Archive for July, 2009

Bowel Preparation with Oral capsules – Good for those who cannot tolerate Picoprep or Fleet

Posted on July 30th, 2009 in Bowel preparation, Colonoscopy | No Comments »

INSTRUCTIONS FOR COLONOSCOPY

DAY BEFORE TEST

Have a light breakfast(but do not have any grain bread or anything with seeds in it)

12:00 Noon

Have a light lunch – (eg soup, sandwich). YOU MUST NOT EAT AFTER THIS

3:00 pm

Start taking the COLOCAPS BALANCE

Swallow down 5 capsules with a glass of clear fluids(eg water, black tea or coffee without mild, cordials, strained fruit juices without pulps, jelly, clear soup)

If morning procedure,

Continue taking 5 capsules every 15min until all 65 capsules have been taken

If afternoon procedure,

Continue doing these until there are 20 capsules left.

Leave 20 capsules to take on the morning of the test – every 15 minutely from 7am until 8am. You can continue to have clear non-alcoholic fluids up to 4 hours prior to the procedure

Bowel Preparation – for best views during colonoscopy

Posted on July 30th, 2009 in Bowel preparation, Colonoscopy | No Comments »

INSTRUCTIONS FOR COLONOSCOPY

DAY BEFORE TEST

Have a light breakfast(but do not have any grain bread or anything with seeds in it)

Dissolve GLYCOPREP in ONE litre of water and place in fridge

12:00 Noon

Have a light lunch – (eg soup, sandwich). YOU MUST NOT EAT AFTER THIS

3:00 pm

Start drinking the GLYCOPREP solution – drink 1 glass every 15 minutes. (Slow down if nauseaous)

5:00 pm

Mix 1 sachet PICOPREP with water and drink. Drink at least 1 litre of clear fluids(eg water, black tea or coffee without mild, cordials, strained fruit juices without pulps, jelly, clear soup) over the next 2 hours

7:00pm

Mix 1 sachet PICOPREP with water and drink. Drink at least 1 litre of clear fluids over the next 2 hours

DAY OF TEST

Morning examination – Do not eat or drink anything. Take usual medication with sip of wter.

Afternoon examination – Drink lots of clear fluids up to 4 hours before procedure.

What Causes Lumps in the anal area? (Perianal lumps)

Posted on July 26th, 2009 in Perianal lump | No Comments »

There are many things that can cause a lump in the area.

Causes include:
1. Perianal skin tags – these are benign. If they are causing problems(ie difficulty wiping clean after bowel action), then they can be removed
2. Haemorrhoids – especially third or fourth degree ones which prolapses out. These may be too big to band and may need formal haemorrhoidectomy
3. Perianal haematoma – this is painful and due to a ruptured blood vessel in the area causing a clot to form

4. Other Soft tissue lesions – eg cyst, lipoma, benign tumours such as hidradenoma

5. Anal cancer – this is rare, the lump is usually hard and may be associated with bleeding

6. Rectal polyp prolapsing out!

7. Rectal prolapse – this causes a large lump in the area. Surgical repair is usually indicated.

The best thing to do is to see a doctor about this and have this assessed properly.