Colonoscopy Prep: Magnesium Citrate Still Relevant?

Doctors use magnesium citrate laxatives before a colonoscopy to ensure the colon is clear for the procedure. Colonoscopies are recommended for the detection and prevention of colon cancer, and adequate preparation is essential to their success. The laxative formula cleanses the bowels, allowing doctors to see inside the colon clearly. Magnesium citrate is a widely used preparation, often in liquid form, but a randomised controlled trial has shown that a pill-based preparation of magnesium citrate capsules and bisacodyl may be a more cost-effective and tolerable option for patients.

Magnesium citrate is used to clean the colon before a colonoscopy

Doctors use magnesium citrate to clean the colon before a colonoscopy. This procedure is known as a mag citrate colon prep. It is important to follow the instructions provided by your doctor exactly as outlined. Generally, patients are advised to purchase two 10-ounce bottles of magnesium citrate (Citrate of Magnesia) a few days before the procedure.

On the day before the colonoscopy, patients are instructed to start a clear liquid diet after waking up, drinking at least one large glass (8 oz.) of clear liquids every hour until bedtime. No solid foods or liquids with certain colorings are allowed during this time. It is also important to remain well-hydrated, and sports drinks are recommended for better hydration.

In the evening, typically at 6 pm, patients are instructed to drink the entire contents of the first bottle of magnesium citrate, followed by an 8 oz. glass of water. This is continued with another bottle and glass of water early on the day of the procedure, after which nothing should be consumed until after the colonoscopy.

The mag citrate colon prep is designed to clean the colon, ensuring a safer and more effective colonoscopy. The cleaner the colon, the easier it is for doctors to locate any abnormalities.

Patients should stop taking certain medications and supplements several days before the procedure

Patients should stop taking certain medications and supplements several days before their colonoscopy procedure. This is to ensure that the bowel is clear and that there are no obstructions to the view of the colon, which could affect the accuracy of the results.

One week before the procedure, patients should stop taking any iron supplements. Three days before the procedure, patients should stop taking medications such as Vitamin E, Motrin, Advil, Aleve, ibuprofen, and other non-steroidal anti-inflammatory drugs (NSAIDs). If approved by a physician, patients should also stop taking any blood thinners, such as Coumadin, Warfarin, Plavix, or Pradaxa. It is important to consult with a doctor or healthcare provider about any medications or supplements that should be stopped before the procedure, as some may interfere with the bowel preparation or the colonoscopy itself.

In addition to the above, patients should also avoid corn, popcorn, and foods containing seeds, nuts, raw fruits, and raw vegetables in the days leading up to the procedure. A clear liquid diet should be followed for at least one day before the procedure, and patients should stay well-hydrated, as this helps with the preparation and prevents dehydration.

Patients should follow a clear liquid diet the day before the procedure

The clear liquid diet includes:

• Tea and black coffee without any milk, cream, or lightener
• Flavored water without red or purple dye
• Clear, light-colored juices such as apple, white grape, lemonade without pulp, and white cranberry
• Clear broth, including chicken, beef, or vegetable
• Sports drinks such as Gatorade and Propel (light colors only)
• Popsicles without fruit or cream; no red or purple dye
• Jell-O or other gelatin without fruit; no red or purple dye
• Boost Breeze Tropical Juice drink

It is important to note that while patients should follow a clear liquid diet, they should also ensure they are well-hydrated. Sports drinks such as Gatorade are recommended as they provide better hydration than water alone.

In addition to the clear liquid diet, patients are advised to stop consuming certain foods and supplements in the days leading up to the procedure. For example, three days before the procedure, patients should stop taking Vitamin E, ibuprofen, and similar medications. Patients should also avoid consuming corn, popcorn, and foods with seeds, nuts, raw fruits, and raw vegetables.

By following these instructions, patients can help ensure that the colonoscopy procedure is successful and provide a clear view for the doctor to locate any abnormalities.

Patients should purchase magnesium citrate and other items from a pharmacy

Preparing for a colonoscopy involves cleaning out your bowels so that your doctor can see inside your colon. This is done using strong laxatives and changes to your diet in the days leading up to the procedure.

• Two bottles of magnesium citrate (10 oz each). Do not purchase red (cherry flavour).
• One package of Dulcolax tablets (laxative).
• 125mg of Simethicone (Gas X).

In addition to the above, patients should also purchase sports drinks, juices, and broths. These will help with hydration, which is an important part of the preparation process.

It is also recommended to start a clear liquid diet one day before the procedure. This means no solid foods and only drinking clear liquids. Examples of clear liquids include:

• Clear fruit juices without pulp (apple, white grape, white cranberry, lemonade, etc.)
• Broth (chicken, beef, vegetable, or bone broth)
• Popsicles or gelatin (such as Jell-O)
• Coffee or tea (without milk)
• Clear meal-replacement drinks

It is important to note that alcohol should be avoided, as it can cause dehydration.

Patients should have a friend or family member available to provide transportation to and from the procedure

Doctors may still use magnesium citrate laxatives to prepare the colon for a colonoscopy. This procedure is used to diagnose gastrointestinal diseases such as inflammatory bowel disease and colon cancer, as well as to treat and prevent colon cancer.

To ensure patient safety, it is important that patients have a friend or family member available to provide transportation to and from the procedure. Here are some reasons why this is necessary:

Firstly, the patient will likely be sedated during the procedure, and it is unsafe for them to drive themselves home. Most healthcare facilities will not discharge a patient without a responsible driver to escort them. This is a safety precaution to ensure the patient has someone to care for them as the effects of sedation wear off.

Secondly, the patient may experience side effects from the procedure, such as gas pain, bloating, or nausea, which can impact their ability to drive safely. These side effects can be uncomfortable, and it is helpful to have a companion to assist with transportation and provide support.

Thirdly, the patient may need assistance with picking up prescribed medications on the way home or with other tasks, such as preparing a meal or starting a load of laundry. Having a friend or family member available can ensure the patient receives the necessary care and assistance during the recovery process.

Finally, the patient should not be alone after the procedure as they may need emotional support and someone to monitor their recovery. It is recommended to have someone who can stay with the patient for about two hours after the procedure.

If a patient does not have a friend or family member available, there are alternative options for transportation. These include hiring an aide through a home health agency, hiring an individual caregiver, or requesting assistance from a local senior volunteer group. These options can provide escorted transportation and, in some cases, additional support services.

Frequently asked questions