5932 Springboro Pike, Dayton, OH 45449 |
Call Us: 937.435.8663

Surgery, whether inpatient or outpatient, can be a stressful experience both mentally and physically if you do not feel prepared. Our goal at Dayton Colon & Rectal Center is to help minimize the stress and uncertainty that is often associated with surgery by educating patients on the procedures we perform. Patients who take the time to familiarize themselves with the procedures we offer are better-equipped to ask questions about their surgery and the recovery process and are more relaxed on the actual day of surgery.

We strongly believe in informing and educating patients about procedures. Remember that you have the right to ask about risks, options and benefits of procedures. If you should have any questions regarding a procedure, please contact our office to speak with one of our expert staff members.

Colonoscopy Screening

Colonoscopy instructions before the exam

The colonoscopy procedure 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 that 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 biopsy). During colonoscopy, polyps can be excised (removed) through the colonoscope.

Since the purpose of having 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
  • Visicol/Dulcolax

Do not eat any solid foods after starting the laxative. STOP taking aspirin, NSAIDs and/or Coumadin four days before surgery/the procedure. Stop taking Plavix seven 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 (IV) tube during the colonoscopy procedure. Most people do not have any memory of discomfort after the examination. Colonoscopies are very safe but, like any procedure, have potential complications that 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.

VISICOL/Ducolax Tablets Dosing Regimen

Items to purchase:
VISICOL tablets – by prescription
Ducolax tablets – over the counter

  • Begin a clear liquid diet the day before the procedure.
  • Take all regular medications the day before the procedure.
  • Clear liquid diet includes coffee, tea, clear carbonated beverages, flavored gelatin, clear broth, bouillon and consommé. Avoid all other soups. You may use sugar and salt. Avoid all other condiments. Avoid all dairy products.

1st dosing regimen between 4 pm and 6 pm

  • Begin taking first dosing regimen between 4 pm and 6 pm the evening before the procedure.
  • Take four VISICOL tablets with 8 oz. of clear liquid every 15 minutes for one hour.
  • Do not exceed 20 VISICOL tablets.

2nd dosing regimen around 9 pm

  • At 9 pm, take four VISICOL tablets with 8 oz. of clear liquid. Then at 9:15 pm, take four VISICOL tablets with 8 oz. of clear liquid. Do not exceed eight VISICOL tablets.
  • At 9:30 pm, take four Ducolax tablets with at least 8 oz. of any clear liquid. Do not exceed four Ducolax tablets.

Instructions for Taking Golytely

  • You will be given a prescription for the laxative Golytely.
  • You may begin taking this laxative about 5 pm, or when you get home from work the day before your procedure.
  • Follow the instructions that come with the laxative.
  • DO NOT EAT ANY SOLID FOODS AFTER STARTING THE GOLYTELY.
  • If you are unable to take the Golytely as instructed, please notify our office, even it it’s after-hours, to be given alternative instructions.

Clear liquids diet list – nothing red or purple in color.

  • Beverages: Soft drinks (orange, ginger ale, cola, Sprite, 7-Up, etc.). Gatorade, Kook-aid, strained juices without pulp (apple, white grape, orange without pulp, lemonade without pulp, etc.).
  • Soups: Chicken or beef broth.
  • Desserts: Hard candies, Jell-O (no fruit or whipped toppings), popsicles, Italian ice (no sherbets or fruit bars).

Colonoscopy – Instructions for Care After the Exam

Colonoscopy instructions after the exam

  1.  The day of your colonoscopy screening, have only clear liquids.

  2. Do not take aspirin, NSAIDs or Coumadin for four days after the procedure. Wait seven days to take Plavix.

  3. The day after your colonoscopy, you should stay on soft foods, e.g., scrambled eggs, pudding, toast, mashed potatoes, etc. The next day, your diet may include anything, unless you had a biopsy or a polypectomy. If you had a biopsy or a polypectomy, do not eat any popcorn, corn, nuts or seeds (such as in tomatoes, sesame, etc.) for two weeks. For patients who have diverticulosis, you should always avoid the aforementioned foods.

  4. DO eat a high-fiber diet.

  5. Your abdomen may be bloated for the day. This should go down in a day or so. You should not have any real discomfort. If you do have swelling or tenderness for more than one day after your colonoscopy, please notify your doctor.

  6. Follow-up checkups are very important. We will let you know when you should return to the office for your next appointment. If you are not sure what your doctor has told you, then please call the office.

If you have any questions that are not covered here, please feel free to call the office at 937.435.8663.

OFFICE SURGERY

Office or DCR Surgery Center Surgery – Instruction after Surgery

Congratulations: You have just survived a “minor surgery.” Now, what to do?

  1. Pain Relief – As a general rule, you probably will be more comfortable leaving our office today than when you came in. After the local anesthesia has worn off, you can take Tylenol or aspirin for pain. If this does not help, call the office for stronger pain medication.

  2. Dressing – Leave the dressing in place for 10 to 12 hours. If you have to remove it sooner to go to the bathroom, you should replace it with a similar dressing.

  3. Sitz Baths – After removing the dressing, you need to soak in a warm tub of water for 20 minutes. This should be repeated three to four times a day. This helps reduce the swelling and promote healing.

  4. Cleansing – You should not use toilet paper to clean after bowel movements. Wash with cotton and warm water and keep a dry piece of cotton or gauze as a dressing, otherwise you may soil your clothes.

  5. Bleeding – A small amount of bright red bleeding is normal. Contact the office immediately if bleeding is excessive. You can apply some pressure at the surgery site to stop the bleeding.

  6. Diet – You should not eat popcorn, nuts, etc. Drink a lot of water to keep bowel movements soft.

  7. Activity – You should be able to resume your normal activities the next day unless otherwise instructed.

ANO-RECTAL SURGERY

Ano-Rectal Preoperative Instructions

  1. You must have nothing to eat or drink after midnight prior to surgery.

  2. Give yourself a green and white Fleet enema the night before surgery and the morning of your surgery.

You are permitted to take all medications the morning of the procedure except:

  • Do not take aspirin the four days prior to surgery.
  • Do not take NSAIDs the four days prior to surgery.
  • Do not take Coumadin the four days prior to surgery.
  • Do not take Plavix the seven days prior to surgery.

Ano-Rectal Postoperative Instructions

Anorectal surgery is most often performed under a “regional”-type anesthesia. During surgery, both internal and external hemorrhoids, are removed and a layer of suture is sewn into the hemorrhoid “bed.” The sutures dissolve and break away, leaving scar tissue. If the rectal pathology also includes anal fissures or fistulas, these are also cut away.

Possible complications following anorectal surgery are:

  1. Development of anal stenosis

  2. Incontinence

  3. Hemorrhage

  4. Fecal impaction

Patients may spend a night in the hospital following anorectal surgery. If you are interested in learning more about the risks, benefits and options associated with this procedure, please contact our office.

  1. Take the pain medication only as prescribed. Do not take any laxatives except as listed underneath. DO NOT take aspirin, NSAIDs and/or Coumadin for the four days after surgery. DO NOT take Plavix the seven days after surgery.

  2. You may have some difficulty in urinating. This can be alleviated by taking a sitz bath (sitting in a bathtub of warm water for 20 minutes at a time) and by staying relaxed. You will not create any problem if you urinate while still sitting in the sitz bath. If you cannot urinate, please call the office at 937.435.8663.

  3. Take at least four sitz baths per day, or more as needed. This is the best way to relieve pain. Sitting on a heating pad will also help.

  4. You are likely to have spastic pain due to spasm of the rectal sphincter muscle. This is aggravated by staying tense and is best-relieved by sitz baths.

  5. A small amount of bleeding is normal for a few weeks after surgery. Don’t panic. However, if you are passing clots or your bleeding is extensive, contact us immediately.

  6. It is not uncommon to have only partial bowel movements after the surgery and to have the desire to go frequently. You can give yourself a small warm tap water enema to expel the stool completely.

  7. If you do not have a bowel movement for two days, you should give yourself an enema with one pint of warm tap water using a #18 French soft rubber catheter. These are available at our office or at a hospital pharmacy. You may lubricate the tip with Vaseline. Be sure to lie on your left side when taking the enema.

  8. You must take the bulk agent Metamucil, one level teaspoon, two times per day with a full eight-ounce glass of water and one Senna tablet twice a day with fluid.

  9. Drink at least eight to ten eight-ounce glasses of water per day. This is necessary; otherwise your stools will become hard. You may have a four- to six-ounce glass of prune juice every day. You may drink this warm or cold. Eat normally; avoid any foods with husks or seeds, such as popcorn, peanuts and nuts, or strawberries. Avoid milk and milk products except on cereal or with coffee. Milk tends to constipate. Do not drink beer; this will cause more irritation and pain.

  10. You may have some drainage; this is normal. It is very important to keep the area clean. Wash the area with cotton balls and warm water only (no soap or toilet paper). Keep a dry piece of cotton at the opening of the rectum at all times until your first appointment.

  11. Do not lift anything over 15 pounds for at least three weeks.

  12. Be active. Your activities can include walking and climbing stairs. Do not overtire yourself. Avoid pulling, pushing and straining in any way.

  13. Do not have sexual intercourse for two weeks.

  14. Do not drive a car until you are checked in the office. You may ride in a car.

  15. Do not use white powder from the hospital after discharge.

  16. Call the office receptionist right away after discharge from the hospital at 937.435.8663 for an appointment to be checked approximately two weeks after surgery. You do not have to take an enema for this checkup.

COLON RESECTION ABDOMINAL SURGERY

Preparative Instructions Before Colon Resection/Abdominal Surgery

If you have any questions regarding the risks, options or benefits associated with this procedure, please contact our office.

Please follow these steps prior to your operation:

  1. Please call our office to confirm the time and date of the procedure.

  2. Please make certain that we have your correct insurance information so we can help you with certification and second opinion if mandated. Please learn about your co-pays and deductibles.

  3. Two days before your surgery, you should be only on a soft diet. 24 hours before surgery, you should only be on clear liquids. You should not eat or drink anything after midnight the day before surgery except antibiotics and your regular medicines.

  4. Two days before surgery, start taking antibiotics as prescribed.

  5. One day before surgery, drink the laxative as prescribed until it is all gone.

  6. If you are on Coumadin, aspirin or Advil-like drugs, please stop for at least five days before your surgery. Also, please stop taking Plavix seven days before your surgery.

  7. The hospital will schedule preadmission testing with you directly.

  8. Please come to the hospital three hours prior to surgery time.

Instructions After Abdominal Surgery

  1. Your diet may include anything except popcorn, corn, nuts or seeds as in tomatoes, sesame, etc. Drink lots of water to keep your bowel movements soft.

  2. Sitz baths are recommended for people who have had their rectum removed. It is important to keep yourself clean. Soak in a warm tub of water for 20 minutes about three or four times per day. This helps reduce the swelling and promote healing. Keep a dry piece of cotton at the rectal opening all the time.

  3. You may have difficulty in urinating. This can be alleviated by sitz baths and by staying relaxed. You will not create any problems if you urinate while still sitting in the sitz bath. If you cannot urinate by yourself, a catheter may need to be inserted. Please call the doctor.

  4. If you run a temperature of if you have night sweats, please let the office know.

  5. It is not uncommon to have irregular bowel movements after surgery. Many of our patients have some trouble with diarrhea. If you feel that the number of movements is excessive, please call the office.

  6. Take any medication only as prescribed.

  7. Be active. Your activities can include walking and climbing stairs. Do not lift anything over 15 pounds.

  8. Do not drink beer. This will cause irritation and pain.

  9. Do not drive a car until after your office visit. You may ride in a car.

  10. Avoid pushing, pulling or straining in any way.

  11. If you have a colostomy, proper care is important. Follow the instructions given to you by your colostomy nurse in the hospital.

  12. Call the receptionist after being discharged from the hospital to make an appointment to be checked approximately two weeks from being discharged.

Feel free to call the office at 937.435.8663. if you have any questions that are not covered by this sheet.

PILONIDAL CYSTECTOMY

Instructions for Care after Having a Pilonidal Cystectomy

  1. When you arrive home from the hospital, you will be packed with Idoform Gauze at the surgical site. This packing can be removed the morning after surgery. When the packing is removed, you can begin taking sitz baths.

  2. Eat only soft foods and clear liquids after leaving the hospital. You may have some nausea from the medication used in the hospital. You may have a regular diet the day following your surgery.

  3. A small amount of drainage is normal for a few weeks after surgery. Don’t panic. If the drainage becomes excessive, please call the office.

  4. You are likely to have spastic pain due to spasm of the rectal sphincter muscle. This is aggravated by staying tense and is best relieved by sitz baths or sitting on a heating pad.

  5. Drink at least eight to ten glasses of water per day. This is necessary to maintain good bowel habits.

  6. Be active. Your activities can include walking and climbing stairs. Do not lift anything over 15 pounds.

  7. Soak in a warm tub of water for at least 20 minutes three to four times daily. This helps to reduce swelling and to promote healing. After drying the area, irrigate the area with half strength hydrogen peroxide (mix one part hydrogen peroxide with one part water). Make sure to clean the entire area. Dry the area again and apply Betadine ointment. Cover the area with a piece of gauze. Continue this until your first visit to the office.

  8. Do not drive a car until after your first office visit. You may ride in a car. Do not use toilet paper, as it may be too harsh. Instead, use warm water and cotton balls to clean after each bowel movement.

  9. Call the receptionist after being discharged from the hospital to make an appointment to be checked approximately two weeks after surgery.

Feel free to call the office at 937.435.8663. if you have any questions that are not covered here.

Other Resources

Visit these related sites for additional information:

  • American Board of Colon and Rectal Surgery
    The American Board of Colon and Rectal Surgery was established to promote the health and welfare of the American people through the development and maintenance of high standards for certification in the specialty of colon and rectal surgery.
  • American Society of Colon and Rectal Surgeons
    The American Society of Colon and Rectal Surgeons is a national association of colon and rectal surgeons and other surgeons dedicated to advancing and promoting the science and practice of the treatment of patients with diseases and disorders affecting the colon, rectum and anus.
  • National Digestive Diseases Information Clearinghouse
    The National Diabetes Information Clearinghouse (NDIC) is an information dissemination service of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). The NIDDK is part of the National Institutes of Health (NIH), one of eight health agencies of the Public Health Service, which is under the U.S. Department of Health and Human Services.
  • The Society of Surgical Oncology
    The mission of the Society of Surgical Oncology is to ensure that all cancer patients receive the highest-quality, comprehensive, multimodal cancer care. The society will accomplish this by providing dynamic leadership and a substantial commitment to excellence in the broad specialty of surgery and surgical oncology.

For advanced, specialized care, visit Dayton Colon & Rectal Center. Patients come to us from the area of Miami Valley, in the greater Dayton area and in the greater Springfield area, including: Dayton, Huber Heights, Centerville, Englewood and Kettering in Montgomery County, OH; Springfield in Clark County, OH; and Beavercreek and Xenia in Green County, OH. Call us at 937.435.8663 or fill out our online Request an Appointment form to schedule a consultation with one of our colorectal specialists.

Testimonials

I just wanted to say thank you very much for getting me in promptly and taking very good care of me during my hard times. I appreciate your office following up on my care and making sure all the testing, pre-certs were taken care of so it was less stressful for me. I also appreciate all the care and support from every staff member in your office. It really shows how much you guys care about your patients.
Thank you,
Pete Damico

Read more