Questions About My Procedure
Is my procedure covered by my health Insurance?
Please check with your health insurance plan 14 days prior to your planned procedure to be sure your procedure is covered. Ask your health insurance plan if a co-payment or other prepayment is due on Procedure Day
I take a blood thinner, what should I do?
Common blood thinners
- Arixtra (Fondaparinux)
- Brilinta (Ticagrelor)
- Coumadin (Warfarin)
- Effient (Prasugrel)
- Eliquis (Apixaban)
- Lovenox (Enoxaparin)
- Plavix (Clopidogrel)
- Pletal (Cilastazol)
- Pradaxa (Dabigatran Etexilate)
- Xarelto (Rivaroxaban)
FOR YOUR SAFETY AND TO PREVENT A LAST-MINUTE CANCELLATION OF YOUR PROCEDURE: If you were not given instructions by our office regarding your blood thinner (s), you will be called with instructions at least 7 days prior to your procedure. If you are not called by our office, please call the doctor who prescribes your blood thinner and ask when you should stop your blood thinner prior to your procedure. To Cancel or reschedule please call our office at Chicago Office Phone Number 312-929-3140.
Where is my Colonoscopy Prep?
You should have your colonoscopy prep at least 5 days prior to your procedure. If the pharmacy has not called you to say your bowel prep is ready for pickup, please call your pharmacy. Ask if a fax was received. Pick up your bowel prep as soon you can.
I have Diabetes so how should I take my Insulin?
I am having an EGD tomorrow, how should I prepare?
- You will be receiving IV conscious sedation for your procedure and your stomach must be completely empty to ensure SAFETY! Stop eating and drinking (INCLUDING WATER!) 6 HOURS PRIOR to your scheduled procedure. NO CHEWING GUM.
- You will not be allowed to drive home. Please confirm your schedule with a responsible adult who can accompany you and drive or walk you home. Remember you are not allowed to drive until the next morning.
- If your have a cold, sore throat, runny nose/congestion, or cough. Please call us to reschedule.
- Avoid lotion, remove lipstick, remove makeup, and nail polish on day of procedure.
I am having my colonoscopy next week, how should I prepare?
- FOR YOUR SAFETY AND TO PREVENT a LAST-MINUTE CANCELLATION OF YOUR PROCEDURE: If you were not given instructions by our office regarding your blood thinner (s), you will be called with instructions at least 7 days prior to your procedure. If you are not called by our office, please call the doctor who prescribes your blood thinner and ask when you should stop your blood thinner prior to your procedure. To Cancel or reschedule please call our office at Chicago Office Phone Number 312-929-3140.
- If you have type I Diabetes or use an Insulin pump or U-500 Insulin call your doctor or diabetic educator at least 3 days before your colonoscopy. Ask how to manage your blood sugar and medicine while you prepare for your procedure.
- Stop taking IRON Supplements 5 DAYS before your COLONOSCOPY
- DIET affects how well your prep will be. If you eat a high fiber diet, then it is very very important to follow these instructions
- 3 days prior to your procedure: No nuts,beans, seeds, berries with seeds,corn,peas, popcorn, granola, oatmeal, fruit skin and seeds (must be peeled and cored), vegetable skin and seeds (must be peeled and cored), whole grain bread or crackers, high fiber cereals.
- No Metamucil, Citrucel, Fibercon, or generic fiber supplements
- Stop taking Fish Oil, Flax seed Oil, Vitamin D, or Vitamin E.
- TWO DAYS PRIOR TO YOUR PROCEDURE:
- Drink 8 glasses of clear liquid throughout the day. Coffee, tea, and alcohol do NOT count.
- NO SOLID FOOD AFTER MIDNIGHT.
- Mix your prep first thing in morning. Follow these instruction instead of those on inside of jug or box. ADVICE from Pharmacists, friends, or family should NOT be followed either.
- Mix lukewarm water to jug if using golytely
- Shake well to dissolve all powder & Refrigerate jug
- 1 DAY PRIOR TO YOUR PROCEDURE
- You are on CLEAR LIQUID DIET ALL DAY. NO SOLID FOOD.
- Drink a glass of clear liquid every hour you are wake. NO red or purple liquids. It looks like blood to your doctor.
- If you have diabetes, drink clear liquids with plenty of sugar in them and avoid diet drinks. This is prevent a LOW blood sugar.
CLEAR LIQUIDS YOU CAN HAVE:
- Kool Aid
- Clear, fat-free broth or bouillon
- Black coffee or tea (no creamer or milk)
- Gatorade (no shakes)
- Strained fruit juices (no pulp, no red or purple)
- Hard Candy
- Coconut Water (no pulp)
- Soft Drinks
AT 6PM Start drinking your BOWEL PREP.
Every 15 minutes, drink 8oz glass of prep as quickly as you can. DO THIS UNTIL it half of the prep is empty. This usually takes a couple hours. You will soon have diarrhea.
If you feel full or bloated, take a 20 minute break and start drinking again.
Continue drinking prep even if you see pale fluid or clear fluid. Your colon is not clean. Stop when JUG is HALF EMPTY. Once half empty, put the jug back in refrigerator.
Drink other clear liquids till bedtime.
If you wear nail polish, remove it before bed.
****EARLY IN THE MORNING 5 HOURS PRIOR TO YOUR PROCEDURE***
- Start drinking the second half of your prep. Drink 8 oz every 15 minutes till empty. Again continue drinking even if you are passing clear fluid. You much be done 2 hours 3 hours prior to your procedure.
- Take your blood pressure or heart medication with a sip of water 2hrs prior to procedure. DO NOT EAT or drink (even water) or chew gum. Rinse and spit if mouth dry.
YOU are now READY FOR YOUR COLONOSCOPY.
I am having a colonoscopy, what do I need to bring with me?
- Plan to be there for 2 hours
- Bring your driver
- Insurance Card(s)
- Your medication list
- CPAP machine
- Leave jewelry, watch, phone, and wallet at home or with your driver.
I wear a CPAP at night, should I bring it?
I do not have a driver
How long is a colonoscopy?
Usually 30-45 minutes. If the doctor see small growths or polyps, he or she will remove the tissue with tiny instruments and send to lab. After your colonoscopy, you will recover for 30 minutes.
What are the risks with colonoscopy?
- A tear (termed perforation) in colon wall may require a surgery and hospitalization
- Aspiration (Breathing in food or fluid if stomach is not completely empty)
- Bleeding after a biopsy or polyp removal
- Skin reaction, low blood pressure , or Apnea (pauses in your breathing)
What are the benefits of colonoscopy?
- It gives your doctor information about whether or not colorectal cancer is present.
- Polyp, if found, are removed and prevent you from forming cancer.
- Biopsies for symptoms can lead to diagnosis
- Problems are rare and this procedure is considered to be a very safe procedure.