components of very high roughage foods such as
some skins tend to layer out at the bottom of intestinal
and thus may be more resistant to being flushed out
laxatives. In most cases the preparation fluids will flush out the
material anyway but an extra measure of assurance of obtaining an
preparation comes from avoiding these foods a few days.
recognize that it is likely that many will inadvertently eat
these items and that’s okay. We would put a priority on
the smallest densest seeds such those in tomatoes, kiwi fruit,
blackberries, and raspberries.
supplements in many people have a constipating effect,
more difficult for the laxative to clean out the colon.
addition, retained iron frequently stains the walls of the colon
fluid, limiting the clarity of views.
an excellent preparation for colonoscopy a certain
amount of fluid and
mucous is retained adhering to the walls
colon. These will be tinted red or purple by natural and
dies in beets, fruit punches (Hawaiian Punch, e.g.), and
which can give an appearance similar to blood, which
the difficulty in reaching clear conclusions during the
clear liquids that appeal the most to you in the days
to the formal preparation day and have them well chilled
appropriate). Most people find that they are much less hungry
expected during the preparation day. Take the formal
home as the time to its taking effect (“kicking in”) varies
from 30 minutes to 4 hours. Extra fluids are encouraged.
Plan to do
light activities such as reading, watching videos, or simple
skip meals. The sugar and protein containing fluids (including
sustain blood sugar very well for most people. Again in
patients who have had some trouble with “hypoglycemia”
in the past
find that their preparation for the procedure goes better
expected as the increased fluid intake that one hopes to
during colonoscopy preparation and a restful day (without
fluctuations in activity or meals) avoids the circumstances that usually
their symptoms. On very rare occasions where the above
doesn’t work for a patient we’ve been able to in virtually
design a customized eating plan at an office appointment
through a successful colonoscopy preparation.
white wine are indeed qualifying clear liquids and therefore
taken during a colonoscopy prep in medically prudent amounts
servings). Please note that they will dehydrate and so it is not
Advice about stopping and restarting oral
is individualized and needs to come directly
office. In most cases an office appointment will be
to review the specifics of your medical history before
these medications to treat a specific medical problem
to have their history reviewed either by our scheduling
or during an office appointment to get a specific plan
their individual circumstance. After review sometimes
medications are continued.
believe you have significant constipation or have been told
preparation for prior colonoscopy wasn’t optimal, an enhanced
preparation may be advisable. Please review your history with our
scheduling coordinator, nurse, or with the provider at your
cases, yes, routine medications can be taken with a glass of
water up to
three hours prior to an endoscopic procedure. This will
waking up a little early and taking medications with clear
such as water, non-red juices/purple (no pulp), tea, black
with very early procedures an alternate plan is to bring
medication bottles to the endoscopy suite to be taken after the
may continue to have water, soda ,non-red/purple juices,
even black coffee up to 3 hours prior to the procedure.
consume a small to moderate evening meal completing
prior to 9pm. The traditional NPO (nothing per os)
most cases but sometimes a large rich meal consumed at
11pm at night will still be partially present in the morning
with the exam.
small to moderate solid meal has been digested, clear
such as water, non-red/purple juice, soda, tea, and black
satisfy thirst are fine.
the sedatives used do not have any effect the body’s
(metabolism) of maintenance medications for most chronic medications. If you are taking sleeping , anti-anxiety, or psychiatric
medications your system may be some what more resistant to the
which can usually be handled by raising the dose. The dose
maintenance medication and other categories (blood pressure,
gout, arthritis) need not be changed after an endoscopic
been completed. Blood thinning medications such as
clopidogrel bisulfate (Plavix), or aspirin are a
category and specific individualized advice is always needed
usually covered in the post procedure discharge instructions.