BOWEL PREPARATION WITH MOVIPREP

 

For a successful colonoscopy the bowel must be clear of any stool (faeces). Inadequate preparation increases the duration and risk of the procedure, limits the views of the bowel lining and hence increases the chance of missing abnormalities. This may result in the colonoscopy (and bowel preparation) being repeated.

Bowel preparation is not pleasant as it results in diarrhoea and is generally inconvenient. Please adhere to the following instruction as best you can.

 

The timing of the bowel preparation depends on when the procedure is to be performed. Please take note whether your colonoscopy is in the morning or afternoon.

 

STEP 1 - TWO DAYS BEFORE COLONOSCOPY - LOW FIBRE DIET

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• Stop eating high fibre foods. A list of foods that are allowed and should be avoided are shown at the end of this document (appendix).

• Stop eating foods with seeds grains, peel or skin

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STEP 2 - ONE DAY BEFORE COLONOSCOPY - WHITE DIET

 

Commence the White diet:

 

• Milk (regular, low fat, skim), water, lemonade, soda or mineral water, clear (not coloured) Gatorade or other sports drinks

• Regular white bread/toast, rice bubbles, white rice, regular pasta, potatoes (peeled), rice noodles, plain rice crackers, white flour, sugar

• Eggs, chicken breast (no skin), white fish fillet (no skin)

• Plain cream cheese, cheddar cheese, ricotta, fetta, cottage, parmesan or mozzarella cheese, white sauce

• White coloured yoghurt (no added fruit or inulin), mayonnaise, cream, sour cream, butter and margarine, oil for cooking

• White chocolate, vanilla ice cream, lemonade icy-pole, clear jelly, custard, “milk bottles”(confectionery)

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AVOID HIGH FIBRE WHITE FOODS: e.g. cauliflower, onion, parsnips, pears, couscous, high fibre white bread, popcorn, banana, porridge, and coconut

 

STEP 3 - THE AFTERNOON BEFORE COLONOSCOPY

 

• MOVIPREP is a lemon or orange-flavoured powder contained in four sachets. There are two large sachets (Sachet A) and two small sachets (Sachet B). You need all four sachets to prepare your bowel.

• Prepare each litre of MOVIPREP solution by mixing one sachet of A and B into one litre of water. The pack will therefore make two litres of solution that may be kept in the fridge (out of reach of children). 

• We use a “SPLIT” preparation whereby the two litres are consumed separately. The timing of the prep will depend on when the procedure is scheduled (see below)..

• The bowel preparation is not a substitute for normal fluid intake. Dehydration can occur and it is very important that other clear fluids are also taken during the period of bowel preparation. At least a further 1 litre of these clear fluids must be consumed.

 

STEP 4 - TAKING THE BOWEL PREPARATION SOLUTION

 

• Please look at the following chart to determine the timing of bowel preparation

• The timing of taking the preparation depends on when your procedure is scheduled.