Preparation for Colonoscopy
Colonoscopy is done to screen for colon cancer in healthy patients (Screening Colonoscopy) and for diagnosis ( Diagnostic Colonoscopy) in patient who has history of polyps, family history of colon cancer, abdominal problems ( like pain, constipation, blood in stool, dark stool, hemorrhoids, anal fissure etc.), colon operations. It is usually done in a hospital or out patient centers where our clinic has privileges after you have bowel prep the day before. It usually takes about half an hour. You will usually will not have any discomfort, as you will be getting IV sedation/anesthesia by expert anesthesiologist during the procedure. The chances of complication are extremely rare ( like bleeding, colon perforation, anesthesia problems). Our Clinisc Endoscopists never had any complication during the last 24 years of , 1000s of colonoscopy.
Instructions To Follow
You’ll need to follow specific instructions to prepare for your colonoscopy exam. The reason is that in order for your doctor to be able to detect any issues during the colonoscopy, you first need to clean out your bowel. This includes adjusting your diet in the days leading up to the exam and taking the laxative preparation prescribed by your doctor at specific time intervals. Depending on the medication prescribed, you will need to follow slightly different steps
Steps to Follow For Every Colonoscopy
Most people will not need to do anything differently this far in advance of a colonoscopy. However, review you medications with your doctor and ask for specific instructions if you take blood-thinners (like Warfarin, coumadin, pradaxa, Eliquis,Xarelto,Plavix, Effient,Brillinta etc). If you are Diabetcic or has Hgh BP Talk to your doctor about taking the medications night before. Also obtain your Colonoscopy prep medication at this time ( some times your insurance company may need pre-approval or may have an alternate medication which is covered under your plan. You do not want to deal with this day before the procedure.
If you are a diabetic talk to the doctor about taking the diabetic medications ( Generally you do not take diabetic medications or insulin the night before and day of the procedure. After the procedure you may resume the medication since you will be eating). You should continue to take the medication for hypertension with sip of water.
Stop eating nuts, seeds, and popcorn
Drink 8 glasses of water during the day and stop eating any thing solid after midnight.
Hospital and our office may call you regarding pre-procedure information and confirmation 2 days before.
Begin with a light mostly liquid break fast.
After that you only take a clear liquid diet.
Clear liquids include ( anything liquids,where you can see through a glass which contains it) examples are
- Coffee – no milk or cream, Tea
- lemaonade,limeaid, iced tea, (with or with our sugar), Water, ice
- Clear carbonated beverages – regular or sugar-free
- Strained fruit juices, Salt, sugar, saccharin, Hard candy
- Clear, non-fat beef and chicken broth
- Bouillon, clear or consommé
- Jell-O and popsicles – no red, pink or purple colors
At about 4PM , THE DAY BEFORE YOUR PROCEDURE your COLONOSCOPY you start taking your bowel prep
At the completion of your prep, your bowel movements maybe light yellow or some other color, but you should have no formed stool. If you are unsure that you are clean, please take lone or two fleets enemas at the conclusion of your prep or in the morning of the procedure before you come to the hospital. DO NOT DRINK OR EAT ANYTHING OR CHEW GUM AFTER MIDNIGHT.Due to the IV sedation given for your comfort, you must bring someone with you to drive you home following the procedure. Also, make sure someone is available to speak with the doctor at the conclusion of the procedure for instructions. If you have any further questions, please do not hesitate to call our office at 469 788 8588.
See instructions if you are a diabetic or has high BP.
IF YOU ARE TAKING Golytely or Halflytely or Nulytely
Prepare your solution by adding water to the top line of the container, close the container and mix it so that the powder will dissolve. You may add flavor and ice. Under no circumstances should you add sugar to this mixture.You must drink 8-10 ounces of the solution every 10 minutes until the entire 1 gallon is gone. This should be completed within 3-4 hours. If you feel nauseated while drinking the solution, slow down drinking until nausea subsides, then resume the liquid.It is very important to try and clean out the colon so that your examination will be as complete as possible. At the completion of your prep, your bowel movements maybe light yellow or some other color, but you should have no formed stool.
IF YOU ARE TAKING SUPREP
- At 4pm, pour first 6oz bottle of SUPREP into the mixing container provided. Add cool water to the 16oz line and mix.
- Over the next hour, drink the whole solution plus at least two more 16oz glasses of water.
- At 9PM pour the second 1 6oz bottle of SUPREP into the mixing container provided. Add cool water to the 16oz line and mix.
- Over the next hour, drink the whole solution plus at least two more 16oz glasses of water.
IF YOU ARE TAKING SUTAB
- Open 1 bottle of 12 tablets.
- Fill the container with 16 ounces of water (up to the fill line). Swallow each tablet with a sip of water and drink the entire amount of water within 15 to 20 minutes.
IMPORTANT: If you experience nausea, bloating, or cramping, slow the rate of drinking the additional water until your symptoms diminish.
Drink additional water. - After taking the last pill (12th pill), approximately after 1 hour, fill the container again with 16 ounces of water (up to the fill line), and drink within 30 minutes.
- After finishing the second container of water, approximately after 30 minutes, fill the container with 16 ounces of water (up to the fill line), and drink within 30 minutes.
DOSE 2 – Day of the Colonoscopy
Continue to consume only clear liquids until after the colonoscopy
The morning of the colonoscopy (5 to 8 hours prior to the colonoscopy and no sooner than 4 hours from starting Dose 1), open the second bottle of 12 tablets
Repeat STEP 1 to STEP 4 from DOSE 1
IF YOU ARE TAKING MOVI PREP
- At 4pm the day before, mix 1 Pouch A and 1 Pouch B of MoviPrep into the container provided. Add luke-warm water to the top of the container and mix.
- The container has 4 marks. Drink the solution to the next mark every 15 minutes until you finish it.
- Drink an additional half liter of clear liquids (about 2 cups) during the following 30 minutes.
- At 9PM the day before repeat the above 3 steps.
IF YOU ARE TAKING PLENVU Bowel Prep
- At 7 pm the day before, Take the first packet (dose 1),mango flavor, of PLENVU to the provided container and filling with additional water. Mix it well and drink it
- Take additional atleast 3 glasses ( 8 oz) of water/clear liquids ( no sugar added) over next 1 hour. Also drink additional clear liquids to stay hydrated
- you will start having bowel movements after 1-2 hours. Stay near a toilet
- At 10 PM the day before, Take the dose 2 ( it has two packets) of PLENVU to the provided container and filling with additional water. Mix it well and drink it.
- Drink additional minimum 2 glass of water and additional clear liquids as needed.
IF YOU are taking CLENPIQ PREP
- At 4pm the day before, Take the first bottle of Clenpiq after pouring that in to the provided container and filling with additional water
- Take additional atleast 5 glasses ( 8 oz) of water/clear liquids ( no sugar added) over next 1 hour. Also drink additional clear liquids to stay hydrated
- you will start having bowel movements after 1-2 hours. Stay near a toilet
- At 9PM the day before repeat the above 3 steps
IF YOU are taking Magnesium Citrate ( you need two bottles)
- At 4pm the day before, Take the first bottle of Magnesium Citrate ( 236 ml bottle)
- Take additional atleast 6 glasses ( 8 oz) of water/clear liquids ( no sugar added) over next 1 hour. Also drink additional clear liquids to stay hydrated
- you will start having bowel movements after 1-2 hours. Stay near a toilet
- At 9PM the day before repeat the above 3 steps