Colonoscopy: An Important Preventive Examination for Your Colon Health
A colonoscopy is one of the most important preventive examinations for the early detection of colon diseases, especially colon cancer. It allows a precise evaluation of the intestinal lining and the detection of potential abnormalities, such as polyps, which could develop into cancer over time. Colonoscopy is generally recommended starting at age 45, or earlier for patients with a family history or other risk factors. Early removal of benign polyps (precursors) can prevent the development of colon cancer.
In my practice, I emphasize providing patients with ample time and information to prepare for the examination. A thorough bowel cleansing is crucial for an accurate examination, as only a clear view of the entire intestinal lining allows reliable detection of possible changes. The colonoscopy is performed under sedation, ensuring the procedure is painless and comfortable for patients.
Preparation Guidelines for Your Scheduled Colonoscopy
The success of your upcoming examination depends on thorough bowel cleansing. Please follow the recommendations below as closely as possible.
Diet before the examination
Starting 4 days before: Avoid foods containing seeds or hard-to-digest components such as:
- Whole grain products (whole grain bread, whole grain pasta)
- Breaded foods
- Vegetables with firm skins: tomatoes, bell peppers, cucumbers
- Seeded fruits: grapes, raspberries, blackberries, kiwis, melon
- Nuts
On the day before the examination: eat light, low-fiber foods such as:
- Cooked lean meats, fish, soy, tofu
- Rice, pasta, potatoes, white bread
- Butter, eggs, yogurt, cheese
Important Notes:
- Light food is allowed up to 3 hours before taking the laxative. After that, do not eat anything.
- Drink plenty of fluids up to 2 hours before the procedure:
- Allowed: water, tea, coffee without milk, clear juices, clear broth
- Not allowed: red-colored drinks (e.g., currant juice), drinks with pulp, milk, or alcohol
- Your bowel is sufficiently clean when only yellowish, watery fluid is passed.
Laxative Intake Schedule:
- Last meal the day before: 3:00 PM
- First dose (day before): 6:00 PM
- Second dose (day of exam): 6:00 AM
- Clinic Arrival: between 9:15 AM and 11:30 AM
- Procedure Start: between 10:00 AM and 12:15 PM
Medications: Take your usual medications as normal, except diabetes medications, insulin, and blood thinners. Note that laxatives can reduce the effectiveness of birth control pills.
After the examniation: Due to sedation, you are legally unfit to operate machinery or drive for 24 hours.
