Preparation for Colonoscopy
Colonoscopy is a safe, effective method for visually inspecting the intestinal mucosa using a long, flexible, tubular instrument (colonoscope) that has a small camera on top.
PREPARATION OF THE DIGESTIVE TRACT FOR COLONOSCOPY:
7-10 days before colonoscopy:
DO NOT eat stone fruits and seeds.
3-4 days before colonoscopy:
Contact your family doctor (primary care physician) for a prescription for MOVIPREP or PLENVU (a bowel cleanser) or get it from a pharmacy with a private prescription. Reduce the intake of solid and fatty foods, and increase the intake of liquid food, and drink 1.5 to 2 liters of fluid daily.
2 days before colonoscopy:
Eat easily digestible food, preferably porridge. Avoid tender and roasted meat and eat food that don’t swell.
MORNING PROCEDURE (until 12 am)
The day before the procedure: 8 am - light breakfast, 1 pm - light lunch
MOVIPREP or PLENVU - divided dose procedure
1. Dose: 5-6 pm, the day before the examination
(MOVIPREP - dissolve 1 bag of solution A and B in 1 L of water. Drink 2 dL of the prepared solution every 15 min; PLENVU - dissolve the 1st dose in 500 ml of water and drink for 30 minutes)
2. Dose: 8-9 pm,the day before the examination
(MOVIPREP - dissolve 1 bag of solution A and B in 1 L of water. Drink 2 dL of the prepared solution every 15 min; PLENVU - dissolve the 2nd dose in 500 ml of water and drink for 30 minutes)
Between doses and after the 2nd dose, drink a total of about 2 L of clear liquid (sweetened tea, water, clear juice, water enriched with magnesium) and do not take anything from solid foods, as well as milk and thick juices. During the preparation, you need to move as much as possible to encourage the intestines to “work faster”.
AFTERNOON PROCEDURE (after 4 pm)
The day before the procedure: Eat easily digestible food, preferably porridge. Avoid tender and roasted meat and food that swell.
MOVIPREP or PLENVU - single dose procedure
1. Dose: 6 am on the day of the examination
(MOVIPREP - dissolve 1 bag of solution A and B in 1 L of water. Drink 2 dL of the prepared solution every 15 min; PLENVU - dissolve the 1st dose in 500 ml of water and drink for 30 minutes)
2. Dose: 10 am on the day of the examination
(MOVIPREP - dissolve 1 bag of solution A and B in 1 L of water. Drink 2 dL of the prepared solution every 15 min; PLENVU - dissolve the 2nd dose in 500 ml of water and drink for 30 minutes)
Between doses and after the 2nd dose, drink a total of about 2 L of clear liquid (sweetened tea, water, clear juice, water enriched with magnesium) and do not take anything from solid foods, as well as milk and thick juices. During the preparation, you need to move as much as possible to encourage the intestines to „work faster”.
PROCEDURE with anesthesia AFTERNOON (after 4 pm)
Day before the procedure: Eat easily digestible food, preferably porridge. Avoid tender and roasted meat and food that swell.
MOVIPREP or PLENVU - single dose procedure
1. Dose: 5 am on the day of the examination
(MOVIPREP - dissolve 1 bag of solution A and B in 1 L of water. Drink 2 dL of the prepared solution every 15 min; PLENVU - dissolve the 1st dose in 500 ml of water and drink for 30 minutes)
2. Dose: 9 am on the day of the examination
(MOVIPREP - dissolve 1 bag of solution A and B in 1 L of water. Drink 2 dL of the prepared solution every 15 min; PLENVU - dissolve the 2nd dose in 500 ml of water and drink for 30 minutes)
Between doses and after the 2nd dose, drink a total of about 2 L of clear liquid (sweetened tea, water, clear juice, water enriched with magnesium) and do not take anything from solid foods, as well as milk and thick juices. During the preparation, you need to move as much as possible to encourage the intestines to „work faster”.
NOTES:
Patients taking anticoagulant therapy (Warfarin, Marivarin, Martefarin, etc.) should consult a physician regarding the need and possibility of omitting the drug before colonoscopy. We advise you to do a Prothrombin time (PT) and INR 1-2 days before the examination and to submit this finding to a gastroenterologist who will assess the possibility of performing the examination. Do NOT take an anticoagulant tablet on the day of the examination.
Patients taking acetylsalicylic acid preparations (Andol, Aspirin, Acis, etc.) and/or clopidogrel (Zyllt, Pigrel, etc.) should consult a physician about the need and possibility of omitting one or both drugs before colonoscopy.
Patients taking antirheumatics (Knavon, Voltaren, Brufen, Ketonal, etc.) should stop taking the medication 5 days before the examination, if possible. Patients suffering from heart valve disease, in some cases, should take antibiotics before colonoscopy which they should consult their doctor about.
Patients suffering from heart valve disease, in some cases, should take antibiotics before colonoscopy which they should consult their doctor about.
Diabetics: Insulin and diabetes pills are generally NOT taken on the day of the examination, but make a consultation with your doctor.
• Patients can drink the prescribed therapy (for the heart, high blood pressure, etc.) in the morning with a glass of water.
FOR COLONOSCOPY WITH ANESTHESIA IT IS NECESSARY TO PREPARE:
• All previous medical documentation must be prepared for the examination
Laboratory tests:
• Complete blood count (CBC), PT
• ECG (patients over 50 years of age and heart disease patients)
• all previous medical documentation
• do not take food and liquid by mouth 6h before the examination
You will be examined by an anesthesiologist/gastroenterologist before the procedure and you will need to inform your physician in advance about the diseases you are suffering from and the types of medicines or herbal preparations you are taking.
