Patient Instructions before UGI & Colonoscopy procedures at YMCH

Colonoscopy preparation at Yenepoya Hospital Mangalore : 1. Liquid diet for 3 days before the procedure 2. Tab.Dulcolax bedtime daily for 2 days.  3. Start PEGLAC Bowel preparation. Dissolve PEGLAC powder  in 2 litres of water, add  some Limca    Start the preparation  @ 2pm one day before Procedure. 4. Keep patient fasting post Midnight 5. Start IV fluids if there is no Contraindication. 6. Be careful about Ischemic heart disease, DM and chronic liver disease patients  7. Book an appointment with anaesthesia on call and schedule on Backbone Patient instructions before the UGI Endoscopy procedure   Food and medications The patient will need to stop drinking and eating up to eight hours before the endoscopy to ensure the stomach is empty for the procedure. If your patient is heart patient, please inform us if the patient is taking blood-thinning medications, Tab. Warfarin Start IV fluids if not contraindicated. Be careful about diabetes and chronic liver disease patients  Indications for colonoscopy:
1.Lower GI bleeding
2.Screening and surveillance of colorectal polyps and cancers: a. Colon cancer b. Surveillance after polypectomy c. Colorectal cancer post-resection surveillance d. Inflammatory bowel diseases
3.Acute and chronic diarrhea
4.Therapeutic indications for colonoscopy: a. Excision and ablation of lesions b. Treatment of lower GI bleeding c. Colonic decompression d. Dilation of colonic stenosis e. Foreign body removal
5.Miscellaneous indications: a. Abnormal radiological examinations b. Isolated unexplained abdominal pain c. Chronic constipation d. Preoperative and intraoperative localization of colonic lesions

Bowel prep for colonoscopy

Preparing for a colonoscopy

Diet, tips, and instructions for a smooth colonoscopy preparation

·      Colon cancer is treatable when detected early Colonoscopy is  worth the hassle.   

·      It can also detect and remove polyps, small growths that can develop into colon cancer.  

What's involved in colonoscopy prep?

·      Emptying the contents of the colon is a key requirement for a successful colonoscopy.

·      If the bowel prep isn't up to par, polyps and lesions can be missed; the colonoscopy may take longer (increasing the risk of complications); or the whole process may need to be repeated or rescheduled, meaning another round of bowel prep.

Colonoscopy prep diet

A few days before the colonoscopy procedure — Start eating a low-fiber diet: no whole grains, nuts, seeds, dried fruit, or raw fruits or vegetables.

The day before the colonoscopy procedure — Don't eat solid foods. Instead, consume only clear liquids like clear broth or bouillon, black coffee or tea, clear juice (apple, white grape), clear soft drinks or sports drinks, Jell-O, popsicles, etc.

The day of the colonoscopy procedure — As on the previous day, clear liquid foods only. Don't eat or drink anything two hours before the procedure.

Bowel prep for colonoscopy

·      The afternoon or evening before the colonoscopy, drink a liquid that will trigger bowel-clearing diarrhea.

·      The exact colonoscopy prep instructions depend on the bowel prep your doctor prefers, the time of your colonoscopy, and any prior experience you've had with colon preps (if one didn't work before, you'll likely be prescribed a different one).

Colonoscopy prep tips:

1.    Make sure you receive your colonoscopy prep instructions well before your procedure date, and read them completely as soon as you get them. 

2.     Water can get boring, so keep a variety of clear liquids on hand. On the day before your colonoscopy — when you're restricted to clear liquids — you can have popsicles, Jell-O, clear broth, coffee or tea (without milk or creamer), soft drinks, Italian ice, or Gatorade. But take nothing with red, blue, or purple dye. Drink extra liquids before, during, and after your bowel prep (usually until a few hours before your procedure), as well as after your colonoscopy.

3.    To make a bad-tasting liquid prep like magnesium citrate easier to swallow, try one or more of the following if it doesn't come flavored: add some Crystal Light or Kool-Aid powder (again, not red, blue, or purple); add some ginger or lime; drink it chilled; drink it through a straw placed far back on your tongue; hold your nose and drink it as quickly as possible; quickly suck on a lemon slice after you finish each glass; hold a lemon or lime under your nose while you drink; suck on a hard candy after each glass.

4.    Wear loose clothing, and stay near the bathroom. Better yet, once the preparation starts to work, stay in the bathroom — because when the urge hits, it's hard to hold back. Consider setting up shop near the toilet with music, your laptop, magazines, or books.