Flexible Sigmoidoscopy | Preparation Instructions

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ONE WEEK BEFORE COLONOSCOPY

If you are planning on receiving sedation medication during the procedure, you will need to arrange for a licensed adult driver to take you home. Public transportation is only allowed with an adult escort. You are allowed to drive yourself if you do not receive sedation medication.
Purchase two (2) Fleet saline enemas. The enemas are over the counter and can be purchased at any pharmacy.
Medications
- Blood-thinning medications may need to be discontinued. Take your last dose of on
- May continue to take regular medications, unless instructed by provider or nursing staff
  - Stop Taking
    - Prescription Iron pills
  - Stop Eating
    - Seeds, nuts, tomatoes, berries, corn, popcorn, and breads with seeds or nut

Patients that are Diabetic

Evening Dose Only: Take ½ the dose of your diabetic medication(s) the day before your procedure.
No dose the day of the procedure.

Start clear liquid diet. No solid foods, dairy or non-dairy products, juices with pulp, red or purple colors, and alcohol.
Clear Liquids include: Water, Apple Juice, Gatorade, Broth, Jell-O, Popsicles, soda, etc.
If you are planning on receiving sedation medication, stop clear liquids three (3) hours prior to your procedure.
Administer the first Fleets enema Two (2) hours prior to your arrival time to the facility
Administer the second Fleets enema One (1) hour prior to your arrival time to the facility

Lie on left side with knee bent and arms resting or kneel, then lower head and chest forward until face resting on surface.
With steady pressure, gently insert enema tip into rectum with a slight side-to-side movement, with tip pointing toward navel. Insertion may be easier if person receiving enema bears down, as if having a bowel movement. This helps relax the muscles around the anus.
Do not force the enema tip into rectum as this can cause injury.
Squeeze bottle until nearly all liquid is gone. It is not necessary to empty the bottle completely, as it contains more liquid than needed.
Remove from rectum and maintain position until urge to evacuate is strong (usually 2 to 5 minutes).

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