Colonoscopy is one of the most effective screening devices, If a problem with polyps is detected, it can be cured on the spot. The FDA warns against using over-the-counter products for bowel cleansing prior to the procedure. In the past, Fleet enemas were routinely used. Rarely, this product can lead to permanent kidney damage. Similar prescription products (Visicol, Omniprep) will now have a black box warning against use in high risk patients. The alternatives suggested are PEG solutions, like Golightly and Halflightly. Increasingly, colonic irrigation is being used for a bowel prep. At COHA we have used this procedure therapeutically for many years for various bowel problems and for detoxification, because of its safety and effectiveness.
See Prescriber’s Letter (click here-subscription required) , January, 2009, p. 6.
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