Standard preparation for colonoscopy, lower EUS and lower balloon enteroscopy


Please follow these instructions if you are 60 years or younger and you do not suffer from any kidney problems, cirrhosis of the liver or heart failure. If you are older than 60 years of age or you have any of the conditions mentioned, please call you doctor one week before the procedure to discuss an alternative bowel cleansing plan. If you have sleep apnea and you use a machine (CPAP or BIPAP), please bring your machine in for the procedure.


MEDICATIONS:

  • If you are on Warfarin/Iscover/Plavix/Eliquis/Pradax/Asasantin or Ticagrelor you should contact your Doctor to discuss whether these tablets can be safely stopped before your procedure(s).

  • If you take Aspirin please continue this as usual

  • If you are Diabetic you will need to take advice regarding your medication during your procedure preparation period. You should discuss this with your local doctor one week prior to your colonoscopy. The following medications should be stopped 3 days prior to your procedure: Forxiga, Xigduo XR, Jardiance, Jardiamet, Steglatro, Segluromet, Steglujan. The following medications should be stopped the day before your procedure: Metformin/Diabex/Diaformin, Gliclazide/Diamicron, Glucobay.

  • If you are taking Iron tablets stop these five days before your procedure


BOWEL CLEANSING REQUIRED:

The colon must be completely clean for the examination to be successful. Inadequate cleaning of the bowel may result in the procedure having to be repeated. Please follow the instructions carefully. If you have any queries please contact our receptionist.


MORNING PROCEDURES (STANDARD PREPARATION):

For 3 days before your procedure, avoid foods containing seeds, grains, any fruit or vegetables (only exception is potato, sweet potato, carrot & pumpkin ensuring they are peeled no skin on)


Day before your procedure:


• Have a light breakfast and a light lunch.

• Mix the first dose of Plenvu with 500ml of water at 6pm and drink it. Drink another 500ml of clear fluids, continue drinking clear fluids throughout the evening.


On the day of your procedure:


• Mix the second dose of Plenvu with 500ml water at 5am and drink it. Drink another 500ml of clear fluids.

• Continue drinking clear fluids up until 2 hours from your admission.

Clear fluids include: strained broth, clear soups, bonox, tea, soup cubes, water, soda water, cordial (avoid red).

You can continue all your medications as per usual unless otherwise advised by Dr Efthymiou.

If you have any questions regarding this procedure, please contact our office on 1300 23 20 50 and we will be happy to assist.



AFTERNOON PROCEDURES (STANDARD PREPARATION):



For 3 days before your procedure, avoid foods containing seeds, grains, any fruit or vegetables (only exception is potato, sweet potato, carrot & pumpkin ensuring they are peeled no skin on)


Day of your procedure:


• Mix the first dose of Plenvu at 5am with 500ml of water and drink it. Drink another 500ml of clear fluids.

• Have a one hour break from drinking.

• Drink 500ml of clear fluids.

• At 8am mix the second dose of Plenvu with 500ml of water and drink it. Drink another 500ml of clear fluids.

• Continue drinking clear fluids up until 2 hours from your admission.

Clear fluids include: strained broth, clear soups, bonox, tea, soup cubes, water, soda water, cordial (avoid red).

If you have any questions regarding this procedure, please contact our office on 1300 23 20 50 and we will be happy to assist.




PRACTICAL MATTERS FOR THE DAY OF THE PROCEDURE:

  • No smoking or chewing gum on the day of the procedure.

  • Please wear loose comfortable clothes. Please avoid wearing panty hose.

  • Please avoid wearing any jewellery.

  • Please avoid wearing any nail polish as this can interfere with the monitoring of your oxygen levels during the procedure.

  • Because of the sedative injection you will be given for the procedure you are not to drive or operate machinery until the following day so you must have someone to drive you home. You cannot take public transport.


• WHAT TO BRING:

  • If you suffer from sleep apnea and you use a machine (CPAP or BIPAP), please bring your machine in for the procedure.

  • Referral from your doctor

  • Medicare card

  • Private Health Insurance card (where applicable)

  • Pension Card or Health Care Card (where applicable)