Preparing for a colonoscopy, how to prepare for a colonoscopy

Colonoscopy - a method of identifying various colon diseases, including benign and malignant neoplasms. For a survey with high informativeness and diagnostic value, correct preparation for a colonoscopy is necessary.

This is a visual diagnostic method that uses a special tool with a video camera at the end. More about other methods of diagnosing colon diseases →

In order for a doctor to have a good view of the intestine from the inside, it must be empty. It is the emptying of the intestine - the main task of preparing a patient for the procedure of a colonoscopy.

General guidelines for the preparation for the

Often, colonoscopy is performed on an outpatient basis. Therefore, all patients before the examination should learn in detail how to prepare for a colonoscopy of the intestines at home correctly. The key requirement is the emptying of the intestine.

If the patient is not properly prepared before the colonoscopy, the doctor may not notice the intestinal lesions, the procedure itself may be longer, which increases the risk of complications. Sometimes even I have to do a survey again. Therefore, in cases where the patient does not conduct quality training and does not follow the recommendations of doctors, the survey is canceled.

All preparations for the procedure can be divided into two parts: diet and laxatives.

In addition, there are some organizational and medical issues that need to be resolved before colonoscopy :

• It is necessary to ask in detail to explain the procedure for preparing for a colonoscopy.
• If the procedure is performed on an outpatient basis and under anesthesia, then it is necessary that the patient be accompanied by a person who will accompany him home after the examination.
• The person who is to be screened needs to plan his time so that after dinner on the day before the examination he was at home and could conduct quality training.
• If the patient is taking medications that affect blood clotting, he needs to ask the doctor about whether he should stop using them.
• It is important to tell the doctor about the presence of any diseases, especially diabetes, hypertension, heart problems.
• 5 days before the colonoscopy, it is necessary to stop taking antidiarrheal drugs, vitamin E, preparations containing fiber or iron.
• After consuming laxatives, you should stay close to the toilet.
• You need to buy wet wipes with vitamin E or aloe to use them instead of toilet paper. Vaseline or desithin can also be applied to the perineal region, which soothes the irritated skin.

Food

The diet is one of the main ingredients in preparation for colonoscopy of the intestine. That's why all the recommendations begin with a detailed description of what you can eat while preparing for a colonoscopy, and what not.

Three days before the examination, popcorn, corn, beans, nuts, fruits with small seeds, tomatoes and celery should be excluded from the diet. It is better to eat only foods that are low in fiber.

1 day before colonoscopy, the food should consist only of clear liquids - for example, tea, coffee without milk and cream, apple juice. It is necessary to drink at least 8 glasses of water during the day to avoid dehydration.

You can not eat chicken or vegetable broth, milk products, juice with pulp - that is, any opaque liquids. Also alcoholic drinks are forbidden.

On the day of colonoscopy in the morning you can not consume even clear liquids, you can only drink the necessary preparations with a sip of water.

Medication preparation

Preparations for colonoscopy are often used, especially when performing an outpatient examination. In this situation, the patient appears in the diagnostic room only on the day of the procedure, and he empties the intestines at home. Therefore it is very important that he knows how to properly prepare for a colonoscopy.

Regardless of whether a fibro colonoscopy or virtual colonoscopy is performed, preparation for the procedure almost always includes various laxatives, including Lavakol, Dufalac, Fleet Phospho-soda.

Preparation of Fleet Phospho-soda

This preparation is specially designed for intestinal cleaning before surgery and diagnostic examinations. The way to prepare for a colonoscopy of Fleet Phospho-soda depends on the time of the procedure.

If the examination takes place before 12:00 pm, preparation for colonoscopy is performed according to the morning schedule:

1. In the morning, one day before the examination, drink 45 ml of the drug dissolved in 120 ml of cool water, then drink it with a glass of clear liquid.
2. The whole day you can drink only clear liquids.
3. At 19 pm you need to re-take 45 ml of Fleet Phospho-soda in the same way.

If the examination takes place after 12 hours, preparation for a colonoscopy is performed according to the evening schedule:

1. The day before the colonoscopy, you can consume only a clear liquid.
2. At 19 o'clock in the evening you need to drink 45 ml of the remedy, diluted in 120 ml of cool water, then drink it with a glass of clear liquid.
3. On the day of the procedure in the morning( approximately at 7 o'clock), it is necessary to repeat the reception of Fleet Phospho-soda in the same dose and to drink the medicine with a glass of clear liquid.

Usually, the drug leads to defecation after 1-6 hours after ingestion.

Preparation by Lavakol

Preparation for colonoscopy Lavakol is performed the day before the procedure. As a rule, this drug should be consumed after lunch, at 14-19 hours. To do this, the contents of one sachet must be dissolved in 200 ml of cool boiled water. For 18-20 hours before the colonoscopy you need to drink 3 liters of solution.

Preparation by Dufalac

Dufalac preparation is rarely used to prepare for a colonoscopy. This is due to its mild laxative effect.

However, there are schemes for taking this drug in large doses that can qualitatively clear the intestine :

1. The day before the colonoscopy dilute 120 ml of Dufalac in 100 ml of water and drink after dinner for 1-1.5 hours.
2. Two days before the colonoscopy, drink 30 ml of Dufalac. The day before the test, dilute 120 ml of dyufalaka in 1000 ml of water and drink after dinner for 1-1.5 hours.

It is also possible to clean the bowels before colonoscopy with a combination of Dufalac and another laxative - for example, Fortrans.

Example Diagram :

1. The day before the examination at 15 hours, 100 ml of Dufalac dissolved in 2 glasses of water.
2. The day before the examination from 17 to 18 hours - the intake of 1 liter of solution, which includes 100 ml of Dufalac and 900 ml of water.
3. If the examination is carried out in the morning, the day before the examination at 14 o'clock - taking 1 bag of Fortrans dissolved in 1 liter of water.
4. If the examination is carried out in the afternoon, Fortrans can be taken from 6 to 7 hours on the day of the examination.

Thorough preparation is an integral part of quality colonoscopy. That the doctor could see defeat in an intestine and establish the correct diagnosis, it is necessary, that this intestine was empty, instead of is hammered by kalovymi masses. Colonoscopy is a rather unpleasant procedure that is often performed under general anesthesia, so do not really want to do it again because of improper preparation.

Author: Taras Nevelichuk, doctor,
specially for Moizhivot.ru

Useful video about preparation for colonoscopy