Extended preparation for colonoscopy, lower EUS and lower balloon enteroscopy


You have been asked to take extended bowel preparation to help improve the success of your colonoscopy/EUS/ballon enteroscopy. This may be because you have have previous procedures with inadequate bowel preparation or that you suffer from chronic constipation. 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 your procedure to discuss an alternative bowel cleansing plan. If you suffer from 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 you should contact your Doctor to discuss whether these tablets can be safely stopped before your procedure(s).

  • If you take Aspirin please cease these tablets 5 days before your procedure

  • 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

  • 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.


Step 1:

Purchase the 3 sachets of 15.5g PICOPREP bowel preparation kit and one sachet of 70g GLYCOPREP-C from your chemist. 5 days before the procedure stop any iron supplements. 3 days before your procedure avoid any foods containing grains or foods high in fibre such as most fruit and vegetables.


Step 2:


One day before your procedure: Have a light breakfast. After breakfast drink only clear fluids until after your examination (NO SOLID FOOD allowed until after the procedure). Clear fluids may include water, black tea or coffee, strained fruit juices, jelly, cordial, clear soups such as broth or bonox, carbonated soft drinks and clean ice blocks. Drinks with red and purple coloring are NOT permitted.

3.00 pm FIRST DOSE: Mix the entire contents of 1 sachet of PICOPREP in a glass of cold water and stir until dissolved. Drink the mixture slowly over one hour but completely. This should be followed by at least 1 glass of water or APPROVED FLUIDS.

4.00 pm SECOND DOSE: Mix up the GLYCOPREP-C in 1 litre of cold water. You should try and drink a glass of the preparation about every 15 minutes. Total intake time should be approximately 1 hour. If you start to feel nauseated whilst drinking the preparation, slow down the rate of intake.

6.00 pm THIRD DOSE: Mix the second sachet of PICOPREP in a glass of cold water and stir until dissolved. Drink mixture slowly but completely. This should be followed by at least 1 glass of water or APPROVED FLUIDS.

7.00 pm THIRD DOSE: Mix the third sachet of PICOPREP in a glass of cold water and stir until dissolved. Drink mixture slowly but completely. This should be followed by at least 1 glass of water or APPROVED FLUIDS.

Continue to drink plenty of water or other APPROVED FLUIDS until midnight.

Step 3:


Please do not drink any fluids 6 hours BEFORE YOUR APPOINTMENT TIME.



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 or we will organize a taxi for you. 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)