[xattt]

> Oral sodium sulfate in a single dose has been found to cause increased gastrointestinal (GI) events

> Sodium phosphate is no longer recommended as a bowel preparation regimen due to its serious side effects

Essentially, put in the effort and do the liquid bowel prep.

Consider adding flavour drops to your drink, icing it or turn it into a slushie to make it slightly more interesting to drink. The PEG will make the ice crystals slightly more smoother.

https://www.ncbi.nlm.nih.gov/books/NBK535368/

[CWuestefeld]

Essentially, put in the effort and do the liquid bowel prep.

It's not just about effort. I must do the liquid prep due to my Crohn's disease. And while I am able to get the liquid down (as you note, it helps to make it as cold as possible; also, suck on an ice cube before drinking to numb the taste buds), I can't keep it down. Within an hour it has me evacuating from both ends.

For my last test, I barely slept at all the night before on account of the vomiting, and even once I got to the hospital I was lying on the wonderfully cold tile of the floor between rolling over to vomit in a trash can.

They know it affects me badly, but still assess that it's necessary due to my risk factors. And because I'm losing much of the drug due to the vomiting, the prep is poor, so I have to start fasting a day early to ensure that I get sufficiently cleaned out. It's torture all around.

[xattt]

It must be really challenging to feel like you are an outlier, and that medical advice does not fit you.

There are going to be niche clinical situations where the benefits outweigh the risks of what is otherwise generally not recommended. If you’re not able to tolerate the liquid prep, you’re obviously better to take an oral fleet than no prep at all.

[chiph]

What helps for me was using cool/chilled water, and a swimmer's nose clip to help reduce the smell of the ingredients. If you are adding flavor drops - go with lemon and not anything blue or red in color.

One other piece of advice - stay off the internet afterwards until you're sure the anesthesia has worn off. My doctor related that a previous patient had gone on the Carvana website and bought a car while still under the effects. Oops.

[xaldir]

> Sodium phosphate is no longer recommended as a bowel preparation regimen due to its serious side effects

Well in my country, it's still wildly used for people without renal issues.

[xattt]

These are best practices guidelines that are ultimately implemented (or rejected) by surgeons who still go by feel, whether following the latest-and-greatest or by what they are used to.