Colonoscopy

Pediatric Gastroenterology

A Patient & Family Resource Site

Flexible Sigmoidoscopy/Colonoscopy

Why Flexible Sigmoidoscopy

Colonoscopy

Procedure

Preps

What to Expect &

When to Call

Clinical Trials

Flexible Sigmoidoscopy and Colonoscopy

A Flexible Sigmoidoscopy and Colonoscopy are two different procedures that a gastroenterologist may order so they can look directiy into into the last part of the intestines and colon (colonoscopy) or just the last part of the colon (flexible sigmoidoscopy). The gastroenterologist will look iby using a narrow bendable tube mounted with a camera and a light to help find out why children have diarrhea, bleeding and stomach pain. The doctor may also take very small tissue samples, the size of a pinhead.

Before the test, the child is given oral medicines to flush out all the stool (prep).

Please click the link on colonoscopy for more information

Flexible Sigmoidoscopy Prep (Saline Enema)
- Clear liquid diet starting at 8:00am the day before the procedure
  - Apple juice, White Grape juice, Jell-O, Sprite, Popsicle, Gatorade or water. At least 10 or more cups a day. No red, blue or dark dyes.
- Adult Saline Enema Take one Adult Saline Enema before bed the night before the procedure and one Adult Saline Enema when they wake up prior to coming to the hospital for the procedure.
- Give a pre-made saline enema 1tsp (5cc) per pound of weight in the rectum. Saline enemas are available over the counter at your pharmacy. If you need more, add 1½ tsp of table salt in 1qt of warm water, and then refill the enema bottle.
Colonoscopy Prep (Magnesium Citrate) 2-6 years of age
- Clear liquid diet starting at 8:00am the day before the procedure
  - Apple juice, White Grape juice, Jell-O, Sprite, Popsicle, Gatorade or water. At least 10 or more cups a day. No red, blue or dark dyes.
- Senna or Ex-Lax Take 1 square, twice a day, two days before the procedure.
  - 1st dose starting at 8:00 am and then at 8:00 pm
  - 2nd dose starting at 8:00 am and then at 8:00 pm
- Magnesium Citrate: Take 3 ounces on the morning before your procedure and take 3 ounces the evening before your procedure. Doses should be spaced 10-12 hours apart. Do not exceed 10oz total.
- If bowel movement is not a watery diarrhea on the morning of the procedure, give a pre-made saline enema 1tsp (5cc) per pound of weight in the rectum. Saline enemas are available over the counter at your pharmacy. If you need more, add 1½ tsp of table salt in 1qt of warm water, and then refill the enema bottle.
Colonoscopy Prep (Magnesium Citrate) 6-12 years of age
- Clear liquid diet starting at 8:00am the day before the procedure
  - Apple juice, White Grape juice, Jell-O, Sprite, Popsicle, Gatorade or water. At least 10 or more cups a day. No red, blue or dark dyes.
- Bisacodyl laxative : Take 2 tablets, twice a day, two days before the procedure.
  - 1st dose starting at 8:00 am and then at 8:00 pm
  - 2nd dose starting at 8:00 am and then at 8:00 pm
- Magnesium Citrate: Take 5 ounces on the morning before your procedure and take 5 ounces the evening before your procedure. Doses should be spaced 10-12 hours apart. Do not exceed 10oz total.
- If bowel movement is not a watery diarrhea on the morning of the procedure, give a pre-made saline enema 1tsp (5cc) per pound of weight in the rectum. Saline enemas are available over the counter at your pharmacy. If you need more, add 1½ tsp of table salt in 1qt of warm water, and then refill the enema bottle.
Colonoscopy Prep (Magnesium Citrate) older than 13 years of age
- Clear liquid diet starting at 8:00am the day before the procedure
  - Apple juice, White Grape juice, Jell-O, Sprite, Popsicle, Gatorade or water. At least 10 or more cups a day. No red, blue or dark dyes.
- Bisacodyl laxative : Take 2 tablets, twice a day, two days before the procedure.
  - 1st dose starting at 8:00 am and then at 8:00 pm
  - 2nd dose starting at 8:00 am and then at 8:00 pm
- Magnesium Citrate: Take 10 ounces on the morning before your procedure and take 10 ounces the evening before your procedure. Doses should be spaced 10-12 hours apart.
- If bowel movement is not a watery diarrhea on the morning of the procedure, give a pre-made saline enema 1tsp (5cc) per pound of weight in the rectum. Saline enemas are available over the counter at your pharmacy. If you need more, add 1½ tsp of table salt in 1qt of warm water, and then refill the enema bottle.
Colonoscopy Prep (PEG 3350/MiraLax) older than 12 years of age
- Clear liquid diet starting at 8:00am the day before the procedure.
  - Apple juice, White Grape juice, Jell-O, Sprite, Popsicle, Gatorade or Powerade, Chicken Broth or water. At least 10 or more cups a day. No red, blue or purple dyes
- At 4:00pm the day before the procedure:
  - Take 4 tablets Dulcolax w/Bisacodyl (found over-the-counter in a pharmacy).
  - At 6:00pm on the same day, begin to drink a 64 oz Gatorade (not red or purple) mixed with a 238 gram bottle of PEG-3350 (MiraLax). Drink 8 ounces every 15 minutes until ¾ of bottle is gone. Then at 11:00pm, drink the rest.
- If bowel movement is not a watery diarrhea on the morning of the procedure, give a pre-made saline enema 1tsp (5cc) per pound of weight in the rectum. Saline enemas are available over the counter at your pharmacy. If you need more, add 1½ tsp of table salt in 1qt of warm water, and then refill the enema bottle.

It is normal to experience abdominal pain, bloating, cramping and blood in your stool for up to 48 hours after your procedure

To help with these symptoms

Try to move around as much as possible
Acetaminophen as needed for discomfort

Please call your regular Gastroenterologist if

Severe abdominal pain, or bloating.
Bloody or maroon colored bowel movement after initial 48 hours
Vomiting
Oral temperature over 100 degrees

Clinical Trials

Braintree (BL1800)

Keywords: Colonoscopy, BLI800, bowel preparation, pediatrics

Specialties: Pediatrics, General,

Status: Recruiting Principal Investigator: Molly O'Gorman

Designed by: Kimberly Johnson zifiadesign@gmail.com

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