• 954-428-2480
  • 954-428-2904
  • Mon to Fri 8:30am to 5:00pm
Instructions

INSTRUCTIONS FOR COLONOSCOPY

Hi,




Preparation: You will be undergoing a colonoscopy. A colonoscopy is a test to look at the lining of your large intestine/colon using a flexible tube to check for abnormal areas, including cancer. You will be given IV (intravenous) anesthesia for this procedure.

Five to Seven Days before your Colonoscopy

  • DO NOT take any aspirin, products containing aspirin, non-steroidal anti- inflammatories/NSAIDS (e.g. Aleve, Motrin, ibuprofen, naproxen), COX-2 Inhibitors (e.g. Celebrex), Pentoxyfylline (Trental), Nabumetone (Relafen)
  • DO NOT take iron supplements, vitamins or herbal supplements
  • DO NOT take blood thinners, such as clopidogril (Plavix), dipyridamole (Aggrenox, Persantine), or warfarin (Coumadin). If you cannot stop taking these medications, please discuss this with your provider.


Note: Acetaminophen products (e.g. Tylenol) are safe to use before your procedure. Arrange for transportation as you will not be allowed to drive after the procedure.


Day before your Colonoscopy

  • The entire day before your colonoscopy, no solid foods and stay close to a bathroom facility.
  • You must follow a clear liquid diet (e.g. water, plain coffee, tea, gelatin, apple juice, white grape juice, chicken broth, beef broth, Gatorade.)
  • You mustAVOID any red or purple products
  • Take 2 tablets of Dulcolax at 1:00pm and another 2 tablets at 3:00pm then begin drinking the first half of solution starting at 3:00pm and the other half 9:00pm. Drink 8 ounces of solution throughout 10-15 minutes until you finish the entire bottle.
  • You may use a small amount of lemon juice or small amount of Crystal Light to flavor the solution if needed. You may suck on lemon slices as well.
  • Refrigerate or chill the solution to make it easier to swallow. Sometimes drinking the solution through a straw is helpful.
  • Do NOT eat or drink after midnight (minimum of 8 hours before your procedure)
  • You will know you have done a good job completing your prep solution once your stools are clear and watery. The stool should not be muddy or thick.
  • You may experience some bloating, cramping, nausea, diarrhea, and/or vomiting. This is usually temporary and the symptoms will gradually improve. You may feel weak, especially if you have not taken enough fluid with the prep solution and can be remedied by increasing your fluid intake.
  • Wet aloe wipes and a zinc oxide based ointment may relieve any soreness related to stool evacuation.
  • No alcohol


Day of your Colonoscopy

  • Do NOT eat or drink anything. If you must take your medication, you may take it with a few small sips of water.
  • You may brush your teeth.
  • If you are DIABETIC , do not take your medication the morning of the procedure. If you must take your medication, take only half of your regular dose. Continue to check your blood sugars as you normally do.
  • Please arrive at the facility on time.
  • You should not wear jewelry to the procedure.
  • You will not be allowed to drive home. You may have a relative or friend drive you home. You may also go home in a taxi or by bus and must be accompanied at all times even upon arrival home.

Please ensure you have a follow up appointment to discuss the test results with our provider. Feel free to call our office with any questions or concerns. Good Luck!

A minimum of 48 hours notice is required for cancellations for procedures and office appointments.

Instructions

INSTRUCTIONS FOR COLONOSCOPY

Key Points for your colonoscopy prepping. For more information please read the whole package:

Medications for the preparation:
  • - 4 Tablets of Dulcolax
  • - 1 Gallon of NuLYTELY or similar products. Less liquid colonoscopy preps are available, most often does not get coverage from insurance company. If you are interested, please ask your procedure coordinator.
Please inform your procedure coordinator if you are on the following:
  • - Blood thinner (aspirin, aleve, motrin, plavix, coumadin…)
  • - Have any heart conditions
  • - Take any medications in the morning
Day before your colonoscopy:
  • - NO FOOD. Stay on a clear liquid diet. No Solid Food! Stay closed to the bathroom
  • - NO RED or PURPLE products.
  • - At 1:00 pm take 2 tablets of Dulcolax
  • - At 3:00 pm take 2 additional tablets of Dulcolax
  • - Start drinking the solutions. Drink 8 ounces of solution every 10-15 minutes. Sip it like tea. Drinking it too fast will result in vomiting.
  • - Immediately right after the second dosages of Dulcolax, begin drinking the 1st half of the solution as directed above until you finish half.
  • - At 9:00 pm start drinking the 2nd haft as directed above until you finish the whole entire bottle.
  • - DO NOT eat or drink after midnight.
  • - No Alcohol
Day of your Colonoscopy:
  • - Nothing to eat or drink unless it was approved by the doctor. If you have any questions about your medications, please ask your procedure coordinator.

COLONOSCOPY

Overview:

The average lifetime risk of getting colorectal cancer is approximately 1 in 22 men and 1 in 24 women. Colorectal cancers are the second leading cause of cancer death in the United States. Many of these deaths can be prevented by getting early, regular screenings.

A colonoscopy is a screening test used to detect and prevent colon and colorectal cancers. Colonoscopies are also tools that can help determine the cause of gastrointestinal conditions, such as: chronic diarrhea or constipation and rectal or abdominal bleeding.

It’s recommended that people with average cancer risk start getting this test at age 45 or 50, and every 10 years afterward, through age 75.

Your family history and race may affect your risk of getting colon or colorectal cancer. Certain conditions may also increase your risk, such as:

  • history of polyps in the colon
  • Crohn’s disease
  • inflammatory bowel disease
  • ulcerative colitis

Talk to a doctor about your specific risk factors while determining when and how often you should have a colonoscopy. Nothing in life is without some level of risk, including this procedure. However, colonoscopies are done every day and are considered safe. While serious complications and even death may occur as a result of colonoscopy, your chances of getting colon or colorectal cancer far outweigh these possibilities.

Despite what you may have heard, preparing for and having a colonoscopy aren’t especially painful. Your doctor will give you specific instructions on how to get ready for the test.

Bowel prep is essential. It’s used to ensure that your colon is completely free of waste, providing your doctor with a clear view during the colonoscopy.

Colonoscopies are done either under twilight sedation or general anesthesia. As with any surgery, your vital signs will be monitored throughout. A doctor will insert a thin flexible tube with a video camera at its tip into your rectum.

If any abnormalities or precancerous polyps are seen during the test, your doctor will most likely remove them. You may also have tissue samples removed and sent for biopsy.

Colonoscopy risks

According to the American Society for Gastrointestinal Endoscopy, serious complications occur in around 2.8 percent of every 1,000 procedures when done in people of average risk.

If a doctor removes a polyp during the test, your chances of complications may increase slightly. While exceedingly rare, deaths have been reported following colonoscopies, primarily in people who had intestinal perforations occur during the test.

Choosing the outpatient facility where you have the procedure may impact your risk. One study showed a marked difference in complications, and quality of care, among facilities.

Risks associated with colonoscopy include:

Perforated intestine

Intestinal perforations are tiny tears in the rectum wall or colon. They can be made accidentally during the procedure by an instrument. These punctures are slightly more likely to occur if a polyp is removed.

Perforations can often be treated with watchful waiting, bed rest, and antibiotics. Large tears are medical emergencies that require surgical repair.

Bleeding

If a tissue sample is taken or a polyp removed, you may notice some bleeding from your rectum or blood in your stool a day or two after the test. This is typically nothing to be worried about. However, if your bleeding is heavy, or doesn’t stop, let your doctor know.

Post-polypectomy electrocoagulation syndrome

This rare complication can cause severe abdominal pain, rapid heart rate, and fever after a colonoscopy. It’s caused by an injury to the bowel wall which results in a burn. These rarely require surgical repair and can usually be treated with bed rest and medication.

Adverse reaction to anesthetic

All surgical procedures carry some risk of negative reactions to anesthesia. These include allergic reactions and respiratory distress.

Infection

Bacterial infections, such as E. coli and Klebsiella, have been known to occur after colonoscopy. These may be more likely to happen at medical centers that have inadequate infection control measures put in place.

Colonoscopy risks for older adults

Because colon cancer grows slowly, colonoscopies aren’t always recommended for people of average risk or who are older than 75, provided they had the test at least once during the last decade. Older adults are more likely than younger patients to experience complications or death after this procedure.

The bowel prep used can sometimes be of concern for seniors because it can lead to dehydration or electrolyte imbalance. People with left ventricular dysfunction or congestive heart failure may react poorly to prep solutions containing polyethylene glycol. These may increase intravascular water volume causing complications such as edema.

Prep drinks containing sodium phosphate might also cause kidney complications in some older people.

It’s vital that older people completely understand their colonoscopy prep instructions and are willing to drink the full amount of prep liquid required. Not doing so could result in lower completion rates during the test.

Based on underlying health conditions and health history in older adults, there can also be an increased risk for heart- or lung-related events in the weeks following a colonoscopy.

Problems after colonoscopy

You’ll most likely be tired after the procedure. Since anesthesia is used, you may be required to have someone else take you home. It’s important to watch what you eat after the procedure so as not to irritate your colon and to avoid dehydration.

Postprocedure problems may include:

  • feeling bloated or gassy if air is introduced into your colon during the procedure and it starts to leave your system
  • a slight amount of blood coming from your rectum or in your first bowel movement
  • temporary light cramping or abdominal pain
  • nausea as a result of the anesthesia
  • rectal irritation from the bowel prep or the procedure

When to call a doctor

Any symptom that causes concern is a good reason to call a doctor.
These include:

  • severe or prolonged abdominal pain
  • fever
  • chills
  • severe or prolonged bleeding
  • rapid heart rate

Alternatives to a traditional colonoscopy

Colonoscopy is considered the gold standard of screening tests for colon and rectal cancers. However, there are other types of tests that might be appropriate for you. These tests typically require colonoscopy as a follow-up if abnormalities are uncovered. They include:

  • Fecal immunochemical test. This at-home test checks for blood in the stool and must be taken annually.
  • Fecal occult blood test. This test adds a blood test component to the fecal immunochemical test and also must be repeated annually.
  • Stool DNA. This at-home test analyzes stool for blood and for DNA that might be associated with colon cancer.
  • Double-contrast barium enema. This in-office X-ray also requires prior bowel cleansing prep. It can be effective at identifying large polyps but may not detect smaller ones.
  • CT colonography. This in-office test also uses bowel cleansing prep but does not require anesthesia.

List of Aspirin or Aspirin Related Drugs


4-Way Cold Tablets

Adprin - B Tablets

A.S.A. Enseals

A.S.A. Tablets

Aches-N Pain Tablets

Advil

Alcohol

Aleve Tablets

Alka-Seltzer Products

Amigesic capsules

Anacin Tablets and Capsules

Anaprox, Anaprox DS Tablets

Anodynos Tablets

Ansaid Tablets

APC

Argesic Tablets

Artha-G Tablets

Arthralgen Tablets

Arthritis Bayer Timed Release Aspirin

Arthritis Pain Formula Tablets

Arthritis Strength Buffering Tablets

Arthropan Liquid

Arthrotec

Ascodeen

Ascriptin, All products

Asperbuf Tablets

Aspergum [chewing gum]

Aspirin

Asprimox Tablets

Axdone

Axotal Tablets

Bayer, All products

BC Tablets and Powder

Brufen

Buf-Tabs

Buff-A Comp No. 3 Tablets with codeine

Buff-A Comp Tablets and Capsules

Buffaprin Tablets

Bufferin, All products

Buffets II Tablets

Buffex Tablets

Buffinol Tablets

Cama Arthritis Pain Relieve

CataFlam Tablets

Cephalgesis

Cheracol

Children Aspirin

Children's Advil Suspension

Children's Motrin Suspension

Congesprin

Cope Tablets

Coricidin

Coumadin

Darvon Compound Pulvules

Darvon with A.S.A. Pulvules

Darvon Compound-65

Darvon-N with A.S.A.

Dasin Capsules

Daypro Tablets

DiFlunisal

Disalcid Capsules

Doan’s Pills

Dolobid Tablets

Dristan

Duoprin-S Syrup

Duradyne Tablets

Easprin

Ecotrin Tablets

Emagrin Tablets

Empirin Tablets

Emprazil

Endodan Tablets

Epromate Tablets

Equagesic Tablets

Equazine M Tablets

Etodolac

Excedrin Tablets and Capsules

Feldene Capsules

Fenoprofen Tablets

Fiorgen PF Tablets

Fiorinal Tablets

Fluriprofen Tablets

Gelpirin Tablets

Gensan Tablets

Goody's Headache Powder

Halfprin Tablets

Haltran Tablets

Ibu-Tab Tablets

Ibuprin Tablets

Ibuprohm Tablets and Caplets

Indochron E-R Capsules

Indocin Capsules/Suspension/ Suppositories

Indocin-SR Capsules

Indomethacin Capsules

Indomethacin Suspension

Isollyl Improved Tablets & Capsules

Ketrolac Tablets

Ketoprofen Capsules

Lanorinal Tablets

Lodine Capsules /Tablets

LodineXL

Lortab

Magan Tablets

Magnaprin Arthritis Strength Captabs

Magsal Tablets

Mamal Capusles

Marthritic Tablets

Maximum Bayer Aspirin

Measurin Tablets

MecloFenamate Capsules

Meclomen Capsules

Medipren Tablets and Caplets

Menadol Tablets

Meprogesic Tablets

Micrainin Tablets

Midol 200 Tablets

Midol, All products

Mobidin Tablets

Mobigesic Tablets

Momentum Tablets

Motrin Tablets

Nalfon Capsules/Tablets

Nalfon Pulvules

Naprosyn Tablets/Suspension

Naproxen Tablets

Neocylate Tablets

Norgesic & Norgesic Forte Tablets

Norwich Extra-Strength Tablets

Nuprin Tablets and Caplets

Orphengesic

Orudis Capsules

Oruvail Capsules

Pabalate

Pabalate-SF Tablets

PAC Tablets

Pamprin-IB Tablets

Pepto-Bismol Tablets and Suspension

Percodan and Percodan Demi Tablets

Phenaphen

Piroxicam Capsules

Ponstel Capsules

Presalin Tablets

Relafen Tablets

Robaxisal Tablets

Rufen Tablets

S-A-C

Saleto Tablets Capsules,

Saleto-200 Tablets

Saleto-400,600,800 Tablets

SalFlex Tablets

Salocol Tablets

Salsalate Tablets

Salsitabs Tablets

Sine-Aid

Sine-Off

SK-65 Compound Capsules

Soma

Soma CMD

St. Joseph Adult Chewable Aspirin

St. Joseph Cold Tablets for Children

St. Joseph Aspirin for Children

Sulindac Tablets

Supac

Synalgos Capsules

Synalgos-DC Capsules

Talwin Compound Tablets

Tolectin 200,600 Tablets

Tolectin DS Capsules

Tolmetin Tablets/Capsules

Toradol

Injection/Tablets

Trendar Tablets

Tricosal Tablets

Tri-Pain Tablets

Trigesic

Trigesic Tablets

Trilisate Tablets and Liquid

Vanquish Caplets

Verin

Voltaren Tablets

Zactin

Zorprin Tablets

CLEAR LIQUID DlET


This diet provides fluids that leave little residue and are easily absorbed with minimal digestive activity. This diet is inadequate in all essential nutrients and is recommended only if clear liquids are temporarily needed.


sgc-milk
Food Group

Milk & beverages

  • Foods Allowed:
  • Tea (decaffeinated or regular)
  • Carbonated beverages
  • Fruit flavored drinks
  • Foods to Avoid:
  • Milk
  • Milk drinks
sgc-meat
Food Group

Meats & Meat Substitutes

  • Foods Allowed:
  • None
  • Foods to Avoid:
  • All
sgc-Vegetables
Food Group

Vegetables

  • Foods Allowed:
  • None
  • Foods to Avoid:
  • All
sgc-fruits
Food Group

Fruits & Fruit Juices

  • Foods Allowed:
  • Strained fruit juices: apple, white grape, orange
  • Foods to Avoid:
  • Fruit juices with unstrained fruit
sgc-grains
Food Group

Grains & Starches

  • Foods Allowed:
  • None
  • Foods to Avoid:
  • All
sgc-soups
Food Group

Soups

  • Foods Allowed:
  • Clear broth
  • Consommé
  • Foods to Avoid:
  • All others
sgc-desserts
Food Group

Desserts

  • Foods Allowed:
  • Clear flavored gelatin
  • popsicles, (no red flavors)
  • Foods to Avoid:
  • All others
sgc-fat
Food Group

Fats

  • Foods Allowed:
  • None
  • Foods to Avoid:
  • All
sgc-honey
Food Group

Miscellaneous

  • Foods Allowed:
  • Sugar, honey, syrup
  • Clear hard candy
  • Salt
  • Foods to Avoid:
  • All others

BREAKFAST

  • 4 oz. White grape juice
  • 6 oz. broth
  • Jell-0
  • Tea

LUNCH

  • 4 oz. Apple juice
  • 6 oz. broth
  • Jell-0
  • Tea

DINNER

  • 4 oz. Orange juice (strained)
  • 6 oz. broth
  • Jell-0
  • Tea

North Broward

201 East Sample Rd

Pompano Beach, FL

(954) 941-8300

Coral Springs Medical Center

3000 NW 96th Ave

Coral Springs, FL 33065

(954) 344-3000

Broward General Medical Center

1600 S Andrews Ave

Fort Lauderdale, FL 33316

(954) 355-4400

Surgery Center at Coral Springs

967 North University Drive

Coral Springs, FL 33071

(954) 509-1367

Northwest Medical Center

2801 N State Rd 7

Margate, FL 33063

(954) 974-0400

Boca Outpatient Surgical Center

501 Glades Road

Boca Raton, FL 33432

(561) 367-6090