How to prepare and take Klean
To ensure a thorough examination of your colon it must be emptied of waste material as your Endoscopist needs clear views of the lining of your digestive tract to enable detection of subtle abnormalities.
The Klean-Prep bowel preparation is a strong laxative which will empty your bowel of waste material. It is important that you follow these instructions correctly. If you are not properly prepared the procedure may not be successful and may even result in the cancellation of the procedure.
Before your procedure
In order to examine the whole of the bowel it must be clear of all waste materials. This is achieved by using a combination of changing what you eat and taking laxative medicines. Please follow the instructions printed below.
Please stop taking iron tablets seven days before your procedure. Two days before your procedure please stop taking any medicines which may constipate you for example: Codeine, Co-phenotrope (Lomotil), Morphine or Loperamide (Imodium).
Diabetic patients, please take your diabetic medication as instructed by the pre-assessment nurse. All other medication should be continued as normal unless otherwise instructed by the pre-assessment nurse.
How to prepare and take each sachet of Klean-Prep:
• Fill a jug with 1 litre (1 3/4 pints) of water.
• Empty one sachet of Klean -Prep into the jug stir until the powder has dissolved.
• Drink 1 glassful (¼ litre or ½ pint) of Klean-Prep about every 15 minutes until you have drunk it all.
• Take your time, there is no need to rush.
• You can add a clear flavour to the mixture (not red coloured) eg: lime cordial.
Repeat this procedure for all four sachets of Klean Prep.
Recommended timings for a morning appointment:
You need to stop eating by 1pm the day before your appointment and start drinking your 1st sachet at 3pm, your 2nd sachet at 4pm, have a rest and start drinking your 3rd sachet at 6pm and the 4th sachet at 7pm. Please take all 4 sachets. If your colonoscopy appointment is in the morning and you are taking any oral medication in the evening, please take at least one hour after taking the last sachet of Klean-Prep.
Recommended timings for an afternoon appointment:
You need to stop eating by 4pm the day before your appointment and start drinking your 1st sachet at 6pm, your 2nd sachet at 7pm. On the day of your procedure start drinking your 3rd sachet at 6am and your 4th sachet at 7am. Please ensure you take all 4 sachets.
If your colonoscopy appointment is in the afternoon and you are taking any oral medication in the evening, please take at least one hour after taking your 2nd sachet of Klean-Prep. On the day of the procedure, if you are taking any oral medication in the morning, please take at least one hour before taking the 3rd sachet of KleanPrep.
General advice
- Fast in accordance with the instructions provided by the pre-assessment nurse and the instructions provided
- Made up Klean Prep can be refrigerated to make it more palatable and light coloured cordial can be added. DO NOT add red or purple cordial
- Drink the Klean Prep through a straw
- Drink additional water or clear fluids with each sachet of Klean Prep taken
- If you take any oral medication, do not take it an hour either side of drinking your dose of Klean Prep.
- Stay near a toilet. The bowel movement will be watery like diarrhoea.
- Use a barrier cream for example Vaseline to protect the skin around your anus (bottom).
Always read the label. It is extremely important to complete your bowel preparation fully as instructed because your endoscopist will need to have a clear view of the inner lining of your bowel. If you do not follow these instructions, it will not be possible for us to do the colonoscopy or flexible sigmoidoscopy test.
If you have any questions or concerns about taking the Klean Prep please contact the Endoscopy department:
Airedale General Hospital, Endoscopy Unit – (01535) 292341
