Intestinal Health Institute 

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A flexible sigmoidoscopy is an examination of the lower bowel with a flexible fibreoptic instrument.  This requires that the bowel be clean.  Without proper bowel preparation, the examination will be less effective.   

Purchase 1 Sachet of Pico-Salax and 1 Fleet Enema at your pharmacy.  These are available without a prescription. Have only clear fluids for supper the night before your appointment and for breakfast on the day of your appointment. 

If your appointment is before noon, take the Pico-Salax at 7:00pm on the evening before your appointment. 

If your appointment is in the afternoon, you take the Pico-Salax at 8:00 am on the day of your appointment. 

Follow the preparation with 2-3 glasses of clear fluid. Expect to have diarrhea for several hours.

Use a fleet enema 1-2 hours before your appointment.  The instructions for its use are in the package.     Due to the nature of the examination,  you have the option of having the test performed with a nurse present.  

​ *Two working days notice is required for cancellation or there will be a fee charged directly to the patient.