If you decide to turn to a proctologist or you have been appointed irrigoscopy, colonoscopy, then you should know how to prepare for this procedure.
Content
Preparation for primary proctologist inspection
If you decide to contact a proctologist about strong pains in the rear pass or abundant bleeding, you do not need to prepare for inspection.
In other cases, in front of the primary inspection, it is enough in 1-2 hours before the reception to put a small cleansing enema (the so-called «Pear»). No food restrictions.
If you are recorded for reception after work in the evening, and there is no opportunity to prepare, then the cleansing enema can be put after the morning chair.
Such preparation is quite enough to inspect the anal channel, detecting the pathology of hemorrhoidal nodes, cracks and T.D. If at a primary inspection, additional diagnostic methods are planned, for example, rectoroscopy, it is necessary to prepare more carefully.
Preparation for RectorOnoscopy
In the clinic you can prepare for manipulation using a device for colocheotherrapy directly before the study. It takes an additional 10-15 minutes.
If you decide to prepare yourself, then there are two ways to prepare the intestine to manipulation:
- laxative (Fortrans);
- cleansing enema;
Each of the methods has its pros and cons: training – The occupation is rather tedious and long; Fortrans is unpleasant to taste, it needs to drink quite a lot and some patients in this regard are experiencing significant discomfort. The quality of preparation is equally in both cases, so the choice remains for the patient.
Preparation Fortrans
Fortrans receiving preferably to start 1.5 - 2 hours after meals. Each package of the drug dissolves in 1 liter of water. For 1 hour you need to drink 1 liter of solution, on a glass for 15 minutes in small sips. There are no restrictions.
During the inspection in the morning, the drug is accepted on the eve, 4 Fortrans packages are bred in 4 liters of water and are accepted from 15 to 19 hours, approximate time of the action of the laxative – 16-21 hour.
When examining in the afternoon, the reception of the drug is divided into two days. On the eve of the patient drinks 2 liters of solution (T.E. 2 packs) from 17-19 hours, approximate time – 18-20 hours. On the day of research it is necessary to take another 2 package from 7-9 hours, the expected time of the laxative – 8-11 hours.
PREPARATION OF CUMBERS
When examining in the afternoon (approximately 15-17 hours): Light breakfast, not lunch. Cleaning belizes (Esmark mug) are made at 12, 13, 14 hours.
When examining in the morning: light dinner, light breakfast. On the eve of the evening 1-2 cleansing enemas (to clean water), 1 cleansing enema in the morning in the morning in 1-1.5 hours before the visit.
Technique formulation of the cleansing enema
For cleansing and preparing the intestine to research uses the so-called Esmark mug (patients often call it «Ged» due to external similarity). Employment is carried out in the position lying on the left side with bent and tightened to the belly legs.
It is advisable to prepare a basin and alert (towel), in case you can not keep water.
In the circle of Esmar pouring 1—1.5 l warm (room temperature) water, after which it rises up to a height of 1-1.5 meters. The enema in the raised state can hold any of the relatives or, if you do the procedure without helpers, you can hang it (for this, as a rule, there is a special hole in the enema). After that, the tip is lowered down to the basin, the crane opens (if there is no crane, it can be replaced with a clothespin) and air and a small amount of water is released, after which the crane is closed. The tip is lubricated with vaseline and introduced into the rear pass, the crane opens, after which the pressure fluid enters the rectum. After removing the tip, it is washed under the jet of warm water and boiling.
Preparation for irrigoscopy and colonoscopy
Preparations for these studies are carried out equally, since their execution is possible only with full purification of colon from content. Preparation options are also two - cleansing or forttrans. Fortrans Patient accepts the scheme described above (cm. Preparation for RectorOnoscopy).
When preparing with enema for 2–3 days before the study of the patient prescribed a slicing diet, on the eve of the study — 30 g of castor oil inside. In the evening they make 1–2 Cleaning enemas according to the method described above. Dinner is not allowed. In the morning, a light breakfast is allowed on the study and again do 1–2 Cleaning enemas 2 hours before the procedure.
