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Taste aversion as an under-recognized determinant of bowel preparation quality

Abdulrasak, Mohammed LU orcid (2026) In Frontiers in Medicine 13. p.1-3
Abstract

Inadequate bowel preparation remains a major barrier to high-quality colonoscopy, with taste aversion representing a common yet under-recognized contributor to poor tolerability of the bowel preparation. Current strategies primarily aim to improve palatability through formulation changes or dosing regimens. This paper proposes a novel, hypothesis-driven approach: transient pharmacologic suppression of gustatory perception using topical oral lidocaine to reduce the perceived unpleasantness of bowel preparation solutions. The concept arises from a serendipitous clinical observation in which tongue-focused lidocaine application enabled successful oral intake in a patient with repeated prior intolerance. By targeting taste perception... (More)

Inadequate bowel preparation remains a major barrier to high-quality colonoscopy, with taste aversion representing a common yet under-recognized contributor to poor tolerability of the bowel preparation. Current strategies primarily aim to improve palatability through formulation changes or dosing regimens. This paper proposes a novel, hypothesis-driven approach: transient pharmacologic suppression of gustatory perception using topical oral lidocaine to reduce the perceived unpleasantness of bowel preparation solutions. The concept arises from a serendipitous clinical observation in which tongue-focused lidocaine application enabled successful oral intake in a patient with repeated prior intolerance. By targeting taste perception directly rather than modifying the preparation itself, this approach may offer a complementary strategy for selected patients. Further evaluation is required to assess feasibility, safety, and clinical effectiveness.

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Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
bedside observation, bowel preparation, colonoscopy quality, taste aversion, topical lidocaine
in
Frontiers in Medicine
volume
13
article number
1803366
pages
3 pages
publisher
Frontiers Media S. A.
external identifiers
  • scopus:105041130328
  • pmid:42180733
ISSN
2296-858X
DOI
10.3389/fmed.2026.1803366
language
English
LU publication?
yes
id
0c400b31-fced-475e-88dd-042e07c49e52
date added to LUP
2026-09-16 12:48:52
date last changed
2026-09-17 03:09:34
@article{0c400b31-fced-475e-88dd-042e07c49e52,
  abstract     = {{<p>Inadequate bowel preparation remains a major barrier to high-quality colonoscopy, with taste aversion representing a common yet under-recognized contributor to poor tolerability of the bowel preparation. Current strategies primarily aim to improve palatability through formulation changes or dosing regimens. This paper proposes a novel, hypothesis-driven approach: transient pharmacologic suppression of gustatory perception using topical oral lidocaine to reduce the perceived unpleasantness of bowel preparation solutions. The concept arises from a serendipitous clinical observation in which tongue-focused lidocaine application enabled successful oral intake in a patient with repeated prior intolerance. By targeting taste perception directly rather than modifying the preparation itself, this approach may offer a complementary strategy for selected patients. Further evaluation is required to assess feasibility, safety, and clinical effectiveness.</p>}},
  author       = {{Abdulrasak, Mohammed}},
  issn         = {{2296-858X}},
  keywords     = {{bedside observation; bowel preparation; colonoscopy quality; taste aversion; topical lidocaine}},
  language     = {{eng}},
  pages        = {{1--3}},
  publisher    = {{Frontiers Media S. A.}},
  series       = {{Frontiers in Medicine}},
  title        = {{Taste aversion as an under-recognized determinant of bowel preparation quality}},
  url          = {{http://dx.doi.org/10.3389/fmed.2026.1803366}},
  doi          = {{10.3389/fmed.2026.1803366}},
  volume       = {{13}},
  year         = {{2026}},
}