This test is performed to determine how strong your muscle is in making and holding a bowel motion. It also determines what the pressure is in your anus and rectum.

A very thin tube is inserted into your anus. You will be asked to relax then squeeze your anal muscle to see the change in pressure.

The test takes approx. 5 minutes. No bowel preparation or fasting is required for this procedure.

Anorectal ultrasound is a procedure using ultrasound scanning to see the condition of your anus, rectum, sphincter muscle or the surrounding area.

The procedure involves an ultrasound probe being inserted into your anus or “back passage” and pictures are taken by the Doctor. The procedure takes approx. 5 minutes. No bowel preparation or fasting is required for this procedure.

This surgery is accredited for Ultrasound Diagnostic Imaging by NATA (National Association of Testing Authorities)

This is a procedure where a thin long instrument  (sigmoidoscope), which has a camera at the tip, is passed from the anus to the rectum to look and check for any abnormalities.

In preparation for this test, you may require an enema to be given by the nurse. This is to make sure your rectum is completely empty for the procedure and to get a clear view of the area. No anesthetic is given when performed in our rooms, and it is not usually painful.

The Soluscope Series 2 -an automatic Endoscope Re-Processor ensures high levels of disinfection which cleans our colonoscope by our GENCA trained and certified nurse.

All instruments are sterilized by a steam/heat autoclave sterilization system. TGA approved.

IT IS IMPORTANT TO FOLLOW THESE INSTRUCTIONS CAREFULLY. The success of the procedure

depends on the bowel being as clean as possible, otherwise the procedure may need to be postponed.  

 ……………….DAY OF COLONOSCOPY

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TWO DAYS BEFORE YOUR COLONOSCOPY  ………………..day

You need to start a low fibre diet. STOP eating fruit, vegetables, wholegrain bread, high fibre cereal, red meat,     anything with seeds or nuts. Avoid fibre supplements e.g. Metamucil, Normafibe or Normacol.              

You may eat  fish, chicken, eggs, cottage cheese, plain yoghurt, custard, white bread, muffins, crumpets,  pasta,

white rice, well-cooked pumpkin or peeled potato, wedges with sour cream, picklets and doughnuts

Drink a variety of fluids, approximately 3 litres throughout the day.

 ONE DAY BEFORE YOUR COLONOSCOPY …………………..day           

CLEAR FLUIDS ALL DAY  – NO SOLID FOOD

CLEAR FLUIDS: Water of any kind. CLEAR fruit juices (apple, pear and grape), plain jelly, black tea and coffee,

bonox,  chicken stock, clear soup(broth), cordial, lucozade, staminade, lemonade, Gatorade and gastrolyte. 

AVOID red and purple jellies and drinks, cloudy fruit juices with pulp and milk/dairy products.

Drink at least 1-2 glasses of fluid every hour

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Colonoscopy – before 10.30 AM                                                           

…………DAY: The day before your COLONOSCOPY   

  1st  dose 2pm 

Mix the contents of one sachet of PICOPREP(15.5g) in                

  ½ glass of warm water, stir until dissolved. Drink 

mixture followed by a glass of clear fluids. Drink clear fluids between each dose of picoprep    

2^nd dose 5pm      

Mix the contents of the sachet  PICOPREP (15.5g)

In ½ glass of warm water, stir until dissolved. Drink mixture, followed by a glass of clear fluids.

3^rd dose 8pm

Mix the contents of the last sachet of PICOPREP(15.5g) in 

½ glass of warm water, stir until dissolved. Drink

mixture followed by a glass of clear fluids

Drink at least 3 glasses of clear fluid before going to bed.

Nil by mouth from midnight                    

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Colonoscopy  – after 10.30 AM

…………DAY: The day before your COLONOSCOPY

1st dose 5pm    

Mix the contents of one sachet of PICOPREP(15.5g) in

½ glass of warm water, stir until dissolved. Drink

mixture followed by a glass of clear fluids.

2^nd dose 8pm    

Mix the contents of the sachet PICOPREP (15.5g) in ½ glass of warm water, stir until dissolved. Drink mixture. Drink at least 3 glasses of clear fluid before going to bed. Drink clear fluids throughout the night

DAY OF PROCEDURE……………………………….

Final dose 6am        

Mix the contents of the last sachet of PICOPREP (15.5g) in ½ glass of warm water, stir until dissolved. Drink

mixture followed by one glass of water only. 

Then NIL BY MOUTH.                    

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The preparation will cause multiple bowel movements and sometimes stomach cramping. You will need to be close to a toilet once you start the preparation. 

Take your usual medication (heart, blood pressure) with a sip of water on the day of your procedure.

Diabetic medication- consult your Doctor/nurse.

STOP– blood thinning medication eg. Asprin, Warfarin, Cartia, any codeine based medication and fish oil one week

 before your procedure or as advised by your Doctor. 

You must have a responsible adult to collect you after your procedure.

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1. Salt baths once or twice daily  (warm bath water with two tablespoons table salt), to clean the area and give relief.

2. Laxatives 20 – 30mls of Lactulose or equivalent (i.e. Actilax, Duphalac)

3. It is important not to get constipated – take laxatives twice daily if necessary

4. Finish five day course of antibiotics eg Metronidazole (Flagyl) if prescribed.

5. Use regular analgesia; get more from local Doctor if required. Pain is expected for up to 6 weeks.

6. Use simple pad or liner, as there will or could be some bleeding or discharge for up to 6 to 8 weeks after procedure.

7. Bleeding is likely to occur when you open your bowels, this is normal. Excessive bleeding continuously, needs to be checked by your local Doctor or emergency. Bleeding can also occur on the 7th to 10th day. Hemorrhoidal tissue is healing and opening your bowel stretches the healing area causing bleeding.

8. Limit your activities for the first week to aid recovery.

9. Drink more fluids and eat more fibre, (fruit, vegetables, high fibre cereals)