How to take Moviprep Bowel Prep

How to take Moviprep Bowel Prep

ENDOSCOPY – MOVIPREP BOWEL PREP

This booklet has been produced to help you better prepare for your procedure.

It is important that you read this information carefully, that way you will get the best
possible preparation for your colon examination.

If the bowel is not sufficiently cleared of stool the risks are:

1. We might not even be able to perform your procedure when you arrive if you have
   not completed the prep.
2. The views of the lining of the bowel may be poor and the risk is we could miss
   something.
3. You may need to have a repeat procedure within a short time period which means
   taking the prep again, and having a delay to a diagnosis.
4. The 2 pictures below demonstrate the difference between good and bad bowel
   cleansing.

The Moviprep preparation we have sent to you, is not a particularly nice flavour, however
it is proven to be one of the safest and most effective ways of cleaning your bowel.

The flavour is very sweet and salty, but it is extremely important to take both doses to
achieve success.

To get the best out of the preparation it is important that you follow ALL of the
instructions laid out:

• Take a low fibre diet for 5 days prior to your procedure
• Drink the Moviprep slowly over 1- 2 hours (see chart further down)
• Take a MINIMUM extra 500mls of clear fluids after each dose
• Read the Hints and Tips and use them to your advantage.

GOOD PREP BEGINS A WEEK BEFORE YOUR PROCEDURE

7 DAYS BEFORE YOUR PROCEDURE:

Stop taking any of the following medication:

• Imodium® (loperamide)
• Codeine phosphate • Lomotil (co-phenotrope)
  (If you are taking codeine based medication you may need to discuss with
  your doctor an alternative to allow the bowel preparation to be the best it
  can be. Codeine causes constipation and it is harder for the prep to do its
  job)
• Iron tablets
• Fybogel® (ispaghula husk)

Anticoagulants: (full instructions may be on the pre-procedure patient leaflet and
consent form)
If you are taking any of the following and you are unclear of the instructions, please
contact the endoscopy department for advice.

If you are diabetic, please follow the instructions on the pre-procedure patient leaflet that
will arrive with your consent form.

Please note all other medications such as heart tablets and blood pressure tablets and
folic acid should be continued as normal, including on the day of your test.

STOP EATING NUTS AND SEEDS IN YOUR DIET, THIS INCLUDES SEEDED BREAD

Familiarise yourself with the Low Fibre diet sheet which is located at the back of this
booklet, please ensure you have enough food in for the period you are asked to follow
this diet.

5 DAYS BEFORE YOUR PROCEDURE:

You will need to start eating only foods highlighted in green which are on the low fibre diet sheet at the end of this booklet, please familiarise yourself now so that you completely understand what is
expected.

Please Note: all wet wipes if flushed should be biodegradable type such as specific toilet wipes.

ALL other baby wipes must be disposed of in the bin.

ON THE DAY BEFORE YOUR PROCEDURE:

REMEMBER ONCE YOU START THE BOWEL PREP NO MORE FOOD

If your appointment is before 11am please follow the morning appointment
instructions very carefully.

If your appointment is after 11am please follow the afternoon appointment
Instructions very carefully.

INSTRUCTIONS FOR MORNING APPOINTMENT (BEFORE 11AM):
(THE DAY BEFORE THE APPOINTMENT)

Have a light breakfast taking foods from the green column by 09:00hrs, after this do not
eat any more solid food, until after your procedure.

Please drink plenty of clear fluids such as tea without milk; coffee without milk; plain
water; water with squash/cordial (not blackcurrant); ANY fizzy drinks including
Lucozade; Bovril; Consommé; or any thin watery soup with ALL the solid bits sieved
out. In Moderation you can have jelly any flavour except red or blackcurrant, this is
because the darker flavours can stain the bowel.

Please remember that even after you have had your final light breakfast at 09:00, you can continue to:
You may suck clear boiled sweets and / or clear mints
You may add sugar or glucose to your drinks

THE DAY BEFORE YOUR PROCEDURE:

14:30

Mix the first dose (sachet A&B) of Moviprep in a jug with 1 litre of water.

Divide into 4 smaller glasses and store in the fridge.

Moviprep can be mixed with cordial, but advice is to mix individual glasses one at a time in case of poor tolerance. Don’t forget to try using a straw.

Make solution and put in the fridge, it is better tolerated when cold!

15:00

Start to drink one glassful of Moviprep every 15-30 minutes (sip it slowly, if it makes you feel sick, slow down further) Tick off each glass as you go.

After or alongside

In addition, drink a glassful of clear fluid (such as water; squash; UHT clear apple juice or Bovril) Tick off each glass as you go. This can be drunk by alternating between Moviprep and clear fluid of choice.

By 19:30 Mix second dose of Moviprep (sachet A&B) ready and keep in the fridge

20:00

Start to drink one glassful of Moviprep every 15-30 minutes (sip it slowly, if it makes you feel sick, slow down further) Tick off each glass as you go

After or alongside

In addition, drink a glassful of clear fluid (such as water; squash; UHT clear apple juice or Bovril) Tick off each glass as you go. This can be drunk by alternating between Moviprep and clear fluid of choice.

INSTRUCTIONS FOR AFTERNOON APPOINTMENTS (AFTER 11AM) (THE DAY BEFORE THE APPOINTMENT)

Have a light breakfast and lunch taking foods from the green column by 3pm, after
this do not eat any more solid food, until after your procedure.

Please drink plenty of clear fluids such as tea without milk; coffee without milk; plain
water; water with squash/cordial (not blackcurrant); ANY fizzy drinks including

Lucozade; Bovril; Consommé; or any thin watery soup with ALL the solid bits sieved
out. In Moderation you can have jelly any flavour except red or blackcurrant, this is
because the darker flavours can stain the bowel.

Please remember that even after you have had your final light meal at 3pm, you can continue to:

You may suck clear boiled sweets and / or clear mints

You may add sugar or glucose to your drinks

THE DAY BEFORE YOUR PROCEDURE:

16:30

Mix the first dose (sachet A&B) of Moviprep in a jug with 1 litre of water.

Divide into 4 smaller glasses and store in the fridge.

Moviprep can be mixed with cordial, but advice is to mix individual glasses one at a time in case of poor tolerance. Don’t forget to try using a straw.

Make solution and put in the fridge, it is better tolerated when cold!

17:00

Start to drink one glassful of Moviprep every 15-30 minutes (sip it slowly, if it makes you feel sick, slow down further) Tick off each glass as you go.

After or alongside

In addition, drink a glassful of clear fluid (such as water; squash; UHT clear apple juice or Bovril) Tick off each glass as you go. This can be drunk by alternating between Moviprep and clear fluid of choice.

Before you go to bed, mix up the next dose of Moviprep and keep it in the fridge ready for the following morning. This is done in the same way as 1st dose, sachet A and sachet B should be mixed
together in 1 litre of water.

THE DAY OF YOUR PROCEDURE:

05:00

Start to drink one glassful of Moviprep every 15-30 minutes (sip it slowly, if it makes you feel sick, slow
down further) Tick off each glass as you go

After or alongside

Remember, to alternate the Moviprep with clear fluid of choice.

There is no right or wrong way to get the doses down but it is important to drink slowly, drink it cold and drink PLENTY of clear fluids.

REMEMBER IT IS VITALLY IMPORTANT TO TAKE ALL THE BOWEL
CLEANSING AGENT. STICK TO THESE TIMINGS BUT SLOW DOWN TO
ENSURE THAT THE 2 DOSES ARE TOLERATED.

Thank you for your co-operation and if any problems contact endoscopy for advice.

LOW FIBRE DIET SHEET:

PLEASE START 5 DAYS PRIOR TO YOUR PROCEDURE:

Food Type	Food ALLOWED	Food to AVOID
Bread, cereals and grains	Refined breakfast cereals such as: Rice Krispies®, Coco Pops®, Weetos®, Frosties®, Cornflakes®, Sugar puffs® Products made from white flour for example white bread, white pasta, crumpets, English muffins, wraps, pitta bread, bagels. Well cooked white rice, rice noodles, egg noodles, white noodles. Plain naan bread, plain chapatti, poppadum’s. Plain couscous and Polenta.	Wholemeal cereals. Cereals containing nuts, seeds or dried fruit. Muesli, fruit and fibre, shredded wheat, bran flakes, Crunchy Nut Cornflakes® Any bread products or biscuits containing coarse grains, seeds or nuts or dried fruit such as multigrain bread, seeded batch, rye crispbread, rough oatcakes, hobnobs, muesli bars, flapjacks, teacakes, scones, fruit loaves. Brown rice, brown pasta, quinoa, pearl barley.
Meat, poultry and fish	Soft and tender meats or poultry without visible fat and with skin removed such as poultry, lamb, beef, pork, veal and ham. Plain tofu, textured vegetable protein, Seitan, Quorn®. All types of eggs. Fish without bones such as cod, salmon. Seafood (ensure prawns and shrimps are peeled).	Tough, gristly meat or skin including pork scratchings. Fish with bones like sardines or with edible bones like whitebait.
Dairy products, fats and oils	Limit all types of milk including nut and plant-based milks to no more than half a cup a day. Any dairy alternatives are also allowed, in the same quantities.	Cheese containing dried fruit, onions or nuts. Yoghurts or fromage frais containing fruit pieces, dried fruit, nuts, seeds or cereal
Vegetables	Well-cooked or pureed root vegetables such as carrots, parsnips, turnips or swede. Tomatoes without skins or seeds such as tomato juice canned deseeded tomatoes, passata, tomato Well-pureed hummus, lentil soup sieved to remove skins. Vegetable juices or soups – sieved to get rid of any seeds/skins. Avocado. Mashed potatoes or well-cooked potatoes without skin, for example jacket potato, boiled potato. Potato gnocchi is also allowed. Potatoes can be made into chips but NOT deep fried. (Fatty foods are difficult to digest and may cause discomfort)	All vegetable stalks, skins, seeds and peel. Sweet corn, broad beans, runner beans, mange tout, sugar snap peas, sweetcorn, spinach. Raw vegetables such as peppers, radishes and celery, tomatoes, cabbage, leeks, onions, lettuce, spinach and salad leaves. Firm beans and pulses with thick skins like kidney beans, baked beans, haricot beans, barlotti beans, soybeans, puy lentils, mushy peas or chickpeas. Potato skins. All curries made with lentils, beans, legumes/pulses.
Fruits	Fruit juice (no seeds / pips / skins / piths). Cooked or stewed fruit without skin. Melon, banana, canned pears, peaches or apricots, canned citrus fruit with no pith, skin or pips such as mandarins or grapefruit. Pureed fruit / fruit coulis (sieved).	All dried fruit. Any fruit skins, pips or seeds, strawberries, raspberries, blueberries, blackcurrants, gooseberries, passion fruit, pineapple, kiwi, mango, apricots.
Desserts	Clear jelly – Lemon, lime or orange flavours only. (The red/purple ones may stain the bowel) This should be in moderation only.	Coloured jelly e.g. red jelly. Ice cream containing fruit and nuts, cakes, puddings and pies containing any of the following: Wholemeal flour, dried fruit, nuts, dried coconut and any fruits you have been advised to avoid.
Drinks	Fruit and vegetables juices with no bits. UHT Clear Apple juice (This is an excellent choice to drink alongside the sachets of bowel prep) Water, soft drinks, tea and coffee, herbal tea	Fruit and vegetable juices/smoothies with pulp and seeds.
Other	Clear or strained soups. Sugar, honey, golden/maple syrup, seedless jam, marmalade. Dark/milk/white chocolate, boiled sweets, marshmallows, toffee	Chocolate with fruit or nuts. Nuts, seeds, coconut and desiccated coconut. Marmalade with peel, jam with seeds.

DO NOT FRY FOODS (air fryer with little or no fat is good)

DRINK PLENTY OF FLUIDS, THROUGHOUT THE WHOLE PROCESS!

Contact Details:
If you have any specific concerns about your procedure, that you feel have not been answered and
need explaining, please contact the following:

Alexandra Hospital Redditch
 Booking Office – 01527 505751
 Endoscopy Nursing Staff – 01527 512014

Evesham Community Hospital
 01386 502443

Kidderminster Hospital
 Booking Office – 01562 826328
 Endoscopy Nursing Staff – 01562 513249

Worcestershire Royal Hospital
 Booking Office – 01905 760856
 Endoscopy Nursing Staff – 01905 733085

If your symptoms or condition worsens, or if you are concerned about anything,
please call your GP, 111, or 999.

Patient Experience
We know that being admitted to hospital can be a difficult and unsettling time for you
and your loved ones. If you have any questions or concerns, please do speak with a
member of staff on the ward or in the relevant department who will do their best to
answer your questions and reassure you.

Feedback
Feedback is really important and useful to us – it can tell us where we are working well
and where improvements can be made. There are lots of ways you can share your
experience with us including completing our Friends and Family Test – cards are
available and can be posted on all wards, departments and clinics at our hospitals. We
value your comments and feedback and thank you for taking the time to share this with
us.

Patient Advice and Liaison Service (PALS)
If you have any concerns or questions about your care, we advise you to talk with the
nurse in charge or the department manager in the first instance as they are best placed
to answer any questions or resolve concerns quickly. If the relevant member of staff is
unable to help resolve your concern, you can contact the PALS Team. We offer informal
help, advice or support about any aspect of hospital services & experiences.

Our PALS team will liaise with the various departments in our hospitals on your behalf,
if you feel unable to do so, to resolve your problems and where appropriate refer to
outside help.

If you are still unhappy you can contact the Complaints Department, who can investigate
your concerns. You can make a complaint orally, electronically or in writing and we can
advise and guide you through the complaints procedure.

How to contact PALS:
Telephone Patient Services: 0300 123 1732 or via email at: [email protected]

Opening times:
The PALS telephone lines are open Monday to Thursday from 8.30am to 4.30pm and
Friday: 8.30am to 4.00pm. Please be aware that a voicemail service is in use at busy
times, but messages will be returned as quickly as possible.

If you are unable to understand this leaflet, please communicate with a member of staff.

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