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Upper Endoscopy

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Instructions on bowel preparation

2 days before the test:

  • Omit fiber form your diet like cereal, brown bread, nuts and vegetables. You may have meat, fish chicken, rice and pasta.

  • If you suffer from constipation obtain Epsom salts from the chemist, dissolve 1 tablespoon in orange juice, drink followed by a glass of water.

1 day before the test:

  • There are 2 sachets of Pico-prep, dissolve each one in a glass of warm water then cool in the fridge as it tastes better cold.


  • From the time you wake up, you can only drink clear fluids, so no breakfast, no solid food or dairy products the whole day.


  • You can have: water, fruit juice with no pulp eg. clear apple juice (but not tomato or orange), soup you have strained, stock cubes, soft drinks, cordial and tea/coffee without milk. You may also have lollies and jelly but avoid the red/black/purple ones
  • .

  • It is important to drink as much as possible to avoid dehydration.


  • At 2pm (or you may start after work) drink one glass of Pico-prep over 15 minutes, then drink a couple more glasses of water. The bowel washout that follows is variable but should start 1-2 hours later. If you feel sick, call us or drink the next glass more slowly, say over 1 hour.


  • At 6pm or 4 hours after the first dose take the second glass of Pico-prep followed by 2 glasses of water


  • You should drink plenty of fluid to avoid dehydration.


  • You can continue fluids until 4 hours before the test then nothing can be taken except important medications.
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