Do not add ice, sugar or flavorings to the solution. ACC 2023. Many endoscopists are wary of performing polypectomy in patients who are currently taking these agents. Cleveland Clinic is a non-profit academic medical center. information is beneficial, we may combine your email and website usage information with I had stopped them four days before the colonoscopy but accidentally took one tablet two days before the appointment. WebDo NOT take Vitamin E. Buy the prescription bowel preparation solution at your local pharmacy or drugstore pharmacy five days before your colonoscopy. Bleeding usually occurs within a few days of polypectomy. Alternatively, many centers prefer that patients take only clear liquids for the entire day before the procedure. If you have not heard from one of our nurses one week prior to your procedure, please contact Elliot Gastroenterology at 603-314-6907. If you are a Mayo Clinic patient, this could Anderson Cancer Center: Ensure success with colonoscopy prep.. 1996;43:561-566.3. Low-residue foods process quickly through the colon, providing an easier and more comfortable preparation. Support a natural circadian rhythm to relieve occasional sleeplessness with this great wellness blend!. AskMayoExpert. Having a colonoscopy can be daunting, but with a little preparation and some knowledge the procedure is easier to handle. An example of typical dietary restriction is consumption of a light breakfast of white bread and jelly the day before the procedure, followed by a clear liquid diet for the rest of the day. (C) This is an example of more significant looping in the sigmoid colon. Advertising revenue supports our not-for-profit mission. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. Vitamin E: This vitamin can increase the risk of bleeding. Previous studies investigating the effect of calcium and vitamin D supplements on polyp prevention have yielded inconsistent results. White Rice Seeds (all) "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. There are many types of magnesium that people can use as dietary supplements, on the skin, and for specific conditions, such as constipation. Ephedra: Its off the market, but in case youre still working off an old stash, stop taking it because it might accelerate heart rate or elevate blood pressure. Ann Fam Med. Overinflation of the colon can also lead to perforation, but this is quite rare with modern equipment. What exactly is it, and how important is DHEA. 8:00 am - 12:30 pm & 1:15 pm - 4:30 pm You may opt-out of email communications at any time by clicking on Advertising on our site helps support our mission. The scope tip is then easily advanced to the proximal transverse colon. Want to know more? 8 am - 5 pm Monday - Thursday, TELEPHONE HOURS After the procedure he will give you information on what he saw or did. Motrin, Advil (ibuprofen), Feldene, Naprosyn, Nuprin, Celebrex and Vioxx). Major disadvantages of polyethylene glycol are the large volume that must be consumed and its poor palatability. Carcinomas. 2. In a review of 19 clinical trials of either vascular surgery or procedures involving femoral artery punctures, no increase in bleeding events was observed. I would recommend suspending their use temporarily to avoid crowding out the following beneficial supplements. A significant percentage of flat-and particularly of depressed lesions-harbor high-grade dysplasia or early carcinoma. Then advance the endoscope while maintaining a view of the lumen in front of the scope. However, adequately trained primary care physicians, physician assistants, nurse practitioners, and nurses perform colonoscopy in a variety of set-tings throughout the country. Bowel preparation before a colonoscopy actually starts days before, when you should stop taking certain medications or supplements. Advertising on our site helps support our mission. WebMD does not provide medical advice, diagnosis or treatment. Follow all of the instructions in this handout, DO NOT eat any solid food the ENTIRE day before your. Add cool water to the 16 oz. Please be advised that some of our articles may contain links to our trusted sponsors. Alternatively, many centers prefer that patients take only clear liquids for the entire day before the procedure. A list of all medications and dosages as well as allergies to medications. Web5. One of the important supplements to avoid before surgery is Valerian, because it has sedative properties and can intensify the effects of anesthesia on your body. Squeeze a bit of lemon or lime juice in your mouth after you drink the laxative to kill the taste. It may cause extra bleeding during and after surgery. WebIt is important to follow all of the instructions provided by our office to ensure a successful exam, however, if you accidentally ate something the day before your procedure before 12:00 PM, you do not need to reschedule as long as you begin the clear liquid diet and follow the rest of the instructions to prepare for your colonoscopy. You are not allowed to drive, take a taxi or bus, or leave the Endoscopy Center alone. Tylenol is ok. The snare is positioned around the lesion and then retracted into a plastic sheath while monopolar cautery is applied (electric current travels through the snare to a grounding pad applied to the patients buttock or back). Antioxidants. Raisins If he removes a polyp or does biopsies, give 7-10 The prescription remote electrical neuromodulation device is now cleared for both acute and preventive treatment of migraine in those aged 12 years, according to Theranica. Drink at least 8 glasses of water or clear liquids. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, Visitation, mask requirements and COVID-19 information, Coffee or tea (no milk or non-dairy creamer), Carbonated and non-carbonated soft drinks, Your bowel must be empty so that your doctor can clearly view your colon. For Cleveland Clinic patients: IF YOU DO NOT FOLLOW THESE DIRECTIONS, YOUR COLONOSCOPY WILL BE CANCELLED. When taken at appropriate doses, oral use of vitamin E is generally considered safe. Colonoscopic perforations: incidence, management, and outcomes. Arrive 1 hour before the scheduled time Soetikno RM, Kaltenbach T, Rouse RV, et al. Potato without skin Colorectal adenocarcinomas are usually obvious, appearing as large masses (often several centimeters in diameter) that frequently have an ulcerated surface. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, Visitation, mask requirements and COVID-19 information, Coffee or tea (no milk or non-dairy creamer), Carbonated and non-carbonated soft drinks, Your bowel must be empty so that your doctor can clearly view your colon. 1 day before endoscopy Do not eat any solid food after midnight, the night before the procedure. Vitamin E also has antioxidant properties. "Primary Viewpoints," a podcast from Patient Care Online, brings you an exclusive interview with Rebekah Bernard, MD, a family physician and national speaker on physician wellness. If you prepare well, your doctor will be able to see what they need, and your colonoscopy will go faster. The day of the colonoscopy procedure As on the previous day, clear liquid foods only. You will need a responsible adult to drive you home from your appointment. Visible vessels in the ulcer can be clipped or cauterized to prevent rebleeding. Figure 7 In ulcerative colitis, the surface of the colon is erythematous and friable. By using this website, you agree to its Terms of Use. If this is the case, the procedure may have to be repeated to ensure that a health complication was not missed.". Insurance Coverage Also, talk to your doctor about vitamin E use if you're about to have or you just had a procedure to open blocked arteries and restore normal blood flow to your heart muscle (angioplasty). Generally, gallbladder disease produces digestive issues, particularly for oily and fatty foods. The recommended daily amount of vitamin E for adults is 15 milligrams a day. 2023 Elliot Hospital All Rights Reserved. SEDATIONBecause colonoscopy is often moderately painful, it is usually performed under conscious sedation. Add cool water to the 16-ounce line on the container and mix. With March being Sleep Awareness Month, I wanted to take a moment to highlight one my favorites! Add flavorings. 1. But still, I cannot assure you by just a chat over the phone without examining you in person and being unaware of your other investigation reports. WebYES. Peptic ulcers, Gallbladder disease is a modern illness. Vitamin E is a nutrient that's important to vision, reproduction, and the health of your blood, brain and skin. DO NOT eat any solid food the ENTIRE day before your colonoscopy. The most common type, which is usually referred to as an adenoma, is an adenomatous polyp. You could be having piles.Actually, piles are the most common cause of blood in stools. J Gastrointest Surg. The dyes can discolor the lining of the colon and make it harder for the doctor to see. Because propofol has a short half-life, patients typically recover quickly from the procedure; however, apnea can occur, and the treating team must be prepared to ventilate the patient if necessary. It is important to stop Iron; otherwise, your colonoscopy will be canceled, and another appointment will be made". Distress Signals: How to Help a Clinician Colleague in Need. Antioxidants are substances that might protect your cells against the effects of free radicals molecules produced when your body breaks down food or is exposed to tobacco smoke and radiation. WebOne week before your colonoscopy: Stop ALL vitamins and supplements, including fish oil and iron. When that It is less common for the scope tip to perforate the colon directly by advancing into and through a diverticulum, a tumor, or a turn in the colon. Dr. Hoffman only recommends products he believes are of good quality and beneficial for his audience. Use moist or medicated wipes to clean yourself. Pour ONE 6-ounce bottle of SUPREP liquid into the mixing container. I frequently get this question from my patients and from listeners to Intelligent Medicine, so heres an analysis of the latest findings. This phenomenon is colloquially referred to as looping.. Taking too much vitamin D can lead to negative side effects, including brittle bones and dehydration. If you take aspirin, Plavix, Coumadin and/or warfarin, contact your prescribing doctor about stopping these medications five days prior to your procedure. Stop using ginkgo at least 2 weeks before a scheduled surgery. 2 days before the colonoscopy Stir/shake until the contents are completely dissolved. WebSeveral days before your colonoscopy, stop taking your iron supplements. A responsible person MUST BE PRESENT with you at Check In before your colonoscopy and MUST REMAIN in the endoscopy area until you are discharged. The ileocecal valve entrance is visible on the proximal margin of the fold nearest the appendix (Figure 3). Web Take all regularly scheduled medications unless otherwise specified by your physician. Of course, it is. I also had a CT scan of my chest, stomach, and pelvis and nothing significant was found, although the consultant is meeting me in two weeks to discuss the findings in more detail. Vitamin E: While vitamin E is known to be a blood thinner at high doses, most studies suggest that these effects dont emerge if you take less than 400 International Units (IU) per day. You choose, Celebrating African American Medical and Nutrition Pioneers, Leyla Weighs In: Focus in the New Year: Your terrain, Winter potpourri: Choline, live fast/die young, processed meats, and toxic fish, Its 2023 and dietary recommendations continue to disappoint. J Fam Pract. Multiple forceps biopsies are generally performed to facilitate tissue diagnosis before surgery. If your insurance requires a PCP authorization (insurance referral), please be sure our office has received this prior to your procedure to prevent any unnecessary out-of-pocket expenses for you. Figure 9 In this photograph, a snare is positioned around a diminutive polyp. Three days before your colonoscopy, eat only low-fiber foods listed below. Two days before, continue eating only low-fiber foods. Print this chart (PDF) for easy reference. See the clear liquid chart for the day before, and day of, your colonoscopy. Type of Food or Drink. Yes Ok to Drink. 28,400 satisfied customers. If you arrive without an escort, your procedure will need to be rescheduled. Because it causes comparatively few electrolyte derangements and fluid shifts, it is relatively safe even for patients with renal insufficiency and other comorbidities. Stop using ginkgo at least 2 weeks before a scheduled surgery. Find out why people need calcium, which foods provide it, and what happens if they consume. It is safe to take acetaminophen (Tylenol) before an endoscopy for arthritis pain or headaches. The current helps the snare cut through the tissue and also ensures some destruction of adenomatous cells at the resection margin. If you take insulin, medications for diabetes or blood thinners, you must call the doctor who orders those medications for instructions on altering the dosage before your colonoscopy. Additionally, vitamin E plays a role in preventing immunosuppression and free radical damage, as well as promoting wound healing. Accessed Aug. 17, 2017. Its broken into sections so you can refer to them as you need them. Your consultant will be discussing all these with you to decide upon a further plan. Procedures performed Monday - Friday, Telephone hours 8am4:30pm Common findings, such as diverticulosis, a pedunculated polyp, adenocarcinoma, and ulcerative colitis, are shown in Figures 4 through 7. Fifteen (15) minutes later, drink an 8-ounce glass of clear liquids every 15 minutes for a total of two glasses. Step 2: Tweak Your Diet. Before the development of highresolution scopes, many of which now have various proprietary imaging modes that accentuate the surface features of the mucosa, it was difficult to accurately distinguish between hyperplastic and adenomatous polyps, so all visualized polyps were typically removed. Clear your schedule for the evening before and the day of your colonoscopy, and make plans for someone to go with you the day of the colonoscopy. You Review/update the Licorice: A valuable herb that is part of many traditional Chinese medicine formulas, it has a tendency to promote sodium retention, high blood pressure, edema, and potassium deficiencyconditions that might prove hazardous in the delicate peri-operative period. Follow it with a sip of something good tasting. Can diet help improve depression symptoms? When combined with the amino acid L-arginine, fish oil was found to reduce post-surgical inflammation in patients undergoing colorectal and heart surgery. Stop ALL vitamins and supplements, including fish oil and iron. The consultant said that my bowel prep was good. An estimated 20 million Americans have gallbladder disease. These are small and easily distinguished from the true lumen of the colon, which is visible on the lower right. In addition to these direct complications, many authorities also consider the development of advanced colon cancer within a few years of colonoscopy to be a type of complication. The cecum is identified as a blind end to the colon, with the appendiceal orifice visible, even in patients who have had an appendectomy (Figure 2). Buy the prescription bowel preparation solution at your local pharmacy or drugstore pharmacy five days before your colonoscopy. But definitely, this is not a normal thing. You can upload files and images in the next step. Another study revealed that omega-3 PUFA supplementation added to TPN after major abdominal surgery did not increase bleeding risk. COVID-19 Reinfection: Snapshot of the Pathology. Walking around between drinking each glass can help with bloating. Ease up for a week before surgery. Bananas If we combine this information with your protected Instead, consume only clear liquids like clear broth or bouillon, black coffee or tea, clear juice (apple, white grape), clear soft drinks or sports drinks, Jell-O, popsicles, etc. Bring your escort/driver with you to your appointment. The day of your colonoscopy. Please note that this is not an all-encompassing list of supplements to avoid prior to surgery. All rights reserved. For patients at average risk, the procedure is typically performed every 10 years, beginning at age 50. By now you know that I'm a big fan of CV Sciences' +PlusCBD offerings. This phased ended with a third screening colonoscopy, which took place 610 years after the start of supplementation. I had stopped them four days before the colonoscopy but accidentally took one tablet two days before the appointment. It is important to stay hydrated by drinking lots of clear liquids, such as sports drinks, clear juice like apple and white grape, and clear broth. TRAINING IN COLONOSCOPYProper training in colonoscopy generally requires a minimum of 100 supervised procedures in order to achieve acceptable success rates in the advancement of the scope to the cecum. In fact, fewer blood products were administered perioperatively in the n-3 PUFA group.. Heart failure: Could a low sodium diet sometimes do more harm than good? Do you think this would need to be repeated? Clear liquid is any liquid that you can see through, and includes: Water, clear broth or bouillon, black coffee, or black tea (you may use sweeteners). There are different types of polyp, depending on their shape, size, and tissue characteristics. I was so busy getting ready for my bowel preparation that I forgot about not taking the Iron tablets. The fish oil-bleeding story may be, in fact, a shibboleth. A variety of maneuvers can be used to reduce the loops. The orifice typically appears as a slit or a small opening visible at the base of the cecum. privacy practices. Other studies have found Omega-3 supplements lower the risk of post-operative atrial fibrillation in heart bypass patients by 54%; they also had shorter hospital stays. Is there no concern that this could be something serious such as cancer? I want to know would this have affected the results. Part 1 at 6 PM on the evening before your colonoscopy: Last reviewed by a Cleveland Clinic medical professional on 03/01/2020. Analysis of data from a large trial has found evidence that using calcium supplements with and without vitamin D may raise the risk of developing certain types of polyp, or precancerous growths, in the colon or rectum up to 10 years after starting to take supplements. Please allow for two to three hours at the facility. Copyright 2023, iCliniq - All Rights Reserved Chill the mixture if desired. Cobb WS, Heniford BT, Sigmon LB, et al. JAMA. Begin low-residue and low-fiber diet. Two diverticula are visible near the top of this photograph. A list of conditions that may make you sensitive to sedation. DO NOT get the suppository or the stool softener. Board Certified Physician. https://naturalmedicines.therapeuticresearch.com. Two dials on the scope allow you to steer the tip up and down and left and right. If you take vitamin E for its antioxidant properties, keep in mind that the supplement might not offer the same benefits as naturally occurring antioxidants in food. Your list may include: You can help the cleansing process by eating light 3 or 4 days before the procedure. Accessed Aug. 15, 2017. The more you drink, the better you will feel. For instance, if you are under 50 years old and/or have PPO insurance, this procedure may not be covered. Dietary restriction. If you've been diagnosed with mild to moderate Alzheimer's disease, some research suggests that vitamin E therapy might help slow disease progression. It is not a replacement or substitute for professional medical advice and/or treatment. Your stool should look like urine or clear water if you have completed the process appropriately and it has worked effectively. If he is not passing bowel movements or gas and has remarkable abdominal pain, it can be a serious condition like bowel obstruction and needs Read full, Comprehensive Medical Second Opinion.Submit your Case. The lesion was removed in 1 piece by snare after submucosal saline injection. DoctorAppearance@aol.com, To comment about Intelligent Medicine, please email us at: You will need 6 tablets. It is important to drink fluids the day before the procedure to keep you hydrated. You may have clear liquids (NO broth) up until 3 hours before your. Shop for some key supplies several days ahead, too. I was too focused on getting my bowel preparation right. You must stop Multivitamins, Iron supplements and any vitamin containing Iron. I mistakenly took Iron tablets two days prior to my colonoscopy appointment. Could I have some digestive issues? Electrolyte drinks are recommended to help you stay hydrated. Also, not all insurance policies cover screening colonoscopies. Figure 3 This image shows the appendiceal orifice as seen on entering the cecum. If so, your doctor may recommend you take a short break. Prevalence of nonpolypoid (flat and depressed) colorectal neoplasms in asymptomatic and symptomatic adults. WebStop taking iron, vitamin E, ginkgo, garlic, and ginger. All Rights Reserved, Immunity Reset: A Personalized Plan to Pandemic-Proof Your Body and Build Resilience, Leyla Weighs In: Health or disease? A withdrawal time of at least 6 minutes is recommended to ensure an adequate examination. You need to follow the MoviPrep instructions and be prepared to drink a lot of liquid. It was found that taking calcium supplements, with and without vitamin D, may increase the risk of polyps in the colon or rectum. Figure 1 These 2 pairs of images, obtained from a 3-dimensional magnetic scope device, are examples of scope looping and subsequent successful reduction of loops. WebMy doc's instructions say that 7 days before the procedure you should stop aspirin, iron and a few other supplements: "Do not take any aspirin (including Ecotrin, Bufferin, and The MoviPrep carton contains pouches and a disposable container for mixing. The study authors note that although the data that they used came from a large randomized trial, their results came from a secondary analysis, and some of the results might have occurred by chance. +PlusCBD Sleep Gummies offer non-habit-forming sleep support that is safe enough to use every night. Colorectal cancer is a disease in which abnormal cells proliferate and give rise to abnormal growths in the colon or rectum, which together form the large intestine, or bowel. Experts in the management of mens health provide their input on the best practices in preventative testing and screening measures to optimize the health of male patients. WebDo NOT take Vitamin E. Buy the prescription bowel preparation solution at your local pharmacy or drugstore pharmacy five days before your colonoscopy. In fact, its use has been advocated to forestall post-procedure nausea. Vitamin E is also available as an oral supplement in capsules or drops. Accessed Aug. 17, 2017. Drink at least 8 glasses of water throughout the day. However, if propofol is used, then an anesthesiologist may be preferable or even required. Accessed Aug. 10, 2017. You may take all supplements up until bedtime the night prior to your procedure; however, iron supplements should be held for two days prior to your procedure. Download Patient Form. Other findings. Another popular preparation is sodium phosphate (phosphosoda), which is available as a concentrated liquid or as tablets. The night before your colonoscopy youll take strong laxatives to clear your digestive tract. The stalk is a tan color and contains feeding vessels that are cauterized during snare polypectomy. Were also here to help, so please call Elliot Gastroenterology at (603) 314-6900 with any questions or concerns. Fish oil: Omega-3 fatty acids tend to get a bad rap from surgeons because of their purported blood-thinning effects. Would this have affected my negative result? Foods you can't eat: Plan your meals according to the diet. Any change in that microbiota environment will cause digestive issues. information highlighted below and resubmit the form. For example, research suggests that oral use of vitamin E might increase the risk of prostate cancer. Vitamin E is a nutrient that's important to vision, reproduction, and the health of your blood, brain and skin. Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. After coronary artery bypass surgery, women are still at higher risk for MI, stroke, and other adverse events than men despite years of improvement in technique and care. I do have gallstones, but whether they are responsible, I am not sure. Is it necessary to get colonoscopy for blood in stool? Perforation is typically treated by emergency surgery. Could vitamin D lower cardiovascular death risk? Step 3: The Fast. Do not eat any solid food after midnight. Drink ALL of the liquid in the container. Free radicals might play a role in heart disease, cancer and other diseases. Data presented at CROI 2023 demonstrated that periods of reinfection with the virus correlated with ascent of new variants and with time since first infection. Three days before your colonoscopy Do NOT eat high-fiber foods, such as popcorn, beans, seeds (flax, sunflower, quinoa), multigrain bread, nuts, salad/vegetables, or fresh and dried fruit. If there were any doubts due to interference of color, your consultant would have informed you about the same and planned for a repeat procedure. Stop taking all anti-inflammatory medicines, including Advil, Anacin, Aleve, Alka Seltzer, Bufferin, Ecotrin, Indocin, Relafen, Naproxen, Naprosyn, Nuprin, Volaren, Votran. Dont eat or drink anything two hours before the procedure. That is excellent news. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Greater Manchester Community Needs Assessment 2022, 1. A substantial portion of colonoscopy instruction is devoted to learning how and when to reduce loops, reposition the patient, and apply abdominal pressure in an effort to reach the cecum efficiently. Talk with *The statements made herein have not been evaluated by the Food and Drug Administration. Day of endoscopy Nothing to eat or drink at least 8 hours before the procedure. WebAvoid taking iron supplements (or multivitamins containing iron), Vitamin E, Fish Oil/Omega 3, black cohash, ginseng, ginkgo biloba, Before your colonoscopy, you will need to pick up & purchase the following prep items: 1. For patients at average risk, the procedure is typically performed every 10 years, beginning at age 50. You can also use hard candy. WebTaking Other Medications Before Procedure Forgot to Stop Medication 5 Days Prior to Procedure Accidently Took Ibuprofen or Aspirin for Pain Anti-Anxiety Medications Refrigerate the remaining half of the mixture, you will drink this in the morning. 2860 Creekside Circle Pierzchajlo RP, Ackerman RJ, Vogel RL. Keep your intake around 200-400 IU/day prior to surgery. We do not endorse non-Cleveland Clinic products or services. This is a laxative tablet. MIRALAX- Over-the-counter bottle of MiraLAX (238 grams)-powder 2. Endoscopic Retrograde Cholangiopancreatography (ERCP), Percutaneous endoscopic gastrostomy placement (PEG tube), Medical Management of Gastrointestinal Disease, Patient instructions for procedures BEFORE 12pm, Patient instructions for procedures AFTER 12pm. When an attempt is made to advance the endoscope in the presence of a loop, perforation can occur if the pressure exerted on the colon wall (often the sigmoid) by the looped portion of the scope increases sufficiently. Thus, they conclude that: Meanwhile, they suggest that people who have, or have ever had, precancerous serrated polyps particularly women and those who smoke may prefer to avoid taking calcium and vitamin D supplements. Types of magnesium supplements and their benefits. Blood thinners include Coumadin (warfarin); Plavix(clopidogrel); Ticlid (ticlopidine hydrochloride); Agrylin (anagrelide); Xarelto (Rivaroxaban); Pradaxa (Dabigatran); Eliquis (Apixaban); and Effient (Prasugrel). The most worrisome have a slight central depression in the center. Then youll get up about 6 hours before your appointment to drink another half-gallon. Colonoscopy bowel preparation materials Women and people who smoked were those at higher risk of serrated polyps from taking calcium supplements. You can also get vitamin E from meats, dairy, leafy greens and fortified cereals. Facts & Comparisons eAnswers. Step 4: The Purge. Beans How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, Cardiovascular health: Insomnia linked to greater risk of heart attack. WebSeven to ten days before your procedure: Do not take aspirin or aspirin products (such as Alka-Seltzer, Ibuprofen, Nuprin, Advil, Aleve, or Motrin). Apply diaper cream before the diarrhea starts. (541) 779-8367 | Office hours 8am5pm Monday Thursday | Telephone hours 8am4:30pm Monday - ThursdayProcedures are performed Monday - Friday, 8 am - 5 pm Monday - Thursday Dr Basu. Does this indicate that everything is fine? Learn more here. Lets look at the evidence for why these supplements may or may not be problematic prior to surgery: Garlic: Garlic supplements have a platelet-inhibiting effect, and at least one report has shown that garlic pills may promote increased bleeding into the eyeball after delicate cataract surgery.