What to expect at your first visit

How to prepare for a consultation appointment
You must have the following information at your consultation appointment.

  • Referral from GP
  • Necessary blood test results
  • Scans, images, and any other relevant information
  • Health fund card
  • Medicare card

Consultation with Specialist
You will meet with one of our specialists to evaluate your symptoms. As part of that consultation, he may request additional tests or procedures such as blood tests, imaging studies, or endoscopic examinations for diagnosis or treatment. A treatment plan may also be prescribed along with a follow-up plan of care. Sometimes, follow-up may be through your GP.

Frequently asked questions

  • Why am I being referred to a gastroenterologist?

    Your primary care physician may ask you to see a gastroenterologist for many reasons. Gastroenterologists are experts in diagnosing and treating patients for symptoms that arise from the organs of the gastrointestinal tract, including the esophagus, stomach, large and small bowels, pancreas, liver, and gallbladder.

    Examples of such symptoms could include diarrhea, constipation, trouble swallowing, heartburn, or abdominal pain. They also perform screening or surveillance colonoscopy for patients with a family history of colon cancer or personal history of colon polyps.

  • What can I expect at my initial consultation?

    Your first visit will allow your gastroenterologist to evaluate your symptoms. As part of that consultation, your gastroenterologist may request additional tests or procedures such as blood tests, imaging studies, or endoscopic examinations for diagnosis or treatment. A treatment plan may also be prescribed along with a follow-up plan of care.

  • How do I schedule an appointment?

    You may schedule an appointment with one of our specialists by contacting his personal assistant on 1-300-580-239.
    Your first visit will be an office visit only. No procedures will be done at this time.

    Please provide us with 24-hour notice if you are unable to keep an appointment. We have a long wait for appointments, and this courtesy allows other patients who are waiting for an appointment to be scheduled sooner.
    Your first visit will be an office visit only. No procedures will be done at this time.

    Please provide us with 24-hour notice if you are unable to keep an appointment. We have a long wait for appointments, and this courtesy allows other patients who are waiting for an appointment to be scheduled sooner.

  • What do I need to bring?

    You will be asked to complete a registration form at the time of your first visit. This will help expedite the registration process.

    It is also important that you bring the following items:

    – Insurance card/Referral documents
    – A list of all medications you are currently taking
    – Recent blood work and x-rays (upper GI series, barium enema, ultrasound, or CT scans of the abdomen or pelvis)
    – Copies of past medical records

    Note: If medical records are to be sent by your doctor(s), please call us to verify that we have received them prior to your visit. Lack of these items can result in delays and/or your appointment being rescheduled.

  • What should I do in case of an emergency?

    If you are experiencing a medical emergency, go to the nearest emergency department.

  • What about follow up care?

    Follow-up care is an important part of your treatment plan. Our specialists will advise on this matter after the tests are performed.

  • Do you practice “no gap” cover?

    Should our specialists schedule you for an outpatient procedure such as an endoscopy, colonoscopy or a video capsule endoscopy, there will be no bill issued as we (our anesthetist and pathologist) practice “no gap” cover for procedures.

Bowel Preparation

  • Instructions for Procedures occurring in the morning (AM)

    Dietary modifications required one week before Colonoscopy procedure.

    • Stop taking IRON tablets.
    • All other medications can be continued unless advised by your doctor.
    • Do not take fibre supplements such as Metamucil or Benefiber.
    • Do not eat any fruits containing seeds, including – Tomatoes, Strawberries, Passionfruit and / or Nuts.

    Two days before your Colonoscopy procedure.

    Maintain a low fibre diet and avoid:

    • Brown/wholegrain breads.
    • Cereals.
    • Seeds and Nuts.
    • Vegetables.
    • Fruits.

    The following are NOT allowed:

    • Beef.
    • Lamb.
    • Pork.
    • Dairy.

    The following are allowed:

    • Eggs.
    • Steamed fish.
    • Boiled chicken.

    Hint: If you have a chicken sandwich you may have a scraping of Avocado or Mayonnaise.

    Take two Dulcolax tablets at 8.00PM

    The day before your Colonoscopy procedure.

    • Drink clear fluids ONLY.
    • Mix the GLYCOPREP-C in 1 litre of water and refrigerate for drinking later.
    • Avoid all red and purple liquids.

    Clear fluids include:

    • Water/ Cordial / Gatorade.
    • Strained fruit juices (no pulp).
    • Popsicles / Ice.
    • Clear broth or bouillon (Cup-a-soup strained and clear – The only suitable soups are “Lots of Noodles Chicken” or “Lots of Noodles Beef”).
    • Coffee / tea (no milk or cream, you may have sugar, honey or lemon).

    The Laxative bowel preparation usually induces frequent, loose bowel movements within 1 to 3 hours of taking the first dose. It is best to stay at home in the afternoon within easy reach of toilet facilities. To avoid dehydration and to gain an ideal bowel preparation and procedure outcome, please ensure that you consume a large amount of water and fluids in addition to that consumed with the bowel prep.

    Take a further two Dulcolax tablets at 1.00PM.

    Make sure that you have plenty of water and approved clear fluids before and after each dose.

    Hint: The Preparations are best consumed cold and through a straw. You may choose to place a “Werther’s Original” or similar type lozenge in your mouth whilst drinking.

    1st Dose – PICOPREP at 5.00PM

    Dissolve the contents of ONE sachet of PICOPREP in 250ml of cold water and drink slowly until completed.

    2nd Dose – GLYCOPREP-C at 7.00PM

    Remove the 1 litre of GLYCOPREP-C from the refrigerator and drink a glass (250ml) of the preparation every 15 minutes over the period of one hour until completed.

    On the day of your Colonoscopy procedure.

    3rd Dose – PICOPREP AT 4.00AM

    Dissolve the contents of ONE sachet of PICOPREP in 250ml of cold water and drink slowly until completed.

    THEN NIL BY MOUTH AFTER THE LAST DOSE OF PICOPREP UNLESS INSTRUCTED OTHERWISE UNTIL YOUR PROCEDURE.

    download PDF
  • Instructions for Procedures occurring in the afternoon (PM)

    Dietary modifications required one week before Colonoscopy procedure.

    • Stop taking IRON tablets.
    • All other medications can be continued unless advised by your doctor.
    • Do not take fibre supplements such as Metamucil or Benefiber.
    • Do not eat any fruits containing seeds, including – Tomatoes, Strawberries, Passionfruit and / or Nuts.

    Two days before your Colonoscopy procedure.

    Maintain a low fibre diet and avoid:

    • Brown/wholegrain breads.
    • Cereals.
    • Seeds and Nuts.
    • Vegetables.
    • Fruits.

    The following are NOT allowed:

    • Beef.
    • Lamb.
    • Pork.
    • Dairy.

    The following are allowed:

    • Eggs.
    • Steamed fish.
    • Boiled chicken.

    Hint: If you have a chicken sandwich you may have a scraping of Avocado or Mayonnaise.

    Take two Dulcolax tablets at 8.00PM

    The day before your Colonoscopy procedure.

    • Drink clear fluids ONLY.
    • Mix the GLYCOPREP-C in 1 litre of water and refrigerate for drinking later.
    • Avoid all red and purple liquids.

    Clear fluids include:

    • Water/ Cordial / Gatorade.
    • Strained fruit juices (no pulp).
    • Popsicles / Ice.
    • Clear broth or bouillon (Cup-a-soup strained and clear – The only suitable soups are “Lots of Noodles Chicken” or “Lots of Noodles Beef”).
    • Coffee / tea (no milk or cream, you may have sugar, honey or lemon).

    The Laxative bowel preparation usually induces frequent, loose bowel movements within 1 to 3 hours of taking the first dose. It is best to stay at home in the afternoon within easy reach of toilet facilities. To avoid dehydration and to gain an ideal bowel preparation and procedure outcome, please ensure that you consume a large amount of water and fluids in addition to that consumed with the bowel prep.

    Take a further two Dulcolax tablets at 3.00PM.

    Make sure that you have plenty of water and approved clear fluids before and after each dose.

    Hint: The Preparations are best consumed cold and through a straw. You may choose to place a “Werther’s Original” or similar type lozenge in your mouth whilst drinking.

    1st Dose – PICOPREP at 6.00PM

    Dissolve the contents of ONE sachet of PICOPREP in 250ml of cold water and drink slowly until completed.

    2nd Dose – GLYCOPREP-C at 8.00PM 

    Remove the 1 litre of GLYCOPREP-C from the refrigerator and drink a glass (250ml) of the preparation every 15 minutes over the period of one hour until completed.

    On the day of your Colonoscopy procedure.

    3rd Dose – PICOPREP AT 10.00AM

    Dissolve the contents of ONE sachet of PICOPREP in 250ml of cold water and drink slowly until completed.

    THEN NIL BY MOUTH AFTER THE LAST DOSE OF PICOPREP UNLESS INSTRUCTED OTHERWISE UNTIL YOUR PROCEDURE.

    download PDF

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