This weekend’s passing of Corazon Aquino after her battle with colon cancer puts the disease back in the spotlight—particularly at a time when online reports estimate that anywhere from 50%- 60% of Americans over 50 years of age have not had a colonoscopy.
At first, that statistic seems alarming. But here’s the thing—who wants a colonoscopy? I’ve already posted about how the colonoscopy prep options are like being between a rock and a hard place: either you gag down a gallon of wannabe fruit-flavored solution, or you potentially increase your risk of kidney failure by using the more palatable Osmo-Prep, Visicol or maybe Fleet EZ Prep.
Perhaps the biggest thing of all to swallow is the cost of a colonoscopy. Here’s the breakdown of my recent colonoscopic adventure:
Doctor Consultation: $375
Doctor Fee for Procedure: $2100
Facility Fee: $2800
Total: a whopping $5,275
And keep in mind that if you haven’t met your deductible, or if you’re paying out-of-network, you’ll be forking over a large chunk of that $5,275. Read the rest of this entry »
Having a colonoscopy is a weird sort of rite of passage. Once you’ve had one, you can give your colon-checking compatriots that knowing nod when they mention the procedure. Guaranteed after that nod, someone will bring up “prep”—it’s the point of convergence for all colonoscopy conversation. And for good reason: it’s the worst part of the procedure and it’s the only part for which you’re entirely too conscious.
So weren’t we all filled with glee when we learned there was an oral sodium phosphate pill—a pill!—we could take rather then slugging back a 4-liter jug of Golytely? Well, with recent reports, maybe not.
There are 3 basic options for colonoscopy prep: Golytely (also Colyte, Nulytely), Fleet Phospho-soda EZ Prep, and Oral Sodium Phosphate (Osmo-Prep and Visicol). The problem with them (aside from the fact that you have to take one of them) is that there’s an inverse relationship between their palatability and their associated risks. Here, an overview of the options—not to be construed as medical advice; for that, see your doctor. Read the rest of this entry »
It’s uncomfortable and worrisome enough having to go through screening for colon cancer through colonoscopy—which is extremely important in identifying and treating the disease. Now add one more concern to deter people from getting the procedure: Oral Sodium Phosphate (OSP) as a bowel cleanser has been associated with acute kidney injury. C.B. Fleet Company announced a voluntary recall of its OTC products: Fleet(R) Phospho-soda(R) and Fleet(R) Phospho-soda(R) EZ-Prep(R) Bowel Cleansing System, and the FDA is slapping a black box warning on other OSPs, as well as recommending that only prescription OSPs be used by patients for bowel cleansing prior to undergoing colonoscopy.
Researchers set out to determine exactly which parts of the colonoscopy process deterred patients from getting the procedure and, you guessed it, not wanting to take the bowel prep ranked as the No. 1 deterrent. But all OSPs are not created equally; for example, one report says that NutraPrep did the job just as well, if not better than OSPs. And it isn’t associated with kidney injury. So if you’re scheduled for a colonoscopy, ask your health provider about alternative bowel cleansers.