Beasley, Allen, Crow, Methvin, Portis & Miles, P.C.

Most people dread colonoscopies. Not only does the procedure, which involves a physician running a flexible tube through your colon and intestines, sound uncomfortable, the prep can be a real pain in the you-know-what. This is one reason why, when your doctor orders a colonoscopy, you’ll want to be sure you cleanse your bowel thoroughly and effectively to ensure that your doctor has a clear view of your colon. If not, you may have to repeat the procedure and the prep along with it.

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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.

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Many physicians who perform colonoscopies are beginning to ask their patient for a second cleansing of the bowel in the wee hours before their procedures to ensure the bowel is clean and reduce the need for a redo.

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A study by a group of Italian researchers shows that virtual colonoscopies that use computer tomography scans are almost as effective at detecting tumors and precancerous lesions as standard colonoscopies, which requires threading a camera through the colon. The study, published in The Journal of the American Medical Association, suggests that the new procedure may offer an alternative to people who are too embarrassed or afraid to undergo a standard colonoscopy.

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Nobody enjoys colonoscopies, but they save lives. Regular colon screenings can detect polyps even before they become cancerous. It is recommended that people begin colon screenings beginning at age 50, or earlier if they have a family history or are exhibiting symptoms such as blood in the stool. But how can you convince someone he needs to have a colonoscopy? Just have Pauly Polyp do the asking.

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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.

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Could samples of your stool keep you from having a colonoscopy? Researchers at Baylor Medical Center think so. A team of doctors from Baylor pored through stool samples, analyzed long strands of DNA and were able to diagnose gastrointestinal cancers early, according to a report from KARE-TV 11.

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Internet commercials for colon cleansing products featuring the images, names and voices of Oprah Winfrey and her friend Dr. Oz are a hoax, says Winfrey and Oz, and they have filed a lawsuit in New York Federal Court to take the ads down, according to TMZ. The lawsuit claims the company is trying to cash in on the false premise that the products have been tested or recommended by Winfrey and/or Oz when they, in fact, have not. Winfrey and Oz claim the company, which sells products such as Colon Pro Cleanse, Power Colon Cleanse and Colon Max, “turn out to be credit card scams or other fraudulent schemes.”

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Colonoscopies are serious business. The procedure involves sending a small camera inside the colon to search for abnormalities, including colon or rectal cancers, also known as colorectal cancer. Regular colon screenings can find polyps even before they become cancerous. By removing those polyps, one can literally dodge colorectal cancer.

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Health Canada has ordered manufacturers of over-the-counter oral sodium phosphates (OSP), such as Fleet Phospho-Soda, to either re-label the products to remove any mention of bowel cleansing, or remove the products completely from the Canadian market.

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