Dietary Guidelines for Colonoscopy Preparation: What to Eat? - Gastroenterology and Hepatology

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Diet for Colonoscopy Preparation


Hello doctor, I am scheduled for a colonoscopy in a few days.
Today is the first day of my preparation, and I had a bowl of plain rice porridge for breakfast and lunch.
In the afternoon, I started feeling very hungry, with stomach pain and chest discomfort.
Can I eat a plain steamed bun with honey or strawberry jam? Thank you, doctor.

A, 20~29 year old female. Ask Date: 2022/06/27

Dr. Chen Shidian reply Gastroenterology and Hepatology


It should be possible.

Reply Date: 2022/06/27

More Info


When preparing for a colonoscopy, dietary guidelines are crucial to ensure that the procedure can be performed safely and effectively. The primary goal of the dietary restrictions is to clear the intestines of any solid matter, allowing for a clear view during the examination. Here’s a comprehensive overview of what to eat and avoid in the days leading up to the procedure.


Pre-Colonoscopy Diet Guidelines
1. Low-Fiber Diet:
- In the days leading up to your colonoscopy, it is recommended to follow a low-fiber diet. This includes avoiding whole grains, nuts, seeds, and most fruits and vegetables. Instead, focus on easily digestible foods such as white rice, white bread, and plain pasta.

2. Clear Liquids:
- The day before the procedure, you will likely be instructed to switch to a clear liquid diet. This includes:
- Broth (chicken, beef, or vegetable)
- Clear juices (apple juice, white grape juice)
- Clear sodas
- Tea or coffee (without cream)
- Gelatin (like Jell-O, but avoid red or purple colors)
- Avoid any liquids that are colored red or purple, as they can mimic blood during the examination.

3. Avoid Certain Foods:
- As mentioned, avoid high-fiber foods, as well as foods that can leave residue in the intestines. This includes:
- Red meat
- Whole grains
- Raw fruits and vegetables
- Dairy products (in some cases, as they can cause bloating)
4. Hydration:
- Staying hydrated is essential, especially if you are on a restricted diet. Drink plenty of clear fluids to help keep your body hydrated.


Specific Food Questions
Regarding your question about eating white bread with honey or strawberry jam, it is generally acceptable to consume white bread as part of a low-fiber diet. Honey and strawberry jam are also permissible, as long as they do not contain seeds or high-fiber ingredients. However, it’s best to consume these in moderation and ensure that they do not cause any discomfort, especially if you are feeling hungry.


Day of the Procedure
On the day of the colonoscopy, you will typically be instructed to stop eating and drinking several hours before the procedure. Follow your healthcare provider's instructions closely regarding when to stop consuming liquids.


Conclusion
In summary, preparing for a colonoscopy involves adhering to a low-fiber diet in the days leading up to the procedure, transitioning to a clear liquid diet the day before, and avoiding certain foods that can interfere with the examination. Always consult with your healthcare provider for personalized advice and instructions, as they may have specific recommendations based on your health status and the type of colonoscopy being performed. Following these guidelines will help ensure that your colonoscopy is successful and that your healthcare team can obtain the necessary information for your health.

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