Effect of Counseling and Education on Mechanical Bowel Preparation

Inclusion Criteria

• •Age 18 years or older
• •Undergoing elective colonoscopy
• •Considered high-risk for inadequate bowel preparation, including at least one of the following:
• •Prior abdominal or pelvic surgery
• •Chronic constipation (fewer than 3 bowel movements per week)
• •Use of constipating medications (e.g., opioids, tricyclic antidepressants, calcium channel blockers)
• •Age \>65 years
• •Multiple comorbidities (e.g., diabetes, neurologic disorders affecting motility)
• •\----------------------------------------------------