Preparing for your sedated flexible sigmoidoscopy | veterans affairs

QUESTIONS AFTER READING THIS? Call the GI Triage Line at 720-723-6166, option 2, Monday – Friday and leave a message. An RN will call you back within 48 hours, or on Monday if you call on

the weekend. For questions at night or on weekends, call 303-399-8020, select “0” and ask for the GI doctor on call. AS SOON AS YOU SCHEDULE YOUR FLEXIBLE SIGMOIDOSCOPY * Please arrive 60

minutes before your appointment time. Expect to be here, from check to discharge, for up to four (4) hours. * For all procedures involving SEDATION/ANESTHESIA: For your safety, an adult

should accompany you home after procedures with sedation. The adult can drive you home or accompany you on public transportation. NO UBER/LYFT, TAXI, BUS OR ANY OTHER FORM OF PUBLIC

TRANSPORTATION CAN BE USED IF YOU ARE ALONE AFTER SEDATION. There are a few options that can be arranged prior to your procedure if you do not have an adult to assist you. If there are

safety concerns, your procedure will be canceled. 14 DAYS BEFORE YOUR FLEXIBLE SIGMOIDOSCOPY * The Anticoagulant Clinic should call you if you take a blood thinner such as Warfarin/Coumadin,

Eliquis/Apixaban, Xarelto/Rivaroxaban or Pradaxa/Dabigatran. If they haven’t by fourteen days prior to the procedure, call 720-723-6756. * If you are on Plavix/Clopidogrel,

Brilinta/Ticagrelor, Pletal/Cilostazol, Aggrenox/Aspirin with Dipyridamole or Prasugrel/Effient, you should receive a call from the GI Department at least fourteen days prior to the

procedure. If you don’t, please call 720-723-6166. 7 DAYS BEFORE YOUR FLEXIBLE SIGMOIDOSCOPY * STOP EATING corn, popcorn, frozen corn, seeds or nuts of any type. These foods are very

difficult to clean from your colon. * STOP taking any IRON supplements as they may discolor your colon. 3 DAYS BEFORE YOUR FLEXIBLE SIGMOIDOSCOPY * STOP taking any Vitamin E, fish oil,

mineral oil, or flaxseed oil. These can cause bleeding. * Buy two bottles of Fleets enemas at a pharmacy or grocery store. THE DAY OF YOUR FLEXIBLE SIGMOIDOSCOPY * DO NOT EAT ANY SOLID FOOD

AFTER MIDNIGHT THE NIGHT PRIOR. You may have sips of clear liquids, and any morning medications, up until FOUR HOURS PRIOR to the sigmoidoscopy. Take any morning medications you need (but

not any of the supplements listed above). * Administer the two enemas at least ONE HOUR before you leave home to come here. If you will drive over an hour to get here, you may wait until you

are here to do the enemas. * Come to your appointment 60 minutes beforehand! The GI Lab is on the 3rd floor of building D, Mount Harvard. Take elevator number 1 to the 3rd floor, and our

waiting room will be on the east side of the building. DO YOU HAVE DIABETES? OR TAKE ANY WEIGHT LOSS/DIET MEDICATION? TAKE SPECIAL CARE WHILE ONLY DRINKING CLEAR LIQUIDS! * Monitor your

blood sugar every 4 hours during your prep time before your colonoscopy. * If you have an insulin pump: Maintain pump as usual and bring all pump equipment and supplies as well as continuous

glucose monitor on the day of the procedure. ORAL DIABETIC MEDICATIONS: Please hold all oral diabetic agents the morning of the procedure. METFORMIN: Hold the night before and the day of

the procedure. GSLT2I: (Canagliflozin,Dapagliflozin,Empagliflozin): hold 3 days prior to the procedure. GLP1R: agonists (Ozempic, Wegovy): Hold oral dose the morning of surgery. Hold weekly

injections 1 week(7 days) prior to the procedure. INSULIN: Hold all short acting insulin when on the liquid diet (1- or 2-day colon prep). Decrease the long-acting Insulin 50% the days you

are doing the prep/liquid diet. Take 50% of the normal long-acting dose of insulin on the day of the procedure IF YOU TAKE A MORNING DOSE. Do Not Take short acting insulin on the days of

prepping/liquid diet or day of the procedure. Taking any of the following GLP-1 medications for DIABETES, WEIGHT LOSS, OR ANY OTHER REASON? If taking once daily, stop taking 2 days before

procedure. If taking once weekly, stop at least 7 days before procedure: Dulaglutide, Exenatide, Liraglutide, Lixisenatide, Semaglutide, Tirzepatide. Stop taking Phentermine 7 days before

procedure. Please consult your PCP or Endocrinologist if you think your diabetic or weight loss adjustment may be an issue for you.