Colonoscopy - Instructions before the exam

A Colonoscopy is a visual examination of the lining of the colon. It is performed with a specialized instrument called a colonoscope, which looks like a long black tube. The colonoscope contains fiberoptic lenses which magnify the lining (mucosa) of the colon. It is very flexible and therefore allows the doctor to guide it through the colon and inspect the mucosa.

Through the colonoscope it is possible to take samples of the mucosa (called biopsies). It is also possible to excise (remove) polyps through the colonoscope.

Since the purpose of having a colonoscopy performed is to visually inspect the lining of the colon, it is imperative to have the colon as empty of stool as possible. This will be done by taking one of the following special laxatives, for which you will be given a prescription.

   » Golytely
   » Fleet Phospho-soda Prep
   » Visicol/Dulcolax

Do not eat any solid foods after starting the laxative. STOP taking Aspirin, NSAID's, and/or Coumadin 4 days before surgery/the procedure. Stop taking Plavix 7 days before the procedure.

We realize that this may be difficult for some patients, but if the colon is not cleared of all stool, the exam may have to be repeated! If you are unable to take the laxative as instructed, please notify our office, even if it's after hours, to be given alternative instructions.

Adequate sedation is given to you through an intravenous (I.V.) tube during the procedure. Most people do not have any memory of discomfort after the examination. Colonoscopies are very safe but, like any procedure, have potential complications which are rare-like bleeding and perforation. As with any procedure we perform, it is important that you ask your doctor about the risks, options and benefits associated with it. If you need further information, please discuss this with us freely.

DO NOT eat or drink anything after midnight the evening before the exam.

Have someone available to drive you home. You will not be permitted to drive.

If you normally take antibiotics before dental work or any other surgeries, please let us know in advance so we can make arrangements.

Should you have any questions, please feel free to call us at (937) 435-8663.