NFZ colonoscopy

Patients under 18 years of age attend the examination with a parent or legal guardian.

The decision to qualify for the test is made by the doctor, who takes a history and provides the necessary information.

A key aspect is proper preparation for the test. Carefully follow all of the following points in the instructions, especially regarding drinking fluids.

• For three days before the test, do not eat foods with small seeds, or other listed foods (e.g.: grapes, kiwi, strawberries, raspberries, watermelon, berries, tomatoes, etc.), foods with poppy seeds and cabbage, flaxseed, wholemeal bread.
• Two days before the test do not take iron preparations, stop taking them if you have taken them so far.
• The method of preparation varies depending on the time of the planned examination and the laxative used. Be sure to purchase the appropriate drug at the pharmacy (it is issued by prescription).
• As you prepare for the test, expect frequent bowel movements and, with the end of the cleansing, even liquid stools.
• If you experience nausea, slow down your fluid intake.
• Do not discontinue medications that you take on a regular basis, such as cardiac or blood pressure medications. People with diabetes should consult a diabetologist about the dosage of medications and possibly insulin.
• For anticoagulants, consult your doctor.
• Come to the test with a companion or make sure someone picks you up after the test.
• You can take a meal with you to eat after the test.
• If you wear glasses, take them with you.
• The doctor may decide to take sections for additional examination for histopathological evaluation and possible further immunohistochemical diagnosis (histopathological and immunohistochemical analysis is charged extra).
• If you have any questions or wish to opt out of the study, please call us at 81 532 37 11.

Preparation for examination under General anesthesia with an anesthesiologist:

• Two hours before the test, refrain from drinking.
• It is recommended to remove nail polish from the nails before the test.
• Come to the examination about 30 minutes before the scheduled time. At that time you will fill out a questionnaire about your health on the basis of which the anesthesiologist will decide whether to administer anesthesia.
• After the test, you will stay at the facility for about an hour.
• When you return home, you will need adult supervision until the next morning. Make sure someone will be able to provide it for you.
• Do not drive for 24 hours after anesthesia.

FORTRANS

There are two different preparation schemes depending on the time of the test: one-day and two-day.

One-day preparation - if the test will be performed in the morning, until 10:59 (the start of the test)

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. You should stop drinking water no later than 2 hours before the test.
In case you fail to drink all the fluids on the day before the examination, the remaining fluid should be taken as early as possible on the day of the examination.

• The day before the test, eat only a lightly digested breakfast. Around 8:00 pm, proceed to prepare 4 liters of Fortrans solution. To do this, mix each sachet of the product with 1 liter of still water. To improve the taste, you can add lemon juice or combine with apple juice in a ratio of 1:1. Then, within 4-6 hours, drink the entire solution, trying to consume 1 glass every 15-20 minutes. Before each serving of Fortrans, take 1 sachet of Espumisan Easy. If you failed to drink all the fluids the day before the test, finish drinking as early as possible on the day of the test.
• On the day of the test, do not eat anything. You can consume any amount of plain, non-carbonated water according to your needs. However, stop taking fluids at least 2 hours before the test.

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

Fortrans preparation 2+2 sachets

The day before the test:

• Eat a normal breakfast, don't eat lunch.
• In the afternoon, such as around 8:00 pm, prepare, 2 liters of solution by dissolving 2 sachets of Fortrans in still water. You can add lemon juice for taste or dissolve the preparation in a mixture of apple juice and water (1:1).
• Drink the solution within 2-3 hours (a glass every 15-20 minutes).
• Take 1 sachet of Espumisan Easy before drinking each sachet of Fortran.

Study Day:

• Again prepare 2 liters of solution with the remaining 2 sachets of Fortrans.
• Start drinking 6 hours before the test and finish 4 hours before, taking into account the guidelines for the time of the test, such as.

- The 11 o'clock study - we start drinking at 5 o'clock (11-6=5) and finish around 7 am.

- Study at 18 - we start drinking at 12 (18-6=12) and finish around 2 pm.

• In the case of a longer trip, you can start drinking earlier, such as 7 hours before the test, and finish 5 hours before.
• If you experience nausea, extend the time of consumption of the solution (up to 3-4 hours).
• On the day of the test, you cannot eat anything, and you should drink pure still water as needed, finishing 2 hours before the test.

CITRAFLEET

Depending on the time of the survey, preparation is done in a two-day manner.
Examination before 10:00 am
On the day before, eat only a lightly digested breakfast; from breakfast, remain fasting until the test itself. Drink any amount of non-carbonated, pure water. Strictly follow the following instructions.

• First dose - 8 p.m. Mix 1 sachet of CitraFleet thoroughly in 150 ml of cold water and drink immediately after preparation; if the solution heats up while mixing, wait until it cools down before drinking; after drinking CitraFleet, sip a glass of non-carbonated, pure water every 15 minutes until you reach the amount of 2 liters of liquid drunk, within 2 hours.
• Second dose - at midnight, mix 1 sachet of CitraFleet thoroughly in 150 ml of cold water and drink it immediately after preparation; if the solution warms up while mixing, wait for it to cool before drinking; after drinking CitraFleet, sip a glass of non-carbonated, pure water every 15 minutes until you reach the amount of 2 liters of liquid drunk, within 2 hours.

Examination after 10:01 a.m.
On the day before, eat only a lightly digested breakfast; from breakfast, remain fasting until the test itself. Drink any amount of non-carbonated, pure water. Strictly follow the recommendations below.

• First dose - between 8 pm and 10 pm, mix 1 sachet of CitraFleet thoroughly in 150 ml of cold water and drink immediately after preparation; if the solution heats up while mixing, wait for it to cool before drinking; after drinking CitraFleet, sip a glass of non-carbonated, pure water every 15 minutes until you reach the amount of 2 liters of liquid drunk, within 2 hours.
•  Dose two - 6 hours before the test, finishing drinking 4 hours before, follow the instructions for CitraFleet as above, e.g.
  - Study at 11 a.m. - dose two at 5 a.m. (11-6=5), drink fluids until 7 a.m.
  - Study at 5pm - dose two at 11am (17-6=11), drink fluids until 1pm.
•  In case the patient has to commute to the test then he can start drinking the second dose 7 hours before the test and finish the procedure 5 hours before it.
•  Important! If the test is performed under intravenous anesthesia, stop drinking any fluids min. 2 hours before the examination.

Colonoscopy is a procedure to diagnose the large intestine using a flexible endoscope with a camera, called a video colonoscope, inserted slowly through the rectum into the intestine. The endoscope is gradually advanced through the entire large intestine, and in some situations even into the initial part of the small intestine. This process allows the mucosa of the lower gastrointestinal tract to be accurately assessed. During a colonoscopy, a tissue sample may need to be taken for histopathological examination or a polyp may need to be removed ( an extra fee service). The collection procedure does not cause discomfort to the patient. In general, patients tolerate colonoscopy well, and pain is rarely experienced as a side effect.

• Determine the cause of lower gastrointestinal bleeding,
• Removal of polyps (polypectomy),
• Chronic diarrhea or constipation,
• Cancer diagnostics,
• intestinal inflammation,
• Pain in the anal area, lower abdomen,
• Preventive testing for colorectal cancer.

• possible intestinal obstruction (in this situation, the patient should report to the emergency room),
• Antibiotic treatment-These drugs can affect the result of the test. The test can be performed at least 5 days after the end of antibiotic treatment.