One week prior to the examination: avoid iron supplements as these can stain the walls of the intestine and any fluid left in the small bowel, which would interfere with gaining a clear view. Nonsteroidal medications such as Neurofen or Ibuprofen can cause inflammation and ulceration in the small bowel and so should also be stopped.
Three days prior to the examination: Medications that slow down the bowel should be stopped. Also stop taking any bulk-forming laxatives (these include: Bran, Isphagula husk, Methylcellulose and Sterculia). All other medications can be taken as normal in the days prior to the examination.
To get a clear view of the lining of the bowel, it must be empty and as clean as possible, so we recommend taking some bowel preparation the day before your test, in addition to some dietary restrictions. It is important to be near a toilet after taking the bowel preparation as you will experience some diarrhoea, which is normal.
The day before your video capsule endoscopy:
- Eat a light breakfast, such as egg on white bread toast.
- Eat a light lunch before 1pm and then no further solid food.
- Drink clear fluids only in the afternoon, aiming for one litre (4-5 regular glasses). This may include water, squash, fizzy drinks, clear strained soup or clear stock. You can drink tea or coffee without milk and it is best to avoid alcoholic drinks.
- At about 5pm make up one litre of MOVIPREP (mix sachet A and Sachet B into a jug + 1 litre of water). Drink over 1- 2 hours.
It is important to drink an additional 500mls of water or clear fluid during the evening.
The day of your appointment
On the day of the appointment essential medications can be taken with water before 6am. Non-essential medications can be postponed until you have a snack at lunchtime after swallowing the capsule– full instructions will be given. You may drink water up to three hours before your procedure, but do not have anything else to eat or drink until instructed at your appointment. This includes avoiding gum and sweets or mints. Please wear a loose top that buttons up or zips up at the front.