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Colonoscopy: Preparation

 
Medical Encyclopedia: Colonoscopy: Preparation

The doctor should be notified if the patient has allergies to any medications or anesthetics; any bleeding problems; or if the woman is pregnant. The doctor should also be informed of all the medications that the person is currently on and if he or she has had a barium x-ray examination recently. If the patient has had heart valves replaced, the doctor should be informed so that appropriate antibiotics can be administered to prevent any chance of infection. The risks of the procedure will be explained to the patient before performing the procedure and the patient will be asked to sign a consent form.

It is important that the colon be thoroughly cleaned before performing the examination. Hence, before the examination, considerable preparation is necessary to clear the colon of all stool. The patient will be asked to refrain from eating any solid food for 24–48 hours before the test. Only clear liquids such as juices, broth, and Jello are recommended. The patient is advised to drink plenty of water to avoid dehydration. The evening before the test, the patient will have to take a strong laxative that the doctor has prescribed. Several 1 qt enemas of warm tap water may have to be taken on the morning of the exam. Commercial enemas (e.g., Fleet) may be used.

The patient will be given specific instructions on how to use the enema and how many such enemas are necessary. Generally, the procedure has to be repeated until the return from the enema is clear of stool particles. On the morning of the examination, the patient is instructed not to eat or drink anything. The preparatory procedures are extremely important since, if the colon is not thoroughly clean, the exam cannot be done.

— Lata Cherath, PhD



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