When to start clear liquid diet before colonoscopy
Digestive health: Successful prep for colonoscopy
thank you for joining us for this
colonoscopy preparation course
the main goals of this slideshow art
explain why you were referred for a
colonoscopy and what a colonoscopy is to
talk about the risks involved and other
choices you have and to review how to
prepare for the colonoscopy in order to
get the most accurate results your
primary care provider may have referred
you for a colonoscopy for one of these
reasons you are 50 years old or older
which means you are at higher risk for
colon cancer you have seen blood from
your rectum or have had a stool blood
test that was positive you have a
personal history or family history of
colon cancer or a certain kind of polyps
your provider wants to find out why
you're having other symptoms there are
several reasons why you may have blood
in your stool or bleeding from your
rectum these pictures show common stool
tests let's talk about why these tests
may show positive results for blood one
possible cause of blood in the stool is
inflammation of the lining of the colon
this is called colitis blood in the
stool can also be caused by hemorrhoids
these are enlarged veins that can be on
the outside of the rectum or on the
inside sometimes these veins can bleed
an anal fissure is a cut or a tear in
the skin of the rectum this can cause
bleeding from the rectum if you have an
anal fissure you may feel pain in your
rectum when you have a bowel movement
colon polyps may cause blood in the
stool a colon polyp is a small growth of
cells on the lining of the colon we
don't know why some people get colon
polyps and others do not if we see a
colon polyp during your colonoscopy we
will remove it if we can a polyp can
sometimes grow into colon cancer if a
polyp is removed it cannot grow and we
may have prevented colon cancer
colon cancer can also cause blood in the
stool we can treat colon cancer
especially if we find it early before it
has grown too much colon cancer is the
third most common kind of cancer and the
second leading cause of cancer-related
death it affects men and women of all
races people who are age 50 or older are
at higher risk for colon cancer as well
as people with a personal or family
history of certain kinds of polyps or
colon cancer obesity can also increase
your risk other risks include a diet low
in fiber and high in fat an inactive
lifestyle and smoking a colonoscopy is
the best test to look for problems in
the lining of the colon to screen for
colon cancer and to find out why there
is blood in the stool the procedure
takes 30 to 45 minutes to complete and
is usually very safe first you will get
sedative medicine to make you sleepy and
comfortable the procedure uses a camera
that is at the end of a flexible tube
the tube is about 5 feet long and about
as wide as a pointer finger we place the
tube in your rectum and gently push it
all the way through your colon as it
moves the camera allows us to look
carefully at the entire lining of your
colon
as with any medical procedure a
colonoscopy has risks you could have a
bad reaction to the sedation medicine
bleeding if we take tissue samples
called biopsies or remove polyps there
is a small chance less than one patient
in 1,000 that the doctor accidentally
pokes a hole in the large intestine
during the colonoscopy if this happens
it may require surgery to repair there
is a small chance of infection there is
also a small chance that we may not see
something that is there colon problems
can hide in a fold of the colons lining
but this usually only happens if there
is stool still left in the colon that is
why it is so important to carefully
follow all the instructions you receive
about preparing for your colonoscopy we
want to get a good view of your colons
lining however we will stop your
colonoscopy if the procedure becomes too
risky for any reason having a
colonoscopy is up to you you could also
choose not to have a colonoscopy if you
choose not to have a colonoscopy there
are no risks from the procedure but we
may not find colon polyps cancer or
another problem that needs treatment you
could also have a sigmoidoscopy instead
of a colonoscopy this procedure looks
only at the lower two feet of the colon
if there are problems higher up in the
colon the sigmoidoscopy would not find
these we recommend colonoscopies as the
most thorough way to look for colon
problems and to screen for colon cancer
having this procedure is your choice and
you do have other options when we do
your colonoscopy we need to be able to
clearly see the lining of the colon so
that we can find any problems it is very
important that you properly prepare your
bowels and colon for your tests you will
need to start preparing seven days
before your colonoscopy some patients
have general anesthesia instead of
sedation for their colonoscopy if you
were having general anesthesia I may
also need to follow other instructions
we will give these instructions to you
for your procedure
if you take blood thinning medicines
such as coumadin warfarin plavix
clopidogrel eviant or Pradaxa please
tell us as soon as possible and at least
seven days before your colonoscopy we
will work with you and your doctor to
adjust your medicines to lower the risks
of bleeding you will get more
instructions once we have a plan in
place
if you have diabetes and take oral
diabetes medicines or insulin talk with
a doctor who prescribed your medicines
tell them the date and time of your
colonoscopy and ask if there is anything
special you need to do with your
diabetes medicines on the day before or
the day of your colonoscopy check your
blood sugars as you normally do or if
you feel like you are having blood
sugars that are too high or too low
at least seven days before your
colonoscopy we want you to have a plan
in place for who will get you safely
home from the colonoscopy because of the
sedation or anesthesia it will not be
safe for you to drive or even to take a
bus or taxi home by yourself you will
need to arrange for a responsible adult
to drive you home or be with you on your
trip home five days before your
colonoscopy we also want you to stop
eating certain foods
these include raspberries nuts seeds
beans corn and peas
these foods take a long time to digest
so if you've eaten them within five days
of your procedure we may see these foods
in your colon and not be able to see the
colon lining five days before your
colonoscopy you will need to fill your
prescription for the laxative medicine
called bowel prep the medicine will come
in a one gallon container when you pick
up your bowel prep from the pharmacy it
should come with flavor packets attached
if there are no flavor packets on the
outside of the bottle ask the pharmacist
for them if the pharmacist is not able
to give you flavor packets you may buy
Crystal Light to add flavour to the
solution read the instructions carefully
so you know how to mix the solution ask
your pharmacist if you have any
questions about what to do
the day before your colonoscopy you'll
need to do two things to clean your
colon do not eat any solid food drink
clear liquids only you will also need to
take your laxative medicine let's talk
about clear liquids a clear liquid is
one you can actually see through good
examples of clear liquids are sports
drinks water tea apple juice sodas soup
Roth and jello black coffee and coffee
with sugar or clear liquids but you
cannot have coffee with cream in it also
do not eat red jello we do not want you
to have any liquids with red food
coloring because red food coloring can
look like blood in the colon during the
colonoscopy on the day before your
procedure you will need to drink at
least two quarts of clear liquids in
addition to the bowel prep this means
you will drink 8 8 ounce glasses of
clear liquids
because it is important to have a good
bowel preparation let's review what
clear liquids are okay to have the day
before your colonoscopy what do you
think are these top two pictures of
clear liquids yes this is a good example
of a clear liquid diet of chicken soup
broth green jello and water how about
these
yes apple juice and soup Roth are both
clear liquids what about the bottom row
of pictures is the soup in the first
picture clear liquid no there are many
pieces of food in the soup what about
the second bowl of soup no it has chunks
of food in it too and what about the
orange juice no do not drink juice with
pulp when you are on a clear liquid diet
in the morning on the day before your
colonoscopy you will need to prepare
your bowel prep to do this tear open one
of the flavor packets and add it to the
bottle if you do not receive flavor
packets you may use Crystal Light to add
to the mixture then add water up to the
line on the side of the container seal
the container and shake it well to mix
then put the mixture in the refrigerator
to cool when you drink the bowel prep it
should be cold
at 7:00 p.m. the night before your
colonoscopy start drinking the chilled
bowel prep mixture you prepared you
should drink 1 8 ounce glass of the
mixture every 15 minutes between 7:00
and 10:00 p.m. when you're done you
should have finished 3/4 of the bottle
bowel prep has an aftertaste so you may
want to drink sips of 7up sprite or
ginger ale after drinking each glass you
may also find the bowel prep easier
drink through a straw or over ice this
okay to keep drinking other clear
liquids while you are drinking the bowel
prep
after taking bowel prep it is normal to
have abdominal cramps bloating and
diarrhea some people even get chills you
should have your first bowel movement
about 1 hour after you start drinking
the bowel prep you should expect to
continue having loose bowel movements
for about 1 to 2 hours after you finish
drinking it your goal after drinking the
laxative is to have watery clear
diarrhea some people will need to take
extra laxative medicines to completely
clean their colon ask your doctor about
this before your procedure we will
review your medical records based on
this review your doctor may prescribe an
extended bowel preparation this may
include a combination of miralax and
magnesium citrate 2 extra laxatives if
you need to use these extra medicines
your doctor will also give you
instructions for using them the point of
the bowel preparation is to clean the
colon so that we can see it clearly on
the left is what we see during a
colonoscopy when there has been good
bowel preparation we can easily see any
problems in the colon the middle set of
pictures show a bad bowel preparation
where stool inside the colon may be
hiding colon polyps or colon cancer the
slides on the right show how some colon
polyps or colon cancer can be very small
this makes them hard or impossible to
see if they'll preparation is poor
on the day of your colonoscopy five
hours before your procedure is scheduled
drink the rest of the bowel prep you
will drink the medicine just like you
did the night before one 8 ounce glass
every 15 minutes until it is gone do not
eat any food but you can keep drinking
clear liquids if you take blood thinner
medicines or diabetes medicines you
should have already been following your
doctor's instructions about what to do
to prepare for your procedure for all
other medicines on the day of your test
take them either 1 hour before or 1 hour
after you finish the rest of the
laxative medicine plan to arrive at the
endoscopy area 30 minutes to 1 hour
before your colonoscopy your specific
arrival time will be given to you when
you are scheduled for the procedure
on the day of the colonoscopy do not
take anything by mouth starting two
hours before your colonoscopy when you
come in for the colonoscopy you should
bring the person who is going to take
you home or a phone number where we can
reach that person when you are ready to
be picked up after the procedure a list
of all the medicines you are taking
right now you will not need to bring
anything valuable with you to the
hospital it is best if you leave
anything of value at home or with the
person who will take you home
let's review seven days before the
colonoscopy have your plan in place for
who will bring you home from the test
and please talk to your doctor about
medicine for diabetes and blood thinning
five days before the colonoscopy stop
eating nuts seeds beans corn and peas
pick up the bowel prep and flavor
packets from your pharmacy one day
before the colonoscopy start a clear
liquid diet mix your bowel prep in the
morning and put the bottle in the
refrigerator the night before the
colonoscopy from 7:00 to 10:00 p.m.
follow instructions about drinking the
bowel prep every 15 minutes on the day
of your colonoscopy finish the rest of
the bowel prep 5 hours before your
scheduled procedure take your normal
medicines at least one hour before
starting your laxative or one hour after
finishing starting two hours before your
colonoscopy do not take anything by
mouth
not even gum mints or water arrived at
the endoscopy unit 30 minutes to one
hour before the tests as instructed you
will be in the endoscopy unit for a
total of two and a half to three hours
we've a lot to take care of to get ready
for your colonoscopy you will sign in
meet the nurses change into a hospital
gown get connected to heart rate
monitors put on a blood pressure cuff
get oxygen through your nose and the
nourish will place a tube called an IV
into your vein you will receive
medicines and fluids through this IV
your doctor will talk to you about the
procedure so you can ask any questions
you may have
you will then sign and informed consent
documents that gives us permission to do
the colonoscopy the colonoscopy will
take about 30 to 45 minutes you may
sleep through the whole test where you
may be awake through parts of it
both of these are normal the colonoscopy
procedure does not hurt you may feel
some cramping in your stomach we put air
into the colon to inflate it so we can
see all of the lining more clearly and
this can cause some discomfort if we see
something abnormal in your colon like a
polyp we will remove it or take a small
tissue sample this sample is called a
biopsy taking a biopsy will not cause
pain we will send the tissue sample to
the lab where pathologists will look at
it under a microscope we will have the
results of the biopsy in seven to ten
days we will notify you of the results
after the colonoscopy you will be in the
recovery room for thirty to sixty
minutes you will talk with the doctor
and get pictures of what we saw during
the colonoscopy you will also get
written instructions to follow at home
and a phone number to call if you have
any problems or questions after the
procedure
let's review what is a clear liquid how
about the first one no rice is not a
clear liquid the next one no we can't
see through it and it contains small
seeds the burger and fries no this is
just food how about the first one on the
bottom row no the next one
nope it has pieces of food in it how
about the jello know most jello is okay
but not red jello because red food
coloring can look like blood in
colonoscopy pictures
how about coffee with milk no what about
black coffee yes black coffee is a clear
liquid and the last one no no chocolate
no milk and no marshmallows here are
some examples of colons in people who
did not follow the prep instructions all
these people had to reschedule a
procedure and drink another gallon of
Val prep in order to get clear results
on their tests we want you to have only
one procedure that gives the most
accurate results possible please closely
follow the instructions that we are
giving you thank you for watching this
slideshow we look forward to seeing you
at your colonoscopy appointment please
call us at to zero six five two zero
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