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Housecall, our weekly general-interest e-newsletter, keeps you up to date on a wide variety of health topics with timely, reliable, practical information, recipes, blogs, questions and answers with Mayo Clinic experts and more. Our biweekly topic-specific e-newsletters also include blogs, questions and answers with Mayo Clinic experts, and other useful information that will help you manage your health.
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Mayo Clinic Housecall
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By Mayo Clinic staffBefore a flexible sigmoidoscopy exam, you'll need to clean out (empty) your colon. Any residue in your colon may obscure the view of your colon and rectum during the exam.
To empty your colon, follow your doctor's instructions carefully. He or she may ask you to:
- Follow a special diet the day before the exam. Typically, you won't be able to eat the day before the exam. Drinks may be limited to clear liquids — plain water, tea and coffee without milk or cream, broth, and carbonated beverages. You may not be able to eat or drink anything after midnight the night before the exam.
- Take a laxative the night before the exam. Your doctor may suggest taking a laxative, either in pill or liquid form.
- Use an enema kit. In some cases, you may need to use an over-the-counter enema kit — either the night before the exam or a few hours before the exam — to empty your colon.
- Adjust your medications. Remind your doctor of your medications at least a week before the exam — especially if you have diabetes, if you take medications or supplements that contain iron, or if you take aspirin or other blood thinners. You may need to adjust your dosages or stop taking the medication temporarily.
References
- Corbett JV. Laboratory Tests and Diagnostic Procedures with Nursing Diagnoses. 7th ed. Upper Saddle River, N.J.: Pearson/Prentice Hall; 2008:743.
- Levin B, et al. Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: A joint guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology. Gastroenterology. 2008;134:1570.
- Fletcher RH. Screening strategies in patients at average risk for colorectal cancer. http://www.uptodate.com/home/index.html. Accessed March 17, 2009.
- Whitlock EP, et al. Screening for colorectal cancer: A targeted, updated systematic review for the U.S. Preventive Services Task Force. Annals of Internal Medicine. 2008;149:638.
- Frequently asked questions about colonoscopy and sigmoidoscopy. American Cancer Society. http://www.cancer.org/docroot/CRI/content/CRI_2_6x_Frequent_Questions_About_Colonoscopy_and_Sigmoidoscopy.asp. Accessed March 27, 2009.
- Charette A. Patient information: Flexible sigmoidoscopy. http://www.uptodate.com/home/index.html. Accessed March 17, 2009.
- Flexible sigmoidoscopy. National Digestive Diseases Information Clearinghouse. http://digestive.niddk.nih.gov/ddiseases/pubs/sigmoidoscopy/index.htm. Accessed March 17, 2009.
