Preparations

Below are listed preparation instructions for a colonoscopy and a gastroscopy only. For other procedures your doctor will discuss preparation at time of consultation.

For a colonoscopy you will be required to take a bowel preparation to cleanse the bowel. It is important to have a well cleansed bowel and make it easier for the doctor to view the bowel you must adhere to the instructions carefully. Each doctor has a preference of which preparation they request you to undergo, this will also be discussed at time of consultation on which preparation your doctor requires you to use. Please click below on the preparation you are required to take as advised by your treating doctor.

General Information prior to a Gastroscopy & Colonoscopy

This is general information and preparation for a gastroscopy and colonoscopy.

Each day surgery location has different protocol on notifying you the time of your admission please below:

  • City East Specialist Day Hospital – Will call or text you the day before.
  • Prince of Wales Private Hospital – Will call after 4PM the day before.
  • St George Private Hospital – Will call the day before.
  • Double Bay Day Hospital – Will call or text you the day before.

GENERAL

  • Do not drink alcohol the day before your procedure.
  • Do not eat or drink anything – nil by mouth – for 6 hours prior to your scheduled admission time (no water, chewing gum or sucking lollies)
  • You must arrange an escort to accompany you home.

MEDICATIONS

  • You are to cease taking anticoagulants (tablets which thin the blood) or aspirin, as discussed with your doctor
  • Iron tablets or multivitamins containing iron, should be ceased 7 days prior to your admission.
  • Asthma inhalers should be brought with you to the day surgery.
  • If you are a diabetic you will be provided with instructions regarding your medication.
  • If suffering from a headache during your fasting time, Panadol may be taken with a sip of water.
  • Essential medication eg blood pressure or heart medication, MUST be taken with a sip of water on the morning of your procedure.

ON THE DAY OF YOUR APPOINTMENT

  • Do not wear jewellery and do not bring valuables to the day surgery
  • You can bring reading glasses / hearing aid if you need them
  • Bring a contact telephone number for your escort so the recovery nurse can ring half an hour prior to your discharge and ask them to come to the Day Surgery.
  • You will be at the Day Surgery between 3 – 4 hours from the time of admission to discharge.

DISCHARGE INFORMATION

  • On their arrival, your escort will be directed to recovery to collect you.
  • You will be given post-op instructions at the time of your discharge from the day surgery. Please follow these instructions.
  • You should rest at home for the remainder of the day.
  • You can return to normal diet.
  • Do not drive a car, operate machinery or sign legal documents for 24 hrs after the procedure. If you drive, your insurance will not cover you for any accidents incurred during this 24 hours.

 

Diacol – Tablet Preparation

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Please purchase 1 x bottle of Diacol containing 32 tablets.

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

Two Day Prior To Your Procedure:

  • Stop eating brown bread, red meats, cereals, vegetables & fruit.
  • Do not have anything with seeds in it.
  • Do not have any hard cheese.
  • You may eat eggs, steamed white fish, boiled chicken, cottage cheese, low fat plain yoghurt, white bread, white pasta, white rice, clear jelly, skim milk and well cooked pumpkin or well cooked peeled potato.

One Day Prior To Your Procedure:

Staying hydrated is very important

  • Make sure you drink as much as you can before, during and after taking Diacol.
  • Your body loses significant amount of body fluid during bowel preparation.
  • In order to prevent dehydration, it is important to replace fluid loss by drinking clear liquids.

DURING THE DAY, DRINK ONLY RECOMMENDED CLEAR FLUIDS FOR BREAKFAST, LUNCH & DINNER. NO FOOD, NO MILK PRODUCTS ALLOWED. DRINK AT LEAST ONE GLASS OF CLEAR FLUID PLUS PREPARATION TABLETS.

Recommended Clear Fluids:

Water, strained fruit juice without the pulp (apple, white, grape, pineapple and pear), clear broth, tea or coffee without milk or cream, clear sugar-free cordials such as lemon or lime (no purple or red colourings), plain sugar-free jelly and clear ice blocks. Do not drink carbonated beverages. Do not drink alcohol beverages.

Individual responses to laxatives do vary. This preparation may cause multiple bowel movements. It usually induces frequent, loose bowel movements within 2 to 3 hours of taking the first dose. Please remain within easy reach of toilet facilities.

Step 1: 1 hour duration – evening before procedure

One dose (4 tablets with at least 250mL of clear liquid) every 15 minutes for a total of 5 doses (20 tablets).

If the time of your colonoscopy is at:

9AM – Start prep at 4.30PM

10AM – Start prep at 5.30PM

11AM – Start prep at 6.30PM

12PM – Start prep at 7.30PM

1PM – Start prep at 8.30PM

Step 2: 1/2 hour duration – day of procedure

One dose (4 tablets with at least 250mL of clear liquid) every 15 minutes for a total of 3 doses (12 tablets).

If the time of your colonoscopy is at:

9AM – Start the prep at 5.30AM

10AM – Start the prep at 6.30AM

11AM – Start the prep at 7.30AM

12PM – Start the prep at 8.30AM

1PM – Start the at 9.30AM

Avoid food and drink 3-5 hours prior to your procedure

Fleet Phospho-Soda

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Purchase 2 bottle of Fleet Phospho-soda from your pharmacy.

Hydration and Diet prior to the procedure
On the day before the procedure, you should only take clear liquids (see list below) for breakfast, lunch and dinner and between doses. No solid food, milk or milk products should be taken on the day before the procedure.

You should drink as much clear liquid as possible between doses to prevent dehydration and to ensure that your bowel is clean for the procedure.

Clear Liquids List
Beverages – water, tea, coffee (no milk or non-dairy creamer; sweeteners are acceptable); carbonated or non carbonated soft drinks (not red or purple); fruit flavoured cordials, (not red or purple) ; strained fruit juices without pulp; strained low sodium chicken or beef soups without solid material. Do not drink any alcoholic beverages.

IMPORTANT: The intake of clear liquids is an essential part of this regimen.

Timing of Fleet Phospho-soda
Depending on whether the medical procedure is intended to be performed at early morning, mid-morning or later, two alternative dosage regimens are set out below:

Early morning procedure
The first dose is taken at 7AM on the day before the procedure.
The second is taken at 7pm on the evening before the procedure.

Mid-morning (or later) procedure
The first dose is taken at 7pm on the evening before the procedure.
The second dose is taken at 7am on the morning of the procedure.

How to take Fleet
Diluting Fleet Phospho-soda with clear liquids such as ginger ale, lemon/lime drinks or clear apple juice significantly improves the taste. Chilling the clear liquids may also help improve the taste.

IMPORTANT: The intake of clear liquids is an essential part of this regimen.

FIRST DOSE
First bottle: Mix 15mL (one third of the bottle) of Fleet Phospho-soda into a full glass (approximately 250mL) of clear liquids (see list above) and drink

Repeat two more times at 10 minutes and 20 minutes.

BETWEEN DOSES
Between the first and second doses, drink at least three more glasses (approximately 250mL each) of clear fluids to prevent dehydration and to ensure a clean bowel.

SECOND DOSE
Second bottle: Mix 15mL (one third of the bottle) of Fleet Phospho-soda into a fully glass (approximately 250mL) of clear liquids and drink.

Repeat two more times at 10 minutes and 20 minutes.

NOTE: MAKE SURE YOU ARE CLOSE TO THE TOILET WHEN TAKEN THIS PREPARATION.

MOVIPREP

moviprep-1

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Your gastroenterologist is to examine your large intestine (also called bowel or colon). To prepare for this procedure, known as a colonoscopy, the bowel must be totally empty and clean so that it can be examined thoroughly.

Please read all of the instructions ahead of time so you are adequately prepared for the procedure. 

AT LEAST 4 DAYS BEFORE YOUR PROCEDURE Purchase 1 box of MOVIPREP powder for oral solution from your pharmacist.This can be purchased from a pharmacy without prescription.
3 DAYS PRIOR TO YOUR PROCEDUREAvoid foods that contain nuts, whole grains, skins or seeds. AVOID FOODS like: Wholegrain Bread, Cereals, Muesli, Muesli Bars, any Nuts or food containing Nuts, Strawberries, skin on Apple, Pear, Peach or Nectarine (peeled fruit is Ok), Citrus Fruit, Grapes, Tomato skin or seeds, Sundried Tomato, skin on Capsicum, Eggplant or Potato (peeled vegetables are Ok), Sultanas and Raisins.Allowed Foods: White/wholemeal bread (No whole seeds),Pita/ Turkish bread, Lean Meat , Poultry, Fish, Peeled fruit, Peeled Vegetables(No beetroot), Roasted peeled potato, Mash potato, Hot Chips, Crackers (No Seeds) e.g. Sao, Jatz, Eggs, Butter/Margarine, Vegemite, Promite, Marmite, Cheese, Custard, Ice-cream, Chocolate (avoid bars containing nuts).
MOVIPREP IS A 2-STEP PROCEDURE Each box of MOVIPREP has 2 identical clear plastic bags each with 2 sachets marked sachet A and sachet B.Each plastic bag represents one dosing regimen each of one litre.The 2 dosing regimens are taken at different times prior to the colonoscopy depending on whether your colonoscopy is scheduled before midday (MORNING PROCEDURE) or after midday (AFTERNOON PROCEDURE). 
FOR A MORNING PROCEDURE On the DAY BEFORE your procedureHave breakfast (allowed foods – as listed above), still avoiding foods containing nuts, whole grains, skins or seeds.After this meal you will be on CLEAR FLUIDS (see below for allowed liquids).STEP 1 – FIRST DOSING REGIMEN: At 4pm (earlier if preferred) prepare the MOVIPREP as per the instructions on the reverse of this leaflet. Drink the 1 litre of MOVIPREP over 1-2 hours (1 cup every 15-20 minutes is recommended). Follow by 500-mls (2 cups) of clear fluids in the next 30 minutes. Allow 2 hours for MOVIPREP to work.STEP 2 – SECOND DOSING REGIMEN: At 8pm (or a minimum 2 hours since finishing your first dose of MOVIPREP) prepare your second dose of MOVIPREP. Drink the 1 litre of MOVIPREP over 1-2 hours (1 cup every 15-20 minutes is recommended). Follow by 500-mls (2 cups) of clear fluids in the next 30 minutes. Allow 2 hours for MOVIPREP to work. When you are no longer experiencing watery stools go to bed as usual.Keep drinking the APPROVED clear fluids (no food) UNTIL fasting time before your procedure. FASTING means NOTHING to eat, drink, suck or chew. The required fasting time is at least 6 hours prior to the colonoscopy.FOR AN AFTERNOON PROCEDURE On the DAY BEFORE your procedureHave breakfast and lunch (allowed foods – as listed above), still avoiding foods containing nuts, whole grains, skins or seeds. After this you will be on CLEAR FLUIDS (see below for allowed liquids).STEP 1 – FIRST DOSING REGIMEN: At 6pm (earlier if preferred), the evening before your procedure, prepare the MOVIPREP as per the instructions on the reverse of this leaflet. Drink the 1 litre of MOVIPREP over 1-2 hours (1 cup every 15-20 minutes is recommended). Follow by 500-mls (2 cups) of clear fluids in the next 30 minutes. Allow 2 hours for MOVIPREP to work. When you are no longer experiencing watery stools go to bed as usual. Allow 2hours for MOVIPREP to work. When you are no longer experiencing watery stools go to bed as usual.STEP 2 – SECOND DOSING REGIMEN: At 6am the next morning (day of your procedure), prepare your second dose of MOVIPREP as per the instructions on the reverse of this leaflet. Drink the 1 litre of MOVIPREP over 1 hour (1 cup every 15 minutes is recommended). Follow by 500-mls (2 cups) of clear fluids in the next 30 minutes. Allow 2 hours for MOVIPREP to work.Keep drinking the APPROVED clear fluids (no food) UNTIL fasting time before your procedure. FASTING means NOTHING to eat, drink, suck or chew. The required fasting time is at least 6 hours prior to the colonoscopy.

PLEASE NOTE: ONCE YOU START MOVIPREP STAY CLOSE TO A TOILET AS YOU WILL EXPERIENCE INCREASINGLY WATERY STOOLS, THIS IS NORMAL, CONTINUE CONSUMING CLEAR FLUIDS (no food) until 6 hours before your procedure. 

When on CLEAR FLUIDS – the Allowed Liquids that are recommended are:Clear fluids include – water, black tea or coffee (NO Milk or non dairy creamer – skim milk is ok), clear soup, non carbonated soft drinks, sports drinks eg gatorade, cordial, strained fruit juice without pulp, clear apple juice, yellow or orange jelly (NO black current,any red, purple, green or blue drinks, including jelly), clear ice blocks.
REMEMBER: YOU MUST NOT EAT OR DRINK ANYTHING FOR 6 HOURS BEFORE YOUR PROCEDURE 

COLONOSCOPY INSTRUCTIONS USING MOVIPREP     

You are taking MOVIPREP to make your bowels clean so that they are ready for examination or surgery. MOVIPREP works by emptying the contents of your bowels, so you should expect to have watery bowel movements.

Inside the box of MOVIPREP there is a Patient Information Leaflet (PIL) which you should read. In addition to the PIL there are 2 identical clear bags. Each bag contains 1 sachet A and 1 sachet B making a total of 4 sachets. Following the instructions below, you will use all 4 sachets to complete your prep. You must complete the entire prep to ensure the most effective cleansing as inadequate cleansing of your bowel will prevent thorough examination.

It is important that you follow your physician’s instructions regarding consumption of clear liquids before your colonoscopy. Clear liquid recommendations are on reverse of this sheet and also appear on the Patient Information Leaflet in the box of MOVIPREP.

INSTRUCTIONS FOR MIXING YOUR MOVIPREP SOLUTION steps 1, 2 and 31. Open one of the clear bags and remove the sachets marked sachet A and sachet B2. Empty the contents of sachet A and sachet B into a container (minimum 1 litre).3. Add 1 litre of water (not chilled) and stir until all the powder has dissolved and the MOVIPREP solution is clear or slightly hazy. This may take up to 5 minutes.
FIRST DOSE REGIMEN steps 4 and 54. Drink the first litre of the MOVIPREP solution over one to two hours. Try to drink a  glassful (250ml) every 15 – 20 min until you have taken all the MOVIPREP solution5. After you have finished, over the course of the next half hour drink two more glasses of water or other clear fluids to prevent you from being thirsty or feeling dehydrated. During steps 4 and 5  stay close to a toilet as you will begin to experience watery bowel movements.
SECOND DOSE REGIMEN steps 6, 7, 8 and 96. Prepare the second container of MOVIPREP by repeating steps 1, 2 and 37 & 8 Drink the second litre of the MOVIPREP solution over one to two hours. Try to drink a  glassful (250ml) every 15 – 20 min until you have taken all the MOVIPREP solution over the course of the next half hour drink two more glasses of water or other clear fluids to prevent you from being thirsty or feeling dehydrated. During steps 7 and 8  stay close to a toilet as you will begin to experience watery bowel movements.9. Make an effort to drink additional clear fluids until 6 HOURS prior to your colonoscopy . At that point, it is important not to consume anything until after your colonoscopy

You must remember to complete the entire prep to ensure the most effective cleansing

Please Note: As with all pharmaceutical products always read the label

MOVIPREP – Dr George Marinos

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MOVIPREP

Purchase one box of Moviprep from your pharmacy 3 days before your procedure – – No script required

If you are prone to constipation, or get constipated on a low fibre diet, take 1 sachet of Movicol twice daily for at least 2 weeks until you begin Moviprep.

*DO NOT take oral medication 1 hour either side of drinking MOVIPREP. Follow instructions given by your Doctor regarding which medications to stop & which to continue.

5 DAYS PRIOR TO YOUR PROCEDURE:  STOP EATING foods that contain SEEDS, GRAINS, PEELS / SKINS (eg jam with seeds eg Strawberry jam), GRAINS (eg Multigrain bread), PEELS / SKIN (eg apple, pear, peach, nectarine) and Vegetables with peel / skin intact (eg corn, peas, capsicum):  SEE BELOW

STOP EATING FOODS like: Corn, peas, Strawberries, Jams, Wholegrain Bread, Cereals, Onion, Muesli, Muesli Bars, any Nuts or food containing Nuts, skin on Apple, Pear, Peach or Nectarine (peeled fruit is Ok), Marmalades with skins, Citrus Fruit, Grapes, Tomato skin or seeds, Sundried Tomato, skin on Capsicum, Eggplant or Potato (peeled vegetables are Ok), legumes eg baked beans or kidney beans, mustard, Sultanas and Raisins, Brown rice, casseroles containing vegetables, lentils, barley, split peas, coconut, sesame, sunflower or poppy seeds, fruit yoghurt fibre supplement.

ALLOWED FOODS: White or wholemeal brown bread (no seeds or grains), Pita / Turkish bread, English muffins, cornflakes, rice bubbles, Lean meat eg. beef, pork, lamb, veal, fish, or chicken, Fish, Peeled fruit, Peeled Vegetables (No beetroot), Roasted peeled potato, Mash potato, Hot Chips, Crackers (No Seeds) e.g. Sao, Jatz, Eggs, Butter/Margarine, Vegemite, Promite, Marmite, Cheese, Custard, Ice-cream, Chocolate (avoid bars containing nuts)

WHEN ON CLEAR FLUIDS – the Allowed Liquids that are recommended are: Clear fluids include – water, black tea or coffee (NO Milk or non dairy creamer – skim milk is ok), clear soup/broth, soft drinks, sports drinks e.g. Gatorade/Powerade, cordial, strained fruit juice without pulp, clear apple juice, yellow or orange jelly (NO black current, any red, purple, green or blue drinks, including jelly), clear ice

IMPORTANT:

¨   Drink a lot of clear fluids on the day before the procedure; avoid all seeds, grains, nuts and skins; and keep as mobile as possible
¨   DIABETICS – half the insulin dose on the day prior to procedure and don’t take insulin on the day of the procedure.
¨   DIABETICS – omit diabetic tablets on the evening prior to and on the morning of the procedure
¨   Stop any anti-platelet agents for 5-7 days or at least discuss it with physician or GP; these include:

  • any aspirin preparation (eg Cartia, Astrix, Cardiprim, Asasantin, Disprin or any soluble aspirin) or
  • any Clopidogrel preparation (Plavix, Iscover or Co-Plavix) or
  • any anti-inflammatory agent such as Nurofen, Naprosyn, Ibuprofen, Voltaren, Mobic, Orudis, Oruvail, Indocid, Feldene….

¨   Stop Warfarin for 4 days prior to the procedure
¨   ALWAYS take all blood pressure medications, even on the day of the procedure
¨   Stop all iron supplements for at least 1-week prior to procedure
¨   Stop all vitamin and health food supplements for at least 1-week

PLEASE FOLLOW THE INSTRUCTIONS ACCORDING TO THE TIME OF YOUR PROCEDURE – A box of MOVIPREP has 2 identical clear plastic bags each with 2 sachets marked sachet A and sachet B. Each plastic bag represents one
dosing regimen each of 1-litre.

Early Morning Procedure: (7am – 9am) Diabetics / Elderly

On the day BEFORE your procedure: Have a light breakfast, (NO LUNCH OR DINNER) still avoiding
foods containing SEEDS, GRAINS & PEELS. After breakfast you will be on CLEAR FLUIDS ONLY until 4-hours before your procedure. – (no solid food until after your procedure)
Keep mobile.
-See list of CLEAR FLUIDS LIST  above.-Throughout the day, drink 2- 3 litres of clear fluids
1st dose: At 4pm (earlier if preferred) Drink 1 litre of MOVIPREP over 1 hour (1 cup every 15mins is recommended). Follow by 500mls (2 cups) of clear fluids in the next 30 mins. Commence with MOVIPREP but clear fluids can be interspersed with MOVIPREP if preferred. It is important to finish the full 1 litre of MOVIPREP. Continue clear fluids until the next Moviprep dose at 10pm
2nd dose: At 10pm (or a min. of 2hrs after finishing your first dose of MOVIPREP) prepare your second dose of MOVIPREP. Repeat as above. Continue consuming clear fluids only (No Food) until 4hrs before your Admission time then NIL BY MOUTH (means nothing to eat or drink)

Mid-Morning Procedure: (9am – 1pm)

On the day BEFORE your procedure: Have a light breakfast and lunch (BUT NO DINNER), still avoiding foods containing SEEDS, GRAINS & PEELS. After lunch, you will be on CLEAR FLUIDS ONLY – no solid food until after your procedure.
Keep mobile. See CLEAR FLUID LIST above. Throughout the day, drink 2- 3 litres of clear fluids
1st dose: At 7-8pm (earlier if preferred) Drink 1 litre of MOVIPREP over 1 hour (1 cup every 15mins is recommended). Follow by 500mls (2 cups) of clear fluids in the next 30mins. Commence with MOVIPREP but clear fluids can be interspersed with MOVIPREP if preferred. It is important to finish the full 1 litre of MOVIPREP. Continue clear fluids until you go to sleep: Before you go to bed, prepare your second dose of MOVIPREP and refrigerate.
2nd dose: On the day OF your procedure. At 4am – 5am. Repeat as above. Continue clear fluids only. NIL BY MOUTH (means nothing to eat or drink) from 7am or 3 hours before your Admission time.

Early Afternoon Procedure:(1pm –4pm)

On the day BEFORE your procedure: Have a light breakfast and lunch (BUT NO DINNER), still avoiding foods containing SEEDS, GRAINS & PEELS. After lunch, you will be on CLEAR FLUIDS ONLY – no solid food until after your procedure.
Keep mobile. See CLEAR FLUID LIST above. Throughout the day, drink 2- 3 litres of clear fluids
1st dose: At 7-8pm (earlier if preferred) Drink 1 litre of MOVIPREP over 1 hour (1 cup every 15mins is recommended). Follow by 500mls (2 cups) of clear fluids in the next 30mins. Commence with MOVIPREP but clear fluids can be interspersed with MOVIPREP if preferred. It is important to finish the full 1 litre of MOVIPREP. Continue clear fluids until you go to sleep: Before you go to bed, prepare your second dose of MOVIPREP and refrigerate.
2nd dose:  At 8am – 9am On the day OF your procedure: Repeat As Above. Continue consuming clear fluids only (No Food) until 10am;
then NIL BY MOUTH (means nothing to eat or drink) FROM 10am
or 3 hours before your Admission time.

Late Afternoon Procedure:(4pm -7pm)

On the day before your procedure, have breakfast and lunch and a LIGHT DINNER at 4.30pm, still avoiding foods containing SEEDS, GRAINS, & PEELS. After dinner you will be on CLEAR FLUIDS ONLY, no solid food until after your procedure.
Keep mobile.  ENSURE you continue to drink clear fluids throughout the evening. See list of CLEAR FLUIDS – above. On the day OF your procedure:
1st dose: At 6.00am (earlier if preferred) Drink 1 litre of MOVIPREP over 1 hour (1 cup every 15mins is recommended). Follow by 500mls (2 cups) of clear fluids in the next 30mins. Commence with MOVIPREP but clear fluids can be interspersed with MOVIPREP if preferred. It is important to finish the full 1 litre of MOVIPREP. Continue clear fluids: Prepare your second dose of MOVIPREP and refrigerate.
2nd dose: At 12pm On the day OF your procedure: Repeat As Above. Continue consuming clear fluids only (No Food) until 12pm (MIDDAY); then NIL BY MOUTH (means nothing to eat or drink) FROM 12.00pm (MIDDAY) or NBM 3 hours before your admission time.

NOTE: You may chill each litre of MOVIPREP if you prefer and/ or drink with a straw. You must remember to complete the entire prep to ensure the most effective cleansing. The preparation works quickly and the effects last for 2-3 hours, or longer in some cases. The preparation will cause multiple bowel movements and watery stools.

As with all pharmaceutical products, please read the label.

Picoprep (AM admission)

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MORNING PROCEDURE

Please buy from the chemist THREE sachets of “PicoPrep” 15.5g.  Carefully follow the instructions below on how to mix these solutions and when to take them.

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.

THREE DAYS PRIOR TO THE PROCEDURE

Please avoid the following:

  • Brown bread
  • High fibre
  • Vegetables
  • Fruit
  • any food containing nuts or cheese

PLEASE DRINK AT LEAST 12 GLASSES OF WATER OR APPLE JUICE EACH DAY

Please choose from the following menu

BREAKFAST

  • Clear fruit juice (apple or pear)
  • Cornfalkes or rice bubbles with milk
  • Eggs
  • White bread or toast with butter, margarine, honey or vegemite

LUNCH

  • Clear fruit juice (apple or pear)
  • Clear chicken soup
  • White bread sandwich with any of these fillings – chicken, beef, fish, egg
  • Stewed or tinned fruit without skin
  • Tea and coffee (milk and sugar allowed)

DINNER

  • Clear fruit juice (apple or pear), ginger ale, tea, coffee
  • Steamed or grill lean meat: chicken, fish, lamb or beef
  • Mashed or boiled peeled potatoes, peeled pumpkin, peeled choko
  • White rice or plain noodles or white pasta
  • Stewed or tinned fruit (without skins) with ice cream

SNACKS

  • Tea, coffee, apple or pear juice, lemonade
  • Plain biscuit (eg Jatz, milk arrowroot, Sao), plain sponge cake, crumpet, yoghurt, custards or plain jelly

ONE DAY PRIOR TO THE PROCEDURE

CLEAR FLUIDS ONLY ALL DAY.  NO SOLID FOODS, MILK PRODUCTS OR ALCOHOL ARE ALLOWED.

Approved Clear Fluids

  • Water
  • Apple or pear juice
  • Plain jelly (light colours)
  • Bonox
  • Black tea or coffee
  • Lucozade
  • Gatorade
  • Staminade
  • Carbonated drinks
  • Barley sugar drink
  • Clear broth
  • Lime or lemon cordial

Do not eat jelly or drink fluids with red, green or purple colouring.

Drink at least 3 litres of approved fluids PLUS the preparation liquids below.

4.00 pm       FIRST DOSE OF PREPARATION

Add the contents of one sachet of Picoprep to one glass (250ml) warm water and stir until dissolved.  Chill for 30 minutes before drinking if you prefer.  This should be followed by a drink from any of the approved clear fluids (above).

6.00 pm      SECOND DOSE OF PREPARATION

Add the contents of one sachet of Picoprep to one glass (250ml) warm water and stir until dissolved.  Chill for 30 minutes before drinking if you prefer.  This should be followed by a drink from any of the approved clear fluids (above).

8.00 pm      THIRD DOSE OF PREPARATION

Add the contents of one sachet of Picoprep to one glass (250ml) warm water and stir until dissolved.  Chill for 30 minutes before drinking if you prefer.  This should be followed by a drink from any of the approved clear fluids (above).

After a short time the preparations will cause multiple bowel movements, resulting in diarrhoea and watery stools.  DO NOT LIE DOWN for a least 2 hours after drinking the mixture as walking around will improve it’s effectiveness in clearing the large intestine.

From the time you start at the preparations at 4.00 pm do not leave the house and stay close to the bathroom.

IT IS IMPORTANT TO KEEP DRINKING THE APPROVED CLEAR FLUIDS UNTIL THE FASTING TIME.  THE REQUIRED FASTING TIME IS 6 HOURS PRIOR TO YOUR  PROCEDURE.  FASTING MEANS NOTHING TO EAT, DRINK, SUCK OR CHEW.

Picoprep (PM admission)

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Please buy from the chemist THREE sachets of “PicoPrep” 15.5g.  Carefully follow the instructions below on how to mix these solutions and when to take them.

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

THREE DAYS PRIOR TO THE PROCEDURE

Please avoid the following

  • brown bread
  • high fibre
  • vegetables
  • fruit
  • any food containing nuts or cheese

PLEASE DRINK AT LEAST 12 GLASSES OF WATER OR APPLE JUICE EACH DAY

Please choose from the following menu

BREAKFAST

  • Clear fruit juice (apple or pear)
  • Cornfalkes or rice bubbles with milk
  • Eggs
  • White bread or toast with butter, margarine, honey or vegemite

LUNCH

  • Clear fruit juice (apple or pear)
  • Clear chicken soup
  • White bread sandwich with any of these fillings – chicken, beef, fish, egg
  • Stewed or tinned fruit without skin
  • Tea and coffee (milk and sugar allowed)

DINNER

  • Clear fruit juice (apple or pear), ginger ale, tea, coffee
  • Steamed or grill lean meat: chicken, fish, lamb or beef
  • Mashed or boiled peeled potatoes, peeled pumpkin, peeled choko
  • White rice or plain noodles or white pasta
  • Stewed or tinned fruit (without skins) with ice cream

SNACKS

  • Tea, coffee, apple or pear juice, lemonade
  • Plain biscuit (eg Jatz, milk arrowroot, Sao), plain sponge cake, crumpet, yoghurt, custards or plain jelly

ONE DAY PRIOR TO THE PROCEDURE

CLEAR FLUIDS ONLY ALL DAY.  NO SOLID FOODS, MILK PRODUCTS OR ALCOHOL ARE ALLOWED.

Approved Clear Fluids

  • Water
  • Apple or pear juice
  • Plain jelly (light colours)
  • Bonox
  • Black tea or coffee
  • Lucozade
  • Gatorade
  • Staminade
  • Carbonated drinks
  • Barley sugar drink
  • Clear broth
  • Lime or lemon cordial

Do not eat jelly or drink fluids with red, green or purple colouring

Drink at least 3 litres of approved fluids PLUS the preparation liquids below.

5.00 pm       FIRST DOSE OF PREPARATION

Add the contents of one sachet of Picoprep to one glass (250ml) warm water and stir until dissolved.  Chill for 30 minutes before drinking if you prefer.  This should be followed by a drink from any of the approved clear fluids (above).

8.00 pm      SECOND DOSE OF PREPARATION

Add the contents of one sachet of Picoprep to one glass (250ml) warm water and stir until dissolved.  Chill for 30 minutes before drinking if you prefer.  This should be followed by a drink from any of the approved clear fluids (above).

6 hours before admission      THIRD DOSE OF PREPARATION

Add the contents of one sachet of Picoprep to one glass (250ml) warm water and stir until dissolved.  Chill for 30 minutes before drinking if you prefer.  This should be followed by a drink from any of the approved clear fluids (above).

After a short time the preparations will cause multiple bowel movements, resulting in diarrhoea and watery stools.  DO NOT LIE DOWN for a least 2 hours after drinking the mixture as walking around will improve it’s effectiveness in clearing the large intestine.

From the time you start at the preparations at 4.00 pm do not leave the house and stay close to the bathroom.

IT IS IMPORTANT TO KEEP DRINKING THE APPROVED CLEAR FLUIDS UNTIL THE FASTING TIME.  THE REQUIRED FASTING TIME IS 6 HOURS PRIOR TO YOUR  PROCEDURE.  FASTING MEANS NOTHING TO EAT, DRINK, SUCK OR CHEW.

PicoSalax

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Please purchase a box of Picosalax from any Terry White or Chemmart Pharmacy. IT IS IMPORTANT TO FOLLOW THESE INSTRUCTIONS CAREFULLY. The day before your procedure: You need to stop solid foods after your breakfast. Please stay on the below clear liquids:

  • Water
  • Clear soup (strained chicken broth)
  • Clear soft drinks (lemonade or ginger ale)
  • Jelly
  • Clear apple juice or white grape juice
  • Isotonic drinks (Gatorade)
  • Black tea or coffee (may be sweetened, but no MILK/DAIRY PRODUCTS)

Please avoid red or purple coloured drinks and jelly, cloudy fruit juices or juice with pulp and milk and dairy products.

How to take the Picosalax

First dose of Picosalax: 2pm the day before Second dose of Picosalax: 6pm the day before 1. Fill a glass with 120mL of cold water 2. Empty the contents of one of the sachets into the glass. 3. Stir for 2-3 minutes, then drink it. If the solution becomes warm, allow it to cool before drinking. 4. Drink approximately 250mL of water or other clear liquid every hour until the next Picosalax dose.

Repeat these steps for the second dose.

Day of the procedure: Do  not eat any solid food. Continue to drink approximately 250mL of clear liquid every hour until the time you have been instructed to fast.

Prepkit C (AM admission)

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MORNING PROCEDURE

Please buy from the chemist: Prep Kit C.  This kit will contain one large sachet called “Glycoprep C” and two small sachets called “Picoprep”.  Carefully follow the instructions below on how to mix these solutions and when to take them.

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

THREE DAYS PRIOR TO THE PROCEDURE

Please avoid the following: brown bread, high fibre, vegetables, fruit or any food containing nuts or cheese

PLEASE DRINK AT LEAST 12 GLASSES OF WATER OR APPLE JUICE EACH DAY

Please choose from the following menu

BREAKFAST Clear fruit juice (apple or pear), cornflakes or rice bubbles with milk, eggs, white bread or toast with butter, margarine, honey or vegemite.

LUNCH Clear fruit juice (apple or pear), clear chicken soup,  white bread sandwich with any of these fillings – chicken, beef, fish, egg, stewed or tinned fruit without skin, tea and coffee (milk and sugar allowed).

DINNER Clear fruit juice (apple or pear), ginger ale, tea, coffee, steamed or grill lean meat: chicken, fish, lamb or beef, mashed or boiled peeled potatoes, peeled pumpkin, peeled choko, white rice or plain noodles or white pasta, stewed or tinned fruit (without skins) with ice cream.

SNACKS Tea, coffee, apple or pear juice, lemonade, plain biscuit (eg Jatz, milk arrowroot, Sao), plain sponge cake, crumpet, yoghurt, custards or plain jelly

ONE DAY PRIOR TO THE PROCEDURE

CLEAR FLUIDS ONLY ALL DAY.  NO SOLID FOODS, MILK PRODUCTS OR ALCOHOL ARE ALLOWED.

Approved Clear Fluids Water, apple or pear juice, plain jelly (light colours), bonox, black tea or coffee, lucozade, gatorade, staminade, carbonated drinks, barley sugar drink, clear broth or lime or lemon cordial

Do not eat jelly or drink fluids with red, green or purple colouring

Drink at least 3 litres of approved fluids PLUS the preparation liquids below.

4.00 pm       FIRST DOSE OF PREPARATION

Add the contents of one sachet of Picoprep (little packet in kit) to one glass (250ml) warm water and stir until dissolved.  Chill for 30 minutes before drinking if you prefer.  This should be followed by a drink from any of the approved clear fluids (above).

6.00 pm      SECOND DOSE OF PREPARATION

Add the contents of the Glycoprep C (large packet in kit) to 1 litre of water and drink one glass or liquid every 15-20 minutes until finished.  If you start to feel nauseated while drinking this, slow the rate of the intake.  The full litre should take 1-1.5 hours to drink.  (If you prefer to have this cold, mix it up the day before and leave in the fridge for today).

8.30 pm      THIRD DOSE OF PREPARATION

Add the contents of one sachet of Picoprep (little pack in kit) to one glass (250ml) warm water and stir until dissolved.  Chill for 30 minutes before drinking if you prefer.  This should be followed by a drink from any of the approved clear fluids (above).

After a short time the preparations will cause multiple bowel movements, resulting in diarrhoea and watery stools.  DO NOT LIE DOWN for a least 2 hours after drinking the mixture as walking around will improve it’s effectiveness in clearing the large intestine.

From the time you start at the preparations at 4.00 pm do not leave the house and stay close to the bathroom.

IT IS IMPORTANT TO KEEP DRINKING THE APPROVED CLEAR FLUIDS UNTIL THE FASTING TIME.  THE REQUIRED FASTING TIME IS 6 HOURS PRIOR TO YOUR  PROCEDURE.  FASTING MEANS NOTHING TO EAT,  DRINK, SUCK OR CHEW.

Prepkit C (PM admission)

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AFTERNOON PROCEDURE

Please buy from the chemist: Prep Kit C. This kit will contain one large sachet called “Glycoprep C” and two small sachets called “Picoprep”. Carefully follow the instructions below on how to mix these solutions and when to take them. 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.

THREE DAYS PRIOR TO THE PROCEDURE – Please avoid the following brown bread high fibre vegetables fruit any food containing nuts or cheese

PLEASE DRINK AT LEAST 12 GLASSES OF WATER OR APPLE JUICE EACH DAY

Please choose from the following menu

BREAKFAST Clear fruit juice (apple or pear) cornflakes or rice bubbles with milk, eggs, white bread or toast with butter, margarine, honey or vegemite

LUNCH Clear fruit juice, (apple or pear) clear chicken soup, white bread sandwich with any of these fillings – chicken, beef, fish, egg Stewed or tinned fruit without skin Tea and coffee (milk and sugar allowed)

DINNER Clear fruit juice (apple or pear), ginger ale, tea, coffee Steamed or grill lean meat: chicken, fish, lamb or beef Mashed or boiled peeled potatoes, peeled pumpkin, peeled choko White rice or plain noodles or white pasta Stewed or tinned fruit (without skins) with ice cream

SNACKS Tea, coffee, apple or pear juice, lemonade Plain biscuit (eg Jatz, milk arrowroot, Sao), plain sponge cake, crumpet, yoghurt, custards or plain jelly

ONE DAY PRIOR TO THE PROCEDURE CLEAR FLUIDS ONLY ALL DAY. NO SOLID FOODS, MILK PRODUCTS OR ALCOHOL ARE ALLOWED.

Approved Clear Fluids Water Apple or pear juice, plain jelly (light colours), bonox, black tea or coffee, lucozade, Gatorade, staminade, carbonated drinks, barley sugar drink, clear broth, lime or lemon cordial

Do not eat jelly or drink fluids with red, green or purple colouring

Drink at least 3 litres of approved fluids PLUS the preparation liquids below.

5.00 pm FIRST DOSE OF PREPARATION Add the contents of one sachet of Picoprep (little packet in kit) to one glass (250ml) warm water and stir until dissolved. Chill for 30 minutes before drinking if you prefer. This should be followed by a drink from any of the approved clear fluids (above).

7.00 pm SECOND DOSE OF PREPARATION Add the contents of the Glycoprep C (large packet in kit) to 1 litre of water and drink one glass or liquid every 15-20 minutes until finished. If you start to feel nauseated while drinking this, slow the rate of the intake. The full litre should take 1-1.5 hours to drink. (If you prefer to have this cold, mix it up the day before and leave in the fridge for today).

6 hours before admission THIRD DOSE OF PREPARATION Add the contents of one sachet of Picoprep (little pack in kit) to one glass (250ml) warm water and stir until dissolved. Chill for 30 minutes before drinking if you prefer. This should be followed by a drink from any of the approved clear fluids (above).

After a short time the preparations will cause multiple bowel movements, resulting in diarrhoea and watery stools. DO NOT LIE DOWN for a least 2 hours after drinking the mixture as walking around will improve it’s effectiveness in clearing the large intestine. From the time you start at the preparations at 4.00 pm do not leave the house and stay close to the bathroom.

IT IS IMPORTANT TO KEEP DRINKING THE APPROVED CLEAR FLUIDS UNTIL THE FASTING TIME. THE REQUIRED FASTING TIME IS 6 HOURS PRIOR TO YOUR PROCEDURE. FASTING MEANS NOTHING TO EAT, DRINK, SUCK OR CHEW.