An Important Exam Requires Careful Preparation
Your doctor has decided that colonoscopy is necessary to better evaluate your colon, or large intestine. An important examination such as this requires careful preparation. The results obtained from this exam are dependent on your lower bowel (colon) being carefully cleansed and empty. An improperly prepared bowel may mean that the exam will have to be repeated at another time. More importantly, fecal matter (stool) left in the intestinal tract can hide important conditions that may be present. Therefore, it is very important that you follow these instructions as carefully as possible.If the test is worth doing, it deserves the best possible preparation.
A couple of hints... To fully evacuate the colon, this preparation will cause you to have many liquid bowel movements. Note that individual responses to laxative vary widely. Plan to remain within easy reach of toilet facilities. Many patients find that Charmin Plus toilet tissue minimizes the expected anal irritation from wiping. Also rubbing a small amount of hydrocortisone cream, such as Cort-Aid, around the anal area after each bowel movement can lessen the irritation. On the day of your exam, wear comfortable easily-removable clothing and leave jewelry and other valuables at home. If you are having a menstrual period, it is OK to wear a tampon.
No laxative preparation is fun. However, this solution has been developed to make your preparation as simple, effective, and painless as possible. Please follow each instruction exactly as given. If you have any questions, please call our office - (412) 262-1000 option #2.
Colonoscopy Prep Instructions
A Few Days Before the Examination:
You will need to purchase a 3 ounce (90 mL) bottle of FLEET PHOSPHO-SODA saline laxative Â (or two 1 1/2 oz. bottles). This may be found in the laxative section of your local pharmacy and will cost about three dollars.
You must be on a CLEAR LIQUID DIET FOR TWO FULL DAYS BEFORE YOUR TEST DATE. If you are diabetic or hypoglycemic, ask your doctor for a different prep.
Foods allowed: black coffee or tea (sugar is permitted), strained soups and bouillon, clear fruit juices, Jello (avoid red), pop or soda, popsicles, and Lifesavers
Foods to avoid: fruits, vegetables, nuts, milk products, meats, breads and cereals, alcohol
To help prevent excessive hunger and weakness during this prep, you are also allowed to drink 2 cans of BOOSTÂ Nutritional Supplement on each of the two days of your laxative preparation. No BOOSTÂ should be taken the day of the exam.
The Day Before the Examination:
On the evening before your procedure at 7 PM, you will mix Three (3) Tablespoons of the Fleet Phospho-soda liquid into a half glass of water. For accuracy, use a measuring tablespoon. Drink the entire glass. During the rest of the evening, you must drink at least four 8 oz. glasses of plain water or clear fruit juices. You may drink more. Plan to remain within easy reach of toilet facilities. Consume no alcoholic beverages during this preparation. If you develop vomiting during the prep, temporarily stop for one hour and resume. If vomiting persists, stop the prep and call our office for instructions.
On the day of your test at 6 AM, you are to mix another Three (3) Tablespoons of the Fleet Phospho-soda in a half glass of water. Drink the entire glass. Do not eat or drink anything after this except plain water up to four hours before your appointment, then you should remain fasting. You may take all of your regular medications unless otherwise directed. No Insulin. No Coumadin unless your doctor told you to do so.
You should arrive at the Center at least 15 minutes before your scheduled appointment. We will complete your registration, have you change clothing, perform any pre-operative orders which might be required by your physician, and answer any questions you might have. Please be on time so that you don't cause a delay which could affect many other patients within the same day.
Since sedation is utilized, YOU MUST BRING A COMPANION WITH YOU who is responsible and is able to drive you home after your procedure and to assist you with follow-up care. Only one companion is necessary, and we ask that they remain at Three Rivers Endoscopy Center during your procedure and recovery which totals about 90 minutes. You will not be able to drive a car, operate any machinery, go to work or eat out at a restaurant until the following day.