Colonoscopy

GENERAL INSTRUCTIONS AND INFORMATION

FOR COLONOSCOPY

PATIENTS MAY HAVE THE INSTRUCTIONS

MODIFIED BY THE SURGEON AT THEIR CONSULTATION VISIT

TO MEET THEIR INDIVIDUAL NEEDS.

 

REASON:  A colonoscopy is a diagnostic examination.  The decision to recommend this procedure instead of others was based on the careful assessment of your problem.  A colonoscopy is sometimes used to more carefully examine abnormalities suspected by previous x-ray studies.  In some situations, a colonoscopy is a more accurate way of examining the colon.  A colonoscopy is frequently used for the purpose of detecting and removing colon polyps.  Polyps are abnormal growths of tissue, which vary in size from a tiny dot to several centimeters.  If polyps are detected during a colonoscopy, they may be removed by placing a wire loop (snare) over the polyp and severing the polyp from the intestinal wall by means of an electrical current.   Although the majority of polyps are benign (non cancerous), a small percentage may contain an area of cancer in them.  Polyps may tend to cause rectal bleeding or, if left in place, may develop into a cancer over time.  Removal of colon polyps is an important means of prevention of colon cancer.   If you do not clearly understand why this procedure has been scheduled, you should discuss it with your physician at once.  If you have any questions or unanticipated problems before the procedure, please do not hesitate to call our office.

 

PROCEDURE:  For this procedure, you will be placed in a comfortable position on your side.  You will be given intravenous (IV) sedation.  During the procedure the physician will insert a long flexible fiber optic scope (colonoscope) into the rectum and through the entire colon.  Abnormalities that are suspected by previous x-rays (and some that are too small to be detected by x-ray) may be identified and examined more closely.   If abnormal areas are found, an instrument can be passed through the colonoscope and small pieces of tissue can be obtained for laboratory diagnosis.  This procedure is usually very well tolerated and rarely causes pain.

 

After the examination, you will be awake but quite sleepy from the sedative medications.  You may experience some feeling of bloating or mild abdominal soreness.  You may also experience gas as a result of placing air in the colon during the procedure.  Unless told otherwise, you may resume your normal diet.  You may experience some slight tenderness over the vein where the IV was placed. A warm washcloth or heating pad usually helps with this.

 

RISK:  A colonoscopy is considered a very safe, low risk procedure.  Complications are quite rare but can occur.  Rare complications include perforation of the bowel, bleeding or over sedation.  Uncommon complications include drug reactions, heart attacks and stroke.  Any of these may require hospitalization for observation and may require transfusions or surgery.  Death is extremely rare but remains a remote possibility.

 

MIRALAX/DULCOLAX PREP

AVOID ASPIRIN, MOTRIN, ALEVE, ARTHRITIS MEDICATIONS, &

Vitamin E AT LEAST 5 DAYS PRIOR TO PROCEDURE.

COUMADIN AND PLAVIX WILL BE HELD AS WELL DEPENDING ON PATIENT’S MEDICAL CONDITION

TYLENOL MAY BE TAKEN.

 

Before beginning the following steps, you will need to purchase:

Miralax 255g                                                                           4 Dulcolax tablets

64 oz bottle of Gatorade (NO red, orange, or purple)            1 Fleet enema.

The preparation of the colon is extremely important in order to assure adequate examination and to make the procedure as safe as possible.  It is absolutely essential that you comply with the following instructions:

 

One day prior to your procedure:  PREP DAY

 

Drink only “clear” liquids.  DO NOT EAT ANY SOLID FOOD.

You may have broth, bouillon, fruit juices without pulp (white grape, apple), lemonade, Jell-O, Sprite, 7 Up, ginger ale, Gatorade, tea, and coffee without cream or creamer.  Avoid all red and purple liquids, pops, and Jell-O.

 

AT 3:00 PM – Take 2 Dulcolax tablets followed by 3-4 glasses of clear liquids.

AT 5:00 PM – Mix the bottle of Miralax 255g in the 64 oz bottle of Gatorade and begin to drink.

Drink a glass every 15 minutes until you have finished the 64 oz bottle.

AT 8:00 PM – Take the other 2 Dulcolax tablets followed by 4 or more glasses of clear liquids prior to midnight.

 

DO NOT EAT OR DRINK ANYTHING AFTER MIDNIGHT.

 

Day of your procedure:

 

  1. You may have a sip of water to take your medication on the morning of your procedure
  2. Do 1 Fleet enema before leaving to go the hospital
  3. Report to Admissions on 1st floor at Oconee Medical Center.
  4. After checking into Admissions you will go down the hall to the Endoscopy suite.
  5. A companion must accompany you for your procedure because you will be given medication to help you relax. Dr. Paluzzi will speak with you and your companion following the procedure.  Even though you may not feel tired, your judgment, memory, and reflexes may not be normal so your companion can help you remember what the doctor told you immediately following your procedure.  Within 5 business days the office will call you with your results if polyps were removed or other specimens were taken.
  6. You will not be allowed to leave the recovery area unescorted.
  7. Please notify us of any drug allergies or peculiar reactions that you may have.
  8. If you have any questions or need to cancel, please call us as soon as possible.