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Patient Guides: Endoscopy & Colonoscopy Preparation

How to prepare for endoscopy, colonoscopy and FibroScan — fasting, bowel preparation, medicines and what to expect on the day.

Preparing for an upper GI endoscopy

  • Do not eat for 6–8 hours before the procedure. Small sips of water are usually allowed up to 2 hours before.
  • Tell us if you take blood thinners (e.g. aspirin, clopidogrel, warfarin, apixaban), diabetes medicines or insulin — some may need to be adjusted.
  • Bring previous reports and a list of medicines.
  • If you receive sedation, bring an adult companion and do not drive for the rest of the day.

Preparing for a colonoscopy

3 days before

  • Start a low-fibre diet: avoid seeds, whole grains, raw vegetables, fruit with skin, and nuts.
  • Stop iron tablets unless advised otherwise.

The day before

  • Light breakfast, then clear liquids only: water, clear soup, coconut water, clear juice without pulp, black tea.
  • Take the bowel preparation solution exactly as prescribed, usually split between the evening before and the morning of the test.
  • Keep drinking clear fluids to stay hydrated.

The morning of the test

  • Finish the second dose of preparation as instructed.
  • Your stool should be clear or pale yellow liquid. If it is still brown or contains particles, call the clinic.

Preparing for a FibroScan

  • Avoid food for about 3 hours before the test.
  • Wear clothing that allows access to the right side of your abdomen.
These are general instructions. Always follow the specific preparation sheet given to you, especially for diabetes and blood-thinning medicines.
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