GI Visit & Update

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nerdhume
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Post by nerdhume »

Nancy,
Thanks for putting this into words:
I hate to say to anyone that Tex is right, MC is a blessing in disguise, but honestly I feel that way about my own case. I can actually improve my chronic inflammatory response (upper GI, asthma, allergies, more) by eliminating certain foods. Never would have figured that out if I hadn't come to this forum via MC diagnosis.
You are absolutely right, I had so many other problems before that are all lessened or totally gone since control of my diet.
I was very stubborn at first and didn't want to go GF. Waited for the enterolab tests.

Thanks also for your prayers....need all the help I can get.
Theresa

MC and UC 2014
in remission since June 1, 2014

We must all suffer one of two things: the pain of discipline or the pain of regret. ~Jim Rohn
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DebE13
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Post by DebE13 »

I'm in the same boat with the colonoscopies.... I'm on the three year plan and this year is my year once again. My two previous colonoscopies revealed pre-cancerous polyps each time that were removed so hopefully this year nothing will be found and maybe I will get a longer time before the next one. I had such an awful time with the clean out the last time I'm not confident I will be able to stomach the drink this time around without immediately throwing up. I had the flu this year and made a home-made electrolyte solution and took one drink and almost threw up. It tasted exactly like the prep solution I drank three years ago that gave me ridiculous chills and vomiting. I've tossed around the idea of skipping it this year but the sensible part of me knows that would be an irresponsible move. I'm torn on the whole idea.
Deb

"Do not follow where the path may lead. Go instead, where there is no path, and leave a trail.
-Ralph Waldo Emerson

2007 CC
2013 thyroid cancer- total thyroidectomy
2013 Hashimoto's - numbers always "normal"
2017 Lyme's Disease
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nerdhume
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Post by nerdhume »

Deb, My GI prescribed tablets for the clean out. Take 4 tablets each 15 minutes with 8 oz of whatever clear liquid you like. It still was not pleasant, but at least I didn't have to try to keep down a gallon of awful tasting stuff.
I thought that electrolyte recipe tasted like the prep stuff too. Kind of salty sweet.
Theresa

MC and UC 2014
in remission since June 1, 2014

We must all suffer one of two things: the pain of discipline or the pain of regret. ~Jim Rohn
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tex
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Post by tex »

Deb wrote:I had the flu this year and made a home-made electrolyte solution and took one drink and almost threw up.
nerdhume wrote:I thought that electrolyte recipe tasted like the prep stuff too. Kind of salty sweet.
This is associated with the paradox that surrounds electrolytes. I've never seen anything written specifically about this issue, so maybe it's time for someone to write something about it. :wink:

Since they are essential for many normal life-sustaining processes, electrolytes are capable of potent effects, and multiple uses. One of these uses occurs when the body determines a need to purge the digestive system. Whether the reason for the action is due to infection, disease, toxic chemicals, a fight or flight response, severe chronic stress, or simply poor digestion due to some other cause, the agents of choice for executing the command are electrolytes. The enteric nervous system floods the lumen of the small intestine with electrolytes, and inhibits their re-absorption. The result is the fast-track development of D. In many cases, nausea/vomiting will also be triggered. This is especially true (the development of nausea/vomiting) if the stomach is not empty at the time, because the enteric nervous system will seek the fastest way to purge the system.

Cleanout solutions are loaded with electrolytes. For example, in addition to polyethylene glycol, GoLYTELY contains sodium sulfate, sodium bicarbonate, sodium chloride, and potassium chloride. Of course, in this case the gut-wrenching D is due primarily to the polyethylene glycol, and the electrolytes are included (according to conventional medical knowledge), "for electrolyte replacement". But trust me, the chances of the electrolytes included in a cleanout solution actually replacing any electrolytes lost by the body, are about as good as my chances of winning the lottery (which is pretty slim, considering that I haven't bought any lottery tickets in many, many moons. :lol: ). Instead, IMO, those included electrolytes serve to enhance the development of nausea and D. They won't be absorbed, not only because of the rapid transit problem, but primarily because the development of D provides a signal that causes the inhibition of the absorption of electrolytes. It would be illogical for the body to flood the lumen of the small intestine with electrolytes, and then reabsorb them, so IMO once the D develops, electrolyte re-absorption (a normal function of the colon also) is inhibited throughout the GI tract).

Conventional medical knowledge says that D causes the loss of electrolytes. I say that the evidence is pretty clear that they've got it bass-ackwards. Electrolytes in the fecal stream cause D, and as long as either the brain or the enteric nervous system sees the need to continue the D (and as long as supplies remain available), copious amounts of electrolytes will be purged into the fecal stream, in order to continue the D. Actually, it's the "decision" by the brain and/or the enteric nervous system to purge the digestive system that causes the infusion of electrolytes. At any rate, it definitely is not the D itself that causes the loss of electrolytes. The electrolytes are intentionally purged by the body, in order to promote D.

So this is why (IMO) ingesting electrolytes (especially liquid electolytes, since liquids are presented to a much larger surface area of the lining of the intestines, almost instantaneously) triggers sensory responses of nausea (and D, if enough is ingested). It's a natural response.

At least that's the way that I see it.

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Post by Sheila »

I can't stomach a gallon of that horrible liquid. I can't finish it without throwing up and then stay up all night in misery. The last time I had to have a colonoscopy, I researched options other than the terrible vomit liquid. I can't remember exactly what I took, it was pills and citrate of magnesia, and worked quite well. The citrate of magnesia tastes terrible but it is a small bottle and I can choke most of it down. I wasn't up all night and didn't get sick to my stomach.

As a cautionary tale, my brother had a horrible experience with the gallon of liquid. He has survived a very serious heart attack and his heart is fragile. He got so sick from that liquid, vomiting uncontrollably, his wife called 911 and he ended up in the hospital.

There are options other than vomit juice to clean out the colon. I have told my GI that I won't drink it and we are at a stand off. I didn't tell him until after the last colonoscopy that I didn't drink his prescribed liquid.

Sheila W
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tex
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Post by tex »

I could be all wet, but I have a hunch that leaving out the electrolytes might reduce or eliminate the nausea/vomiting problem.

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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