Please read these instructions 1 week prior to your procedure



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PLEASE READ THESE INSTRUCTIONS
1 WEEK PRIOR TO YOUR PROCEDURE

The Gastroenterology Group, PC EZ 2 GO PREP



You MUST arrange a ride for the day of your exam. If you fail to arrange acceptable transportation, your procedure will be rescheduled. If you must cancel or reschedule your appointment, please call our office at (703) 435-3366 at least 5 business days before your scheduled procedure to avoid a cancellation fee. If you have a history of moderate to severe constipation or have had prior issues with adequate bowel prep in the past please contact one of our nurses 1 week prior to your procedure.
Use the prep kit which you purchased from your physician’s office. You will also need to purchase the following supplies:

  • 64 oz. Clear Liquids (NOT red, consider picking 2 different flavors): Gatorade, G2, Gatorade Ice, Powerade, Powerade Zero, Crystal Light or Smart Water are acceptable.

  • Baby Wipes (optional)

  • If you have constipation purchase a small bottle of Miralax or generic Polyethylene Glycol (119 grams) which is available over the counter at most pharmacies


7 DAYS BEFORE YOUR COLONOSCOPY:
If you take aspirin you may continue to take them as usual unless otherwise instructed by your physicians. You should hold other NSAIDS such as Advil, Motrin, Celebrex or Ibuprofen for 7 days. If you take Vitamin E, fish oil or Omega 3, please hold these for 7 days prior to your procedure. Ask your prescribing doctor for specific instructions if you take a blood thinner like Plavix, Pradaxa, Clopidogrel, Coumadin, Warfarin, Effient or Lovenox, if you need to continue your blood thinner please contact our office 1 week before your procedure. If you have diabetes you may continue your medication prior to the procedure but these medications will need to be held the day of surgery until after your procedure unless otherwise directed. If you are taking insulin, please inform your PCP or Endocrinologist as this may need to be adjusted
5 DAYS BEFORE YOUR COLONOSCOPY:
Stop eating all nuts, seeds and popcorn. BEGIN A LOW FIBER/LOW RESIDUE DIET
(please visit our website at www.thegi-group.com/prep-instructions for a sample)

If you have constipation, start taking 1 capful (17gm) of Miralax daily until your procedure
1 DAY BEFORE YOUR COLONOSCOPY:

  • Upon waking in the morning, mix the large bottle of Polyethylene Glycol (white bottle with purple cap) with 64 oz. of your Gatorade or Crystal Light or other clear liquid listed above and refrigerate (Suggestion is to use 32 oz of two different flavors of clear liquids putting half of the Polyethylene Glycol in each)

  • You may eat a light breakfast consisting of only 2 eggs and bacon until 9am. You may have a yogurt at 12 pm

  • Begin clear liquid diet at 12 noon. Drink at least 8-10 large glasses of water or clear liquids during the day to avoid dehydration


Acceptable Liquid: Not Acceptable Liquid:
Gatorade, Pedialyte, Powerade, Smart Water ALCOHOL

Clear broth or bouillon Red or purple items of any kind

Coffee or tea (no milk or non-dairy creamer) Milk or non-dairy creamers

Carbonated and non-carbonated soft drinks Noodles or vegetables in soup

Kool-Aid (not red) or other fruit-flavored drinks Juice with pulp

Strained fruit juices (no pulp) Liquid you cannot see through

Jell-O, popsicles, hard candy
PREP INSTRUCTIONS


1 DAY BEFORE YOUR COLONOSCOPY


  • At 6 pm, you will drink the first 32 oz. of the Polyethylene Glycol which was previously mixed. Drink 8 oz. of the Polyethylene Glycol/Gatorade solution and continue drinking an 8 oz. glass every 15-20 minutes until the solution has been consumed

    • If you feel nauseous, you can take longer breaks between each glass

    • Drinking through a straw and keeping liquid cold may also help with nausea

  • At 8pm, mix the Magnesium Citrate (red pouch) with 10 oz. of chilled Crystal Light or Gatorade, pour over ice and drink. Take 80 mg Simethicone (yellow pouch) tablet with water

  • At 8:30 pm, take your last 2 Bisacodyl tablets (brown pouch)


DAY OF YOUR COLONOSCOPY:

  • You may drink small quantities of black coffee or tea (no sugar or cream) and water until 3 hours before your procedure

  • You may take all morning medications as usual with 4 oz. of water up to 3 hours before your procedure

  • 4 hours before your scheduled procedure time, you will drink the remaining 32 oz. of the Polyethylene Glycol which you previously mixed. Drink 8 oz. of the Polyethylene Glycol/Gatorade solution and continue drinking an 8 oz. glass every 15 minutes until the solution has been consumed

  • 3 hours before your scheduled procedure time, stop drinking clear liquids (no gum or candy)

You are now ready for the exam if you followed all the instructions and your stool is no longer formed, but clear or yellow liquid.



Please visit our website at www.thegi-group.com/prep-instructions for additional information and colon cleansing tips


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