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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

TWO DAYS BEFORE COLONOSCOPY

  • Obtain Covid Test

ONE DAY BEFORE FLEXIBLE SIGMOIDOSCOPY

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.

DAY OF FLEXIBLE SIGMOIDOSCOPY

  • 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

How to use enemas:

  • 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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