Sigmoidoscopy 

PROCEDURE INSTRUCTIONS

Instructions cover the following procedures:

SIGMOIDOSCOPY
SIGMOIDOSCOPY w/BOTOX

  • To cleanse your bowel, you must give yourself a Fleet Enema. You may purchase a Fleet Enema (green box, water retention) at any pharmacy.  Use ONE Fleet Enema ONE hour prior to your scheduled procedure time. Follow directions on the package
  • If you are receiving Anesthesia:
    • NO solid food, ONLY clear liquids after midnight before your procedure
      • A clear liquid is any liquid that you can see through – Nothing RED or ORANGE in color; No Milk, Cream or Soy milk; No alcoholic beverages please ( see Clear Liquid Diet List below)
    • The day of your procedure, nothing by mouth for 3 hours before your procedure time.
  • If you are not receiving Anesthesia
    • You may eat and drink and drive yourself
  • If you take insulin, oral diabetic medications, or blood-thinning medications, please call your primary care doctor for special instructions if directions have not already been provided by HVG.
  • If you use a rescue inhaler, please bring it with you to your procedure.
  • On the day of your procedure, you must take your high blood pressure, cardiac, thyroid, and mental health medications at least 3 hours before your procedure.
  • Hold any vitamins/supplements for 3 days prior to your procedure.
  • If you use a rescue inhaler, please bring it with you to your procedure.
  • Instructions for GLP-1 Agonist and SGLT-2 Inhibitors/ Special Medications for Weight Loss and Diabetes:

GLP-1

Dulalutide (Trulicity); Exenatide (Bydureon Bcise, Byeta); Semglutide (Ozempic, Rybelsus, Wegovy); Tirzepatide (Mounjaro); Liraglutide (Victoza, Saxenda); Lixisenatide (Adylxin)

      • If your GLP-1 is a pill, hold the GLP-1 medication the day prior to your procedure. If your GLP-1 is an injection, there is no need to hold the medication.
      • You must do a 24 hour clear liquid diet (regardless if pill or injection) and  Nothing by mouth for at least 3 hours prior to the procedure.

SGLT-2

Canagliflozin (Invokana); Dapagliflozin (Farxiga); Empagliflozin (Jardiance); Ertuglflozin (Steglatro)

      • If your SGLT-2 is a pill, hold SGLT-2 medication for 48 hours prior to your procedure. If your SGLT-2 is an injection, there is no need to hold the medication.
      • Nothing by mouth for at least 3 hours prior to the procedure regardless if pill or injection
  • Bring completed anesthesia form on the day of your procedure (if applicable)
  • Review document titled “Informed Consent for Gastrointestinal Procedure, and Consent for Anesthesia ”. On the day of your procedure, you will be asked to electronically acknowledge that you have read the documents.
  • All female patients aged 55 and under must give a urine specimen pre-procedure for pregnancy testing.
  • Wear comfortable, loose fitting clothing and do NOT wear any jewelry to your procedure.
  • DO NOT drive for 24 hours after your procedure
  • Log onto HVG’s patient portal for results from your procedure.
  • You may call Singular Anesthesia at 914-948-1018 and P4 Diagnostics at 877-744-7781 (#5) with any billing or coverage questions.

Clear Liquid Diet List:

  • Clear soups and broths (no pasta/veggies) water-based chicken or beef broth is OK
  • Clear Juices: Apple, White Grape, White Cranberry
  • Instant Drink Mixes: Iced Tea, Lemonade, Crystal Light, Gatorade, propel, Pedialyte or other flavored waters.
  • Hard Candy: No Red or Orange (Butterscotch and Root Beer are OK)
  • Jello: Grape, Lime, Berry Blue, Pineapple, Lemon
  • Popsicles/Italian Ice: Any flavor that is NOT Red or Orange in color
  • Clear sodas and Seltzer Water (note: these should be limited due to carbonation)
  • Tea: (any kind) Black tea, Green tea, Earl Grey, Oolong, White tea, Herbal tea, etc.
  • Coffee: Black with sugar is OK,
  • NO milk, soy milk or powdered creamers
  • YOU MAY USE: Sugar, Honey, or Lemon to flavor any liquid

For your safety, a personal escort is required to transport you to and from your procedure. While we prefer that your escort remain at HVG, they may leave if they are reachable by phone and can return within  15-20  minutes of contact.  Please note:  Vehicles left in the  HVG  parking lot overnight will be towed at the owner’s expense.