WHAT IS COLONOSCOPY?
It is a safe and effective visual examination of the entire lining of the large intestine with a long and bendable tubular instrument. The thickness of the device is smaller than our finger. It is used in the diagnosis of large intestine diseases, taking biopsy and removing polyps. It can be done many times without the need for hospitalization and with very little discomfort to the patient.
WHO SHOULD HAVE A COLONOSCOPY?
Problems such as changes in defecation habits and bleeding indicate possible problems in the large intestine and the doctor may recommend a colonoscopy. At the same time;
Controlling unexplained abdominal pain and symptoms
Control of inflammatory bowel diseases (Colitis, Crohn's Disease, Ulcerative Colitis)
When a polyp or tumor is suspected on barium radiographs of the large intestine
In those with blood detected in the stool
Unexplained diarrhea and changes in defecation habits
In patients with previous colon polyps or cancer
Colonoscopy should be performed in those with a family history of polyps or Colon Cancer.
INFORMATION THE PATIENT SHOULD GIVE TO THE DOCTOR BEFORE COLONOSCOPY:
Does he/she use blood thinning drugs / aspirin and its types (Voltaren, Apranax, Ibufen, Naprosin etc.)?
Do you have a health problem that requires the use of antibiotics?
Do you have a tendency to bleed? (Does nosebleeds, bleeding after accidents take a long time?
Do you have diabetes / Heart disease / Neurological disease? Is she pregnant ?
HOW TO PREPARE FOR A COLONOSCOPY?
Eating and drinking
Restricting fibrous foods and consuming fiber-free foods at least 3-4 days before the day of the procedure will be beneficial for bowel cleansing. No food should be eaten on the day of the examination. If using, heart, blood pressure and thyroid medications should be taken with water.
Special cases / Medication use
Those who are allergic to any drug, have heart and lung diseases and pregnant women should inform the doctor about their condition.
Patients using insulin can consult their metabolism doctors to adjust the drug dose on the day of the procedure. They can use their medications after the procedure by bringing them to the unit where colonoscopy will be performed.
Patients using blood-thinning drugs (coumadine, dipyridamole, ticlopidine, etc.) should consult their doctor before the procedure and ask for these drugs to be adjusted for colonoscopy.
Aspirin and other anti-inflammatory drugs (ibufen, naprosin, etc.) should be discontinued at least 1 week before colonoscopy.
At least 1 week before the procedure, fibrous food should be consumed and ready-made fiber products and iron preparations should not be used.
In addition to the above, if there are other medications that the patient uses regularly, especially if there is an obligation to use antibiotics, it is necessary to inform the doctor about them when making an appointment.
You should not stop all medications that you need to stop due to colonoscopy without talking to your doctor about that disease.
Bowel Preparation
Intestinal cleansing should be done before colonoscopy. A good bowel cleansing is essential in order to examine the layer that covers the inner surface of the large intestine. For this reason, the doctor may recommend fibrous food restriction a day or two before the procedure. In addition, special solutions are given orally for intestinal cleaning, which provide cleaning in a short time. Since there will be excessive water loss during this rotation, it is necessary to drink plenty of water.
Necessary Medicines for Intestinal Preparation;
Fleet Oral 45 ml 2×1 (two bottles)
Fleet enema 2×1 (two bottles)
*NOTE: When making an appointment for your medications, have your doctor write your prescription.
Use of Medicines – Both Medicines are Used Together at Different Times on the Same Day.
No solid food will be eaten 2 days before the appointment, only water and liquid foods (you can consume as much as you want from liquids such as water, compote juice, fruit juice, apple juice, grape juice, linden, broth, chicken broth, boiling water) will be taken.
Fleet Oral 45 ml Usage:
Drink the entire first bottle of fleet oral 45 ml at 18:00 1 day before the appointment. Drink 4-5 glasses of water after taking the medicine. Drink 2 pearl bottles of fleet oral 45 ml in full at 24:00 of the same night. Drink 4-5 glasses of water after taking the medicine.
Fleet enema 45 ml Usage:
1 day before the appointment, at 16:00, in the left side lying position, squeeze all of the fleet enema into the anus for 5-10 minutes, then perform your defecation. On the same day, at 07:00 in the morning, in the left side lying position, squeeze all of the fleet enema drug into the anus. After 5 – 10 minutes lying on your left side, perform your defecation. Drink at least 12 glasses (2.5lt) of water throughout the day one (1) before the Appointment Date.
REMEMBER! If you do not make the preparation completely, your procedure will not be done because your intestines will not be clean and you will have to make an appointment again. You can drink Fleet orals by adding them to juice. Even if you drink little by little, you have to finish all two bottles. If you vomit the medicine you have taken, do not drink the same amount of medicine again