Preparation for endoscopic bowel examination

Preparation for endoscopic bowel examination.

Provides for a special diet, a special eating regime on the eve of the procedure and intestinal cleansing with the help of special preparations.

1. Diet

The diet should be started at least 2 days before the study (in case of prolonged constipation - 3-4 days).

Allowed:

• boiled lean meat, poultry, fish, eggs
• low-fat cottage cheese and fermented milk products
• light clear broth
• Non-strength black tea (without milk)
• compotes and juices without pulp
• still water

Prohibited:

• plant foods: vegetables,
• fruits, berries, herbs, nuts
• all types of porridge and cereal dishes
• bakery products
• juice with pulp
• carbonated drinks, alcohol,
• other products that are not included in the list of permissible products

2. Dietary regime

If the colonoscopy is scheduled for the morning (8.00 - 10.00), then the day before breakfast should be no later than 9.00. Then - only liquids from the list of allowed foods.

If the colonoscopy is carried out between 10.00 and 14.00, the day before, breakfast and lunch are allowed no later than 13.00. Then only liquids from the list of allowed foods are allowed.

On the day of the examination, eating and drinking are completely excluded, you can only rinse your mouth with water.

3 Bowel cleansing

Products such as Moviprep or Fortrans are used worldwide for this purpose. Any of the drugs should be taken the day before the procedure. In parallel with taking the medication, you should do simple housework, or do simple exercises such as squatting, bending, rotating the body.

The patient can choose the drug that suits him. However, endoscopists recommend using Fortrans in the following cases:

• if the patient is taking AGF-inhibitors (Captopril, Capoten and their analogues);
• if the patient is taking angiotensin receptor blockers (Atacand, Oxaar and their analogues);
• If the patient has symptoms suggestive of Crohn's disease or nonspecific ulcerative colitis (NUC);
• If the patient has conditions such as:

1. diabetes mellitus;
2. kidney failure;
3. heart failure.

Moviprep:

In 1 litre of water dilute the contents of both sachets of the drug. All this liquid should be drunk within an hour, starting from 18-00. You should drink it gradually - approximately one glass every 10 minutes. It is necessary to drink 1 glass in 15 minutes. Find out more at the link!

Fortranse:

An indicator of the patient's readiness for colonoscopy is the discharge of clear or yellowish fluid. Detailed preparation of Fortnas can be found at the active link!

Patients who are on therapy should consult their physician about the use of the medication.

Restrictions on taking medications.

1. It is recommended that prophylactic anti-clotting agents (Xarelto, Warfarin and Plavix) and non-steroidal anti-inflammatory drugs (NSAIDs) be discontinued 7 days prior to the procedure.
2. In cases where drug therapy is necessary (e.g., after a stroke or stent placement less than six months prior to colonoscopy), the appropriate specialist (neurologist, cardiologist) should be consulted.
3. Patients who take Coumadin are recommended to perform a blood coagulation test. Based on the results, discuss with your doctor about changing Coumadin to Clexane 7 days before the colonoscopy. Clexane should be stopped 12-24 hours before the colonoscopy.
4. Iron preparations (Venofer, Maltofer Fol, Totema, Ferlatum, Fenulse, Ferinject, Ferroceron, Ferroplex, Ferronal, Ferrocal, Conferon, Tardiferon, Sorbifer) should be discontinued 3 days before the examination.

If you still have any questions, have any difficulties, require individual recommendations on preparation for the examination - please contact the endoscopists of our medical centre for consultation.