Saturday 26 October 2013

Colonoscopy Bowel Prep. Instructions


MORNING PROCEDURE

If you are over 80 years of age, or have severe liver/kidney/heart condition, you need to contact our office for special instructions.

Bowel preparation is a very important part of Colonoscopic Examination. Good bowel preparation allows your Doctor to carefully and thoroughly look for and safely remove small polyps / lesions that if not picked up, could enlarge overtime. In some cases, with large amounts of faecal material still in the colon at the time of the examination, your Doctor may have to abandon the procedure if it is unsafe to continue. This would create more hassles as you will have to undergo bowel preparation again for a repeat procedure. Thus, PLEASE strictly follow the instructions.

Please ask your Doctor or our staff about stopping any blood thinners (aspirin, Clopid, warfarin – usually one week before procedure) and Diabetes medications adjustments. You also need to stop Iron tablets one week before procedure.

From two days before the procedure:



Avoid eating foods with seeds (large or small seeds). Avoid eating large amounts of Vegetables, cereals, orange juice or food high in fibre. Foods low in fibre such as: Meat, eggs and small amounts of white bread are allowed.

You will need to buy: THREE (3) sachets of PICOPREP (or PICOLAX)
(available at our office or your pharmacy)

The day before the procedure:

Eat your normal breakfast. Then only CLEAR FLUIDS are allowed. This includes: water, coffee or tea (without milk), clear fruit juice (no pulp), clear soups (e.g. clear chicken broth), cordial or sports drinks (avoid red/purple colourings).
At 4pm, 6pm and 8pm: Mix 1 PICOPREP (or PICOLAX) in 250ml of water. You need to also drink 3-4 full glasses of water / clear fruit juices / cordial to improve bowel washout. In general, the more water you drink the better the effect of Picoprep. You should not drink after midnight.
The day of the procedure:

Please do not drink any fluids or consume any food.
Unless instructed by your Doctor, please do not take your morning medications.
You will need to be driven home after the anaesthetics and have someone stay with you overnight.
You should not sign any important documents, drive a car or operate machinery for the next 24 hours.

AFTERNOON PROCEDURE

If you are over 80 years of age, or have severe liver/kidney/heart condition, you need to contact our office for special instructions.

Bowel preparation is a very important part of Colonoscopic Examination. Good bowel preparation allows your Doctor to carefully and thoroughly look for and safely remove small polyps / lesions that if not picked up, could enlarge overtime. In some cases, with large amounts of faecal material still in the colon at the time of the examination, your Doctor may have to abandon the procedure if it is unsafe to continue. This would create more hassles as you will have to undergo bowel preparation again for a repeat procedure. Thus, PLEASE strictly follow the instructions.

Please ask your Doctor or our staff about stopping any blood thinners (aspirin, Clopid, warfarin – usually one week before procedure) and Diabetes medications adjustments. You also need to stop Iron tablets one week before procedure.

From two days before the procedure:

Avoid eating foods with seeds (large or small seeds). Avoid eating large amounts of Vegetables, cereals, orange juice or food high in fibre. Foods low in fibre such as: Meat, eggs and small amounts of white bread are allowed.>

You will need to buy: THREE (3) sachets of PICOPREP (or PICOLAX)
(available at our office or your pharmacy)

The day before the procedure:

Breakfast as normal, then very small lunch. Thereafter, only CLEAR FLUIDS are allowed. This includes: water, coffee or tea (without milk), clear fruit juice (no pulp), clear soups (e.g. clear chicken broth), cordial or sports drinks (avoid red/purple colourings).
At 6pm and 8pm: Mix 1 PICOPREP (or PICOLAX) in 250ml of water. You need to also drink 3-4 full glasses of water / clear fruit juices / cordial to improve bowel washout. In general, the more water you drink the better the effect of Picoprep. You should not drink after midnight.
The day of the procedure:

At 7am: Mix 1 PICOPREP (or PICOLAX) in 250ml of water. You need to also drink 3-4 full glasses of water. No more fluids is allowed after 8am.
Please do not drink any fluids or consume any food.
Unless instructed by your Doctor, please do not take your morning medications.
You will need to be driven home after the anaesthetics and have someone stay with you overnight.
You should not sign any important documents, drive a car or operate machinery for the next 24 hours.
Source From : http://www.gastromedicine.com.au/colonoscopy-bowel.html

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