Bowel Cleansing Instructions


Bowel Cleansing Instructions

GETTING READY:

Click here to download a PDF.

7 Days Prior to your procedure stop taking or eating the following:

no-symbol-circle-with-slash-prohibition-sign_21356402Iron supplements

no-symbol-circle-with-slash-prohibition-sign_21356402Fiber supplements such as Metamucil, Citrucel and Fiberall

no-symbol-circle-with-slash-prohibition-sign_21356402Do not eat nuts, seeds, popcorn, or corn (other examples include tomatoes, granola with dried fruit, raisins)

Take all other medications.

PLEASE CALL THE OFFICE IF:

  • You are diabetic.
  • You are pregnant.
  • You are on Coumadin, Warfarin, Plavix or any other anti-coagulation therapy.
  • You have an artificial heart valve, internal cardiac defibrillator (ICD), prior history of heart valve infection or require antibiotics prior to medical procedures.

Purchase the following items from any pharmacy or grocery store:

  • Bisacodyl (Dulcolax) laxative tablets
  • You will need 4 tablets.

Miralax/Gavilax 238 gm bottle (8.4 oz.) powder
Miralax shutterstock_216085297

 64 oz. Gatorade (orange, green or yellow), Propel Water, Vitamin Water or coconut water

Gatorade shutterstock_219007606Propel bottle vitamin water Coconut water

On the DAY BEFORE Your PROCEDURE

OK to eat one meal, before 11 AM, but only from the following list of foods:

  • Boiled or poached egg
  • Cottage cheese
  • Chicken, turkey or fish without skin
  • White bread or toast without butter

At 11 AM: Begin drinking ONLY clear liquids.

DO NOT EAT SOLID FOOD.

A clear liquid is one that you can see through.
(NOTHING RED, PURPLE OR BLUE.)

EXAMPLES OF CLEAR LIQUIDS ARE AS FOLLOWS:

  • Clear beef or chicken broth, such as bouillon cubes dissolved in water
  • Popsicles>
  • Coconut water (NOT coconut milk)
  • Strained fruit juice such as apple or white grape juice
  • Coffee and tea (without cream or dairy products)
  • Gatorade
  • Soft drinks
  • Kool-Aid
  • Jell-O


chicken broth shutterstock_220566838
popsicle shutterstock_276642236 apple juice shutterstock_186712190 coffee iStock_000045181394_Medium tea iStock_000011186988_Medium Gatorade shutterstock_219007606 soft drinks shutterstock_191109524

lemon jello shutterstock_158762528

  • At 1 PM: Take (2) Bisacodyl (Dulcolax) laxative tablets.
  • From 2 to 5 PM: Mix your Miralax/Gavilax 238 gm bottle with 64 ounces of Gatorade (not red, blue or purple), Propel Water, Vitamin Water or coconut water.
  • (You may mix solution ONE HOUR before and chill in the refrigerator.)
  • Drink an 8-ounce glass every 10-20 minutes until you have drunk half the mixture (32 oz.).

On the MORNING/DAY of your PROCEDURE

4 to 5 hours prior to your scheduled procedure, drink the other half of the Miralax/Gavilax mixture (32 oz.), 8 oz. every 10 – 20 minutes. Then, take 2 Bisacodyl (Dulcolax) laxative tablets. Complete this process 3 hours before your scheduled procedure. Take nothing else by mouth.

Your stool should be clear and yellow.
This chart will help you judge your progress!

Prep Stool Chart

The importance of a GOOD PREP

Your prep is one of the most important parts of your colonoscopy. Without a good prep–your bowel empty and clean–your gastroenterologist will not be able to see your colon clearly. This could lead to missing a polyp or rescheduling your colonoscopy.

Here are photos that show the difference between a good prep and a bad prep, so you can see why prep is important.

good prep

Good colonoscopy prep

 

 

 

 

bad prep

Poor colonoscopy prep

 

Important Notes

Please leave all jewelry at home.

If you have any questions, please call the office at 207-773-7964.

REMEMBER: YOU MUST BRING SOMEONE WHO WILL DRIVE YOU HOME.

Please plan on being at the facility approximately 2 to 2.5 hours from arrival to departure.

Photo Credits
VitaCoco® DCW Creations/Shutterstock.com Miralax® and Gatorade®>LunaseeStudios/Shutterstock.com Sprite®-Fanta®-CocaCola® Chones/Shutterstock.com KoolAid® jfmdesign/istockphoto.com Dulcolax® UrbanImages/Alamy Stock Photo