Bowel Preparation with Meroken - Colonoscopy
- MEROKEN one bottle
- LAXADIN one box (2*2) tablets
- FLEET ENEMA (133 ml) 2 bottles
Please continue on prescribed medications leading up to the examination except for:
- Aspirin or aspirin-related products should be stopped 5 days prior to the examination.
- Blood thinners (coumadin, dicoumarol etc.) should be stopped 5 days prior to the examination under the guidance of your family physician, surgeon or gastroenterologist.
- Diabetic medications – Please continue to take your medication and take one can of Ensure or Resource at each meal-time during your preparation for the colonoscopy, including the morning of your examination.
FIVE (5) DAYS BEFORE EXAM: begin to decrease the residue in your diet. Refrain from eating nuts, seeds, corn and popcorn. Stop taking fiber supplements (Flax seed, Metamucil, Fibercon, Benefiber, etc.) and begin the diet without fibers.
THREE (3) DAYS prior to the examination: Begin the diet
The diet reduces or totally eliminates fiber and will include food like: Boiled chicken (no skin), Cheese, Eggs, Skinless potatoes, Steamed white, fish, White bread.
Foods to Avoid
The following list of foods should not be eaten in the days leading up to your colonoscopy because they are high in fiber: Fruits, Nuts, Red meat ,Rice and vegetables.
Liquids to Avoid
In preparation for a colonoscopy, your diet should include plenty of liquids. However, there are some that should be avoided:
Milk, Milk-based drinks, Foods and beverages colored red or purple.
Stop taking fiber supplements (Flax seed, Metamucil, etc.) and begin the diet without fibers
Take two (2) tablets of laxadin at 4:30 p.m
TWO DAYS prior to the examination:
Take two (2) tablets of laxadin at 4:30 p.m
ONE (1) DAY prior to the examination:
Your last solid meal is breakfast.
Remain on a fluid diet (have a minimum of 2L of fluid) leading up to your procedure.
- No Dairy products.
- No Red Dyes.
You may have fluids which include: coffee and tea (without milk), clear soup, Clear juices (e.g.water, apple juice, ginger ale), Gatorade, ice and jello (not red jello).
Drink 1.5 liter of Meroken (half the bottle) at about 6:00 p.m., the day before procedure
Mix the Meroken with cold water. You can add some syrup or Sprite if the liquid is not tasty. Drink one (1) glass every ten (!0) minutes. Most people will have 3 to 6 watery bowel movements, usually without urgently rushing to the washroom.
Put Vaseline ointment around your anus to avoid irritation of the liquid stools If you have some pain put an ointment with Zinc Oxide on your anus.
THE DAY of your examination:
Drink the second half (1.5 liter) of Meroken 5 hours before your procedure time, Do a fleet enema 3 hours before and a second one 2 hours before the procedure ( keep the enema at least 3 minutes inside your bowels). Put Vaseline ointment around your anus to avoid the irritation of the liquid stools if you have some pain put an ointment with Zinc Oxide on your anus .
You should drink at least 2 liters of water starting early in the morning. The more clear fluids you drink the better you will feel and the cleaner your bowel will be. This ensures a better examination environment.
Please remember to remain on your clear fluid diet!
Arrival at the clinic:
Please arrive for your procedure a quarter of an hour (1/4) prior to the procedure time. Do not forget your insurance documents, and a list of your medications is helpful. You may wait since some procedures may take longer.
At the examination
You will have sedation .It relieves pain and relaxes the bowel during the examination.
As you will be sedated during the procedure, you will not be allowed to drive for 8 hours after. Please ensure you have made arrangements to have someone else drive you home.
YOU MAY NOT TAKE A TAXI HOME ALONE!
After the procedure
You may resume your usual diet and activity. It is not uncommon to feel gas cramps for a short while. Moving around will help expel the gas and you shouldn’t worry.
Due to the effects of the sedation you are advised not to drive a car, operate machinery or make legal/financial decisions that require, until the following day.
You may notice a small amount of blood with your next bowel movement if samples were taken from the polyps removed, this is not worrisome. If you have a larger amount of blood in your bowel you should contact the physician who performed the procedure