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FAQ
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CONSULTATIONS
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ANAESTHESIA INFO
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PREP INSTRUCTIONS
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COMMONLY ASKED QUESTIONS ABOUT YOUR PROCEDURE
1. How many days do I have to fast for before the colonoscopy?
You only have to fast the day before, meaning you must be on a Clear Liquid diet for the whole day
2. Can I have grains and oats during the four (4) days before my colonoscopy?
Grains and all types of oats are allowed to have, as well as cereals that don’t contains seeds or nuts
3. What kind of vegetables can I eat during the four (4) days before my colonoscopy?
You can eat all of them, however you must take out the seeds, for ex. Cucumbers and tomatoes have seeds, scrape off the seeds and do not eat them.
4. The day before my colonoscopy, am I allowed to drink chicken/beef/vegetable broth and jello, if not, why?
No you cannot have these items. These cause cloudiness in the colon and makes it difficult for the Physician to see during the procedure.
5. Is there something clear with caffeine that I can drink while I am on my Clear Liquid Diet?
Only clear tea that is very weak, White Tea would considered ok. Green Tea is NOT allowed.
6. Am I allowed to eat lentils or chickpea flour and any kind of seed oil?
Yes you are allowed to have these foods and oils
7. Can I chew gum, if not, why?
No you may not chew gum on the day of your procedure, it is possible to choke
8. Is there a chart which could explain how many glasses are in 1 litre and how much one (1) cup measures?
4 Cups = 1 litre - 1 cup is 8 ounces/ 250ml
9. I have tried all the tips like chilling and drinking the prep with a straw, even took gravol and I still feel nauseous. What should I do?
Try eating freezes/popsicles – yellow or orange colour – or you can suck on clear candy after drinking the prep
10. I could not find yellow Gatorade, which other color is allowed?
Orange or clear colour
11. How soon should I expect to go to the washroom after taking the first litre of the prep?
Some people go within the 1st hour, some people don’t go at all until they take more than 2 litres. Everyone is different
12. I will have to cancel my appointment today but I already made my prep yesterday. Should I throw it out and how long can the prep be refrigerated for?
The prep has a shelf life for 48 hours once it has been mixed
13. Do I have to take the nail polish off all my hands and toes?
Only hands should have no polish on them, toes are fine
14. Can I take a taxi home after my procedure?
Yes but you must have a responsible adult accompany you
15. How long can I expect to be at the clinic?
Up to 1.5 Hours
16. What can I expect during the procedure?
The procedure is usually tolerated well. However, some patients may experience discomfort or mild cramping and can be given sedation.
17. Is sedation available?
Yes. The physician will advise you as to what type of sedation is recommended for your circumstances. Sedation is advised in new patients, especially females with a history of constipation, hysterectomy, caesarean section or endometriosis.
18. What can I expect after the procedure?
You will remain in the recovery room for close observation for ½ hour or longer. A bloated feeling and flatulence can occur if air was used for visibility. You will be able to resume your normal dieting immediately after the procedure unless instructed otherwise.
19. Are there any complications?
Colonoscopies and gastroscopies are safe procedures and are associated with very low risk when performed by trained and experienced physicians. Significant bleeding after removal of polyps occurs in less than 1% of patients. Perforation of the colon occurs in less than 1 in 4,000 cases. If perforation occurs, surgery may be required. Rarely a temporary colostomy is necessary. Sometimes lesions or polyps can be missed, especially if the bowel preparation is poor.
1. How many days do I have to fast for before the colonoscopy?
You only have to fast the day before, meaning you must be on a Clear Liquid diet for the whole day
2. Can I have grains and oats during the four (4) days before my colonoscopy?
Grains and all types of oats are allowed to have, as well as cereals that don’t contains seeds or nuts
3. What kind of vegetables can I eat during the four (4) days before my colonoscopy?
You can eat all of them, however you must take out the seeds, for ex. Cucumbers and tomatoes have seeds, scrape off the seeds and do not eat them.
4. The day before my colonoscopy, am I allowed to drink chicken/beef/vegetable broth and jello, if not, why?
No you cannot have these items. These cause cloudiness in the colon and makes it difficult for the Physician to see during the procedure.
5. Is there something clear with caffeine that I can drink while I am on my Clear Liquid Diet?
Only clear tea that is very weak, White Tea would considered ok. Green Tea is NOT allowed.
6. Am I allowed to eat lentils or chickpea flour and any kind of seed oil?
Yes you are allowed to have these foods and oils
7. Can I chew gum, if not, why?
No you may not chew gum on the day of your procedure, it is possible to choke
8. Is there a chart which could explain how many glasses are in 1 litre and how much one (1) cup measures?
4 Cups = 1 litre - 1 cup is 8 ounces/ 250ml
9. I have tried all the tips like chilling and drinking the prep with a straw, even took gravol and I still feel nauseous. What should I do?
Try eating freezes/popsicles – yellow or orange colour – or you can suck on clear candy after drinking the prep
10. I could not find yellow Gatorade, which other color is allowed?
Orange or clear colour
11. How soon should I expect to go to the washroom after taking the first litre of the prep?
Some people go within the 1st hour, some people don’t go at all until they take more than 2 litres. Everyone is different
12. I will have to cancel my appointment today but I already made my prep yesterday. Should I throw it out and how long can the prep be refrigerated for?
The prep has a shelf life for 48 hours once it has been mixed
13. Do I have to take the nail polish off all my hands and toes?
Only hands should have no polish on them, toes are fine
14. Can I take a taxi home after my procedure?
Yes but you must have a responsible adult accompany you
15. How long can I expect to be at the clinic?
Up to 1.5 Hours
16. What can I expect during the procedure?
The procedure is usually tolerated well. However, some patients may experience discomfort or mild cramping and can be given sedation.
17. Is sedation available?
Yes. The physician will advise you as to what type of sedation is recommended for your circumstances. Sedation is advised in new patients, especially females with a history of constipation, hysterectomy, caesarean section or endometriosis.
18. What can I expect after the procedure?
You will remain in the recovery room for close observation for ½ hour or longer. A bloated feeling and flatulence can occur if air was used for visibility. You will be able to resume your normal dieting immediately after the procedure unless instructed otherwise.
19. Are there any complications?
Colonoscopies and gastroscopies are safe procedures and are associated with very low risk when performed by trained and experienced physicians. Significant bleeding after removal of polyps occurs in less than 1% of patients. Perforation of the colon occurs in less than 1 in 4,000 cases. If perforation occurs, surgery may be required. Rarely a temporary colostomy is necessary. Sometimes lesions or polyps can be missed, especially if the bowel preparation is poor.
What To Expect at a Consultation
Being well prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It will also alleviate any unnecessary anxiety you may be feeling prior to your first appointment. At the Provis-Rudd Clinics, we strive to thoroughly screen and educate every patient before their procedure.
We are the first clinic in Ontario to provide a pre-screening consultation to our patients that have medical conditions and for those over the age of 50 years. During your consultation, a full history and physical examination takes place before your procedure appointment. We educate our patients about the prep instructions and take the time to explain the procedure, precautions and all other inquires you may have.
For our patients to have a successful procedure, surgeons must have adequate information about a patient’s condition and medical history during their pre-screening consultation. On the day of your procedure, you will be well informed, prepared and comfortable knowing you are handled in the best possible care with knowledgeable and professional staff and physicians
To ensure the highest level of service and care, we book a pre-screening consultation prior to the procedure with any patients who have had past medical conditions or for those 50 years of age or older.
This is an opportune time for patients to ask any questions they may have regarding their procedure. Our doctors address all questions or concerns, take a full history and physical examination to make sure that each patient is well educated prior to their procedure. We also go through each step of the Prep instructions and address which foods should or should not be eaten prior to the procedure.
We hope the by having the consultation prior to the procedure our patients will prepare for them correctly, understand the procedure and be comfortable on the day of their colonoscopy.
Being well prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It will also alleviate any unnecessary anxiety you may be feeling prior to your first appointment. At the Provis-Rudd Clinics, we strive to thoroughly screen and educate every patient before their procedure.
We are the first clinic in Ontario to provide a pre-screening consultation to our patients that have medical conditions and for those over the age of 50 years. During your consultation, a full history and physical examination takes place before your procedure appointment. We educate our patients about the prep instructions and take the time to explain the procedure, precautions and all other inquires you may have.
For our patients to have a successful procedure, surgeons must have adequate information about a patient’s condition and medical history during their pre-screening consultation. On the day of your procedure, you will be well informed, prepared and comfortable knowing you are handled in the best possible care with knowledgeable and professional staff and physicians
To ensure the highest level of service and care, we book a pre-screening consultation prior to the procedure with any patients who have had past medical conditions or for those 50 years of age or older.
This is an opportune time for patients to ask any questions they may have regarding their procedure. Our doctors address all questions or concerns, take a full history and physical examination to make sure that each patient is well educated prior to their procedure. We also go through each step of the Prep instructions and address which foods should or should not be eaten prior to the procedure.
We hope the by having the consultation prior to the procedure our patients will prepare for them correctly, understand the procedure and be comfortable on the day of their colonoscopy.
ANAESTHESIA INFORMATION
The purpose of sedation is to make you comfortable during your procedure. There is a small possibility of
waking up during the procedure or recalling the procedure after completion.
The sedation drugs are titrated to your comfort. You should not eat for a minimum six hours and not drink for
two hours prior to receiving any sedation and avoid chewing gum.
You must bring a responsible adult to escort you home after recovering from Anesthesia. After sedation, you should not
drive , work, operate heavy machinery, sign contracts, drink alcohol or take extra sedatives for 24 hours.
FAQ
Q: How am I getting the sedation?
A: Through an intravenous catheter placed in the hand or arm.
Q: What drugs are used for sedation?
A: Midazolam (Versed), Fentanyl or Remifentanil, & Propofol.
Q: Is it safe to have sedation?
A: Usually it is very safe unless you have serious medical issues.
Q: How long am I going to be asleep?
A: As long as the procedure will take.
Q: Can I be awake but pain free?
A: No! It's very hard to accomplish that.
Q: What's the difference between mild & deep sedation?
A: With mild sedation you'll possibly have a higher possibility of discomfort & recall but it's difficult to establish because of different patient's tolerance to anesthetics.
Q: What if I have OSA (Obstructive Sleep Apnea)?
A: You'll receive less sedation and you should use your CPAP machine even for naps after sedation.
Q: Why can't I work or drive after sedation?
A: Sedation can affect your judgment and concentration.
Q: Does the Clinic use the multi-dose drug vials that can be contaminated?
A: No. We follow strict sterile technique in preparing and administering medications separately and any unused medication is disposed at the end of each procedure.
Q: Can I take public transportation or Taxi home?
A: Not alone! You can if you have a responsible adult escorting you home.
Q: Can I have sedation if I'm coming for hemorrhoids, and other anal lesions?
A: Yes if you didn't eat or drink anything that day and the Anesthesiologist decides that you can tolerate anesthesia safely.
The purpose of sedation is to make you comfortable during your procedure. There is a small possibility of
waking up during the procedure or recalling the procedure after completion.
The sedation drugs are titrated to your comfort. You should not eat for a minimum six hours and not drink for
two hours prior to receiving any sedation and avoid chewing gum.
You must bring a responsible adult to escort you home after recovering from Anesthesia. After sedation, you should not
drive , work, operate heavy machinery, sign contracts, drink alcohol or take extra sedatives for 24 hours.
FAQ
Q: How am I getting the sedation?
A: Through an intravenous catheter placed in the hand or arm.
Q: What drugs are used for sedation?
A: Midazolam (Versed), Fentanyl or Remifentanil, & Propofol.
Q: Is it safe to have sedation?
A: Usually it is very safe unless you have serious medical issues.
Q: How long am I going to be asleep?
A: As long as the procedure will take.
Q: Can I be awake but pain free?
A: No! It's very hard to accomplish that.
Q: What's the difference between mild & deep sedation?
A: With mild sedation you'll possibly have a higher possibility of discomfort & recall but it's difficult to establish because of different patient's tolerance to anesthetics.
Q: What if I have OSA (Obstructive Sleep Apnea)?
A: You'll receive less sedation and you should use your CPAP machine even for naps after sedation.
Q: Why can't I work or drive after sedation?
A: Sedation can affect your judgment and concentration.
Q: Does the Clinic use the multi-dose drug vials that can be contaminated?
A: No. We follow strict sterile technique in preparing and administering medications separately and any unused medication is disposed at the end of each procedure.
Q: Can I take public transportation or Taxi home?
A: Not alone! You can if you have a responsible adult escorting you home.
Q: Can I have sedation if I'm coming for hemorrhoids, and other anal lesions?
A: Yes if you didn't eat or drink anything that day and the Anesthesiologist decides that you can tolerate anesthesia safely.
COLONOSCOPY INSTRUCTIONS
colonoscopy_instructions.pdf | |
File Size: | 738 kb |
File Type: |
GASTROSCOPY INSTRUCTIONS
gastroscopy_instructions.pdf | |
File Size: | 623 kb |
File Type: |
SIGMOIDOSCOPY
sigmoidoscopy.pdf | |
File Size: | 684 kb |
File Type: |