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Who is Eligible for Virtual Colonoscopy? Patients who are eligible for traditional flexible colonoscopy, including patients age 50 or older, (or over age 40 if there is a family history of colon cancer) are appropriate for Virtual Colonoscopy. We recommend a repeat Virtual Colonoscopy every 5 years for screening.
What are the Contraindications for Virtual Colonoscopy? Patients who have had a total hip replacement cannot be scanned because of the metal in the hip replacement. Patients who have active Crohn’s Disease, ulcerative colitis, inflammatory bowel disease, diverticulitis, a history of previous bowel perforation, or severe abdominal pain and discomfort on the day of exam are not appropriate for Virtual Colonoscopy. More contraindications.
What Preparation is Necessary for the Exam? We recommend the Fleet® prep kit #1 (see below). This is contraindicated for those patients with heart, renal, and liver disease and in patients on a low sodium diet and in patients with megacolon. For patients on low sodium diet, LoSo® magnesium citrate prep is recommended. For other contraindicated patients, consult your doctor who may consider the Golytely® prep.
Special Considerations: Diabetics not on insulin should have exam in the early morning and don’t take medications or eat the morning of the exam. Diabetics on insulin should consult their doctor for medication and meal instructions. Patients should avoid Celebrex, Vioxx, aspirin, and iron-containing pills from the day before until after the exam. Take all other meds with small sips of water. More considerations.
DAY BEFORE EXAM
DAY OF EXAM
Clear Liquid Guidelines
Clear Liquids include: strained fruit juices without pulp (apple, white grape, lemonade), water, clear broth or bouillon, and coffee or tea (without milk or nondairy creamer). You may have all of the following that are not colored red or purple: Gatorade, carbonated and non-carbonated soft drinks, Kool-Aid (or other fruit flavored drinks), plain jello (without added fruits or toppings), and ice Popsicles.
Diet Guidelines
Light Meal includes: clear soups (fat-free), small portions of skinless chicken, turkey, or fish, boiled or poached egg, white bread (no butter), plus any of the Clear Liquids recommended above.
Do not eat vegetables, fruits, nuts, fats, butter, milk, cheese, beef, port, lamb or whole grain cereals.
Directions for Fleet® Phospho-soda Solution, Bisacodyl Tablets, and Bisacodyl Suppository
- Phosho-soda Solution Directions: Pour 1/2 ounce of Phospho-soda solution into 8 ounces of cold Clear liquid and drink. Repeat this two more times until all of the solution has been taken. Fleet Phospho-soda usually works within one hour.
- Bisacodyl Tablets Directions: Take all four Fleet Bisacodyl Tablets unless directed otherwise by your doctor: Swallow tablets whole with a full glass of water. Do not chew or dissolve tablets. Tablets taken at bedtime are usually effective the following morning.
Do not give tablets to any person who cannot swallow without chewing, unless directed by a doctor. Do not take tablets within 1 hour after taking antacids and/or milk. This product may cause abdominal discomfort, faintness, rectal burning and mild cramps.
· Bisacodyl Suppository Directions: Remove foil wrap from suppository. Lie on side; insert suppository well up into rectum. Push suppository in gently as far as possible and against bowel wall. Wait 15 minutes before evacuating, even if urge is strong. Suppositories are usually effective within 15 minutes to 1 hour.
Note: If suppository is soft, put it in the refrigerator 1 to 2 minutes.
Important Information
Read these directions and labels at least 48 hours in advance of examination.
This kit will help you prepare for an important exam by cleaning out your lower bowel. It is very important that you follow each step and complete all instructions or the entire examination may have to be repeated.
Individual responses to laxatives vary. Remain close to toilet facilities once you take the Phospho-soda solution.
Use the 24 hour prep unless directed otherwise by your doctor.
- Unless directed by your doctor
- If you are on a sodium restricted diet
- If you have heart, kidney, or liver disease, are on a low sodium diet or have megacolon.
- For children under 5 years of age.
Keep this and all drugs out of the reach of children. In case of accidental overdose of liquid or tablets, or ingestion of the suppository, seek professional assistance of contact a Poison Control Center immediately. As with any drug, if you are pregnant or nursing a baby, seek the advice of a health professional before using this product.
Professional Use Warnings: Do not use in patients with mega colon, as hyper-natremic dehydration may occur. Use with caution in patients with impaired renal function as hyper-phosphatemia and hypo-calcemia may occur. Store at 59-86 F (15-30 C).
Medication Instructions – Virtual Colonoscopy
Diabetics: Diabetics not on insulin should have exam in the early morning and don’t take medications or eat the morning of the exam. Diabetics on insulin should consult their doctor for medication and meal instructions.
All Patients: Patients should avoid Celebrex, Vioxx, aspirin, and iron-containing pills from the day before until after the exam is completed. Take all other medications with small sips of water.
© Neurodiagnostics P.S.C., 2001-07
1725 Harrodsburg Road, Suite 100
Lexington, KY 40504
Phone 859-278-7226 or Toll Free 800-755-7441