruining their pre-colonoscopy cleanout. I hate every sec of taking the sip. does this mean no milk, cheese, and yogurt, or does it include anything that contains dairy as well? A: Yes. A: Some patients have a bowel movement immediately after starting the laxatives and for others it may take 2 hours or longer.
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