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A new study presented at the American College of Gastroenterology’s 74th Annual Scientific Meeting in San Diego, Calif., places new emphasis on the importance of adequate bowel preparation prior to colonoscopies. The news comes as clinicians are evaluating new bowel preparation solutions to replace popular ones that were pulled from the market or given a black box warning by the Food and Drug Administration (FDA).
To hear your doctor recommend a “colonoscopy” can send chills down most peoples’ spines. The procedure, which involves a doctor sending a little camera fixed to the end of a flexible tube through the colon and into the intestines, can make even the strongest folks a bit uncomfortable. Some even fear that the procedure itself can cause harm. One study hopes to put those fears into perspective.
The Food and Drug Administration (FDA) black box warning on oral sodium phosphates (OSPs) came late last year, but as early as 2003, doctors were beginning to make the link between OSP pills and solutions used to clear the bowel before colonoscopies and serious and permanent kidney injuries. As more and more reports of kidney damage and even complete kidney failure began to pour in to the FDA, the agency finally issued a mild warning in 2005. The black box warning on prescription OSP products would come three years later, after 21 more reports of serious kidney injuries. Soon after that FDA warning, C.B. Fleet quickly pulled its over-the-counter OSP products off the market.
It seems every time you turn on the TV, flip through a magazine, or go online, you are faced with another commercial or infomercial about the benefits of detoxifying the body through magic pills or solutions. From detox diets and foot cleansings to nasal irrigation and colon clearing– the options are seemingly limitless. Proving the benefits of such toxin-removing practices is sketchy, says Dr. Tyrone M. in a column in the Phillippine Star. And some practices can be downright dangerous to your health.
A 62-year-old woman preparing for a colonoscopy followed her doctor’s orders and took a large dose of an oral sodium phosphate (OSP) solution to cleanse her bowel before the procedure. It wasn’t an unusual order. Many physicians either prescribe OSP pills or solutions for their patients or recommend over-the-counter OSP products. However, the patient’s kidneys began to fail. Doctors were able to partially resolve the problem, but the woman was left with stage 4 chronic kidney disease.
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