- Reference Number: HEY-701/2015
- Departments: Endoscopy
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This leaflet has been produced by the Endoscopy team with some tips from patients to help answer any questions you may have about preparing for your colonoscopy (examination of the large bowel using a long, flexible tube called a colonoscope). Most of your questions should be answered by this leaflet. It is not meant to replace the manufacturer’s advice sheet or the discussion between you and your doctor but may act as a starting point for discussion. If after reading it you have any concerns or require further explanation, please discuss this with a member of the healthcare team who caring for you.
What is MoviPrep?
MoviPrep® is the medication used to empty the bowel and prepare you for a colonoscopy. It is a powder which should be dissolved in water before using. Please follow the instruction card and advice given in the clinic. Once mixed, the solution may be refrigerated up to 24 hours before drinking. It may taste better if chilled. MoviPrep® should be drunk very slowly over a 2 hour period; we usually advise drinking a glassful every 15 minutes. Using a straw may help. Bypassing the taste buds in the front of your mouth may make the taste more tolerable.
Why do I need to take MoviPrep?
It is very important that we see inside your bowel during the test. Any stool left inside the bowel may hide important findings. For this reason, the bowels are cleaned out with a medication called MoviPrep®, prior to a colonoscopy.
When will it start to work?
At some point, you will start to experience watery bowel movements. This is quite normal and indicates that the MoviPrep® solution is working. The bowel movements will stop soon after you have finished drinking. It normally takes about one hour after starting MoviPrep® to have your first bowel movement. Moist toilet wipes and creams can be used to prevent soreness.
What drinks am I allowed whilst taking MoviPrep?
It is important to stay hydrated while using MoviPrep®. Drink plenty of clear fluids before, during, and after taking this medication. You may have:
• Water, plain or flavoured
• Soft drinks such as squashes, herbal/ fruit tea (avoid blackcurrant)
• Fruit juices, (apple or white grape juice)
• Clear soup (consommé) or drinks made from stock/meat extract cubes
• Tea or coffee (without milk)
• Jelly (avoid blackcurrant)
• Sports drinks such as Lucozade
• Boiled sweets (no red or purple)
• Ice lollies (no red or purple)
You may continue to take clear fluids up to one hour before your colonoscopy.
Are there any side effects?
You may experience stomach swelling, bloating, or discomfort before your first bowel movement after you start using MoviPrep®. If you do, it may help if you briefly stop drinking the medicine or if you drink it more slowly. If these effects are severe or persist, contact your doctor.
Can I still take my medication?
Your medication should have been discussed with you. Morning medication should be taken at least one hour before taking MoviPrep® and night time medication should be taken as late as possible to allow it to be absorbed into your system, unless you have been told to stop taking the medication.
Do not take other laxatives while you are taking MoviPrep®.
When should I not use MoviPrep?
In the clinic, it will be decided if you are suitable to take MoviPrep®. However it should not be used if you have any of the following:
- A blockage in the bowel
- Severe kidney problems
- Problems swallowing food or fluid
- A severely inflamed bowel
- An allergy to any of the ingredients. See the leaflet in the MoviPrep® box for a complete list of ingredients.
Should you require further advice on the issues contained in this leaflet, please do not hesitate to contact either:
Endoscopy Unit, Hull Royal Infirmary on: (01482) 674790
Endoscopy Unit, Castle Hill Hospital (01482) 622069
Additional information about MoviPrep® can be found at: www.moviprep.info
General Advice and Consent
Most of your questions should have been answered by this leaflet, but remember that this is only a starting point for discussion with the healthcare team.
Consent to treatment
Before any doctor, nurse or therapist examines or treats you, they must seek your consent or permission. In order to make a decision, you need to have information from health professionals about the treatment or investigation which is being offered to you. You should always ask them more questions if you do not understand or if you want more information.
The information you receive should be about your condition, the alternatives available to you, and whether it carries risks as well as the benefits. What is important is that your consent is genuine or valid. That means:
- you must be able to give your consent
- you must be given enough information to enable you to make a decision
- you must be acting under your own free will and not under the strong influence of another person
Information about you
We collect and use your information to provide you with care and treatment. As part of your care, information about you will be shared between members of a healthcare team, some of whom you may not meet. Your information may also be used to help train staff, to check the quality of our care, to manage and plan the health service, and to help with research. Wherever possible we use anonymous data.
We may pass on relevant information to other health organisations that provide you with care. All information is treated as strictly confidential and is not given to anyone who does not need it. If you have any concerns please ask your doctor, or the person caring for you.
Under the General Data Protection Regulation and the Data Protection Act 2018 we are responsible for maintaining the confidentiality of any information we hold about you. For further information visit the following page: Confidential Information about You.
If you or your carer needs information about your health and wellbeing and about your care and treatment in a different format, such as large print, braille or audio, due to disability, impairment or sensory loss, please advise a member of staff and this can be arranged.