Colorectal - Malvern  
Patient Information
Bowel Surgery
Endoscopy
Anal Problems
Bowel Diseases
Bowel Cancer

Preparation for Colonoscopy

For a successful colonoscopy, it is important that the bowel be thoroughly clean so that the lining is clearly seen.

If you are not honest with yourself and do not follow preparation guidelines your bowel may not be totally clean, the colonoscopy would have to be postponed and the preparation would have to be repeated.

The preparations available are:

Prepkit C
Picolax
Fleet Phospho-soda
Glyco prep

Please note: ONLY follow the instructions for the preparation as outlined in these instructions - ignore all other instructions found within the product.

PrepKit C

Please note this kit is obtained from your local pharmacy or at Cabrini Hospital Pharmacy and does not need a prescription.

The Kit contains:

  • GlycoPrep-C 70g sachet
  • Two (2) PicoPrep 15.5g sachets

The success of your examination depends on the bowel being as clear as possible, otherwise the examination may need to be postponed and the preparation repeated.

One Day Before Examination:

Breakfast as usual, NOTHING to eat thereafter.

During the day, drink at least one glass of clear fluid (plus preparation liquids) each hour. Keeping drinking approved clear fluids until bedtime.

NO SOLIDS FOODS, NO MILK PRODUCTS

DRINK ONLY APPROVED CLEAR LIQUIDS ALL DAY

APPROVED CLEAR LIQUIDS

A good combination of these clear fluids, including 2-3 cups of clear chicken broth, will give you a variation in fluid intake.

Individual responses to laxatives do vary. This preparation may cause multiple bowel movements. It usually induces frequent, loose bowel movements within TWO to THREE hours of taking the first dose. Please remain within easy reach of toilet facilities.

1. FIRST DOSE - 4:00pm

Add the entire contents of ONE sachet of PICOPREP in a glass of warm water (approx. 250ml) and stir until dissolved. Chilled for half and hour before drinking, if preferred. Drink mixture slowly but completely. This should be followed by adequate glasses of water or APPROVED CLEAR LIQUIDS (at least a glass per hour), in order to retain hydration throughout your body.

2. SECOND DOSE - 5:00pm

Dilute entire pack of Glycoprep-C 70g in a litre of warm water and stir until dissolved. This can be made up in the morning and placed in the refrigerator to chill. You should try to drink a glass of the preparation about every 15 minutes. Total intake time should take approx. 1 hour in duration. If you start to feel nauseated whilst drinking the preparation, slow down the rate of intake.

3. THIRD DOSE - 6:00pm

Add the entire contents of ONE sachet of PICOPREP in a glass of warm water (approx 250ml) and stir until dissolved. Chill for half an hour in the refrigerator if preferred. Drink mixture slowly but completely. This should be followed by adequate glasses of water or APPROVED CLEAR LIQUIDS ONLY (at least one glass per hour), in order to retain hydration throughout your body.

Day of Examination:

  • From midnight last night, nothing more to be taken by mouth until after the examination
  • Appear for examination at scheduled time

Picolax

Please purchase two (2) satchets of PicoLax bowel preparation from your local chemist and a laxative of choice. Please read these instructions carefully as the success of the examination depends on the bowel being as clear as possible, otherwise the examination may need to be repeated.

TWO DAYS BEFORE EXAMINATIONS: STOP all iron containing medications. Continue with your regular medication.

STOP eating meat, brown bread, cereals, fruit and vegetables.

DO NOT have anything with seeds in it.

DO NOT have yellow cheese.

You may eat eggs, cottage cheese, plain yoghurt, white bread, white fish, chicken , well cooked peeled pumpkin or potato.

You may have clear jelly, milk and drink plentiful APPROVED CLEAR LIQUIDS.

Please use an effective laxative on retiring to bed, e.g. 2 x coloxyl; 2 x durolax; 2 x senokot; Nulax; 30 ml Agarol.

Picolax  Instructions:

DAY BEFORE EXAMINATION:

Drink only approved clear liquids for breakfast lunch and dinner.

FIRST DOSE PICOLAX PREPARATION 1:00PM

Add the entire contents of ONE sachet of PICOLAX in a large glass (120ml) of water

Stir until effervescence ceases. Drink the mixture gradually but completely. This can be followed by as many glassfuls of water or approved clear liquids as desired in order to satisfy thirst. Drink at least a glassful of any approved clear liquids every hour (the more the better).

SECOND DOSE PICOLAX PREPARATION 7:00pm

Repeat procedure as above.

No liquids after midnight

Fleet Phospho-soda

TWO (2) DAYS BEFORE EXAMINATION:

You will need to obtain two (2) 45ml bottles of Fleet Phospho-soda (Ginger-Lemon Flavour) from your local pharmacy or it can be obtained from Cabrini Pharmacy.

DO NOT exceed the recommended dosage given in instructions, as serious side effects may occur.

Individual responses to laxatives do vary, this prep may cause multiple bowel movements. It often works within 30 mins, but may take as long as 3 hours. Please remain within easy reach of toilet facilities.

You should have your normal medications at the normal time on the day of examination with the exception of any medications containing IRON, ASPIRIN or ANTICOAGULANTS. These medications require special instructions

DAY BEFORE EXAMINATION:

1. Drink only 'clear' liquids

Solid foods, milk or milk products should NOT be taken, however you may use SKINNY milk in your tea and coffee

2. 1:00pm

Add 45ml, by metric measure, Fleet to 125ml of cool water and drink Follow with one full glass (250ml) of approved clear liquids.

3. Drink at least three (3) more 250ml portions of approved clear liquids before taking the next bottle of Fleet.

4. 7:00pm

Add 45ml, by metric measure, Fleet to 125ml of cool water and drink.Follow with one full glass (250ml) of approved clear liquids.

5. Drink at least three (3) 250ml portions of approved clear liquids before retiring, more if desire.

 6. Please fast (no fluids or food) from midnight

PLEASE NOTE THAT IF THE PREPARATION CAUSES NAUSEA, WE RECOMMEND THAT YOU TAKE A SPOONFUL OF DEXSAL MIXED IN A GLASS OF WATER TO SETTLE YOUR STOMACH.

Glycoprep

The preparation 'Glycol', 'Glyco Prep' or 'Golytely' can be obtained from your local pharmacy.

The solution is designed to clean out your intestines and will therefore give you diarrhoea for several hours. You should be passing clear fluid by the end of this time.

PREPARATION:

Mix the Glyco Prep powder with three (3) litres of tap water in the morning and put into the refrigerator to chill. You may add cordial (not red or purple) to flavour.

At 3:00pm on the day before the test, commence drinking the fluid at a rate of one litre per hour.

It is most important that once you commence the preparation, you have no more solid food and no milk products. You may have any approved clear liquids until midnight.

After the procedure

As a result of the sedation administered after waking you will feel a little drowsy and may find your memory of the procedure is poor.

You will need to rest for an hour or two before you go home.

You may return to your normal diet as soon as you feel ready.

If you have any of the following symptoms in the hours or days after colonoscopy you should contact the rooms or the hospital immediately: severe abdominal pain, black tarry motions, persistent bleeding from the back passage, fever or other symptoms that cause you concern.

Related Downloads

Glyco Prep Instructions
Fact Sheet
Picolax Instructions - Morning Instructions
Fact Sheet
Picolax Instructions - Afternoon Instructions
Fact Sheet
Prepkit - C
Fact Sheet


Authorised:
Adrian Polglase
Reviewed: Monday, February 27, 2006

Everything You Ever Wanted to Know About Gas
July 18, 2007
We’ve all experienced intestinal gas, some more than others. While belching, bloating, and flatulence are considered normal, the urge to pass gas can cause social embarrassment, discomfort and pain. Although you can’t stop gas from forming, you may be able to alleviate the symptoms through diet, lifestyle changes and medications. If you experience persistent gas pains, you should talk to your doctor. For more information on intestinal gas, visit the ACG Web site at www.acg.gi.org Source: American College of Gastroenterology (ACG)
Bowel cancer finding brings screening closer
July 18, 2007
RESEARCHERS have identified for the first time a gene that triggers bowel cancer, a move that could bring closer a genetic screening test for the disease. The gene, carried by about half the population, appears to increase the risk of developing bowel cancer by 20per cent. Bowel cancer is the second most commonly diagnosed cancer in Australia, accounting for about 13,000 new cases a year. So far, faulty genes have only been implicated in about 5 per cent of all cancers, and 5 per cent of bowel cancers. In the case of bowel cancers, the genetic defects so far associated with the disease are all thought to be associated with faulty cellular repair mechanisms, meaning that the body loses the ability to kill off cells that start to divide abnormally. Bowel cancer is also the second most common cause of cancer death in Australia, accounting for 4372 deaths in 2003, or 11.5 per cent of the total fatalities. It is notoriously hard to pick up for a number of reasons, including the difficulty of picking up warning signs - such as blood in the faeces - and patients' reluctance to see their doctors. This year the federal Government began rolling out a screening program, costing $43 million over three years, whereby older Australians send in a faecal sample for testing. If blood that could indicate a cancer is detected in the sample, the patient may be called in for further examinations. The latest findings, published in international journal Nature Genetics, suggest a faulty gene found on chromosome 8 may trigger bowel cancer, and account for 10per cent of all cases of the disease.
Let's Beat Bowel Cancer
An initiative of Cabrini Health, Let's Beat Bowel Cancer is a not-for-profit, community awareness program dedicated to saving lives through improved bowel cancer research, education and prevention.
Suite 20, Cabrini Medical Centre, Isabella St Malvern VIC 3144