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Sigmoidoscopy (Flexible Sigmoidoscopy)

How To Prepare For A Sigmoidoscopy

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To prepare for a flexible sigmoidoscopy, one or more enemas are performed about 2 hours before the procedure to remove all solids from the sigmoid colon. An enema is performed by flushing water, laxative, or sometimes a mild soap solution into the anus using a special wash bottle. 

In some cases, the entire gastrointestinal tract must be emptied by following a clear liquid diet for 1 to 3 days before the procedure—similar to the preparation for colonoscopy. Patients should not drink beverages containing red or purple dye. For information about what is, and what is not, a clear liquid diet, click here

A laxative or an enema may also be required the night before a flexible sigmoidoscopy. A laxative is medicine that loosens stool and increases bowel movements. Laxatives are usually swallowed in pill form or as a powder dissolved in water.

Patients should inform their doctor of all medical conditions and any medications, vitamins, or supplements taken regularly, including:

  • Aspirin
  • Arthritis medications
  • Blood thinners
  • Diabetes medications
  • Vitamins that contain iron

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