Purification of the intestine and colonoscopy: drugs, enema, diet
Colonoscopy is one of the most important methods for screening and diagnosing colorectal cancer. With poor-quality bowel cleansing, the colonoscopy will be a little informative . In case of poor preparation for the study, serious diseases can be missed.
Purification of the intestine before colonoscopy is based on diet, taking laxatives and holding enemas. Despite the apparent simplicity and existence of detailed instructions for the preparation for this survey, about 25% of patients come to the procedure with insufficient preparedness.
What you need to do before colonoscopy
Colonoscopy is an endoscopic method that allows you to visualize pathological processes on the mucosa of the large intestine. The quality of the survey depends on the correct preparation, with which you need to completely empty the large intestine.
Inadequate bowel cleansing for colonoscopy can cause missing colon diseases and the need for a re-examination. As it was said above, cleansing of the intestine is achieved by means of a special diet, intake of laxatives and enemas.
What else should I do before the colonoscopy:
- Tell the doctor about all medications taken. You should also ask the doctor about which of them can be taken on the day of the examination.
- Tell about any allergies to medicines, including anesthetics.
- Inform the specialist about the presence of bleeding disorders, about taking aspirin or other blood-thinning medications.
- If a person has been subjected to an X-ray contrast examination of the digestive tract for the last 4 days, you should tell the doctor about it.
- It is very important to report pregnancy.
A doctor may recommend that a patient stop taking aspirin or iron preparations 7-14 days before a colonoscopy. In the case of a regular intake of blood-thinning agents, the subject should discuss the question of their cancellation or continued use with the doctor.
If a patient is concerned about any questions about the need for a colonoscopy, its risks and methods of conducting, the results of the examination, he should contact them with a specialist. More details on how to check the intestines by other methods →
Because the examination is often performed with anesthesia or medication sleep, a person needs to take care in advance to have someone take him home after the procedure. It is necessary to cancel all of their affairs and meetings for two days: the day before the study, when the intestine is cleared, and the day when the colonoscopy will be performed.
How to clean the intestines?
Purification of the colon before colonoscopy with laxatives, enemas and diets is a prerequisite for a qualitative survey.
Diet
Three days before the colonoscopy, it is recommended that a diet with a low fiber content in the diet be recommended.
Authorized and Prohibited Products with a Low-Fat Diets
| type products | Permitted products | Prohibited products |
|---|---|---|
| Dairy | milk, cream, cheese, cottage cheese, yogurt | yogurt mixed with nuts, cereals, seeds,fruit with the peel |
| flour | Bread and flour products made with white flour( including scones, muffins, bagels, pasta), white rice, crackers, cereals, low-fat | Brown rice. Whole grain breads, buns, pasta and crackers Whole grain cereals or cereals high in fiber, including muesli, bran, oat flakes. Bread or other pastry products with nuts or seeds. |
| Meat | chicken, turkey, lamb, lean pork, veal | tough meat with cartilage |
| Bean | not have permission | All kinds of beans |
| Fruits | Fruit juices without pulp. Ripe melons, peeled apricots and peaches. Canned or cooked fruit without seeds and peel | Raw fruits with bones, peels or partitions, including berries, pineapple, apples, oranges, watermelon. Canned or cooked fruit with bones or skin. Raisins and other dried fruits |
| Vegetables Canned or cooked vegetables without a peel, including the peeled carrots, mushrooms, turnips, asparagus. Potatoes without peel. Pitted cucumbers and peels | Corn, potatoes with peel, tomatoes, cucumbers with bones and peel, Brussels sprouts, green peas, beans, onion | |
| Nuts, nut oil and seeds | Peanut and almond oil | Nuts, including peanuts, almonds, walnuts. Seeds, including fennel, sesame, pumpkin and sunflower seeds |
| Fats and oils | Butter and vegetable oil, margarine, mayonnaise, dressings without seeds and nuts | Salad dressings with seeds and nuts |
| Soups | Broth, consomme, liquid soups. Milk soup and cream soup | Thick soups. Soups beans or lentils, corn and pea soup |
| Desserts | custard, pudding, ice cream. Jelly without fruit and violet or red dyes. Cookies or cakes made of white flour, cooked without seeds, dried fruits and nuts. | Coconut. Any desserts with nuts or seeds, with red or purple dyes. cookies or brownies cooked with seeds, dried fruit and nuts |
| Drink Coffee, tea, hot chocolate or cocoa. Fruit juices without pulp, carbonated water | Fruit and vegetable juices with pulp. Drink with red or violet | |
| Other products | Sugar, salt, honey, syrup, lemon juice, eggs, fish and seafood | Popcorn. Jam, confiture. Seasonings, olives. |
The day before the colonoscopy for bowel cleansing go on a diet consisting only of clear liquids:
- water;
- tea and coffee without milk and cream;
- transparent light fruit juices without pulp;
- drinks without red and violet dye;
- transparent broth from chicken meat or vegetables.
You can not use :
- spirits;
- milk;
- milkshakes;
- orange and grapefruit juice;
- tomato juice;
- drinks with a red or purple dye.
On the day of the colonoscopy, you can not eat or drink anything.
Laxative preparations
Doctors in front of a colonoscopy usually prescribe various laxatives for the cleansing of the intestine. Each of them has its own scheme of reception, which must be carefully observed. Drugs for bowel cleansing before colonoscopy include :
- FORTRANS .One of the most commonly prescribed medications. It is available in a bag, which must be diluted in 1 liter of water. The dose for an adult is 1 liter of the prepared solution for 20 kg of weight. The literal of divorced Fortrans should be used for 1-1.5 hours. Take this remedy for bowel cleansing before colonoscopy in the evening, the day before the procedure.
- Lavakol .Osmotic laxative preparation. It is taken according to the instructions, 1 sachet for 5 kg of weight. The bag should be dissolved in a glass of water, drinking it every 15-20 minutes. To conduct bowel cleansing before colonoscopy, the reception should be started 18-20 hours before the examination.
Clefts
Most often, enemas are used to prepare for a colonoscopy with inpatient treatment of the patient. To do this, you have to spend a few enemas( up to clean washing water) in the evening, the day before the colonoscopy, and in the morning, the day of the colonoscopy. It is best to combine enema with the use of laxatives.
What can not be done?
Before colonoscopy, doctors' recommendations regarding preparation for the procedure should not be violated. Also, one should not withhold important information about the presence of any diseases and on the admission of any medicines.
After the beginning of bowel cleansing with laxatives, one should not go far from the restroom.
Colonoscopy is a highly informative and valuable method for the study of the large intestine. However, the effectiveness of its implementation largely depends on the correct preparation of a person for the procedure. The main condition of a qualitatively performed colonoscopy is cleansing of the intestine with the help of laxatives, enemas and diets.
Author: Taras Nevelichuk, doctor,
specially for Moizhivot.ru
