Having a Colonoscopy with Moviprep

1 Options availableIf you d like a large print, audio, Braille or a translated version of this leaflet then please call:01253 955588 People CentredExcellenceCompassionPositiveOur Four Values:Gastroenterology DepartmentPatient Information Leaflet Having a Colonoscopywith Moviprep WHAT IS A COLONOSCOPYA Colonoscopy is a test, which allows the Doctor to lookdirectly at the whole of the large bowel (colon). In order todo this a flexible tube the thickness of a finger with a lightat the end, is carefully passed through the anus into therectum and into the large bowel. This can beuncomfortable as bends in the colon are negotiated and airis used to inflate the colon. The Colonoscope is connectedto a television system where pictures can be seen. In orderfor the test to be successful, it is important that you takethe Moviprep bowel preparation as directed.

2 This will assistin cleaning your bowel, enabling us to make a examining your bowel the cause of your symptoms maybe found. Sometimes we are able to treat them there andthen. Pictures and biopsies (samples) may be taken andsometimes polyps (small growths in the bowel) can beremoved or other treatments Colonoscopy is a safe examination but rarely, acomplication such as bleeding or perforation may occur (1in 1500, or if polyps removed 1 in 200). Other risks arediscomfort, bloating and pain. Entonox (gas and air) maycause nausea, dizziness and euphoria. Sedation may causenausea and vomiting, you could become over sedatedwhich may reduce your breathing effort and you could alsohave a prolonged sedative TREATMENTSThe alternative to a Colonoscopy is a barium enema. This isa type of xray which does not include any treatment and itcannot provide biopsies.

3 Therefore, you may still need tohave a Colonoscopy at a later date. Page 2 YOUR APPOINTMENTIf you are unable to make your appointment or need tochange your appointment time, please telephone 01253956584 or 01253 956078. Your appointment time takes into account the timerequired to admit you onto the unit. You shouldtherefore not expect to immediately go through for thetest when called. You should expect to be with us forabout 3 - 4 hours. Please note we usually have 4 differentlists running consecutively, this may mean some peoplewill have to wait longer than others, even with the sameappointment time. Please note that the time of day that you will need tostart taking the Moviprep solution differs between amorning and an afternoon appointment. Please followthe instructions carefully. WHAT TO EXPECT ON THE DAYB efore the procedure a nurse will take you into a roomand explain the test and ask you some questions.

4 You will be asked to sign a consent form and changeclothing. You will be taken to a trolley where you may also placeyour belongings. When it is your turn you will be takento another room for your test. Page 3 Colonoscopy WITH ENTONOXIf you are Having Entonox (gas and air) instructions willbe given on how to self administer this before yourcolonoscopy starts. Entonox is inhaled through a mouthpiece to relieve pain. A cannula (small plastic tube) will be inserted just in caseany medication is needed during your Colonoscopy . After the procedure you will be transferred to ourrecovery area for about half an hour where you will begiven a drink and some biscuits. Recovery from the effects of Entonox is rapid and youwill be able to drive after half an hour from stoppingEntonox use providing you have had a straight forwardColonoscopy.

5 You may feel bloated with wind-like discomfort. This isnormal and usually settles quickly. If you have a biopsytaken or a polyp removed it is normal to pass small spotsof blood from your bottom for a day or two followingthe procedure. You will be given the results of your test before yourdischarge. If biopsies have been taken these results willbe given at a later date. Page 4 Colonoscopy WITH SEDATIONIf you are Having sedation a small cannula will be placedin your arm to enable us to give you medication for thetest. In the endoscopy room a sedative and pain relief isgiven through the cannula. This is not an anaesthetic. Itwill relax you but you will be aware of what is going sedative may cause loss of memory and judgment forup to 24 hours following the test. After your procedure you will be transferred to ourrecovery area for about one hour to rest.

6 If you have had a sedative you will not be able to drive,drink alcohol, operate machinery or sign legal documentsfor 24 hours following your will need someoneto accompany you home and to be with you overnightfollowing your procedure as the effects of the sedationare still in your system. You may feel bloated with wind-like discomfort. This isnormal and usually settles quickly. If you have a biopsytaken or a polyp removed it is normal to pass small spotsof blood from your bottom for a day or two followingthe procedure. You will be given the results of your test before yourdischarge. If biopsies have been taken these results willbe given at a later date. Please leave all valuables and jewellery at homewhere possible as we are unable to look after these 5 Moviprep INFORMATIONIn order to examine the whole of the bowel it must beclear of all waste materials.

7 This is achieved by using acombination of changing what you eat and taking works by giving you diarrhoea. This is unpleasantbut necessary and may last up until the time of yourappointment. Easy access to your toilet will be required formost of the might like to use a barrier cream to prevent a sorebottom'. A product such as petroleum jelly can be days before your Colonoscopy appointment please stoptaking iron days before your Colonoscopy appointment please stoptaking medication that may constipate you Codeine,cophenotrope (eg Lomotil), loperamide (eg Imodium) andKaolin & other medication. If you are taking othermedication, please take it at least one hour before or atleast one hour after taking Moviprep , otherwise they maybe flushed through your digestive system and not work 6DO NOT TAKE Moviprep IFYou are allergic to any of the ingredients You are pregnant You are on dialysis You are taking medication for an organ transplant Youhave not passed wind or opened your bowels in the lastfive days leading up to your bowel preparation time.

8 Contact 01253 956078 or 01253 953043 if any of thesecautions apply to you. Important notes on Possible side effects of MoviprepAbdominal pain, abdominal distension, tiredness, feelinggenerally unwell, soreness of the anus, nausea, vomiting,headache and indigestion. If you experience any of thesesymptoms try taking the Moviprep more slowly. Rarely arepeople allergic to Moviprep . They may experience a rash oritching, swelling of the face or ankles, palpitations orshortness of breath. If any of the side effects becomeserious, stop taking Moviprep and seek medical PatientsIf you are taking an oral contraceptive pill, diarrhoea canmake it less effective. Continue taking the pill but useother precautions for the rest of that : No alcohol should be drunk on the day beforeand the day of the procedure. Page 7 PRE Colonoscopy DIETTwo days before your test please follow a low residuediet, which consists of the following:Fats (use sparingly) - Butter or margarineRice - Plain boiled white riceEggs - Boiled or poachedMeat/Fish - Mince or well cooked, tender, lean beef, lamb,ham, veal, pork, poultry, fish, shellfishCheese - Cream, cottage or cheese sauceBread - White bread or toastCereals - Crisped rice cereal, cornflakes (no bran)Pasta - Plain macaroni, spaghetti, noodlesPotatoes - Boiled, creamed, mashed or baked (no skins)Dessert - Clear jelly (not red jelly)Foods to avoid.

9 Red meat, sausage, pies, any fruit or salads,most vegetables, potato skins, chips, wholemeal or brownbread, nuts, pulses, baked beans, wholemeal pasta, brownrice, puddings containing fruit and nuts, cakes, biscuits 8 INSTRUCTIONS FOR A MORNING APPOINTMENTThe day before your your breakfast before 9am. Do not eat anything not eat food again until after your examination even ifyou feel hungry. Your bowel must be completely empty forthe examination to be may drink clear soup, Oxo, Bovril, Soft drinks (not redcoloured), black tea or coffee (no milk). You may add sugarif you like. All your drinks must be clear because then youwill know that there is no fibre in them. You may drink asmuch as you like of these one sealed plastic bag of Moviprep . Each of the twosealed plastic bags contain two sachets. One sachet markedA and the other sachet marked the contents of sachet A and sachet B into a water (not chilled) to make up to one litre and stiruntil the powder has completely dissolved.

10 You may addcordial to taste (not blackcurrant) if you one glassful (250mls) of the Moviprep drink every 15- 30 mins until you have drunk the full litre. This may take 1- 2 hours. Take your time, there is no need to should also drink an additional 500 mls of water orclear fluids with each litre of the Moviprep that you will prevent you from becoming dehydrated. Page 98 - 9 pmAt about 8 - 9 pm make up the second litre of Moviprep asyou did the first oneAgain drink it over 1 - 2 hours. Again it important thatyou drink an additional 500 mls of water or clear fluidsalong with the Moviprep during the course of theevening. This will prevent you from becomingdehydrated. When you start taking Moviprep solution it is importantthat you stay close to a toilet. At some point you will startto experience watery bowel movements.