Inform the Nurse:
If you are a diabetic, you will need to take 1/2 your normal dose the day before your procedure, and bring a regular dose with you to take after the procedure.
If you have had a prosthetic heart valve replacement, you may need antibiotics prior to the colonoscopy.
Preparation for the test: You will need to purchase the following items over the counter:
Miralax, 238 g bottle
Dulcolax Laxative Tablets, 5 mg (package of 4)
64oz of Gatorade G2, Crystal Light, Propel Water, or Powerade, (NO RED, PURPLE, OR GREEN).
ENEMA: 1 or 2
10 DAYS PRIOR TO TEST:
Do not eat any Olean Potato Chips (Fat-Free Potato Chips).
5 DAYS PRIOR TO TEST:
Stop taking Coumadin (blood thinners) with the permission of the prescribing provider.
No Aspirin, Iron, Fish Oil, Ibuprofen, or any other Ibuprofen-type medications.
TYLENOL is okay to take if needed.
2 DAYS PRIOR TO TEST: (At 7:00 PM)
Take all 4 of the Dulcolax tablets with a full glass of water.
Use the first ENEMA if you are severely constipated
1 DAY PRIOR TO TEST:
Start this diet the morning of the day prior to your colonoscopy.
No solid foods. Clear liquids only.
Clear liquids include: Water, black coffee, Jell-O, plain tea, broth or bouillon, apple or white grape juice, 7-Up, cola, Crystal Light, Propel Water, Powerade, Gatorade or Popsicles. (NO RED, PURPLE, OR GREEN).
It is important that you drink as much fluid as you can throughout the day. Stay hydrated!
No alcoholic beverages this day.
3:00 PM THE DAY PRIOR TO THE TEST:
Mix the entire 238 g bottle of Miralax with the 64oz of Crystal Light lemonade, Propel Water, Gatorade or Powerade in a pitcher, until the Miralax is dissolved. (This can be mixed in the morning and kept refrigerated to help improve the taste/tolerance.)
Drink an 8 oz. glass of the solution every 10-15 minutes, until gone. (Drinking through a straw helps).
If you start feeling nauseous, slow interval to every 20-25 minutes.
If you do vomit, take a break for 1 hour; continue drinking 8oz of the mix every 20-25 minutes
The diarrhea effect usually begins within an hour, or two, but may take longer for some people. You may notice some bloating or cramping at the beginning of the prep. This will improve once the diarrhea begins.
Diarrhea generally continues for an hour or two after completing the prep. Continue to drink clear fluids following the prep until bedtime.
12:00 AM (MIDNIGHT, the night before the test)
Nothing to eat or drink after midnight
MORNING OF THE PROCEDURE:
Use second ENEMA if necessary: if no fecal matter is seen, no need for enema
THE DAY OF THE PROCEDURE:
Heart, blood pressure, and seizure medications should be taken as prescribed including the morning of your procedure.
All other medications will need to be held until after the procedure.
Wear loose-fitting clothing, no jewelry, and leave all valuables at home.
The medication you receive will affect your judgment so it is not advisable to drive, use major appliances, or sign legal documents for the remainder of the day.
It is also recommended that you have someone at home with you until the anesthesia is fully worn off.
You should not plan to care for young children until you are rested.
Bring photo ID and insurance card(s).