No BM 6h after split 2L PEG?

A) Cancel

B) Give more PEG

C) Water enema

D) Proceed + flush

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The answer is

B) Give more PEG

Inadequate bowel movement after split-dose PEG indicates poorly responsive colon. Administration of additional PEG (1–2 L) is the next step; cancellation or proceeding with flush alone risks incomplete examination.

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