Colonoscopy - Preoperative Instructions

Morning procedures

You will need a three (3) sachet pack of Picoprep. This can be purchased at our office or any pharmacy. Arrive at the admissions area of the hospital at the time advised to finalise your paperwork. If you are taking iron tablets stop taking them one week before your procedure. Aspirin, Warfarin, Iscover, Plavix, Pradaxa or other anticoagulant medications should be taken as usual unless instructed otherwise by your specialist. Other medications should be taken as usual with a sip of water in the early morning on the day of your procedure. From 4:30am onwards you should be nil by mouth (no food or drink of any kind). Lanolin or similar cream applied to the anal area before beginning your bowel preparation may help to avoid soreness.

On the day before procedure

You may have your usual breakfast on the morning prior to your procedure, however after breakfast it is clear fluids only (no solid foods allowed). Clear liquid means you should be able to see your fingers through the glass. These must be a variety of sweet and savoury drinks, including:

  • Clear soups – bonox, broths, consume, stock in hot water
  • Black coffee and/or tea, no milk products
  • Jellies, cordials, soft-drinks and fruit juices (lemon or lime)
  • Nothing red or purple in colour
  • No pulp in juice
  • Drink plenty of water

Instructions for Picoprep

Picoprep produces a watery stool and cleanses the bowel prior to the examination. It is important to clean the bowel out properly or it will inhabit the results of your procedure.

Take the three (3) sachets of Picorep at the following times:

  • 12:00 midday (on the day before the procedure).
  • 3.00pm (on the day before the procedure).
  • 6:00pm (on the day before the procedure).

At each time dissolve one sachet of Picoprep in approximately 250ml (about one glass) of warm water. Stir until the powder has completely dissolved. Cool if preferred. Then drink this slowly over 5 to 10 minutes. Drink another three to four glasses of water or clear fluid of your choice slowly over the next little while.

Afternoon procedures

You will need a three (3) sachet pack of PICOPREP. This can be purchased at our office or any pharmacy. Arrive at the admissions area of the hospital at the time advised to finalise your paperwork. If you are taking iron tablets, please omit them one week prior to your procedure. Aspirin, Warfarin, Iscover, Plavix, Pradaxa or other anticoagulant medications should be taken as usual unless otherwise instructed by your specialist. Other medications should be taken as usual with a sip of water in the early morning on the day of your procedure. Stop all fluid intake by 8am on the day of the procedure, from this time you should be nil by mouth (no food or drink of any kind). Lanolin or similar cream applied to the anal area before beginning your bowel preparation may help to avoid soreness.

On the day before procedure

You may have your usual breakfast in the morning, however after breakfast on the day prior to the procedure it is clear fluids only (no solid food is allowed). Clear liquid means you should be able to see your fingers through the glass. These should be a variety of sweet and savoury drinks e.g.:

  • Clear soups – bonox, broths, consume, stock in hot water.
  • Black coffee and/or tea, no milk products.
  • Jellies, cordials, soft-drinks and fruit juices (lemon or lime).
  • Nothing red or purple in colour.
  • No pulp in juice.
  • Drink plenty of water.

Instructions for Picoprep

Picoprep produces a watery stool and cleanses the bowel prior to the examination. It is important to clean the bowel out properly or it will inhabit the results of your procedure.

Take the three (3) sachets of Picoprep at the following times:

  • 2:00pm (on the day before the procedure).
  • 5:00pm (on the day before the procedure).
  • 6:30am (on the day of the procedure).

At each interval dissolve one sachet of Picoprep in approximately 250ml (about one glass) of warm water. Stir until the powder has dissolved. Cool if preferred. Then drink this slowly over 5 to 10 minutes. Drink another three to four glasses of water or clear fluid of your choice slowly over the next little while.

  • Fellow of the Royal Australasian College of Surgeons
  • Colorectal Surgical Society of Australia and New Zealand
  • Bond University