Gastroenterology

Your clinician has advised that you have a colonoscopy with Moviprep bowel preparation. Bowel Preparation (bowel cleansing) is needed to perform an effective procedure. Any stool

remaining in the colon can hide lesions and result in the need to repeat the procedure.

This leaflet contains information about:

  • When you should take the Moviprep bowel preparation.
  • How to make up the Moviprep sachets.
  • When you can eat and drink.
  • What you can eat and drink.
  • What food and drink to avoid.
  • Instructions on taking your medication.

How should I prepare for my Colonoscopy?

Two days before the test you should only eat low residue food. Please see the food you are allowed and the foods you should avoid in the table below:

 

 

Foods Allowed

Foods to Avoid

 

Starchy Foods

White rice/Cous cous/Pastry (white flour)/Croissants/ white

flour

Wholemeal or granary bread/ flour/wholemeal pasta/brown rice/pearl Barley/quinoa

 

Breakfast Cereal

Cornflakes/Rice Krispies/ Frosted flakes

All whole-wheat cereals E.g Branflakes/Weetabix/

Shreddies/ etc. Porridge and Muesli/all containing dried fruit/nuts

Dairy

Milk, yoghurts (smooth),

Cheese/tofu, butter/ margarine

Yoghurts or cheeses containing fruit/nut pieces

 

Meat, fish and eggs

White meat, fish and poultry, all eggs

Red meat or meat that is tough or gristly/skin and bones of fish and chicken/pies/egg dishes containing vegetables

Vegetables

Potatoes without skin,

boiled/mashed/chips, Crisps

Vegetables/salad, baked beans, split

peas/lentils, peas, sweet corn, celery, all seeds, tough skins, potato skins

 

Fruit

None

Avoid all fruit

 

Foods Allowed

Foods to Avoid

Nuts

None

Avoid all nuts

 

 

Desserts and sweets

Sponge cakes without fruit or nuts/custard/ice cream/jelly/rice pudding/semolina/ chocolate without fruit/ nuts/boiled sweets/Rich tea biscuits/smooth

yoghurt

 

Puddings/cakes/biscuits made with wholemeal flour, dried fruit or nuts. Chocolate or toffee with dried fruit or nuts/ popcorn/marzipan/ digestive biscuits/ marmalade with peel or jam with seeds

 

 

Other

Clear soups, spices, pepper, stock cubes, tea, coffee, squash, marmite, honey, shredless/ seedless Marmalade or

jam.

 

Lentil/vegetables soups, pickles/chutneys, horse-radish, relish

Read The Following Instructions Carefully

Afternoon Appointment

The day before your procedure

 

Lunch 12 noon

Eat lunch according to the low residue diet, This will be your last solid meal until after your procedure

 

 

13:00pm

From this time onwards Do Not Eat Any Solid Food. Your bowel needs to be empty for your procedure.

 

You can drink any of the fluids from this list; water, clear fizzy drinks, Lucozade, clear soup, dilute drinks, tea and coffee without milk.

 

Teatime 5pm

You can have clear soups or jelly (not red/blackcurrant). Remember to continue to drink plenty of clear fluids throughout the day.

 

6pm

Make your first litre dose of Moviprep and drink over a period of one to two hours.

Remember to drink an additional 500mls (one pint) of fluid following this dose.

 

11pm

Once your bowels are empty and you have stopped going to the toilet you can go to bed. This is normally about two hours after you finish the dose of Moviprep.

 

 

The day of the procedure

 

 

07.00 – 08.00am

Make your second litre dose of Moviprep and drink over a period of one to two hours.

Remember to drink an additional 500ml (one pint) of fluid following this dose.

 

 

The day of your procedure

Do Not Eat Anything.

 

Drink plenty of clear fluids until two hours before the appointment time.

What are the benefits of Bowel Preparation?

Bowel preparation will clear your bowel of all waste material. This will allow the endoscopist to view your bowel properly during your procedure.

Are there any risks/side effects?

  • The medication will clear out of the bowel resulting in diarrhoea within approximately one to two hours of the first dose. It is advised that you stay within easy reach of a toilet once you start to take the medication.
  • Some patients experience nausea, vomiting, or abdominal pain. This can be associated with dizziness. If any of these symptoms occur please lie down until they pass.
  • You might like to use a barrier cream to prevent a sore bottom. A product such as petroleum jelly can also be effective.
  • Some stomach cramping is normal.
  • If you vomit up the bowel preparation at any time or have any other concerns regarding side effects please contact us directly – see below for contact details.
  • Female Patients

If you are taking an oral contraceptive pill, diarrhoea can make it less effective. Continue taking the pill but use other precautions for the rest of that cycle.

Are there any alternatives to this procedure?

This procedure has been considered the best test to investigate your symptoms. If you are unsure about having this procedure please discuss alternative tests with clinician who referred you.

 

What do I do on the day of the Colonoscopy?

Remember you are not allowed to eat anything until after your test.

  • You may continue to take all your other usual medications as normal. Do not take your medication one hour either side of drinking your dose of Moviprep.
  • Do not take tablets for diabetes on the day of your colonoscopy but bring your medication with you.
  • If you take insulin, please take this as instructed by your diabetes nurse.
  • If you normally monitor your blood sugar then please check it every two hours.

If you feel dizzy, sweaty or irritable (hypo) take;

Two to three teaspoons of sugar or six glucose tablets or one glass of Lucozade.

You should feel better almost immediately, if not repeat the above treatment. If symptoms persist contact your doctor.

  • If you take blood thinning tablets please take these as advised by the anticoagulation team who will contact you before your procedure.
  • If you take antiplatelet therapy e.g. Clopidogrel, Prasugrel, etc. you will be advised if/ when to stop this by the gastroenterology staff.

You should continue to drink clear fluids up until two hours before your appointment time

Attend the Gastroenterology department at your appointment time.

Feedback

Your feedback is important to us and helps us influence care in the future.

Following your discharge from hospital or attendance at your outpatient appointment you will receive a text asking if you would recommend our service to others. Please take the time to text back, you will not be charged for the text and can opt out at any point. Your co-operation is greatly appreciated.

Further information
Contact the Gastroenterology Unit. Opening times as shown:
Monday – Friday 
1000 – 1700hrs 
Tel: 0151 706 2720 
Saturday/Sunday/BH 
0800 – 1600hrs 
Tel: 0151 706 2726 
Text phone number: Monday – Friday 18001 0151 706 2720 
 Saturday/Sunday/BH 18001 0151 706 2726 
 
Author: Gastroenterology
Review date: February 2029
PI 2009 V2