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For some years now, I have experienced bleeding during bowel movements. It is less likely to occur when I have had an enema, probably because there is less effort involved in evacuating.

My doctor has attributed it to hemorrhoids, which is quite likely given my genetic makeup. But recently it became more severe, and the doctor’s digital test showed internal bleeding also. So, she prescribed a colonoscopy.

A year ago, I had undergone an endoscopy to determine the cause of severe heartburn. That turned out to be a hiatus hernia (I knew that was likely, but the doctor wanted to be sure).

In that experience, I was prepared with a venous drip, which the nurse assured me was only dextrose, but which would make way for other drugs when I needed them. I asked what drugs they had in mind, and was told that there would be drugs to relax my throat muscles, and also to erase memory of the experience afterwards. It was therefore no terrible surprise to me to find myself in the same room where I had started, sort of half wondering why they had brought me back there without having done anything in the room into which I had been wheeled earlier. Suspicions were confirmed when the physician joined me and my significant other and informed me that the problem was, indeed, an inflamed hiatus hernia, which he would prescribe medication for (it didn’t work).

This time, I was given instructions for the days previous to the procedure. No iron supplements for three days before it; on D-day minus one, I was to eat breakfast, but then no solid food until after the procedure.

At noon of D-day minus one, I was to start drinking something called NuLytely, which was supplied in a four-liter container as a powdered mixture. The instructions said to mix it to the full four liters with lukewarm water, but to chill before using for palatability. It was then to be drunk at the rate of one 8-ounce (240 ml) glass every 10 minutes until all gone.

Having been exposed to something called an Evacu-kit some years ago, I wasnÍt looking forward to this stuff. But it turned out to be only slightly salty in taste, and not difficult to take.

By the time I was through with it, some two hours later, I had the feeling that I had just taken an oral enema. I was passing fluid at a great rate – but without discomfort.

That evening, after the fluid flow had stopped, I took a four-quart enema, which felt real good. The following morning, I took another – this one was specified in the instructions. My SO took me to the hospital – the instructions said that I would definitely NOT be able to drive home after the procedure. We arrived an hour before the appointment time (the instructions had said 45 minutes), and I was ushered into a “recovery” room to prepare.

Because this section of the hospital was being renovated, space was scarce, and I discovered one other man in the room with me. After I had undressed and put on the hospital gown, another man, fully clothed from the waist down, was wheeled in. He had apparently just had an endoscopy – the nurses were chuckling about the fact that 100 (milligrams?) of Demerol had not fazed the young man, and he was still wide awake. The nurse said that much would have put her out for a week.

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