Hello. I'm Dr. Jeffrey Tang.
I'm a senior staff gastroenterologist with a Henry Ford Medical Group.
A colonoscopy is an important diagnostic tool that helps your physician evaluate
GI symptoms,
check for abnormal growth and to detect or even prevent colon cancer.
In this video,
we will review the instructions for a Golytely Extended colonoscopy preparation.
Preparation,
or prep is a key part to an accurate colonoscopy.
It is important that your colon is clean enough to look for very small findings.
Some patients need a longer preparation to effectively clean their colon.
You should receive a set of prep instructions from doctor that you'll need to
follow very closely. A link to the instructions is in the description below.
Seven days before your colonoscopy.
Your preparation will begin seven days before your colonoscopy.
Please stop taking iron supplements and do not eat nuts,
seeds or popcorn. You can continue to take most of your medicines as usual.
However, some medicines make your colonoscopy less safe.
You can find a list of these medicines on your handout.
Some examples are aspirin products and blood thinners, such as Coumadin,
Plavix Eloquis and Pradaxa. Please talk with your doctor.
If you take these medicines.
Medicine for diabetes may also need to be changed before the colonoscopy.
There is another video that you will need to watch. In addition to this one,
if you take medicines for diabetes. Two days before your colonoscopy. It
is important that you do not eat any solid foods,
two days before your procedure.
Please drink at least eight ounces or one cup of
clear liquids each hour you are awake.
A standard sized water bottle is about two cups. Clear liquids include water,
black coffee or tea without cream, pop, Gatorade,
flavored water, clear juices, popsicles and Jello.
Do not have anything that is red purple or orange.
Mix the first Golytely kit by adding water to the Golytely
container. Do not add water past the fill or gallon level mark.
Shake or stir until it's well mixed.
Throw away half of the solution and keep the remaining Golytely solution
refrigerated. At 6:00 PM,
start drinking eight ounces or one cup of Golytely every 10 to 15
minutes until you have finished half of the solution.
This should be completed by 7:30 PM.
The day before your colonoscopy.
Continue to drink only clear liquids and no solid foods.
Mix the second Golytely kit by adding water to the Golytely container.
Do not add water past the fill or gallon level mark.
Shake or stir it until it is well mixed and keep it refrigerated.
At 6:00 PM,
start drinking eight ounces or one cup of Golytely every 10 to
15 minutes until you have finished half the solution.
This should be completed by 7:30 PM. The day of your colonoscopy.
Your
preparation will continue the morning of your colonoscopy.
If your colonoscopy is scheduled before 12:00 PM,
you will wake up at 3:00 AM to complete the preparation.
If your colonoscopy is scheduled after 12:00 PM,
you will wake up at 6:00 AM. At the time you are supposed to wake up,
please drink eight ounces or one cup of Golytely every 10
to 15 minutes until the solution is finished.
You may continue to drink clear liquids after this,
but you will need to stop drinking anything at least three hours before your
scheduled colonoscopy time.
Any morning medicines you need to take should be taken with one or two sips of
water only.
You should plan to arrive for your colonoscopy promptly at the scheduled time
and make sure that you have someone with you that can drive you home.
People often ask what they should do if they have eaten seeds or nuts within
a week, or couldn't follow the liquid diet.
We recommend that you continue with the preparation,
if your bowel will become clear.
Please contact your procedure location the morning of your appointment
to reschedule, if your bowel movements do not become clear.
People may have different responses to the preparation.
Some people become nauseous during their preparation. If this happens,
please drink your more slowly.
It is important that you still finish the entire solution.
It may take several hours to have your first bowel movement.
Please continue to take the preparation as instructed.
We want this process to be smooth and lead to a safe and thorough exam.
Please make sure to look at your handout for detailed explanations.
If you have any questions, please contact your procedure location.
Thank you for your time. And thank you for choosing Henry Ford.