Microsoft word - revised colonoscopy instruction brochure.doc

BRAMPTON ENDOSCOPY CENTRE
DIABETICS
Wanless Centre,10886 Hurontario Street – Suite A7 On the day of bowel preparation with clear fluids: Take ONE-HALF (1/2) the dose of Insulin and oral
Check your blood sugar levels regularly. Avoid low sugar
INSTRUCTIONS FOR COLONOSCOPY / GASTROSCOPY/ BOTH
episodes. Have sachets of sugar or candy handy and use
as necessary
COLONOSCOPY: Date of Procedure:
No medications or insulin in the morning of procedure
DIETARY RESTRICTIONS: For 2-3 days prior to the procedure:
ALL PATIENTS
Do not eat foods containing nuts,seeds,sweetcorn & leafy vegetables 1. NO SOLID FOOD STARTING THE DAY BEFORE TEST
MEDICATION ADJUSTMENTS: (Please bring list of medications)
2. NO MILK OR MILK PRODUCTS – NO ORANGE JUICE
3. DRINK CLEAR FLUIDS ONLY – at least 20 glasses throughout
ASPIRIN (ASA 81 mg and Entrophen), COUMADIN (WARFARIN),
DABIGATRAN(PRADAX), TICLOPIDINE(TICLID) and CLOPIDOGREL
(PLAVIX) Should be stopped 5 days prior to procedure
TIMETABLE FOR TAKING PICO-SALAX OR PURGODAN
During preparation for COLONOSCOPY Iron pills should be
stopped 1 week prior to procedure to facilitate easy cleaning.
(Please check with family doctor before stopping any medications)
3rd sachet: 8:00 p.m. if your procedure is in the morning. Take at 6 am if your procedure is after 12:00 noon. If you are working late PURCHASE FROM YOUR PHARMACY:
the day before you may delay the above timings by 1-2 hours Three single packages of PURG-ODAN or PICO-SALAX
If you have history of chronic constipation you may need a 2-day Follow instructions on page 2 of this brochure; not those on
bowel cleaning. First day taking clear fluids only and then follow the package insert
You may use other bowel cleaning medications including
MOVIPREP or BI-PEGLYTE (if recommended by your doctor)
HOW TO PREPARE
For those follow specific instructions on package. Patients with kidney diseases please get instructions from your
In a mug dissolve the contents of 1 sachet in 150 ml of COLD
water. Stir for 2-3 minutes and drink the solution. If it becomes
hot (in the case of Pico-salax), wait until it cools before you drink
Please Note: Because you may receive sedation for your procedure, your
GOOD BOWEL CLEANING IS VERY IMPORTANT
judg ment acuity may be diminished. You must not drive, operate
A clean colon ensures fast and thorough visualization
mac hinery or participate in any activity requiring your normal mental
alertness and you can not return to work on the day of your procedure.
Your doctor cannot see through stool and residue!
DRINK LOTS OF FLUIDS. NO SOLID FOODS. NOT
Do NOT eat any solid foods starting from 24 hours before
EVEN WATER FOR 4 HOURS PRIOR TO PROCEDURE
your procedure time. You may have plain Jell-O (no cream or Please Note: Your procedure may have to be cancelled if
NO RED/PURPLE food additives or coloring
your bowel is not cleaned as instructed.
Drink large amounts of fluids throughout the day. Clear fluids only.
ON THE DAY OF YOUR PROCEDURE
Examples include water, apple juice, white grape juice, white
cranberry juice, Gatorade, Soda water, clear soup, chicken broth and Please Note: There is a $150.00 fee for cancellations less
Popsicles, tea and coffee (sugar is allowed but NO cream/milk).
than 4 days prior to appointment time.
On completion of the procedure, you will be taken to the DAY OF PROCEDURE
Patient Comfort Area. Recovery time varies with each patient – typically ranging from 30 – 60 minutes. Once ready and DIABETICS Delay morning diabetic medications until after the
instructed by the nurse you may leave with your escort. We suggest a light diet for the remainder of the day. You will not go to work for the rest of the day. Do not drive, MEDICATIONS
operate machinery or drink alcoholic beverages for 24 hours Take your regular blood pressure, stroke and heart medications with a small sip of water. (Do not take Aspirin, Warfarin, Pradax,Plavix,
You may resume your regular medications unless instructed Ticlid or Iron pills as advised in the beginning !)
Get plenty of rest for 24 hours. During that time, you may For GASTROSCOPY ONLY: Date : Time:
experience some cramping, gas or a “full” feeling. Although complications are rare, colonoscopy is a medical Follow instructions for diabetic and other medications including
procedure that does carry with it possible risks and BLOOD THINNERS as above.
complications including, but not limited to pain, hemorrhage STOP ALL SOLIDS AFTER SUPPER. Not even water after
The procedure is commonly done and safe. You may midnight except to swallow blood pressure,stroke and heart pills
experience pain during the procedure,caused by distention of
the bowel with air or stretching of the bowel while Arrive and check in for your appointment 30 minutes prior to your
maneuvering the scope. Under sedation you may not feel appointment time. Our staff will admit and prepare you.
these pains at all. More serious but rare complications are hemorrhage (bleeding) and/or perforation (puncture) of the
If you usually receive prophylactic antibiotics prior to dental
bowel after polypectomies and biopsies. If either of these procedure, please note that current guidelines do not
problems occur, hospitalization and surgery may be recommend the use of prophylactic antibiotics for gastroscopy
necessary to fix the problem. The incidence of these and /or colonoscopy except in patients with complex congenital
complications is approximately 1 per 1,000. cardiac abnormalities or mechanical heart valves or prior
A little blood on the toilet tissue is not unusual. Bleeding that endocarditis. We advise such patients to have the procedure
is persistent or heavy or associated with fainting or weak done in a hospital based endoscopy facility for safety reasons.
spells and severe pain or vomiting require immediate medical attention. In such an event, please contact us during office
hours 8 AM to 3 PM at 905 495 5200 for advice or
PLEASE NOTE: You will not be permitted to drive after undergoing
proceed directly to your nearest Emergency Room. your procedure. Another adult must accompany you upon arrival
Overall, colonoscopy is a very accurate and safe method of and at discharge. If you do not have another adult accompanying
diagnosing gastro-intestinal problems. If you have any you, your appointment will be cancelled!
questions about the procedure or anything mentioned in this brochure, please contact our office in advance. We are conveniently located on Hurontario Street just 3 traffic Do not bring any valuables with you. If necessary we can
lights north of Sandalwood Parkway on the west side, inside provide a locker during the test. Bring a good book to
the Wanless Centre. There is plenty of free parking available.
AFTER YOUR EXAMINATION

Source: http://www.bramptonendoscopy.com/uploads/BE_Preparation_Brochure_FINAL.pdf