Bowel Preparation

 Taken from HUSM Endoscopy Unit
1 day prior to appointment
(Breakfast only)
Allow 2 piece of plain bread or plain mee and plain water. Do not take any meat, vegetables, fruits or any dairy product (produk tenusu). Please drink at least 2 litre of plain water until midnight. (If needed, take glucose drink dibenarkan sahaja jika perlu).

3pm and 7pm
Add 45ml of FLEET into a glass of plain water. Finish the dilution. This preparation(cirit-birit) works within 30 mins but may take as long as 3 hours.

12 midnight
Start fasting until colonoscopy done.

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Taken from H K.L Nurse's blog

Colclean or Fleet solution.(for patients with no renal impairment)

• ·         Avoid eating any dietary fibers at least 3 days before the scheduled procedure. E.g.: veggies, fruits, oats, etc. (for outpatients)
• ·         Can eat Breakfast and lunch.
• ·         Preparation must be done the day before the Colonoscopy procedure
• ·         45mls Colclean / Fleet + a minimum of 3 glasses of water to be given to the patient at 3.00pm. (No more meals are to be taken after the first dose.)
• ·         Your patient will start to have Diarrhea soon afterwards.
• ·         Another 45mls + a minimum of 3 glasses of water to be given at 6.00pm
• ·         Patient should be encouraged to drink lots of clear fluids afterwards to avoid dehydration and given IV Drips if necessary. Your patient is going to lose a lot of fluids.
• ·         Patient is allowed to drink clear fluids. No need NBM. (consult your Gastro M.O first)
• ·         On the day (8.00am) of the planned procedure, call Scope room to inform the case.
• ·         Call scope room if you are not sure about the bowel prep.

Fortrans - Poly Ethelyne Glycol (most Gastroenterologist likes to use this)

• ·         Avoid eating any dietary fibers at least 3 days before the scheduled procedure. E.g.: veggies, fruits, oats, etc. (for outpatients)
• ·         Can eat Breakfast and lunch.
• ·         One sachet of Fortrans is to be diluted with one liter of clear fluid.
• ·         3 sachet = 3liters
• ·         One liter of diluted Fortrans is to be taken at 6.00pm
• ·         Another liter of fortrans at 7.00pm
• ·         And another one at 8.00pm
• ·         All Diluted fortrans should be finished by the patient.
• ·         Patient should be encouraged to drink lots of clear fluids afterwards to avoid dehydration and given IV Drips if necessary. Your patient is going to lose a lot of fluids.
• ·         Patient is allowed to drink clear fluids. No need NBM. (consult your Gastro M.O first)
• ·         On the day (8.00am) of the planned procedure, call Scope room at to inform the case.
• ·         Call scope room if you are not sure about the bowel prep.
• this solution is safe for patients with fluid restrictions because it does not absorb the fluid in the system.

Now, please make sure that your patient has a FUNCTIONING I.V access (branula) before you send them to the scope room.

*FLEET can't be used for renal impairment or cardiac failure patient because the sodium will cause fluid overload.