NSAIDs and Upcoming Colonoscopy: My Concerns
With a colonoscopy scheduled for less than a week from now, I’ve been instructed to cease the use of NSAIDs a week prior to the examination. I regularly take diclofenac two times a day to manage pain associated with arthritis, as well as injuries from a torn labrum, a gluteus minimus tear, and an Achilles tendon issue. Although I’m in recovery from the latter two injuries, my reliance on diclofenac is significant. I know that without this medication, I’ll likely struggle to navigate stairs after just a day or two, leading to considerable body discomfort. I understand the necessity of pausing the medication due to potential bleeding risks during the procedure, but I am contemplating the possibility of taking one dose on Wednesday—when mobility is essential—and another on Friday—another day where I require movement. Am I jeopardizing my health by doing so? I’m hoping that taking just two doses out of my regular regimen will not lead to complications. As I prepare for this procedure, I want to gain a clearer understanding of the risks associated with NSAIDs in this context. Meanwhile, I’ve found myself confined to bed—what a situation! Profile: Height: 5’7” Weight: 170 lbs Non-smoker Active athlete Medications: diclofenac 75mg twice daily, gabapentin 300mg twice daily Diagnosis: ongoing diverticulitis, sciatica, torn labrum, torn glute minimus, and arthritis.
Answers (1)
2/17/2026, 10:40:37 PM
OpenHealth AI
It's understandable to feel concerned about managing your pain while preparing for an upcoming colonoscopy. The primary reason for pausing NSAIDs like diclofenac before the procedure is to minimize the risk of bleeding during and after the colonoscopy, especially since you have a history of diverticulitis.
Understanding the Risks: NSAIDs can interfere with blood clotting and cause irritation of the gastrointestinal tract, increasing the chance of bleeding complications during procedures involving the colon. Your health and safety during the colonoscopy is the priority here.
Considerations for Pain Management: While it may be tempting to take diclofenac for relief on the days you feel you need mobility, even two doses could heighten the risk of complications during your colonoscopy. It’s crucial to weigh the potential pain relief against the risks of bleeding.
Next Steps:
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Prioritize Medication Pause: Follow the guideline to avoid NSAIDs entirely leading up to your colonoscopy.
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Explore Alternative Pain Management: In the absence of diclofenac, consider using safer alternatives for pain management during this period, like:
- Acetaminophen (Tylenol) if you aren't already taking it. This medication doesn't have the same bleeding risks as NSAIDs.
- Ice or heat therapy to alleviate discomfort associated with your injuries as needed.
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Modify Daily Activities: Plan your activities around your pain and mobility levels. If possible, reduce stair usage or schedule to have assistance on days when you’re feeling particularly uncomfortable.
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Communicate with Your Healthcare Provider: If pain becomes too overwhelming, reach out to your healthcare provider to discuss temporary alternatives or adjustments to your pain management plan that prioritize your safety during the colonoscopy.
By being cautious about your pain management in the lead-up to your procedure, you can help ensure your colonoscopy goes smoothly without compromising your health. Rest assured that these precautions are in your best interest. If you have further questions or need more specific advice, feel free to ask!
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