Center for Inflammatory Bowel Disease Treatment and Research

Colonoscopy Preparations Liquids, Laxative and Enemas

Preparation	Helpful Hints
1 day full liquid Milk, yogurt, cream soups, pudding 1 day clear liquid Clear juices, Gatorade, jello, popsicles, clear soup broth Laxative both evenings of prep Enema Enema morning of test	Prepare child for what to expect Pack school lunches Inform teachers and school nurse Laxative may be in pill or liquid form Dilligence to diet is essential for an optimal cleaning Explain reason for enemas

Fleets Phosphosoda

Information	Helpful Hints
Used for older children (6 and up) Must drink 24-32 ounces of clear liquids with each dose to ensure no electrolyte imbalance occurs 1 day clear liquid Clear juices, Gatorade, jello, popsicles, clear soup broth Contraindicated in children with kidney or heart disease	Dilution solution Divide entire dose into 3-8 ounce glasses of any clear liquid Use a straw, drink it over ice Start early in the day to avoid an "all nighter" Drink, drink and drink some more!

Go-lytely, Nu-lytely, Co-lyte

Information	Helpful Hints
Light breakfast allowed Must drink a large volume of preparation liquid Start early in the day Need physician prescription No enemas or laxatives necessary	Mix and refrigerate the night before Mix with flavored drink mix- by the glass! Use a straw, over ice Encourage child to continue drinking May need to stop and start...

Sigmoidoscopy

Information

Much less invasive
Usually laxative and enema only
Children post colectomy require specialized instructions

Upper Endoscopy

Preparation

Fasting only

Other Information

Fasting Instructions

All children should have clear liquids up to 2-3 hours before their scheduled procedure time
Solid food and full liquids are stopped after midnight
Some facilities may allow solids and fulls up to 6 hours before

What to bring to the Hospital

Comfort items
Favorite pillow
Music
Favorite CD or book on tape
Pertinent medical information such as: current medication, recent illnesses, hospitalizations etc.

Going Home
Diet	May eat their regular diet once at home Encourage fluids
Activity	Must avoid all activites that require coordination for 24 hours Extracurricular, driving May return to school the next day
When to call your doctor/nurse	Pain Fever Difficulty arousing Whenever you are concerned

Medications to Avoid

Non-steroidal anti-inflammatory drugs
Motrin
Advil
Aleve
Aspirin products
If you are not sure whether to stop a medication or not, ask!

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