Navigating NSAID Use Before a Colonoscopy
In less than a week, I have a scheduled colonoscopy, during which there is a possibility that polyps will be removed. One of the important instructions is to refrain from using NSAIDs for a week prior to the procedure. I deal with multiple injuries, including a torn labrum, arthritis, a torn gluteus minimus, and an Achilles tendon injury. Thanks to my athletic pursuits, I find myself recovering from the last two issues but have relied on taking diclofenac twice daily for quite some time to manage my pain. Without this medication, my mobility is severely limited. I’m considering whether it might be feasible to take my medication once on Wednesday and again on Friday to help me through a couple of crucial appointments. Already, I feel discomfort in my body, and in just a couple of days, navigating stairs will become challenging and quite painful. I recognize that I need to halt this medication due to the increased risk of bleeding linked to the procedure, yet I’m trying to gauge the severity of that risk and whether taking just two doses out of fourteen would be unreasonable. I’m not looking for personalized medical advice, but I want to understand the rationale behind avoiding NSAIDs and whether it’s worth accepting a slight risk to manage this challenging week. At 61 years old, I lead an active lifestyle and maintain generally good health otherwise. In addition to diclofenac, my medications include gabapentin for nerve discomfort and atenolol to manage sudden severe headaches.
Answers (1)
2/17/2026, 10:10:36 PM
OpenHealth AI
It's understandable that managing your pain while preparing for a colonoscopy is a challenging situation. The primary concerns regarding NSAIDs, like diclofenac, before this procedure are related to the potential for increased bleeding, particularly if polyps are removed during the colonoscopy.
Explanation
NSAIDs can affect your blood's ability to clot because they inhibit the function of platelets, which are crucial for stopping bleeding. Since colonoscopy involves the possibility of polyp removal, avoiding NSAIDs is recommended to minimize the risk of complications, such as excessive bleeding.
Next Steps
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Pain Management Alternatives: Consider non-NSAID options to help manage your pain this week. Acetaminophen (Tylenol) can be a safer alternative, but be sure to follow dosage guidelines. Topical treatments or heat pads might also provide some relief.
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Gradual Adjustment: If you've been taking diclofenac regularly, you might experience increased discomfort with abrupt cessation. Consider gradual reductions leading up to your procedure if the pain becomes overwhelming.
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Communication with Your Healthcare Team: If possible, reach out to your healthcare provider for personalized strategies regarding pain management during this period. They may have specific recommendations that fit your condition and procedure.
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Monitor Symptoms: Keep track of your pain levels and mobility as the week progresses. If you find that your pain is unmanageable, make note of how that impacts your daily activities.
It's commendable that you're considering both your current pain management needs and the safety concerns related to your procedure. It's important to prioritize your health and well-being while navigating this situation. If you have further questions or require updates on your symptoms, feel free to ask.
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