Virtual Colonoscopy Preparation

The preparation for virtual colonoscopy is of utmost importance in obtaining a diagnostic study. If the bowel is not prepared properly the test can be non-diagnostic and even lead to a false interpretation.

There are four parts to the preparation:

The first consists of a low fiber diet 2 days before the exam no fruits, vegetables or breads.

The second includes a diet of clear liquids throughout the day to wash the colon clean and remove any solid debris.

The third consists of a tagging agent (Tagitol) which is used in opacifying residual stool in the colon.

The fourth component of the preparation includes over the counter-cleansing agents (Fleet Prep I Kit) that help to eliminate fluid and waste from the bowel.

Day Before Examination

8:00 am - Breakfast - Clear Liquids *
Drink 250 ml of Tagitol***

12:00 noon- Lunch - Clear Liquids*
Drink 250 ml of Tagitol***

1:00 pm- Drink 8 oz or more clear liquids

2:00 pm- Drink 8 oz or more clear liquids

3:00 pm- Drink 8 oz or more clear liquids

4:00 pm- Take Fleet Phospho-Soda Solution**
Drink 8 oz or more clear liquids

5:00 pm- Drink 8 oz or more clear liquids

6:00 pm- Dinner - Clear Liquids
Drink 250 ml of Tagitol***

7:00 pm- Drink 8 oz or more clear liquids

8:00 pm- Drink 8 oz or more clear liquids

9:00 pm- Take 4 Fleet Bisacodyl Tablets
Drink 8 oz or more clear liquids

Diet and Clear Liquid Guidelines *

Clear Liquids include: clear juices such as apple, cranberry and grape, clear soups, jello, coffee or tea. No milk products.

You must drink all the glasses of clear liquids listed in the instructions. Drinking more fluid before 8 PM is fine however the above is the minimum fluid recommended for adequate cleansing.

DAY OF EXAM

Do not eat breakfast.

One hour before leaving for exam: Use Fleet Bisacodyl Suppository (see Bisacodyl Suppository directions)

Fleet Phospho-Soda Buffered Oral Saline Laxative **

Phospho-soda Solution Directions - Pour fleet Phospho-soda into one half glass of cold clear liquid and drink. Fleet Phospho-soda usually works within one hour.

Fleet Bisacodyl Tablet

Bisacodyl Tablets Directions - Take all four Fleet Bisacodyl Tablets unless directed otherwise by your doctor: Swallow tablets whole with a full glass of water. Do not chew or dissolve tablets. Tablets taken at bedtime are usually effective the following morning.

Do not give tablets to any person who cannot swallow without chewing, unless directed by a doctor. Do not take tablets within 1 hour after taking antacids and/or milk. This product may cause abdominal discomfort, faintness, rectal burning and mild cramps.

Fleet Bisacodyl Suppository

Bisacodyl Suppository Directions: Remove foil wrap from suppository. Lie on side; insert suppository well up into rectum. Push suppository in gently as far as possible and against bowel wall. Wait 15 minutes before evacuating, even if urge is strong. Suppositories are usually effective within 15 minutes to 1 hour.

Note: If suppository is soft, put it in the refrigerator 1 to 2 minutes.

IMPORTANT INFORMATION

Individual responses to laxatives vary. Remain close to toilet facilities once you take the Phospho-soda solution.

WARNINGS

TAGITOL***
DO NOT USE IF YOU HAVE A KNOWN GASTRIC OR INTESTINAL PERFORATION OR HYPERSENSITIVITY TO BARIUM SULFATE.

DO NOT USE THIS PREP KIT:
• Unless directed by your doctor
• If you are on a sodium restricted diet
• If you have a kidney disease
• For children under 5 years of age.

Keep this and all drugs out of the reach of children. In case of accidental overdose of liquid or tablets, or ingestion of the suppository, seek professional assistance of contact a Poison Control Center immediately. As with any drug, if you are pregnant or nursing a baby, seek the advice of a health professional before using this product.