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Test Preparation Instructions    
Fleets/Dulcolax Preparation for Colonoscopy

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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. Colonoscopy is an important test and it deserves the best possible preparation.

During this preparation, you may take your normal prescription medications except those which your doctor may have asked you to avoid. If possible, stop iron pills and aspirin products one week before your examination. If you take insulin, pills for sugar diabetes, or "blood thinners" such as Coumadin, Warfarin, Ticlid, or Plavix, call for special instructions at least a week prior to your appointment.

This preparation is not for everyone. Fleets Phosphosoda contains a large phosphate and sodium load. It should not be used by individuals with electrolyte disturbances, severe kidney or liver disease, congestive heart failure, or unstable angina. Safety in pregnancy and in those under 18 has not been studied.

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 laxatives 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 regimen 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 3 items from your pharmacy. A prescription is not required.
  • one 3-ounce (90 mL) bottle of FLEET PHOSPHO-SODA saline laxative (or two 1 1/2 oz. bottles)
  • four Dulcolax Tablets
  • one Disposable FLEETS ENEMA 4.5 ounces

The Day Before the Examination:

DIET

You must be on a CLEAR LIQUID DIET FOR THE ENTIRE DAY BEFORE YOUR TEST DATE. If you are a brittle 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 without the pulp, Jello (avoid red), pop or soda, popsicles, and Lifesavers

    Foods to avoid: fruits, vegetables, nuts, milk products, eggs, meats, breads and cereals, alcohol
5:00 PM

Mix one (1) Tablespoon of the Fleets Phospho-soda liquid into 8 ounces of chilled ginger ale or water. For accuracy, use a measuring tablespoon. Drink the entire glass quickly. Repeat twice more ten minutes apart for a total of 3 glasses.

3 Glasses

7:00 PM

Dulcolax

  Take all 4 Dulcolax tablets with a glass of water.


9:00 PM

Mix one (1) Tablespoon of the Fleets Phospho-soda liquid into 8 ounces of chilled ginger ale or water. For accuracy, use a measuring tablespoon. Drink the entire glass quickly. Repeat twice more 10 minutes apart for a total of 3 glasses.

3 Glasses

During the rest of the evening, you may drink more clear fluids if you wish. 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.


Examination Day

Dulcolax   You may have clear liquids up until 4 hours before your appointment, then remain fasting.

Two hours before your appointment, use 1 FLEETS ENEMA according to the instructions on the box.

You should arrive at the Center at least 30 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 he or she remain at Three Rivers Endoscopy Center during your procedure and recovery which totals about 2 hours. You will not be able to drive a motor vehicle, operate any machinery, go to work or eat out at a restaurant until the following day. Post-colonoscopy complications are very uncommon; but if polyps were removed, the doctor may suggest that you do not travel to any remote area for one week.

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