Dr. Kolachalam, Colonoscopy
What is a Colonoscopy?
Colonoscopy is the most effective way of examining the lining of the colon and rectum. By using a fiberoptic scope designed to bend and turn with your bowl, the doctor can perform biopsies and remove pre-cancerous polyps.
Here is the Colonoscopy Information PDF for information on the Colonoscopy Procedure.
Miralax/ Ducolax Bowel Preparation
Importance of drinking liquids during the bowel preparation process
During bowel preparation you will lose significant amounts of fluid. This is normal. It is very important that you replace his fluids to prevent dehydration. Drink large amounts of clear liquids. Drink large amounts of clear liquids also help ensure that your bowel will be clean for the examination. A completely clean: may help avoid the need for a repeat exam.
Read Carefully: Follow the steps below
All Day Long
Clear Liquids Diet List
(DO NOT DRINK ANYTHING COLORED RED OR PURPLE )
- Water, tea or coffee( no milk or non dairy creamer) sweeteners are o.k.
- Soft drinks ( 7-Up, cola, ginger ale, orange, sprite, etc,) Gatorade, Kool-Aid,Lemonade.
- strained fruit juices; without pulp. ( apple, white cranberry, orange , white grape, etc.)
- Low sodium chicken or beef bouillon/ broth,
- hard candies , Jell-O, popsickles
- No sherbets or fruit bars.
Purchase from drug store.
- Ducolax Laxative tablets 5mg : 4 tablets
- Miralax : over the counter 238g
- Mix in 64 oz clear liquid (water, or look at the drink list above)
DAY BEFORE EXAM
Morning 8:00 a.m – 9:00 a.m
start clear liquids only
after 9:00 a.m
start clear liquids only
Your body loses significant amounts of fluid during bowel perforation. In order to prevent dehydration, it is important to supplement the fluid loss with clear liquids. Make a conscious effort to drink as much as you can before, during, and after the preparation.
AVOID ALL DAIRY PRODUCTS
- At 2:00 P.M. take 4 Ducolax 5mg laxative tablets.
- Mix the 238g bottle of Miralax in 64 Ounces of cold clear liquid of your choice (mix entire bottle) **POP and juice not commandeered8**
- At 6:00 P.M. start drinking Miralax mix. Drink 8 ounces very 30 minutes until gone. You may drink any clear liquids up until midnight.
NOTHING TO DRINK AFTER MIDNIGHT!!
Why am I having a Colonoscopy?
- Screening Exam
- Blood found in or seen with your stool
- Unexplained anemia
- Family History of Colorectal Cancer
- Polyps found on your Sigmoidoscopy
- History of Polyps or Colorectal Cancer
- Abnormal Barium Enema or CT Scan
- Inflammatory Bowel Disease
- Unexplained Abdominal Symptoms
Does having a Colonoscopy Prevent Colon Cancer?
By removing pre-cancerous polyps, over 90% of colorectal cancers can be prevented. There are however, 2 situations where a colonoscopy may fail to detect or prevent cancer: (Fortunately they are not common)
- A small cancer or polyp “hidden” by either a large fold in the colon, or stool left inside despite the bowel prep.
- A fast growing cancer that develops in-between screening exams
How is the Colonoscopy performed?
The exam is performed at the hospital as an outpatient procedure. An intravenous line is placed so that you can be given sedation. After the sedation take effect, the scope is inserted and the entire bowel is checked for abnormalities. If polyps are found, they are removed during the exam and sent to pathology to be analyzed.
Afterword, you will need a driver to take you home. You cannot work the day of the exams, but the following day you may return to your normal schedule.
Can there be complications?
Colonoscopy is the safest when performed by physicians with specialty training, such as Dr. Kolachalam. Possible complications are rare. It is important for you to recognize the early signs of any possible problem.
They can include, but are not limited to;
- Heavy bleeding can occur up to 2 weeks after a polyp is removed. This occurs if the “scab” from the polyp site breaks off. If you pass a 1/2 cup or more of blood, call you physician or go to the hospital’s emergency room. Be sure your physician knows you take any blood thinners (COUMADIN, PLAVIX, TICLID, or others)
- Perforation may not be evident until the evening after or the day following your exam. If you develop abdominal pain, fever, and chills, or vomiting call immediately. Some perforations can be treated with antibiotics. Others require surgery.