Preparation for colonoscopy. Recommendations of the endoscopist.
NewsRecommendations that are extremely important to follow in order to achieve high-quality preparation for colon examination:
The diet.
2 days before the study, it is necessary to follow a low-fiber diet (for chronic constipation-3 days before the study):
| Allowed | Exclude |
|
Protein food:
Liquids:
|
Fiber-rich foods-Plant foods:
Liquids:
|
On the eve of the day of the study, solid food intake should be completely excluded after 13.00, then drink clear liquids in any amount:
- in the morning-a light breakfast (according to the list of allowed products),
- until 13:00 – lunch (also according to the list of allowed products),
- dinner – only permitted liquids (clear broths, tea and coffee (already without milk), juice without pulp, water, non-alcoholic unpainted drinks).
In the morning on the day of the study, after the end of the preparation (if intravenous anesthesia or simultaneous gastroduodenoscopy is not expected), you can drink sweet tea, clear colorless or yellow liquids. Stop taking all fluids no later than 2 hours before the study, especiallyif the study is supposed to be performed under intravenous anesthesia (this does not apply to taking the drug to prepare for the study, which is taken in the morning on the day of the study is mandatory!).
Scheme of preparation for colonoscopy with Movirep+Simeticon.
Two-stage preparation is required, regardless of the time of the assigned study! The time of taking the solution is discussed with the doctor and depends on the time for which the study is scheduled.
The night before the study it is necessary to drink 1 liter of the drug Moviprep from 18:00 to 19:00 (or 19:00 to 20:00), after which another drink 500 ml allowed liquids (water, clear soup, fruit juice without pulp, juice no berries, unpainted soft drinks, tea and coffee without milk).
In the morning on the day of the study, drink another 1 liter of Moviprep, in the last glass of which you need to add a defoamer-1/2 bottle of Simetikon emulsion (syrup, i.e. liquid form! Not pills or capsules!) Espumizan (or Bobotica, or Subsimplex), then drink another 500 ml of the permitted liquid (water, clear broth, fruit juice without pulp, compote without berries, non-alcoholic unpainted drinks, tea and coffee without milk).
⃰ The time of the morning drug intake should be chosen so that about 4 hours pass from the end of the drug intake to the study. For example:
| Start time of the study: | Optimal morning intake of the drug: |
| 09.00 | from 4.00 to 5.00 |
| 10.00 | from 5.00 to 6.00 |
| 11.00 | from 7.00 to 8.00 |
| 12.00 | from 8.00 to 9.00 |
| 13.00 | from 9.00 to 10.00, etc. |
The package contains 2 sachets "A" and two sachets" B " for the preparation of two liters of solution. To prepare one liter of the drug solution, the contents of one sachet A and one sachet B must be dissolved in a small amount of water, then bring the volume of the solution with water to one liter (the preparation of the solution is also described in detail in the instructions for the drug).
Scheme of preparation for colonoscopy with Eziklen+ Simeticon.
Two-stage preparation is required, regardless of the time of the assigned study. The time of taking the solution is discussed with the doctor and depends on the time for which the study is scheduled.
The night before the study should drink 500 ml of solution Ezilen from 18:00 to 19:00 (or 19:00 to 20:00), after which another drink allowed 1 liter of liquid (water, clear soup, fruit juice without pulp, juice no berries, unpainted soft drinks, tea and coffee without milk).
In the morning on the day of the study, drink another 500 ml of Eziklen solution, to which you need to add a defoamer-1/2 bottle of Simetikon emulsion (syrup, i.e. liquid form! Not pills or capsules!) Espumizan (or Bobotica, or Subsimplex), then drink another 1 liter of the permitted liquid (water, clear broth, fruit juice without pulp, compote without berries, non-alcoholic unpainted drinks, tea and coffee without milk).
⃰ The time of the morning drug intake should be chosen so that about 4 hours pass from the end of the drug intake to the study. For example:
| Start time of the study: | Optimal morning intake of the drug: |
| 09.00 | From 4.00 to 5.00 |
| 10.00 | From 5.00 to 6.00 |
| 11.00 | From 7.00 to 8.00 |
| 12.00 | From 8.00 to 9.00 |
| 13.00 | From 9.00 to 10.00, etc. |
Pour the contents of one bottle of Eziklen into a measuring cup (included with the drug) and add water to the mark (500 ml). The preparation of the solution is also described in detail in the instructions for the preparation.
Scheme of preparation for colonoscopy with Fortrans+Simeticon.
Two-stage preparation is required, regardless of the time of the assigned study. The time of taking the solution is discussed with the doctor and depends on the time for which the study is scheduled.
In the evening before the study, you should drink 2 liters of Fortrance solution from 18: 00 to 20:00 (or from 19:00 to 21: 00).
In the morning on the day of the study, drink another 2 liters of Fortrans solution, in the last glass of which you need to add a defoamer-1/2 bottle of Simetikon emulsion (syrup, i.e. liquid form! Not pills or capsules!) Espumizana (or Bobotica, or Subsimplex).
⃰ The time of the morning drug intake should be chosen so that about 4 hours pass from the end of the drug intake to the study. For example:
| Start time of the study: | Optimal morning intake of the drug: |
| 09.00 | From 4.00 to 5.00 |
| 10.00 | From 5.00 to 6.00 |
| 11.00 | From 7.00 to 8.00 |
| 12.00 | From 8.00 to 9.00 |
| 13.00 | From 9.00 to 10.00, etc. |
The contents of 1 package of the drug Fortrans dissolve in a small amount of water, then bring the volume of the solution with water to one liter (the preparation of the solution is also described in detail in the instructions for the drug).
General recommendations for the preparation of drugs.
Any of the solutions should be drunk in fractions, in small sips (do not drink in one gulp!) - 250 ml (1 glass) every 15 minutes. At the very beginning of taking the drug solution or with its rapid intake in large quantities, nausea and vomiting may appear.
If it is difficult to take the solution of the drug, associated with its taste qualities, you can drink the solution chilled, through a cocktail tube (straw), in between, drink or drink the solution with a small amount of water, sweet tea, and also dissolve candy caramel (candy lollipops like "barberry"), honey, lemon, etc. The addition of simethicone to the solution of the drug facilitates the taste qualities.
While taking the drug, it is recommended to observe motor activity (walking around the apartment, performing circular movements with the body body, squats), perform self-massage of the abdomen well, especially in cases of delayed action of the drug.
The active effect of the drug lasts 1.5-2 hours after taking the morning portion of the drug (the effect of the evening portion can last up to 3-4 hours) - at this time there will be intense liquid stools. At the end of the morning dose of the drug, the stool should change to a clear, colorless and light yellow liquid, which indicates the patient's readiness for the study.
As a result, it is necessary to drink before the study, depending on the choice of the drug:
Moviprep - 2 liters of solution (1 liter in the evening before the study, 1 liter in the morning on the day of the study) and one liter of permitted liquid (500 ml after each liter of the drug);
Eziklen – 1 liter of solution (500 ml in the evening before the study, 500 ml in the morning on the day of the study) and one 2 liters of permitted liquid (1 liter after each serving of the drug);
Fortrance - 4 liters of solution (2 liters in the evening before the study, 2 liters in the morning on the day of the study).
In case of non-compliance with the above dosage, the intestine will not be completely cleared and the study will not be informative, you will have to prepare and undergo a colonoscopy again!
Be sure to bring the results of previous studies with you!
IMPORTANT!
- If you are taking medications that normalize blood pressure, heart rate, etc., taking them is mandatory in the standard mode.
Taking these drugs is recommended not earlier than 1 hour after the end of taking the drug to prepare for a colonoscopy.
If you are taking blood thinning medications, tell your endoscopist before the test.
- In case of chronic constipation, an additional intake of laxatives is necessary 3 days before the preparation for the study. It is advisable to get recommendations on the choice of the drug from a gastroenterologist.
- Diarrhea (loose stools) is the expected effect when preparing the bowel. The active effect of the morning portion of the drug is 1.5-2 hours after taking it, at this time there will be intense liquid stools, this should be taken into account when calculating the time for the road.
For example, the study is at 14.00, the time on the road is 1 hour, you should finish drinking the drug no later than 11.00.
- It is absolutely impossible to reduce the volume of the solution and liquid.
- You can not additionally (or instead) carry out the procedure of cleansing the colon with enemas!
- You can not take vaseline oil!
- If the study is supposed to be performed under intravenous anesthesia, it is not recommended to drive a car, operate any mechanisms, or make important decisions on this day. It is advisable that you are met and escorted home.
Successful colonoscopy with a detailed examination of the colon mucosa throughout depends on the quality of preparation for the study.
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