Bowel Preparation

The above video explains how to take Moviprep for a morning or afternoon appointment (before 6pm). Below is a written explanation that will also be sent to you via post. 

These instructions for taking your bowel preparation replace those enclosed in the packets containing Moviprep. However, it is important you read the manufacturer’s leaflet inside the packet of preparation before you take the bowel preparation. The leaflet will tell you about the preparation itself, allergies, indications for taking or not taking the preparation, the possible side effects, the effect it can have on taking oral medications – in particular medications that may affect fluid balance, and when you should consult a doctor before taking the bowel preparation.

Any usual oral medication should be taken at least two hours before starting the Moviprep to minimise the risk of flushing the medication through the gut and not being fully absorbed.

The aim of the bowel preparation is to clean your bowel so that there are clear views of the lining of your bowel during your endoscopy procedure. If you are unable to take any of the bowel preparation for any reason or your bowel preparation does not work properly it is important you contact the endoscopy unit using the contact telephone number on your endoscopy appointment letter.
Poor bowel preparation may mean that your endoscopy procedure will be stopped or may not go ahead and you will need to repeat the preparations and endoscopy test on another day.

We understand we may be asking you to get up early on the day of your test to take your second sachets of bowel preparation.

Research shows that to achieve good views during your colonoscopy procedure and reduce the risk of missing lesions or polyps it is best to take the second part of your bowel preparation 5 hours before the time of your appointment for your endoscopy test. If you feel it is impossible to get up this early to take your bowel preparation please contact endoscopy.

Important information about some of the ingredients of Moviprep:
Moviprep contains aspartame, which is a source of phenylalanine which may be harmful for people with phenylketonuria (a genetic disorder affecting metabolism). It also contains ascorbate which may be harmful for people with glucose-6-phosphate dehydrogenase deficiency. Do not take Moviprep if you have phenylketonuria or glucose-6-phosphate dehydrogenase deficiency, please contact endoscopy.
The remainder of this leaflet advises you on how to prepare in the days leading up to your endoscopy procedure. Please follow the actions below starting 7 days before the day of your appointment if you take iron medications or day 4 before for all other patients.

Seven days before the procedure
If you are taking iron tablets please stop taking them, but continue all other medications including laxatives.

Four days before the procedure
If you are taking any constipating agents (e.g. loperimide, codeine phosphate etc.) stop taking them. Continue with all other medications until your appointment.

Three days before the procedure
Start low fibre diet and continue until you start taking your bowel prep medication. For the best results in cleansing the bowel a low fibre diet is advised. Eating other foods may affect how well the bowel preparation works to ensure good views of your bowel during your procedure.

The day before the procedure
Take your regular morning medicines unless you have been instructed otherwise.
Breakfast as usual (using foods from low fibre diet)
Lunch no later than 1pm (using foods from low fibre diet)

Following lunch even if you are hungry, do not eat any solid food after 1pm because this may affect how the bowel prep works, your bowel must be completely empty to ensure we have clear views during your endoscopy procedure.

You should not eat any further solid food until after your procedure. However, you may drink clear fluids throughout the day. This should preferably be water, but you can also have tonic water, tea or coffee without milk, soft drinks (non fizzy) including squash (no red or blackcurrant) clear fruit juices without pulp/bits for example clear apple juice, Bovril.

1st Dose: 7pm
Make up your first dose of Moviprep by pouring the powder from one ‘A’ sachet and one ‘B’ sachet of Moviprep into a large jug and then add one litre of water to the jug and stir until the powder is completely dissolved and the solution is clear. You can add cordial (not blackcurrant) to flavour the Moviprep if you wish.
Drink one glassful (approximately 250mls or ½ pint) of the Moviprep every 15 minutes until you have drunk the whole jug (one litre). You should have completed drinking the whole jug of Moviprep in about one hour.

You should continue to drink plenty of clear fluids (at least 500mls or 1 pint) over the next couple of hours.

You should expect frequent bowel motions and eventually watery diarrhoea. Some stomach discomfort is normal. Please use a barrier cream if your bottom becomes sore and stay within easy reach of the toilet.

On the day of your procedure
Do not eat any solid food until after your procedure.

2nd Dose: 5 hours before your appointment time
Make up your second dose of Moviprep in the same way as the first and starting drinking it at least 5 hours before the appointment time of your endoscopy procedure, even if this means you getting up early to take the Moviprep.

For example if your appointment is:
9am you need to take your bowel prep at 4am
11am you need to take your bowel prep at 6am
3pm you need to take your bowel prep at 10am

Drink one glassful (approximately 250mls) of the Moviprep every 15 minutes over the next hour until you have drunk the whole jug (one litre).
You should continue to drink plenty of clear fluids up until two hours before the procedure, preferable water.
Examples of clear fluids that you may have are water, tea (without milk), coffee (without milk), Bovril, tonic water, squash (no fizzy drinks) (no red or blackcurrant) clear fruit juices without pulp/bits for example clear apple juice.

You should expect to be passing clear fluid bowel motions after taking the second jug of preparation.

The above video explains how to take Moviprep for an evening appointment (after 6pm). Below is a written explanation that will also be sent to you via post. 

The aim of this information is to help you to prepare for your endoscopy procedure (colonoscopy, flexisigmoidoscopy or enteroscopy). Please read this thoroughly for advice on alterations needed to your diet and administration of bowel preparation medication to clean your bowel in the days leading up to your endoscopy test.

These instructions for taking your bowel preparation replace those enclosed in the packets containing Moviprep. However, it is important you read the manufacturer’s leaflet inside the packet of preparation before you take the bowel preparation. The leaflet will tell you about the preparation itself, allergies, indications for taking or not taking the preparation, the possible side effects, the effect it can have on taking oral medications – in particular medications that may affect fluid balance, and when you should consult a doctor before taking the bowel preparation.

Any usual oral medication should be taken at least two hours before starting the Moviprep to minimise the risk of flushing the medication through the gut and not being fully absorbed.

The aim of the bowel preparation is to clean your bowel so that there are clear views of the lining of your bowel during your endoscopy procedure. If you are unable to take any of the bowel preparation for any reason or your bowel preparation does not work properly it is important you contact the endoscopy unit using the contact telephone number on your endoscopy appointment letter.

Poor bowel preparation may mean that your endoscopy procedure will be stopped or may not go ahead and you will need to repeat the preparations and endoscopy test on another day.

Research shows that to achieve good views during your colonoscopy procedure and reduce the risk of missing lesions or polyps it is best to take the second part of your bowel preparation 5 hours before the time of your appointment for your endoscopy test. If you feel it is impossible to get up this early to take your bowel preparation please contact endoscopy.
Important information about some of the ingredients of Moviprep

Moviprep contains aspartame, which is a source of phenylalanine which may be harmful for people with phenylketonuria (a genetic disorder affecting metabolism). It also contains ascorbate which may be harmful for people with glucose-6-phosphate dehydrogenase deficiency. Do not take Moviprep if you have phenylketonuria or glucose-6-phosphate dehydrogenase deficiency, please contact endoscopy.

The remainder of this leaflet advises you on how to prepare in the days leading up to your endoscopy procedure. Please follow the actions below starting 7 days before the day of your appointment if you take iron medications or day 4 before for all other patients.

Schedule for preparing for your endoscopy procedure (colonoscopy, flexisigmoidoscopy, enteroscopy)
Please follow the instructions below, starting seven days before your procedure. Make sure you finish all the Moviprep even if your motions are already liquid and clear.

Seven days before the procedure
If you are taking iron tablets please stop taking them, but continue all other medications including laxatives.
Four days before the procedure
If you are taking any constipating agents (e.g. loperimide, codeine phosphate etc.) stop taking them. Continue with all other medications until your appointment.
Three days before the procedure
Start low fibre diet and continue until you start taking your bowel prep medication. For the best results in cleansing the bowel a low fibre diet is advised. Eating other foods may affect how well the bowel preparation works to ensure good views of your bowel during your procedure.

The day before the procedure
Take your regular medicines unless you have been instructed otherwise.
Breakfast and Lunch as usual (using foods from low fibre diet)
Evening: Light Meal

Following your evening meal, even if you are hungry, do not eat any solid food after 9pm because this may affect how the bowel prep works, your bowel must be completely empty to ensure we have clear views during your endoscopy procedure.

On the day of your procedure
You should not eat any further solid food until after your procedure. However, you may drink clear fluids throughout the day to to two hours before your endoscopy procedure. This should preferably be water, but you can also have tonic water, tea or coffee without milk, soft drinks (non fizzy) including squash (no red or blackcurrant) clear fruit juices without pulp/bits for example clear apple juice, Bovril.
1st Dose: 8am
Make up your first dose of Moviprep by pouring the powder from one ‘A’ sachet and one ‘B’ sachet of Moviprep into a large jug and then add one litre of water to the jug and stir until the powder is completely dissolved and the solution is clear. You can add cordial (not blackcurrant) to flavour the Moviprep if you wish.
Drink one glassful (approximately 250mls or ½ pint) of the Moviprep every 15 minutes until you have drunk the whole jug (one litre). You should have completed drinking the whole jug of Moviprep in about one hour.

You should continue to drink plenty of clear fluids (at least 500mls or 1 pint) over the next couple of hours, preferable water. You should expect frequent bowel motions and eventually watery diarrhoea. Some stomach discomfort is normal. Please use a barrier cream if your bottom becomes sore and stay within easy reach of the toilet.

2nd Dose: 5 hours before appointment time
Make up your second dose of Moviprep in the same way as the first and starting drinking it at least 5 hours before the appointment time of your endoscopy test.
For example if your appointment is:
6pm you need to take your bowel prep at 1pm
7.30pm you need to take your bowel prep at 2.30pm

Drink one glassful (approximately 250mls) of the Moviprep every 15 minutes over the next hour until you have drunk the whole jug (one litre).
You should continue to drink plenty of clear fluids up until two hours before the procedure, preferable water.
Examples of clear fluids that you may have are water, tea (without milk), coffee (without milk), Bovril, tonic water, squash (no fizzy drinks).

You should expect to be passing clear fluid bowel motions after taking the second jug of preparation.

 

 

For Colonoscopy to be effective it is essential that the bowel is adequately cleansed prior to the procedure. A number of people will require additional preparation prior to colonoscopy including laxatives and prolonged dietary restrictions leading up to the procedure. Examples include: constipation, diabetes, medications which prohibit effective bowel cleansing and previously failed attempts at colonoscopy due to poor results from standard bowel cleansing.

It is important that you follow the guidance below starting seven days before the date of your procedure to aid effective bowel cleaning prior to your appointment.

You should have been supplied with Moviprep and 6 sachets of Movicol. (if not received please contact Endoscopy unit).

7 days before procedure
Stop taking any iron medications if you take them.
5 days before procedure
Start following a low fibre diet (click link for list of food allowed) and drink two litres of water throughout the day.
4 days before
Continue with low fibre diet, drink two litres of water throughout the day, take one sachet of Movicol in the morning, and one in the afternoon. 
3 days before
Continue with low fibre diet, drink two litres of water throughout the day, take one sachet of Movicol in the morning, and one in the afternoon. 
2 days before
Continue with low fibre diet, drink two litres of water throughout the day, take one sachet of Movicol in the morning, and one in the afternoon. 
1 day before
Continue with low fibre diet, and then follow the guidance in the tab above regarding taking your Moviprep depending on the time of your appointment. 

The above video explains how to take Kleanprep for your appointment. This is also provided in written version below, and should also be sent to you via post. 

The aim of this information is to help you to prepare for your endoscopy procedure (colonoscopy, flexisigmoidoscopy or enteroscopy). Please read this thoroughly for advice on alterations needed to your diet and administration of bowel preparation medication to clean your bowel in the days leading up to your endoscopy test.

These instructions for taking your bowel preparation replace those enclosed in the packets containing Klean Prep. However, it is important you read the manufacturer’s leaflet inside the packet of preparation before you take the bowel preparation. The leaflet will tell you about the preparation itself, allergies, indications for taking or not taking the preparation, the possible side effects, the effect it can have on taking oral medications – in particular medications that may affect fluid balance, and when you should consult a doctor before taking the bowel preparation.

Any usual oral medication should be taken at least two hours before starting the Klean Prep to minimise the risk of flushing the medication through the gut and not being fully absorbed.

The aim of the bowel preparation is to clean your bowel so that there are clear views of the lining of your bowel during your endoscopy procedure. If you are unable to take any of the bowel preparation for any reason or your bowel preparation does not work properly it is important you contact the endoscopy unit using the contact telephone number on your endoscopy appointment letter.
Poor bowel preparation may mean that your endoscopy procedure will be stopped or may not go ahead and you will need to repeat the preparations and endoscopy test on another day.

We understand we may be asking you to get up early on the day of your test to take your second sachets of bowel preparation.
Research shows that to achieve good views during your endoscopy procedure and reduce the risk of missing lesions or polyps it is best to take the second part (third and forth doses) of your bowel preparation 5 hours before the time of your appointment for your endoscopy test. If you feel it is impossible to get up this early to take your bowel preparation please contact endoscopy.

Important information about some of the ingredients of Klean Prep
Klean Prep contains aspartame, which is a source of phenylalanine, this may be harmful to people with phenylketonuria (a genetic disorder affecting metabolism), do not take Klean Prep if you have phenylketonuria, please contact endoscopy.
The remainder of this leaflet advises you on how to make up and how to take your bowel preparation. Kleanprep. 

Schedule for preparing for your endoscopy procedure (colonoscopy, flexisigmoidoscopy, enteroscopy)
Please follow the instructions below, starting seven days before your procedure.
Make sure you finish all the Klean Prep even if your motions are already liquid and clear.

Seven days before the procedure
If you are taking iron tablets please stop taking them, but continue all other medications including laxatives.
Four days before the procedure
If you are taking any constipating agents (e.g. loperimide, codeine phosphate etc.) stop taking them. Continue with all other medications until your appointment.
Three days before the procedure
Start low fibre diet (please follow the link for more info) and continue until you start taking your bowel prep medication. For the best results in cleansing the bowel a low fibre diet is advised. Eating other foods may affect how well the bowel preparation works to ensure good views of your bowel during your procedure.

The day before the procedure
Take your regular morning medicines unless you have been instructed otherwise.
Breakfast as usual (using foods from low fibre diet)
Lunch no later than 1pm (using foods from low fibre diet)

Following lunch even if you are hungry, do not eat any solid food after 1pm because this may affect how the bowel prep works, your bowel must be completely empty to ensure we have clear views during your endoscopy procedure. You should not eat any further solid food until after your procedure. However, you may drink clear fluids throughout the day. This should preferably be water, but you can also have tonic water, tea or coffee without milk, soft drinks (non fizzy) including squash (no red or blackcurrant) clear fruit juices without pulp/bits for example clear apple juice, Bovril.

1st Dose: 7pm

Make up your first dose of Klean Prep by emptying the contents of one large sachet and one small sachet of Klean Prep into 1 litre (1 ¾ pints) of water. Stir until the solution is clear. Drink 1 glassful (approximately 250mls or ½ pint) of Klean Prep about every fifteen minutes. You should have completed drinking the whole jug of Klean Prep in about one hour. You can add cordial (not blackcurrant) to flavour the Kleanprep if you wish.

2nd Dose: 8pm
Make up your second dose of Klean Prep in the same way as your first dose. Drink 1 glassful (approximately 250mls or ½ pint) of Klean Prep about every fifteen minutes. You should have completed drinking the whole jug of Klean Prep in about one hour.
You should continue to drink plenty of clear fluids (at least 500mls or 1 pint) over the next couple of hours.
You should expect frequent bowel motions and eventually watery diarrhoea. Some stomach discomfort is normal. Please use a barrier cream if your bottom becomes sore and stay within easy reach of the toilet.

On the day of your procedure
Do not eat any solid food until after your procedure.

3rd dose: 5 hours before your appointment time

Make up your third dose of Klean Prep emptying the contents of one sachet of Klean Prep into a jug and make up in the same way as the first and start drinking it at least 5 hours before the appointment time of your endoscopy procedure, even if this means you getting up early to take the Klean Prep.
Drink one glassful (approximately 250mls or ½ pint) of the Klean Prep every 15 minutes over the next hour until you have drunk the whole jug (one litre).
For example if your appointment is:
9am you need to take your bowel prep at 4am
11am you need to take your bowel prep at 6am
3pm you need to take your bowel prep at 10am

4th Dose: 4 hours before your appointment time

Make up your fourth dose of Klean Prep empty the contents of the final sachet of Klean Prep in the same way as the first. Drink one glassful (approximately 250mls) of the Klean Prep every 15 minutes over the next hour until you have drunk the whole jug (one litre). You should have completed drinking the whole forth jug of Klean Prep in about one hour after completing the third jug.

You should continue to drink plenty of clear fluids up until two hours before the procedure, preferable water.
Examples of clear fluids that you may have are water, tea (without milk), coffee (without milk), Bovril, tonic water, squash (no fizzy drinks) (no red or blackcurrant) clear fruit juices without pulp/bits for example clear apple juice, Bovril.
You should expect to be passing clear fluid bowel motions after taking the third-forth jug of preparation.

For Colonoscopy to be effective it is essential that the bowel is adequately cleansed prior to the procedure. A number of people will require additional preparation prior to colonoscopy including laxatives and prolonged dietary restrictions leading up to the procedure. Examples include: constipation, diabetes, medications which prohibit effective bowel cleansing and previously failed attempts at colonoscopy due to poor results from standard bowel cleansing.

It is important that you follow the guidance below starting seven days before the date of your procedure to aid effective bowel cleaning prior to your appointment.

You should have been supplied with Moviprep and 6 sachets of Movicol. (if not received please contact Endoscopy unit).

7 days before procedure
Stop taking any iron medications if you take them.
5 days before procedure
Start following a  low fibre diet  (click link for list of food allowed) and drink two litres of water throughout the day.
4 days before
Continue with low fibre diet, drink two litres of water throughout the day, take one sachet of Movicol in the morning, and one in the afternoon. 
3 days before
Continue with low fibre diet, drink two litres of water throughout the day, take one sachet of Movicol in the morning, and one in the afternoon. 
2 days before
Continue with low fibre diet, drink two litres of water throughout the day, take one sachet of Movicol in the morning, and one in the afternoon. 
1 day before
Continue with low fibre diet, and then follow the guidance in the tab above regarding taking your Kleanprep depending on the time of your appointment. 

The above video explains how to take Plenvu for a morning or afternoon appointment (before 6pm). Below is a written explanation that will also be sent to you via post. 

The aim of this information is to help you to prepare for your endoscopy procedure (colonoscopy, flexi sigmoidoscopy or enteroscopy). Please read this thoroughly for advice on alterations needed to your diet and administration of bowel preparation medication to clean your bowel in the days leading up to your endoscopy test.

These instructions for taking your bowel preparation replace those enclosed in the packets containing Plenvu. However, it is important you read the manufacturer’s leaflet inside the packet of preparation before you take the bowel preparation. The leaflet will tell you about the preparation itself, allergies, indications for taking or not taking the preparation, the possible side effects, the effect it can have on taking oral medications – in particular medications that may affect fluid balance, and when you should consult a doctor before taking the bowel preparation.

Any usual oral medication should be taken at least two hours before starting the Plenvu to minimise the risk of flushing the medication through the gut and not being fully absorbed.

The aim of the bowel preparation is to clean your bowel so that there are clear views of the lining of your bowel during your endoscopy procedure. If you are unable to take any of the bowel preparation for any reason or your bowel preparation does not work properly it is important you contact the endoscopy unit using the contact telephone number on your endoscopy appointment letter.

Poor bowel preparation may mean that your endoscopy procedure will be stopped or may not go ahead and you will need to repeat the preparations and endoscopy test on another day.

We understand we may be asking you to get up early on the day of your test to take your second sachets of bowel preparation.

Research shows that to achieve good views during your colonoscopy procedure and reduce the risk of missing lesions or polyps it is best to take the second part of your bowel preparation 5 hours before the time of your appointment for your endoscopy test. If you feel it is impossible to get up this early to take your bowel preparation please contact endoscopy.

Important information about some of the ingredients of Plenvu: Plenvu contains aspartame, which is a source of phenylalanine which may be harmful for people with phenylketonuria (a genetic disorder affecting metabolism). It also contains ascorbate which may be harmful for people with glucose-6-phosphate dehydrogenase deficiency. Do not take Plenvu if you have phenylketonuria or glucose-6-phosphate dehydrogenase deficiency, please contact endoscopy.

The remainder of this information advises you on how to prepare in the days leading up to your endoscopy procedure. Please follow the actions below starting 7 days before the day of your appointment if you take iron medications or day 4 before for all other patients.

Schedule for preparing for your endoscopy procedure (colonoscopy, flexisigmoidoscopy, enteroscopy)

Please follow the instructions below, starting seven days before your procedure. Make sure you finish all the Plenvu even if your motions are already liquid and clear.

Seven days before the procedure
If you are taking iron tablets please stop taking them, but continue all other medications including laxatives.

Four days before the procedure
If you are taking any constipating agents (e.g. loperimide, codeine phosphate etc.) stop taking them. Continue with all other medications until your appointment.

Three days before the procedure
Start low fibre diet  (follow link for more info) continue this until you start taking your bowel prep medication. For the best results in cleansing the bowel, a low fibre diet is advised. Eating other foods may affect how well the bowel preparation works to ensure good views of your bowel during your procedure.

The day before your procedure

Take your regular morning medicines unless you have been instructed otherwise.

Breakfast as usual (using foods from fibre diet)

Lunch no later than 1pm (using foods from low fibre diet)

Following lunch even if you are hungry, do not eat any solid food after 1pm because this may affect how the bowel prep works, your bowel must be completely empty to ensure we have clear views during your endoscopy procedure.

You should not eat any further solid food until after your procedure. However, you may drink clear fluids throughout the day. This should preferably be water, but you can also have tonic water, tea or coffee without milk, soft drinks (non fizzy) including squash (no red or blackcurrant) clear fruit juices without pulp/bits for example clear apple juice, Bovril.

Plenvu is a two-dose preparation.

Dose 1 is a single mango-flavoured sachet.

Dose 2 is two sachets (A and B) and fruit-punch flavour.

All sachets must be taken with the right amount of water following the schedule below.

1st Dose: 7pm
Make up your first dose of Plenvu. Open the carton and remove Dose 1 (one sachet). Pour the contents into a jug or container that can hold 500mls of fluid. Add 500mls of water and stir until all the powder has dissolved, this may take up to 8 minutes.

Drink the 500mls of Plenvu, try to drink a glass full every 10 to 15 minutes over 30 minutes until complete.

On the day of your procedure
Do not eat any solid food until after your procedure.

2nd Dose: 5 hours before your appointment time

Make up your second dose of Plenvu drinking it at least 5 hours before the appointment time of your endoscopy procedure, even if this means you getting up early to take the Plenvu. 

For example if your appointment is:
9am you need to take your bowel prep at 4am
11am you need to take your bowel prep at 6am
3pm you need to take your bowel prep at 10am

To make up dose 2:

Open the carton and remove Dose 2 (Two Sachets-Sachet A and Sachet B).

Pour the contents into a jug or container that can hold 500mls of fluid.
Add 500mls of water and stir until all the powder has dissolved, this may take up to 8 minutes.

Drink the 500mls of Plenvu, try to drink a glass full every 10 to 15 minutes over 30minutes till complete. Examples of clear fluids that you may have are water, tea (without milk), coffee (without milk), Bovril, tonic water, squash (no fizzy drinks) (no red or blackcurrant) clear fruit juices without pulp/bits for example clear apple juice, Bovril.

The above video explains how to take Plenvu for an evening appointment (after 6pm). Below is a written explanation that will also be sent to you via post. 

The aim of this information is to help you prepare for your endoscopy procedure (colonoscopy, flexisigmoidoscopy or enteroscopy). Please read this thoroughly for advice on alterations needed to your diet and administration of bowel preparation medication to clean your bowel in the days leading up to your endoscopy test.

These instructions for taking your bowel preparation replace those enclosed in the packets containing Plenvu. However, it is important you read the manufacturer’s leaflet inside the packet of preparation before you take the bowel preparation. The leaflet will tell you about the preparation itself, allergies, indications for taking or not taking the preparation, the possible side effects, the effect it can have on taking oral medications – in particular medications that may affect fluid balance, and when you should consult a doctor before taking the bowel preparation.

Any usual oral medication should be taken at least two hours before starting the Plenvu to minimize the risk of flushing the medication through the gut and not being fully absorbed.

The aim of the bowel preparation is to clean your bowel so that there are clear views of the lining of your bowel during your endoscopy procedure. If you are unable to take any of the bowel preparation for any reason or your bowel preparation does not work properly it is important you contact the endoscopy unit using the contact telephone number on your endoscopy appointment letter.

Poor bowel preparation may mean that your endoscopy procedure will be stopped or may not go ahead and you will need to repeat the preparations and endoscopy test on another day.

Research shows that to achieve good views during your colonoscopy procedure and reduce the risk of missing lesions or polyps, it is best to take the second part of your bowel preparation 5 hours before the time of your appointment for your endoscopy test. If you feel it is impossible to get up this early to take your bowel preparation, please contact endoscopy.

Important information about some of the ingredients of Plenvu
Plenvu contains aspartame, which is a source of phenylalanine that may be harmful for people with phenylketonuria (a genetic disorder affecting metabolism). It also contains ascorbate, which may be harmful for people with glucose-6-phosphate dehydrogenase deficiency. Do not take Plenvu if you have phenylketonuria or glucose-6-phosphate dehydrogenase deficiency, please contact endoscopy.

The remainder of this information advises you on how to prepare in the days leading up to your endoscopy procedure. Please follow the actions below starting 7 days before the day of your appointment if you take iron medications or day 4 before for all other patients.

Preparing for your endoscopy procedure (colonoscopy, flexisigmoidoscopy, enteroscopy)

Please follow the instructions below, starting seven days before your procedure. Make sure you finish all the Plenvu even if your motions are already liquid and clear.

Seven days before the procedure
If you are taking iron tablets, please stop taking them, but continue all other medications including laxatives.

Four days before the procedure
If you are taking any constipating agents (e.g. loperimide, codeine phosphate, etc.), stop taking them. Continue with all other medications until your appointment.

Three days before the procedure
Start low fibre diet (please click the link for more info) and continue until you start taking your bowel prep medication. For the best results in cleansing the bowel, a low fibre diet is advised. Eating other foods may affect how well the bowel preparation works to ensure good views of your bowel during your procedure.

The day before your procedure

Take your regular medicines unless you have been instructed otherwise.

Breakfast and Lunch as usual (using foods from fibre diet)

Evening Light Meal (using foods from low fibre diet)

Following your evening meal, even if you are hungry, do not eat any solid food after 9pm because this may affect how the bowel prep works. Your bowel must be completely empty to ensure we have clear views during your endoscopy procedure.

On the day of your procedure

You should not eat any further solid food until after your procedure. However, you may drink clear fluids throughout the day up to two hours before your endoscopy procedure. This should preferably be water, but you can also have tonic water, tea or coffee without milk, soft drinks (non fizzy) including squash (no red or blackcurrant), clear fruit juices without pulp/bits for example clear apple juice, Bovril.

1st Dose: 8am

Open the carton and remove Dose 1 (one sachet)

Pour the contents into a jug or container that can hold 500mls of fluid.

Add 500mls of water and stir until all the powder has dissolved, this may take up to 8 minutes.

Drink the 500mls of Plenvu, try to drink a glass full every 10 to 15 minutes over 30 minutes until complete.

You should continue to drink plenty of clear fluids (at least 500mls or 1 pint) over the next couple of hours.

2nd Dose: 5 hours before your procedure

Make up your second jug of Plenvu drinking it at least 5 hours before the appointment time of your endoscopy procedure.

For example if your appointment is:

• 6pm you need to take your bowel prep at 1pm
• 7.30pm you need to take your bowel prep at 2.30pm

To make up dose 2: open the carton and remove Dose 2 (Two Sachets-Sachet A and Sachet B) Pour the contents into a jug or container that can hold 500mls of fluid.

Add 500mls of water and stir until all the powder has dissolved, this may take up to 8 minutes.

Drink the 500mls of Plenvu, try to drink a glass full every 10 to 15 minutes over 30 minutes until complete.

You should continue to drink plenty of clear fluids up until two hours before the procedure, preferably water.

 

The aim of this information is to help you to prepare for your endoscopy procedure (colonoscopy, flexisigmoidoscopy or enteroscopy). Please read this thoroughly for advice on alterations needed to your diet and administration of bowel preparation medication to clean your bowel in the days leading up to your endoscopy test.

These instructions for taking your bowel preparation replace those enclosed in the packets containing Picolax. However, it is important you read the manufacturer’s leaflet inside the packet of preparation before you take the bowel preparation. The leaflet will tell you about the preparation itself, allergies, indications for taking or not taking the preparation, the possible side effects, the effect it can have on taking oral medications – in particular medications that may affect fluid balance, and when you should consult a doctor before taking the bowel preparation.

Any usual oral medication should be taken at least two hours before starting the Picolax to minimise the risk of flushing the medication through the gut and not being fully absorbed.

The aim of the bowel preparation is to clean your bowel so that there are clear views of the lining of your bowel during your endoscopy procedure. If you are unable to take any of the bowel preparation for any reason or your bowel preparation does not work properly it is important you contact the endoscopy unit using the contact telephone number on your endoscopy appointment letter.

Poor bowel preparation may mean that your endoscopy procedure will be stopped or may not go ahead and you will need to repeat the preparations and endoscopy test on another day.

We understand we may be asking you to get up early on the day of your test to take your second sachets of bowel preparation.

Research shows that to achieve good views during your endoscopy procedure and reduce the risk of missing lesions or polyps it is best to take the second part of your bowel preparation 5 hours before the time of your appointment for your endoscopy test. If you feel it is impossible to get up this early to take your bowel preparation please contact endoscopy.

The remainder of this leaflet advises you on how to prepare in the days leading up to your endoscopy procedure. Please follow the actions below starting 7 days before the day of your appointment if you take iron medications or day 4 before for all other patients.

Schedule for preparing for your endoscopy procedure (colonoscopy, flexisigmoidoscopy, enteroscopy)
Please follow the instructions below, starting seven days before your procedure.Make sure you finish all the Picolax even if your motions are already liquid and clear.

Seven days before the procedure
If you are taking iron tablets please stop taking them, but continue all other medications including laxatives.
Four days before the procedure
If you are taking any constipating agents (e.g. loperimide, codeine phosphate etc.) stop taking them. Continue with all other medications until your appointment.
Three days before the procedure
Start low fibre diet and continue until you start taking your bowel prep medication. For the best results in cleansing the bowel a low fibre diet is advised. Eating other foods may affect how well the bowel preparation works to ensure good views of your bowel during your procedure.

The day before the procedure
Take your regular morning medicines unless you have been instructed otherwise.
Breakfast as usual (using foods from fibre diet)
Lunch no later than 1pm (using foods from low fibre diet)
Following lunch even if you are hungry, do not eat any solid food after 1pm because this may affect how the bowel prep works, your bowel must be completely empty to ensure we have clear views during your endoscopy procedure.

You should not eat any further solid food until after your procedure. However, you may drink clear fluids throughout the day. This should preferably be water, but you can also have tonic water, tea or coffee without milk, soft drinks (non fizzy) including squash (no red or blackcurrant) clear fruit juices without pulp/bits for example clear apple juice, Bovril.
Not later than 3pm
Take two Senna or Biscodyl tablets with a glass of cold water. Continue to drink plenty of clear fluids throughout the day.
7pm
Make up your first dose of Picolax
Dissolve one sachet of Picolax in a cup of cold water (approximately 150ml). Stir for 2-3 minutes and then drink the solution. Sometimes the solution becomes warm as Picolax dissolves. If this happens, wait until it cools sufficiently before drinking it.
Following the first dose of Picolax drink at least five 250 ml drinks of clear fluids, preferably water, at least one glass per hour.
You should continue to drink plenty of clear fluids throughout the day.
You should expect frequent bowel motions and eventually watery diarrhoea. Some stomach discomfort is normal. Please use a barrier cream if your bottom becomes sore and stay within easy reach of the toilet.

On the day of your procedure
Do not eat any solid food until after your procedure.

2nd dose: 5 hours before your procedure time
Make up your second dose of Picolax at least 5 hours before the appointment time of your endoscopy procedure, even if this means you getting up early. For example if your appointment is:
9am you need to take your Picolax at 4am
11am you need to take your Picolax at 6am
3pm you need to take your Picolax at 10am

To make up the 2nd dose: dissolve the second sachet of Picolax in a cup of cold water (approximately 150ml). Stir for 2-3 minutes and then drink the solution. Sometimes the solution becomes warm as Picolax dissolves. If this happens, wait until it cools sufficiently before drinking it.

After taking the second dose of Picolax drink at least five 250 ml drinks of clear fluids, preferably water, at least one glass per hour.
You should continue to drink plenty of clear fluids up until two hours before the procedure, preferable water.
Examples of clear fluids that you may have are water, tea (without milk), coffee (without milk), Bovril, tonic water, squash (no fizzy drinks) (no red or blackcurrant) clear fruit juices without pulp/bits for example clear apple juice, Bovril.