FLEXIBLE SIGMOIDOSCOPY


 
 

Patient Name:____________________________________________

Date of Operation________________________________________

Time of Procedure:____________________________________
 
 

For the purposes of safety, a thorough cleansing of the colon is required. Early preparation consists of modifying dietary intake starting 48 hours before the Sigmoidoscopy procedure.
 
 

TWO DAYS PRIOR TO PROCEDURE: DATE:_________________________

Begin to remove hard-to-digest items from your diet. Examples of such food items are corn, spinach, or other items of roughage which you have noted pass through your system only partially digested. Switch your diet to breads, pastas and other refined food items.
 
 

ONE DAY PRIOR TO PROCEDURE: DATE:___________________________

Further decrease dietary intake of any roughage and begin to eat a more liquid diet Juices, jello) and a diet with more refined foods such as cereals, breads pastas and noodles.
 
 

Remember to take your regular prescription medications with some water. Such medications include hypertension medication, thyroid hormones and most other medications except those that affect blood coagulation such as Coumadin, aspirin, or ibuprofen. If you have questions regarding the taking of these medications around the time of your Sigmoidoscopy procedure, contact Dr. Vazquez to discuss your concerns.

Because internal bleeding may occur in your system, in general, DO NOT take aspirin or aspirin containing medications one week prior to your Sigmoidoscopy procedure.
 
 

Please contact Dr. Vazquez if you have a heart murmur, artificial heart valve, or implant. You may need to take antibiotics prior to the colonoscopy procedure.
 
 

Electrolyte Preparation -- Prescription required

Most Effective Preparation


4 PM

6PM
 
 
 
 
 
 
 
 

9-1 1 PM

 Eat a light meal.

Drink the purgative as directed.

The names of acceptable preparation solutions:

a. Golytely [ ]

b. Nu-Lytely [ ]

c. Co-Lyte. [ ]

After the purge is complete, take one Dulcolax tablet by mouth (no prescription is needed for Dulcolax).
 The purge should take effect in 4-6 hours. If this does not occur, adminster a disposable enema, such a Fleets (R). If the purge seems ineffective or incomplete call Dr. Vazquez's office.
 Alternative
8AM

12PM
 

6PM

1-2 hours prior to exam

  Fleets Phosphosoda( mix 1.5 oz in 4 oz water)

Fleets Phosphosoda(mix 1.5 oz in 4 oz water)

Fleets Phosphosoda
(mix 1.5 oz in 4 oz water)

Administer disposable enemas

 
7:00 P.M.
 
 
 

1-2 hours prior to exam

  Magnesium Citrate

(drink one 8 o.z. bottle. If the purge is incomplete repeat with one 8 o.z. bottle Magnesium Citrate)

Administer (2) disposable enemas and evacuate

 

The purge should take effect in 4-6 hours. If this does not occur, adminster a disposable enema, such as Fleets (R).

If the purge seems ineffective or incomplete call Dr. Vazquez's office.
 
 

Please feel free to e-mail Dr. Vazquez with any medical questions,

or contact our office with any other questions.

Richard M. Vazquez, M.D., F.A.C.S.

201 East Huron Street

Suite 11-250

Chicago, Illinois 60611

(312) 649-6562

Fax: 312-649-9027