To have a successful preparation of your bowel and avoid you having to come back again, your bowel must be empty and clean. You must follow the diet set out in this leaflet and take the Senna laxative and both sachets of Picolax. You may need to have a blood test prior to starting the prep. This will be discussed with you by the Pre-Assessment nurse.
Stop taking any medication that may cause you to become constipated for example Lomitil or Codeine Phosphate but continue to take all your usual medications.
You must drink at least one glass of fluid every hour throughout the day, over the 3 day preparation period. If you can do this your bowel will be empty and clean and ready for your colonoscopy examination. Please avoid using Non Steroidal Anti inflammatory drugs e.g. Ibuprofen, Diclofenac from today until after the colonoscopy. You may have been asked to stop certain medications from today. The Pre Assessment nurse will confirm these with you.
Medications to stop
If you are taking Fybogel or any other fibre products stop taking them now. The fibre content of these products will work against the special diet you are about to take. Start your diet at breakfast. Eat freely from the foods in the diet list unless you are allergic to or have been advised to avoid, certain foods. Continue to drink fluids every hour from the diet list.
If these instructions are not followed your test may be cancelled or need repeating.
Continue to follow the instructions given above and only eat and drink from the list below. You may have been asked to stop certain medications today. The Pre-Assessment nurse will confirm these with you.
Medications to stop
|1pm||No more food to be eaten after this time until after your colonoscopy|
|2pm||Dissolve the first sachet of Picolax in a large glass of water. Stir well. If it becomes hot wait until it cools sufficiently to drink. Make sure you are within easy reach of a toilet once you have taken the Picolax. Be prepared to have your bowels opened several times during the course of the preparation. You may have bowel cramping discomfort, this is normal. Please continue to drink plenty of fluids from the diet list provided throughout the day and evening, to avoid dehydration.|
|6pm||Dissolve the second sachet of Picolax as above and drink all this mixture even if you have had your bowels opened several times. Continue to drink plenty of fluids as listed in the diet list.|
|NO FOOD SHOULD BE EATEN UNTIL AFTER YOUR COLONOSCOPY. YOU MAY DRINK CLEAR FLUIDS UP UNTIL 2 HOURS BEFORE YOUR ADMISSION TIME.
CLEAR FLUIDS INCLUDE: Water, Black tea, Black coffee, (with or without sugar), Marmite/Bovril in hot water, Lucozade, coke/pepsi, squash for example Ribena, Orange etc (not pure/freshly squeezed fruit juice).
Do not eat any foods or have any drinks that are not on this list, and NO MILK in any form.
|Meat||Lean meat e.g. chicken, turkey, beef, ham, rabbit, tofu and Quorn|
|Fish||White fish only (not fried)|
|Eggs||Boiled, poached or scrambled (no milk to be added).|
|Vegetables||Potatoes boiled or mashed only (no milk to be added)|
|Cereals||White rice and pasta, boiled only (no wholemeal varieties)|
|Bread||White bread only|
|Drinks||Black tea or coffee, fruit squash (not freshly squeezed). Marmite, Oxo, Bovril as well as lots of water.|
|Fats||A daily allowance of 25g/1oz of butter or margarine|
|Other||Plain jelly, rich tea biscuits, honey, golden syrup, sweeteners and salt.|