In this episode of The Real GI Doc Show, Dr. Fred Gandolfo takes on a challenging listener question from David in San Diego, who struggles with anxiety and nausea related to colonoscopy prep. David's query opens up a broader discussion on the importance of colonoscopy in preventing colon cancer, and the unfortunate lack of an IV alternative for bowel prep. Dr. Gandolfo delves into the various options available, including the limitations of oral prep solutions and some unconventional methods that might be considered in extreme cases. Dr. Gandolfo emphasizes the significance of addressing anxiety, which not only impacts the ability to undergo medical procedures but also affects overall quality of life. He offers practical advice on managing anxiety and suggests alternative screening methods like Cologuard as a temporary measure. The episode also sheds light on lifestyle modifications to reduce colon cancer risk, such as adopting a high fiber diet and avoiding smoking and excessive alcohol consumption. Mentioned in today's episode: Colonoscopy prep videos on Dr. Gandolfo's YouTube channel Cologuard podcast episode Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.