Sigmoidoscopy

Patients under the age of 18 should compulsorily report with a parent/legal guardian for the test. Please note that a doctor should always qualify for the examination, take a history and provide detailed information.

Bowel cleansing and the quality of the test depend on good preparation for the test, so it is very important to follow the recommendations and hours for drinking fluids.

• In the three days prior to the test, do not eat any food containing small seeds (e.g.: grapes, kiwi, strawberries, raspberries, watermelon, berries, tomatoes, etc.), food with poppy seeds and cabbage, flaxseed, wholemeal bread.
• If someone is taking iron preparations, they should be discontinued 2 days before the test.
• The method of preparation depends on the scheduled time of the test and the laxative preparation - the preparation should be purchased from a pharmacy (prescription drug).
• The normal reaction when preparing for the test will be multiple bowel movements, towards the end with liquid contents and water alone.
• If you experience nausea, please slow down the rate at which you drink fluids.
• On the day before and on the day of the examination, take the necessary medications that you take on a regular basis (e.g. "cardiac", "blood pressure" medications). If you have diabetes, please arrange with your diabetologist in advance the doses of medication and insulin.
• If you are taking anticoagulants, any changes should be arranged with the referring physician or the patient's outpatient clinic.
• Please come to the examination with a companion or have the companion pick you up after the examination.
• You can bring a meal with you to eat after the test.
• If you use glasses, please bring them with you.
• During the examination, the doctor may decide that sections need to be taken for histopathological evaluation and possible further immunohistochemical diagnosis (histopathological and immunohistochemical analysis is charged extra).
• If you have any questions, please call us at 81 532 37 11. It is also imperative that you notify us if you cancel the study.

If the test will be performed under general anesthesia with an anesthesiologist:

• Demand for examination under general anesthesia with anesthesiologist should be reported at the time of enrollment for the examination!
• Anesthesia with an anesthesiologist is an extra charge option.
• Refrain from drinking for 2 hours before the test.
• It is advisable to remove nail polish from the nails before the examination under anesthesia.
• The patient should report for the examination about 30 minutes before the scheduled examination time.
  Before the examination, a questionnaire about the patient's health is filled out and the anesthesiologist decides whether anesthesia can be administered.
• After the examination, the patient remains at CM Luxmed for about an hour.
• You should go to the examination with a companion or have the companion pick up the patient after the examination.
• At home, the patient should be cared for by an adult until the next morning.
• For 24 hours after anesthesia, you cannot drive motor vehicles.

FORTRANS

One-day preparation - If the test is done in the morning, until 10:59 (start of survey)

Fortrans preparation 4 sachets

On the day before the test, eat only a "light" breakfast. Around 8 pm, prepare 4 liters of Fortransu solution. To do this, dissolve each of the 4 Fortransu bags in 1 liter of still water. For taste, you can add lemon juice or dissolve the preparation in water with apple juice (half and half). The prepared solution should be drunk within 4-6 hours (1 glass every 15-20 minutes). Before drinking each sachet of Fortrans, swallow 1 sachet of Espumisan Easy. After that, you can still drink any amount of non-carbonated, clean water. On the day of the test, do not eat anything, you can drink non-carbonated water according to your thirst. Drinking of water should be stopped no later than 2 hours before the test.
In case it is not possible to drink all the fluids the day before the test, the remaining fluid should be taken as early as possible on the day of the test

Two-day preparation - if the test will be performed after 11:00 a.m.

Fortrans preparation 2+2 sachets

On the day before the test, eat a normal breakfast. It is not allowed to eat lunch. In the afternoon (around 8 pm), prepare 2 liters of Fortransu solution. To do this, dissolve 2 Fortransu bags in 2 liters of still water. To improve the taste, you can add lemon juice or dissolve the preparation in water with apple juice (half and half). The prepared solution should be drunk within 2-3 hours (1 glass every 15-20 minutes). Before drinking each sachet of Fortran, swallow 1 sachet of Espumisan Easy.
On the day of the test, prepare another 2 liters of Fortran solution. To do this, dissolve the remaining 2 Fortransu bags in 2 liters of still water. The prepared solution should be drunk within 2-3 hours (1 glass every 15-20 minutes). Before drinking each sachet of Fortransu, swallow 1 sachet of Espumisan Easy.
Drinking Fortransu should be started 6 hours before the test and finished 4 hours before the test.

E.g. Study at 11 a.m. - drinking starts at 5 a.m. (11-6=5) and ends around 7 a.m.
E.g. Study at 6 p.m. - drinking starts at 12 a.m. (6-6=12) and ends around 2 p.m.

If one has a long trip ahead, drinking Fortranx can be started 7 hours before the test and finished 5 hours before the test.
In case of nausea or vomiting, the breaks in drinking should be extended (extend the time of taking the solution to 3-4 hours).
Until the test, one should not eat anything, one can drink non-carbonated, pure water, according to the thirst felt. Drinking water should be stopped no later than 2 hours before the test.

CITRAFLEET

Two-day preparation - if the test will be performed By 10:00 a.m. (start of the study)

A "light" breakfast may be eaten the day before the test. You must not eat lunch. You must remain fasting until the examination. Large amounts of still/boiled water should be consumed and laxatives should be taken as instructed.

Preparation of CitraFleet- 2 sachets

Dose 1 - should be taken at 8 pm on the day before the test:

• Step 1 - Pour the contents of 1 sachet into a cup of cold water (about 150 ml).
• Step 2 - Stir for 2-3 minutes. If the contents warm up while stirring, allow to cool before drinking the entire solution. Drink the suspension immediately after preparation. The suspension will be cloudy.
• Step 3 - after drinking the mixture, drink an additional 2 liters of clear liquid (still water) within 2 hours, a glass every 15 minutes!!!

Dose 2 - should be taken at 24:00 on the day before the test:

• Step 1 - Pour the contents of 1 sachet into a cup of cold water (about 150 ml).
• Step 2 - Stir for 2-3 minutes. If the contents warm up while stirring, allow to cool before drinking the entire solution. Drink the suspension immediately after preparation. The suspension will be cloudy.
• Step 3 - after drinking the mixture, drink an additional 2 liters of clear liquid (still water) within 2 hours, a glass every 15 minutes!!!

Two-day preparation - if the test will be performed after 10:01 a.m.

On the day before the test, you can eat a normal breakfast. You are not allowed to eat lunch. You must remain fasting until the examination. You should consume large amounts of still/boiled water and take laxatives as instructed.

CitraFleet preparation - 2 sachets

Dose 1 - should be taken between 8 p.m. and 10 p.m. the day before the test or procedure is performed:

• Step 1 - Pour the contents of 1 sachet into a cup of cold water (about 150 ml).
• Step 2 - Stir for 2-3 minutes. If the contents warm up while stirring, allow to cool before drinking the entire solution. Drink the suspension immediately after preparation. The suspension will be cloudy.
• Step 3 - after drinking the mixture, drink an additional 2 liters of clear liquid (still water) within 2 hours - a glass every 15 minutes!!!

Dose 2 - take 6 hours before the test, finish drinking 4 hours before the test

• Step 1 - Pour the contents of 1 sachet into a cup of cold water (about 150 ml).
• Step 2 - Stir for 2-3 minutes. If the contents warm up while stirring, allow to cool before drinking the entire solution. Drink the suspension immediately after preparation. The suspension will be cloudy.
• Step 3 - after drinking the mixture, drink an additional 2 liters of clear liquid (still water) within 2 hours- a glass every 15 minutes!!!

E.g. Testing at 11 a.m. - second dose at 5 a.m. (11-6=5), fluids are drunk until 7 a.m.
E.g. Testing at 5 p.m. - second dose at 11 a.m. (17-6=11), fluids are drunk until 1 p.m.

If the patient has a longer trip ahead of him then you can start drinking the second dose 7 hours before and finish 5 hours before the test.

Attention!!! If the test will be performed under general intravenous anesthesia drinking fluids should stop 2 hours before the test.

Sigmoidoscopy is an endoscopic examination of the last 60-80 cm of the large intestine, that is, the rectum, sigmoid colon and part of the descending colon. It involves inserting a special flexible endoscope ending in a camera (video colonoscope) into the rectum. The examination involves slowly moving the colonoscope forward through the rectum and then along the large intestine.
The examination has a diagnostic function: the determination on the surface of the mucosa of ulcers, polyps, tumors, deformities, vascular lesions, areas of bleeding.
The examination allows an accurate assessment of the mucosa of the lower gastrointestinal tract. During the examination it is possible, for an additional fee, to take a slice for histopathological examination or remove a polyp (polypectomy). The moment of taking the material is not felt by the patient. The examination is usually well tolerated by patients and rarely causes severe pain.

• suspected intestinal obstruction (in such a situation, the patient should report to the emergency room),
• Taking antibiotics - antibiotics can interfere with the image of the test, the patient can perform the test at least 5 days after stopping antibiotics.

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