
Preparing for a colonoscopy involves a restricted diet and medication to clear your colon of stool. This is necessary so that the doctor can clearly see any abnormal areas in your colon during the procedure. Typically, you should start your bowel prep one day before your procedure, but you should begin a low-residue diet three days before your procedure to limit high-fiber foods, which your colon takes longer to clear. After your procedure, you will be able to resume a normal diet, unless otherwise instructed by your doctor.
| Characteristics | Values |
|---|---|
| Time to start the diet | Three days before the procedure |
| Type of diet | "Low-residue diet" to limit high-fiber foods |
| Examples of food to eat | Cooked fresh/canned vegetables without seeds (asparagus, beets, carrots, mushrooms, green beans, potatoes without skin) |
| Food to avoid | Solid foods |
| Types of liquids to drink | Clear liquids (water, tea or coffee with a small splash of milk) |
| Amount of liquids to drink | 2 litres (about 8 to 10 glasses) |
| Laxatives | Start drinking the laxative between 4 pm and 7 pm |
| Bowel preparation solution | Start one day before the colonoscopy |
| Medication | Stop taking medication for diarrhea and those that contain iron 7 days prior to the procedure |
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What You'll Learn

Two days before: drink plenty of fluids and eat smaller meals
Two days before your colonoscopy, it is important to drink plenty of fluids and eat smaller meals. This helps the bowel preparation solution to work properly. Aim to drink at least 2 litres (about 8 to 10 glasses) of fluid throughout the day. It is also important to avoid dehydration, especially if you are taking a laxative, which can have a dehydrating effect.
You should also start a restricted diet two days before your colonoscopy. This means avoiding foods that contain fibre, as they take longer to pass through your colon. Fibre is found in fruits, vegetables, pulses, and grains, such as wholemeal bread and cereals. Instead, opt for well-cooked, lean (low-fat) meats, fish, shellfish, poultry, white rice, noodles, or white pasta. You can also eat plain biscuits, eggs (especially boiled or poached), and butter, margarine, or cheese.
It is important to note that you should not consume alcohol, marijuana, or other substances that could impair your thought process before your colonoscopy. Make sure you have someone to take you home after the procedure and stay with you for at least two hours.
Additionally, you should stop taking any medications for diarrhoea (such as Imodium or Kaopectate) or those containing iron at least 7 days prior to your colonoscopy, unless otherwise instructed by your doctor.
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One day before: take bowel preparation solution and laxatives
One day before your colonoscopy procedure, you should start taking your bowel preparation solution and laxatives. This is a crucial step in the colonoscopy process, as it ensures your colon is clear, allowing your healthcare provider to see inside properly. If your colon is not adequately prepared, the procedure may need to be repeated.
There are several types of bowel prep kits available, and your healthcare provider will help you identify the right one for you. These kits typically include osmotic laxatives, which trigger your bowels to draw in more water, facilitating a complete bowel movement. The most commonly prescribed bowel prep formulas use a polymer-based laxative known as polyethylene glycol 3350 (PEG). This large molecule cannot be absorbed by your colon, creating a hyperosmotic effect. PEG formulas are usually in powder form and should be mixed with large volumes of water. They may also include electrolytes or instructions to be consumed with a sports drink.
Some PEG bowel preparation kits include MiraLAX, Halflytely, NuLYTELY, and TriLyte. These kits offer specific advantages. For instance, MiraLAX and Halflytely reduce the volume of the PEG formula you need to drink from four litres to two. However, you must consume those two litres within the same hour. NuLYTELY and TriLyte are sulfate-free, improving the taste by reducing saltiness.
In addition to the bowel preparation solution, you may be instructed to take laxative tablets, such as Dulcolax. Upon waking on the day before your procedure, take four Dulcolax tablets with a large glass of water. You should also follow a clear liquid diet throughout the day, avoiding solid foods and liquids with red or purple colouring. Recommended clear liquids include apple juice, Sprite, ginger ale, tea, coffee (without milk), and clear soups or broths.
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The day of: only clear liquids, no solids
On the day of your colonoscopy, it is important to follow a clear liquids-only diet. This means that you should not eat any solid foods and should only consume clear liquids. This includes water, clear broth, and gelatin. You should also avoid red liquids as they can resemble blood during the imaging test. It is important to stay hydrated, so drink at least 8 glasses of clear liquids the day before your colonoscopy.
A clear liquid diet is typically prescribed to clear out your digestive tract and prevent nausea before a procedure. It is also important to note that a clear liquid diet is not nutritionally adequate for more than a few days. If you are on this diet for longer, your healthcare provider may recommend supplements to enhance your nutrition.
In addition to the clear liquid diet, you will also need to take a laxative medication to clear your colon of stool. This will help the doctor see any abnormal areas in your colon during the procedure. It is important to follow the instructions provided by your doctor or medical center for the laxative, as they may differ from the instructions on the bottle.
It is also recommended that you have someone to take you home after your colonoscopy and stay with you for at least two hours. You should not drive a car or sign any legal documents until the day after your procedure.
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After the procedure: resume a normal diet
After your colonoscopy, you will be allowed to resume a normal diet. However, it is recommended that you gradually ease back into your regular meals over the next day or so. This is because a sudden injection of fibre might cause gas, bloating, and discomfort. Some people can start eating a full diet right away, while others may need to take it slow.
You might feel bloated or gassy for a few hours after the procedure, and it is normal to see a bit of blood in your first bowel movement. If you continue to see blood or have ongoing stomach pain or a fever, contact your doctor.
You should also be aware that there is a very small risk of bleeding after a colonoscopy for up to two weeks. Therefore, it is recommended that you stay within a two-hour drive of a medical centre during this time and avoid travelling outside of your country.
In terms of medication, you can take most prescription and non-prescription medications right up to the day of the colonoscopy. However, you should stop medications that are for diarrhoea or contain iron seven days prior to the procedure. Blood thinners may also need to be temporarily discontinued, but you should consult your doctor about this. You can restart these medications after the procedure, unless your doctor instructs otherwise.
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Three days before: start a low-residue diet
To prepare for a colonoscopy, it is important to follow a restricted diet and take medication. Three days before the procedure, you should start a low-residue diet, which limits high-fibre foods that take longer to clear from your colon. This includes avoiding nuts, seeds, dried fruits, beans, peas, whole grains, and cereals. Instead, opt for cooked or canned vegetables without seeds, such as asparagus, beets, carrots, mushrooms, green beans, and potatoes without skin. Choose white bread, white rice, and products made with refined flour. Drink juices without pulp and only eat tender, well-cooked meats, such as beef, lamb, ham, veal, or pork.
The low-residue diet is an essential step in preparing for a colonoscopy because it helps limit the amount of undigested food in your digestive system. Fibre, found in abundance in fruits, vegetables, and grains, can remain in the bowel and obscure areas that the doctor needs to visualise during the procedure. By reducing fibre intake, you can ensure that your bowel is as clean as possible, increasing the effectiveness of the colonoscopy.
In addition to the low-residue diet, you should also increase your fluid intake, aiming for at least eight glasses of liquid the day before your colonoscopy. This will help prevent dehydration, especially if you are taking laxatives as part of your bowel preparation. It is important to follow the instructions provided by your medical centre for taking laxatives, as they may differ from those on the bottle. Typically, you will start drinking the laxative solution between 4 pm and 7 pm the day before your procedure, and it will take up to six hours to complete.
Remember, it is crucial to consult with your doctor or medical team for specific instructions and guidelines regarding your colonoscopy preparation. They may provide you with a bowel prep medication or recommend an over-the-counter option. Additionally, be sure to have someone to drive you home after the procedure and stay with you for at least two hours. Avoid alcohol, marijuana, or other impairing substances before and after the colonoscopy, and do not sign any legal documents the day of the procedure.
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Frequently asked questions
You should start a "low-residue diet" three days before your procedure to limit high-fiber foods.
You can eat well-cooked fresh or canned vegetables without seeds (asparagus, beets, carrots, mushrooms, green beans, and potatoes without skin). You should not eat foods containing fiber, including fruits, pulses, and grains.
You should only consume clear liquids, such as tea or coffee with a small splash of milk. Drink at least 8 glasses of liquid to prevent dehydration.
You should start drinking your bowel preparation solution the day before your colonoscopy.































