Mine is a small, moderate volume endoscopy-majorly centered Gastroenterology practice in Ikeja, Lagos State, Nigeria.
The price for this basic procedure for the screening for colorectal problems is prohibitive. Thus I have always been open to consider alternatives that would reduce the end-user costs to my patients presenting for the procedure.
The cost of procurement of PEG and other newer bowel prep solutions (which are not readily available in my environment) is high. So I have recently resorted to the use of Epsom salts based laxative for my bowel preps.
The results have been fantastic for bowel cleasing and identification of colonic anormalies. But I do have reservations as I encounter the various possible side effects of its use.
Presently, the salts are only not used for patients with overt kidney disease. All the other patients of mine- a total of about 30 per week, get the salts-based regimen.
I just want to know how to best combine use the drug going forwad.
Thank you.
Hello,
This is from an NHS UK hospital:
http://www.ouh.nhs.uk/patient-guide/leaflets/files/100211smallbowelprepepsom.pdf
There is a tel no at the end; they may be able to put your call forward to someone who would be interested in your work.
This is the main hospital tel no: 0300 304 7777
This is the ResearchGate link for Dr Bungay, consultant radiologist who helped compile the leaflet:
Helen Bungay
Very best wishes,
Mary
I think it depends af several factors like the age of the patient, the presence or absence of hypertension or any other cardiovascular disease and the dose used. You must specify all these factors in your study
Best regards
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