First, a proctologic examination and diagnosis of hemorrhoids, as well as the assessment of the degree of hemorrhoids are done. After that, as a part of the preoperative preparation, the patient should definitely do a colonoscopy (patients older than 50 years of age) or at least a rectoscopy (for those under 50 years of age who do not have a family history of colorectal cancer).
Patient then receives all the laboratory and diagnostic tests that are required. The results should not older than 30 days. The pre-anesthesia form is also required to be filled out because it provides information on the patient's state of health up to date of the examination, on the basis of which the anesthesiologist assesses whether additional specialist or diagnostic laboratory treatments are needed.
The day before surgery, the patient should have a light lunch (soup, boiled meat / fish, vegetables or pasta, rice...). About 2 hours after lunch, the preparation of the cleaner fluid should begin - follow the instructions.
The first 'dose', i.e. 1 liter of the solution dissolved in water - drink immediately. Take the second 'dose' in the evening (or early in the morning at most).
In the morning of the day of surgery, approximately 2 hours before surgery, drink 0.5 l of Donat Mg. While you take the preparation fluid, make sure you drink a sufficient amount of it to compensate for the loss caused by your bowel movement; the best choices of fluids are water, tea, or some mild juice. Don't eat anything before the procedure.