A thorough examination of the intestine from the inside requires its perfect cleaning of food debris. This is achieved by using the appropriate drug prepared and applied according to the instructions. The correct reaction to the preparation will be frequent bowel movements, at the end of the liquid, clear, yellow content. If two-portion preparation (evening and morning) is used, the second day of preparation for the bowel movement is less intensive and takes less time than on the first day.
There are several intestinal cleansing preparations available in Poland. In the Screening Program, we routinely use the best known and long-used polyethylene glycol preparation (Fortrans), but other preparations are possible.

Below we also present preparation diagrams with the use of four other preparations. These diagrams are based on scientific guidelines from European societies and / or publications and may differ from the method proposed in the leaflet.

Important information:

1. People who regularly take medications, e.g. for hypertension, heart disease, epilepsy, asthma and others, on the day of the examination should take their morning dose of the drug with a little water - EVEN IF THE TEST IS DONE UNDER ANESTHESIA

2. People suffering from diabetes should inform their registration about diabetes in advance, and also consult with the attending physician or an anaesthesiologist at our facility on how to prepare for the examination. Oral diabetes medications should NOT be taken unless food is being consumed at the same time. / or: Oral antidiabetic drugs should be discontinued on the day of the examination, and in the case of colonoscopy, the evening dose of the previous day should also be omitted /

3. People taking medications that reduce blood clotting

- do not discontinue acetylsalicylic acid preparations (e.g. Acard, Polocard, Acesan)

- drugs from the group of new oral anticoagulants (Pradaxa, Xarelto, Eliquis, Lixiana) - should be discontinued on the day

previous dose and skip the morning dose on the day of the test.

- drugs from the group of oral anticoagulants (Acenocoumarol, Warfarin) - INR should be determined in the week preceding the test: if the result is in the range of 2-3, do not modify the doses of drugs, if higher, consult your doctor.

In the case of people with a high risk of thromboembolism, after heart attacks or strokes, the optimal procedure is to consult a doctor or an anesthesiologist at our center. It is advisable to switch to CLEXANE in doses of 40, 60 or 80 mg, depending on the body weight, 5 days before and 2 days after the procedure /.

If there is a need to perform a larger endoscopic procedure, e.g. removal of polyps, it may be necessary to repeat the procedure after modifying anticoagulant treatment (e.g. in people using Acenocoumarol, Warfarin, switching to low molecular weight heparin treatment, in case of doubt, OPTIMUM PROCEDURE) CONSULATION WITH A DOCTOR / anesthesiologist of our Center /.

4. Pregnant women and breastfeeding mothers should consult their doctor on how to prepare for the test.

5. Please bring and show the doctor before examining the documentation

medical, e.g. discharge cards from hospital treatment, descriptions of previously performed endoscopic examinations, ultrasound of the abdominal cavity, ECG, echocardiography, spirometry and others.
For tests under anesthesia, current test results are required (they must not be older than 3 months) such as: morphology, electrolytes - sodium / potassium, total bilirubin, creatinine, glucose, APTT and INR (if the patient is taking anticoagulants), TSH (if The patient takes thyroid hormones - Euthyrox, Letrox), EKG. Patients should know the names and doses of the medications taken or have a list of them. It is advisable to take these medications with you.
You should be examined under anesthesia

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