Hello. I'm Dr. Jeffrey Tang.
I'm a senior staff gastroenterologist with the Henry Ford Medical Group.
A colonoscopy
is an important diagnostic tool that helps your physician evaluate
gastrointestinal symptoms,
check for abnormal growths and to detect or even prevent colon cancer.
In this video,
we will review the instructions for a Golytely preparation for a colonoscopy.
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.
You should receive a set of prep instructions from your doctor that you will
need to follow very closely.
A link to these 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 asked from products and blood thinners, such as Coumadin,
Plavix, Eliquis, 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. The day before your colonoscopy. It
is important that you do not eat any solid foods the day before your
colonoscopy. 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 Golytely 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 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 of 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 preparation 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.