Bowel preparation with Moviprep acromegalie
Endoscopy department for gastrointestinal and liver diseases
The preparation for the procedure consists of:
• Taking Bisacodyl® and MOVIPREP® (laxatives).
• Following a low-fiber diet starting one day before the procedure.
• Drinking plenty of water or clear fluids.
Unless otherwise instructed by the doctor/nurse, you will use Bisacodyl® and MOVIPREP® to clean out your bowels (laxative preparation). Please follow the schedule provided below, and not the one mentioned in the laxative package insert.
If you have also received a prescription for Macrogol, you should start using it 7 days prior to the colonoscopy. Macrogol softens your stool, which makes it easier for your bowels to be cleansed with MOVIPREP® before the colonoscopy.
Low-fiber diet
The day before the scheduled procedure, you will start the low-fiber diet. This means you are not allowed to eat certain fiber-rich foods.
What you should NOT eat: |
• Whole grain products such as: Bread with seeds and whole grain bread. Whole grain and multigrain pasta, and brown rice. • Fibrous vegetables such as: Asparagus, celery, sauerkraut, runner beans, green beans, leeks, peas, legumes, bean sprouts, corn, mushrooms, tomatoes, onions, garlic, spinach, endive, bell peppers, and raw vegetables. • Fruits with fibers and/or seeds such as: Oranges, grapefruit, tangerines, kiwis, blackberries, grapes, strawberries, and dried fruits. |
What you CAN eat: |
• Bread-based meals such as: Rusk, white or light brown bread with margarine or butter. Lean cold cuts, cheese, a boiled egg, chocolate sprinkles, chocolate spread, honey, syrup, and seedless jam. • Fruits such as: Soft, ripe fruit or canned fruit without seeds, fibers, or peel. Applesauce, fruit puree. • Hot meal options such as: Soup with small pieces of meat, vermicelli, and/or meatballs (but no vegetables). Potatoes, white rice, pasta, macaroni. Lightly roasted lean meat, fish, or chicken (without skin). • Well-cooked vegetables such as: Beets, cauliflower, broccoli, carrots. • Desserts such as: Custard, pudding, quark, or yogurt. |
Preparing MOVIPREP®
Instructions for preparing MOVIPREP®:
- MOVIPREP® is a laxative with a lemon flavor. You will receive 1 package of MOVIPREP®, which contains 4 sachets.
- Dose 1: Dose 1 consists of one large sachet (A) and one small sachet (B). Add the contents to a measuring jug of 1 liter. Then pour water into the jug up to the 1-liter mark and stir until all the powder is dissolved and the MOVIPREP® solution is clear or slightly cloudy. This may take about 5 minutes.
- Dose 2: Repeat the preparation method as described for dose 1.
- Dose 3: Repeat the preparation method as described for dose 1.
- Dose 4: Repeat the preparation method as described for dose 1.
Preparing and taking Macrogol
Dissolve one sachet of Macrogol in a glass of water and take it in the morning and, if needed, in the evening, to soften your stool. By softening your stool, your bowel can be more easily cleansed with MOVIPREP® before the colonoscopy.
Laxative Schedule
For laxative preparation with MOVIPREP®, follow the schedule below. It is important that you drink the prescribed amount of fluid completely.
7 days before the procedure: |
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2 days before the procedure: |
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1 day before the procedure: |
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On the day of the procedure: |
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* The following clear fluids are allowed: water, clear apple juice, lemonade, tea, and strained broth.
Tips for taking MOVIPREP®:
It is important that you drink the prescribed amount of liquid completely. Below are some tips to make drinking the laxative a bit easier:
- Drink MOVIPREP® slowly — take your time. Drink the first dose of MOVIPREP® (1 liter) and the clear fluid (at least 1 liter) together within a maximum of 2 hours.
- Sip MOVIPREP® in small sips and alternate with sips of the permitted clear fluids mentioned earlier to make it easier.
- Use a straw while drinking, so it reaches further into your mouth.
- Keep moving to help stimulate your bowels.
- If needed, chew gum (without sorbitol) or suck on a yellow-colored lollipop (without biting or chewing) to reduce any unpleasant taste.
Effect of MOVIPREP®
MOVIPREP® ensures that you will lose a significant amount of stool within two hours of drinking it. Afterward, the effect decreases somewhat. Often, there will still be a lot of stool in the morning after the laxative. When taking the bowel cleansing agent, the stool will become thinner and eventually resemble a watery and clear fluid. It is important to know that you will not completely lose control over your stool, which helps prevent accidents, and you should be able to reach the toilet in time.
Do you have any questions?
If you have any general questions about your bowel examination or problems with taking the laxatives, please contact the Endoscopy Department at telephone number 071-5296754 between 8:00 AM and 12:00 PM. General questions may include nausea/vomiting during the laxative process or doubts about whether your bowel is sufficiently clean. If your question cannot wait until the next working day, please contact the same number by 4:00 PM at the latest.
In case of (medical) problems, you can contact the LUMC outside office hours via 071-5269111 and ask for the on-duty gastroenterologist. Medical problems may include severe abdominal pain or bright red blood loss through the anus after the colonoscopy.
Recommended timing for taking laxatives on the day of the colonoscopy
Time of your procedure | Time to take the laxative on the day of the colonoscopy |
8.30 AM | 4.30 AM |
9.00 AM | 5.00 AM |
9.30 AM | 5.30 AM |
10.00 AM | 6.00 AM |
10.30 AM | 6.30 AM |
11.00 AM | 7.00 AM |
11.30 AM | 7.30 AM |
1.30 PM | 9.30 AM |
2.00 PM | 10.00 AM |
2.30 PM | 10.30 AM |
3.00 PM | 11.00 AM |