FOr Patients

Procedural Instructions

For your convenience, comfort and safety we also ask you to review and follow our instructions in preparation for your procedure. You can view the instructions on our website or download and print them out.

Should you have any questions, please call us at

416-626-2100.

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What You Need to Know to Prepare for Your Colonoscopy

At Canadian Place Endoscopy, we highly recommend that you undergo proper bowel preparation to ensure a safe and successful colonoscopy.
Your colon needs to be completely empty for the doctor see the lining clearly. You will need to purchase an oral bowel cleanser well before your procedure (the name of the cleanser is BiPeglyte.) The Prep can be found at your local pharmacy or you can pick it up from Canadian Place Endoscopy. Failure to properly prepare will result in an incomplete colonoscopy and a repeat will be scheduled.
  • Aspirin and Entrophen: 7 days before procedure
  • Anti-inflammatory: 7 days before procedure
  • Iron Pills: 7 days before procedure
  • Clopidogrel (Plavix): 7 days before procedure
  • Ticlopidine (Ticlid): 3 days before procedure
  • Coumadin (Warfarin: 5 days before procedure (speak to your cardiologist before stopping) and get an INR test done the afternoon before your test. Have your lab fax us the results and do not schedule a Monday appointment.
  • Take only HALF of your regular diabetic medication the day before the procedure. This includes oral medications and insulin.
  • On the day of the procedure, DO NOT take your diabetic medication until after your procedure is completed and you have had something to eat. You may then return to your regular dose of diabetic medication.
  • You must make an early morning appointment.
Take all other medications (not listed above) as regularly prescribed, with a small sip of water.
  • DO NOT eat any food containing seeds and nuts (such as breads, granola bars, etc.)
  • DO NOT drink any alcohol
  • Purchase your  BOWEL PREP/cleanser
  • Purchase clear non-red/blue colored drinks with electrolytes (i.e. Gatorade, juices such as apple, white grape, white cranberry or ginger ale). This will help avoid dehydration, faintness and dizziness.
  • DO NOT EAT; clear fluids only
  • Take only CLEAR fluids that include: water, juices such as apple, white grape, white cranberry, Gatorade (no red or blue juices). Black coffee or tea is fine without milk. Drink at least 4 liters of liquid throughout the day to help flush your bowel and keep you hydrated.
  • Start the BOWEL PREP as per instructions attached to the email we will send you.
  • Drink plenty of fluids until 4 hours before your procedure. Example: If your appointment is at 1 p.m., you must STOP drinking fluids at 9 a.m.
  • STOP ALL DRINKING 4 hours before your procedure.
  • Bring your filled-out questionnaire found on the patient form page.
  • You will be with us for at least 2 hours, which includes admission, procedure and recovery.
  • You will be able to resume a normal diet as per doctor’s instructions after the procedure; refer to your Post-procedure documents on the website and given at discharge.
  • Remove all jewelry and nail polish.
  • Do not bring any valuables that could become misplaced
  • Wear comfortable clothing.
  • Arrive 15 minutes before your scheduled appointment.
  • Bring a valid Ontario health card.
  • Bring a driver or arrange for someone to pick you up after the procedure. (Please have your driver drop you off and return after 45 minutes. The waiting area can get crowded and cannot accommodate numerous patrons.Parking is free at Canadian Place Endoscopy.

What You Need to Know to Prepare for Your Gastroscopy

At Canadian Place Endoscopy, we highly recommend that you undergo proper preparation to ensure a safe and successful gastroscopy.
  • Breakfast: You may have a regular breakfast, just as you normally do.
  • Lunch: Have a light lunch, nothing heavy.
  • Dinner: Have a VERY light dinner.
  • Do not  drink alcohol the day before your test (24 hours).
If you are on any of the following medications, you will need to stop taking them for a period of time. Please refer to the list below:
  • Aspirin and Entrophen: 7 days before procedure
  • Anti-inflammatory: 7 days before procedure
  • Iron Pills: 7 days before procedure
  • Clopidogrel (Plavix): 7 days before procedure
  • Ticlopidine: 3 days before procedure
  • Coumadin (Warfarin: 5 days before procedure (speak to your cardiologist before stopping) and get an INR test done the afternoon before your test. Have your lab fax us the results and do not schedule a Monday appointment.
Take all other medications (not listed above) as regularly prescribed, with a small sip of water.
Take only HALF of your regular diabetic medication the day before the procedure. This includes oral medications and insulin. On the day of the procedure, DO NOT take your diabetic medication until after your procedure is completed and you have had something to eat. You may then return to your regular dose of diabetic medication. You must make an early morning appointment.
  • STOP eating and drinking all fluids 4 hours before the procedure
  • Remove all jewelry and nail polish
  • Arrive 15 minutes before your scheduled appointment
  • Bring a valid Ontario health card to the appointment.
  • Please remember to bring your questionnaire found  here.
  • Bring a DRIVER with you or arrange to have someone pick you up after the procedure.
* Please have your driver drop you off and return after 45 minutes, The waiting area can get busy and cannot accommodate numerous patronst.
  • You should expect to be at the clinic for admission, procedure and recovery for at least 2 hours.
  • Kindly do not bring any valuables with you that may become misplaced during your time with us.
  • Please remember to fill out and bring in your   Patient Questionnaire.

Post-Procedure Instructions

You have just had a colonoscopy or gastroscopy. These instructions contain information about what to expect over the next week.
Please telephone our office or got to your nearest emergency room if you have:
  • Severe or persistent abdominal pain
  • Fever
  • Bloody bowel movements
  • Vomiting
Our physician or nurse manager will speak with you and decide a course of action. If biopsies were taken from the colon or if a polyp was removed, you will be returning to our office within a few weeks to have a follow-up appointment with the physician who performed the procedure to discuss your results.
Bleeding may occur after taking a biopsy or after the removal of a polyp. A small amount of blood in the stool is not uncommon after a colonoscopy, but the passage of an entire bloody bowel movement should be immediately reported. You will have been informed if there was any bleeding at the time of the procedure. Although rare, bleeding may still occur up to ten days after a polyp was removed.
Many patients experience normal discomfort due to the air pumped in to the colon during the procedure, but this usually subsides over the course of a few hours.
The medications injected in your arm vein may cause local swelling and discomfort that may last 1 to 2 weeks. Although this may become bothersome, it is almost never serious. Please contact your doctor if local redness, swelling or tenderness near the injection site worsens in the days following your procedure as this may indicate a skin infection.
The bowel preparation has emptied your gastrointestinal tract. We recommend that you avoid heavy or fatty meals today. DO NOT DRINK ALCOHOL on the day of the procedure. A normal diet may begin on the day after the procedure. After a gastroscopy procedure, do not eat or drink anything for approximately 2 hours and avoid hot food or drink when you begin to eat.
The sedation you receive will make you less alert than normal. DO NOT DRIVE or exercise today. Be extra cautious during physical activity today. You may resume normal activities tomorrow. Strenuous exercise should not be performed for 48 hours unless your physician otherwise advises you.
You may resume all medications after your colonoscopy/gastroscopy. If a polyp was removed, your physician may advise you to avoid aspirin-containing medications for several days.
It is normal with a colonoscopy because your colon has been completed cleansed that you will not experience any bowel activity for up to the next 3 days.
    

Your Bowel Preparation Instructions for a Safe Colonoscopy

In order to prepare for your colonoscopy, you will need to purchase an oral bowel cleanser well before your procedure (the name of the cleanser is BiPeglyte), which costs $40.