Patient guide · Procedure prep

Preparing for your colonoscopy

A colonoscopy is one of the best ways to check the health of your large bowel and to find and remove polyps before they can cause harm. Good preparation makes the test safer, quicker, and more accurate — here's exactly what to do.

What a colonoscopy is

A thin, flexible tube with a small camera is passed gently through the back passage to examine the entire large bowel (colon). You'll usually be given sedation so you're relaxed and comfortable. If any polyps are found, they can often be removed during the same procedure. The examination itself typically takes 20–45 minutes.

Why the preparation matters

The bowel must be completely clean for the camera to see clearly. If preparation is incomplete, small polyps can be missed — and occasionally the test has to be repeated. The effort you put into the prep directly affects how good and how safe your colonoscopy is.

A few days before

  • Switch to a low-fibre diet for about 3 days before: avoid whole grains, nuts, seeds, raw vegetables, salads, sweetcorn, and fruit skins. White bread, white rice, plain pasta, eggs, chicken and fish are fine.
  • Tell the clinic about your medicines. Blood thinners (such as warfarin, aspirin, clopidogrel, or newer agents), diabetes medicines and insulin, and iron tablets may need adjusting or pausing. Never stop a prescribed medicine without checking first.
  • Stop iron supplements about 5 days before, as they darken and coat the bowel lining.
  • Arrange an escort. Because of the sedation, you must have a responsible adult to take you home. You cannot drive for the rest of the day.
Your exact bowel-prep instructions

Your specific bowel-cleansing medicine, dose, and timing will be given to you by the clinic when your colonoscopy is booked. Follow those instructions precisely — they are matched to your appointment time. The steps below explain the general pattern.

The day before

  1. Clear liquids only from the morning: water, clear broth, apple juice, green tea, clear soft drinks.
  2. Avoid anything red or purple in colour, as it can look like blood inside the bowel.
  3. Take your bowel-prep solution at the times given. Frequent, watery motions for several hours are normal — that's the prep working.
  4. Keep drinking clear fluids to stay hydrated, and stay near a toilet during this time.

Your motions should gradually become clear or pale yellow, like tea without milk — the sign you're well prepared.

The day of your colonoscopy

  • Follow the fasting instructions you were given — usually clear fluids up to a few hours before, then nothing.
  • Wear loose, comfortable clothing and bring your medicine list and previous reports.
  • Leave jewellery and valuables at home.
When to call before your test

Contact the clinic beforehand if you have significant heart, kidney or liver disease, if you are diabetic, if you might be pregnant, or if you have ever reacted to sedation. These aren't reasons to cancel — just things we plan around to keep you safe.

Frequently asked questions

Is a colonoscopy painful?

Most people feel little or no pain. Sedation keeps you relaxed and drowsy, and many remember very little afterwards. Some bloating or cramping from the air used settles quickly.

Can I take my regular medicines?

Most can be continued, but blood thinners, diabetes medicines and iron often need adjusting. Confirm with the clinic in advance rather than stopping anything yourself.

What if the prep makes me feel sick?

Some nausea is common. Slow down, take smaller sips, and take short breaks. If you vomit repeatedly or can't keep it down, contact the clinic.

How long until I get results?

Dr. Maaz usually explains the main findings straight after, once the sedation wears off enough to talk. Biopsy results follow in a few days.

Questions about your colonoscopy?

The clinic team is happy to help you prepare with confidence.

This guide provides general information only and does not replace personal medical advice. Always follow the specific instructions given to you by Dr. Maaz and the clinic. For emergencies, contact Shifa International Hospital or your nearest emergency department.