An Important Exam Requires a Careful Preparation: The results obtained from the exam are dependent on your lower bowel (colon) being carefully cleansed and empty. An improperly prepared bowel may mean that the exam will have to be repeated at another time. Fecal matter (stool) left in the colon can hide important conditions that may be present. Therefore, it is very important that you follow preparation instructions as carefully as possible. No laxative preparation is fun. However, these instructions have been developed to make your preparation as simple, effective, and painless as possible.

A couple of hints: To fully evacuate the colon, the preparation will cause you to have many liquid bowel movements. Individual responses to laxatives vary widely. Plan to remain within easy reach of toilet facilities. You may apply a petroleum based product or diaper rash ointment to the anal area if you experience discomfort in that area from frequent stools. If you are having a menstrual period, it is okay to use a tampon.

Inform the staff if you are taking blood thinners such as Coumadin (warfarin), Plavix (clopidogrel), Ticlid (ticlopidine), Aggrenox (dipyridamole/aspirin), or lovenox. You will need to contact the prescribing physician to see if these medications can be stopped.

We consider this an elective outpatient procedure and advanced directives are not honored.

If you are a diabetic:

  • Inform the staff if you are taking insulin or oral medication to treat your diabetes.
  • If you take insulin, contact the prescribing physician for instructions
  • If you take oral medications for diabetes, you should not take them the night before or morning of the exam. This should be verified with your physician.

At least 7 days before your procedure please be sure to:

  • Read all prep instructions and purchase bowel prep products from your pharmacy
  • Verify instructions for stopping your blood thinning medications from the office
  • Verify insulin instructions from your prescribing physician
  • Stop herbal and iron supplements
  • Arrange for a ride home after your procedure

Have blood drawn 2-3 days prior to the exam if it has been ordered.

There are a number of different preparations available for colonoscopy. For our patient’s convenience, we have color coded the preparations. Please click on the link for information regarding the specific prep. The following instructions apply to all preparations.

1 day before procedure:

  • Clear liquid diet 30 hours prior to procedure. No solid food the day before your procedure. See link for clear liquid diet details.
  • You may take all of your normal prescription medications unless you are taking diabetes medications or blood thinners.

If you are a diabetic:

  • Inform the staff if you are taking insulin or oral medication to treat your diabetes.
  • If you take insulin, contact the prescribing physician for instructions
  • If you take oral medications for diabetes, you should not take them the night before or morning of the exam. This should be verified with your physician.

If you are taking blood thinners:

  • Inform the staff if your are taking blood thinners such as Coumadin (warfarin), Plavix (clopidogrel), Ticlid (ticlopidine), Aggrenox (dipyridamolelaspirin), or lovenox.

You will need to contact the prescribing physician to see if these medications can be stopped.

FOLLOW THE INSTRUCTIONS ON YOUR COLOR CODED PREPARATION.

Clear Liquid Diet

Clear Liquid Diet – No Solid Foods

**You must be on a clear liquid diet 30 hours before your procedure.

**There is nothing by mouth for 4 hours prior to your procedure, including hard candy and chewing gum.

**Avoid all dairy products and anything RED OR PURPLE.

CLEAR LIQUIDS INCLUDE:

  • Soft drinks – regular or diet sodas (orange, ginger ale, cola, Sprite, 7-Up, etc).  Ginger Ale may help to settle the stomach.
  • Sport or power drinks with electrolytes may be helpful.  You may wish to dilute to decrease sweetness.
  • Strained fruit juices without pulp (apple, white grape, iced tea) NO ORANGE JUICE!
  • Water, clear flavored waters or seltzer (NO red or purple!)
  • Black tea or coffee – NO milk or non-dairy creamer.  You may have any type of sugar or sweetener.
  • Fat free chicken or beef broth (prefer low sodium)
  • Hard candies (Lifesavers, etc.)
  • Plain Jello – NO fruits or toppings
  • Popsicles, Italian Ice – NO sherbets or fruit bars

Green Procedure Preparation (Moviprep)

Green Procedure Preparation MOVI

*Follow these instructionsDo NOT follow the instructions on the box.*

*The prescription for your prep has been sent to your pharmacy electronically. Please pick up within a week.

  • You must be on a clear liquid diet 30 hours before your procedure (please review the clear liquid diet sheet).
  •  You must not have anything by mouth for 4 hours prior to your procedure, INCLUDING gum and hard candies.

NOTE: Failure to properly cleanse your colon may result in a cancelled procedure.

The American College of Gastroenterologists recommends splitting the preparation for optimal visualization of the colon and detection of small polyps and cancer.

THE DAY BEFORE YOUR COLONOSCOPY

CLEAR LIQUID DIET

  • Between 6 – 7 PM the evening before, empty 1 pouch “A” and 1 pouch “B” into the disposable container.
  • Add lukewarm drinking water to the top line of the container. Mix to dissolve. (If preferred, you may mix the solutions ahead of time and refrigerate prior to drinking).
  • The Movi Prep container is divided by 4 marks.       Every 15 minutes, drink the solution down to the next mark (approximately 8 oz) until the full liter is complete.
  • Drink 16 oz of the clear liquid of your choice.

5 HOURS BEFORE PROCEDURE

  • 5 hours before your scheduled procedure time, repeat the above steps.

Diarrhea may continue for several hours after you finish drinking the solution

Yellow Procedure Preparation (Suprep)

Yellow Procedure Preparation Suprep

*Follow these instructionsDo NOT follow the instructions on the box.* 

*The prescription for your prep has been sent to your pharmacy electronically. Please pick up within a week.

  • You must be on a clear liquid diet 30 hours before your procedure (please review the clear liquid diet sheet).
  • You must not have anything by mouth for 4 hours prior to your procedure, INCLUDING gum and hard candies.

NOTE: Failure to properly cleanse your colon may result in a cancelled procedure.

The American College of Gastroenterologists recommends splitting the preparation for optimal visualization of the colon and detection of small polyps and cancer.

DAY BEFORE COLONOSCOPY

In the evening:

  • Between 6-7 PM the day before your procedure, take the first dose by completing steps 1-4.
  1. Pour ONE (1) 6-ounce bottle of SUPREP liquid into the mixing container.
  2. Add drinking water to the 16-oz line on the container and mix.
  3. Drink ALL the liquid in the container.
  4. You must drink two (2) more 16-oz containers of water over the next 1 hour.

5 HOURS BEFORE PROCEDURE

  • Take the second dose of your prep by completing steps 1-4.
  1. Pour ONE (1) 6-ounce bottle of SUPREP liquid into the mixing container.
  2. Add cool drinking water to the 16-oz line on the container and mix.
  3. Drink ALL the liquid in the container.
  4. You must drink two (2) more 16-oz containers of water over the next 1 hour.

White Procedure Preparation (Magnesium Citrate)

White Procedure Preparation Magnesium Citrate

*Follow these instructionsDo NOT follow the instructions on the bottle.*

  • You must be on a clear liquid diet 30 hours before your procedure (please review the clear liquid diet sheet).
  • You must not have anything by mouth for 4 hours prior to your procedure, INCLUDING gum and hard candies.

NOTE: Failure to properly cleanse your colon may result in a cancelled procedure.

In preparation for your colonoscopy:

Purchase (over the counter):

  • Two 10 oz bottles on Magnesium Citrate.
  • 1 package of Dulcolax Laxative Tablets (NOT suppositories!)-you need a total of 4 pills

The American College of Gastroenterologists recommends splitting the preparation for optimal visualization of the colon and detection of small polyps and cancer 

DAY BEFORE COLONOSCOPY

  • CLEAR LIQUID DIET- It is very important to drink plenty of clear liquids throughout the entire day.
  • Upon awakening take four (4) Dulcolax Tablets.
  • In the evening at 6:00pm, drink the entire contents of the 1st bottle of the Magnesium Citrate

THE DAY OF YOUR COLONOSCOPY

  • Five (5) hours prior to your scheduled arrival time for your procedure, drink the entire contents of the 2nd bottle of the Magnesium Citrate.

Two-Day White Procedure Preparation (Magnesium Citrate Split Prep)

Two-Day White Procedure Preparation Magnesium Citrate

*Follow these instructionsDo NOT follow the instructions on the bottle.*

  • You must be on a clear liquid diet starting after lunch, two days prior to your procedure (please review the clear liquid diet sheet).
  • You must not have anything by mouth for 4 hours prior to your procedure, INCLUDING gum and hard candies.

NOTE: Failure to properly cleanse your colon may result in a cancelled procedure.

In preparation for your colonoscopy:

Purchase (over the counter):

  • One 10 oz bottle of Magnesium Citrate

2 DAYS BEFORE COLONOSCOPY: Date_____________

  • Eat a light breakfast and lunch before 1 pm
  • Begin your clear liquid diet immediately after lunch (no more solid food until after colonoscopy)
  • At 6 pm, take 1 bottle of magnesium citrate
  • Keep drinking plenty of clear liquids to minimize risk of dehydration

1 DAY BEFORE COLONOSCOPY: Date______________

  • CLEAR LIQUID DIET- It is very important to drink plenty of clear liquids throughout the entire day.
  • Follow the attached standard split preparation instructions.

Orange Procedure Preparation (NuLYTELY)

Orange Procedure Preparation NuLYTELY

*Follow these instructionsDo NOT follow the instructions on the bottle.*

*The prescription for your prep has been sent to your pharmacy electronically. Please pick up within a week.

  • You must be on a clear liquid diet 30 hours before your procedure (please review the clear liquid diet sheet).
  • You must not have anything by mouth for 4 hours prior to your procedure, INCLUDING gum and hard candies.

NOTE: Failure to properly cleanse your colon may result in a cancelled procedure. 

The American College of Gastroenterologists recommends splitting the preparation for optimal visualization of the colon and detection of small polyps and cancer.

THE DAY BEFORE YOUR COLONOSCOPY

  • You must follow a clear liquid diet the entire day before your procedure.
  • In the morning, dilute NuLYTELY with one gallon of water and chill in the refrigerator.
  • Between 6:00 & 7:00 PM, the day before your procedure, start drinking 8 oz. of the solution every 15 to 20 minutes until you have finished half the gallon.
  • If you have severe discomfort or bloating, stop drinking the solutions for a while or wait longer between drinking each glass until the discomfort goes away.

6 HOURS BEFORE THE PROCEDURE

  • 6 hours before your scheduled procedure time, start drinking the remaining half of the solution. It will take about 2 hours to finish the solution.
  • Diarrhea may continue for several hours after you finish drinking the solution.

 

Two-Day Orange Procedure Preparation (NuLYTELY Split Prep)

Two-Day Orange Procedure Preparation Nulytely (Golytely/PEG 3350)

*Follow these instructionsDo NOT follow the instructions on the bottle.*

*The prescription for your prep has been sent to your pharmacy electronically. Please pick up within a week. 

  • You must be on a clear liquid diet starting after lunch, two days prior to your procedure (please review the clear liquid diet sheet).
  • You must not have anything by mouth for 4 hours prior to your procedure, INCLUDING gum and hard candies.

NOTE: Failure to properly cleanse your colon may result in a cancelled procedure.

In preparation for your colonoscopy:

Purchase (from pharmacy):

  • 1 gallon of Nulytely (Golytely/PEG 3350) 

2 DAYS BEFORE COLONOSCOPY: Date_____________

  • Eat a light breakfast and lunch before 1 pm
  • After lunch, dilute NuLYTELY with one gallon of water and chill in the refrigerator.
  • Begin your clear liquid diet immediately after lunch
  • Between 6:00-7:00 pm, start drinking 8 oz. of the solution every 15 to 20 minutes until you have finished half of the gallon. Keep remaining preparation in the refrigerator for tomorrow.

1 DAY BEFORE YOUR COLONOSCOPY: Date______________

  • Continue to push clear liquids the entire day to avoid dehydration and minimize hunger
  • Between 6:00-7:00 pm, start drinking 8 oz. of the solution every 15 to 20 minutes until you have finished half of the remaining half of the gallon.
  • 5 hours before your arrival time, ________, drink the remaining preparation in the same fashion as above until you empty the container

Continue clear liquids until 4 hours prior to your exam

Purple Procedure Preparation (COLYTE)

Purple Procedure Preparation COLYTE

*Follow these instructionsDo NOT follow the instructions on the bottle.*

*The prescription for your prep has been sent to your pharmacy electronically. Please pick up within a week.

  • You must be on a clear liquid diet 30 hours before your procedure

(Please review the clear liquid diet sheet).

  • You must not have anything by mouth for 4 hours prior to your procedure, INCLUDING gum and hard candies.

NOTE: Failure to properly cleanse your colon may result in a cancelled procedure.

The American College of Gastroenterologists recommends splitting the preparation for optimal visualization of the colon and detection of small polyps and cancer

DAY BEFORE COLONOSCOPY

In the morning:

  1. Choose one of the flavor packs and add it to the one gallon bottle. Shake well to adequately mix the flavor pack with the powder.
  2. Add water to the fill line and shake well until the powder has dissolved.
  3. Refrigerate until ready to drink.

In the evening:

  1. Begin drinking the solution between 6pm and 7pm. Drink an 8 ounce glass of the solution every 10 minutes.       It is recommended that you drink the whole glass rapidly rather than sip small amounts.
  2. Keep drinking the solution every 10 minutes until half the bottle is empty or bowel movements run clear.
  3. Bowel movements should begin approximately one hour after the first glass of the solution. They will continue for several hours after you finish drinking the last glass.

*Feeling of bloating, abdominal fullness and nausea are common after the first glasses of the solution. This is temporary and should subside once bowel movements begin.

5 HOURS BEFORE PROCEDURE

  1. 5 hours before your scheduled procedure time, start drinking the 2nd half of the solution. Drink an 8 ounce glass of the solution every 10 minutes until the solution is gone.

*Diarrhea may continue for several hours after you finish the solution

Blue Procedure Preparation (Mirilax)

Blue Procedure Preparation MIRALAX

*Follow these instructionsDo NOT follow the instructions on the bottle.*

You must be on a clear liquid diet 30 hours before your procedure (please review the clear liquid diet sheet).

  • You must not have anything by mouth for 4 hours prior to your procedure, INCLUDING gum and hard candies.

Purchase:

  • Miralax 238 grams – 8.3 oz. This is available over the counter.
  • 64 oz. Gatorade – Lemon/Lime preferred. DO NOT BUY RED OR PURPLE.
  • Patients with diabetes may substitute Pedialyte for Gatorade.
  • 2 Dulcolax Laxative tablets (NOT suppositories!)

NOTE: Failure to properly cleanse your colon may result in a cancelled procedure.

The American College of Gastroenterologists recommends splitting the preparation for optimal visualization of the colon and detection of small polyps and cancer

DAY BEFORE COLONOSCOPY

  • CLEAR LIQUID DIET – It is very important to drink plenty of clear liquids throughout the entire day.
  • Mix ALL of the Miralax and Gatorade mixture on the morning of the day before your procedure, and refrigerate if desired.
  • 4-5 PM take 2 Dulcolax tablets.
  • Two hours later (6-7 PM), start drinking Gatorade (or Pedialyte) Miralax mixture – 8 oz. every 15 minutes.
  • Drink only half of the solution (32 ounces)
  • If you have mild discomfort or bloating, stop drinking for a while or wait longer between drinking each glass until the discomfort goes away.

5 HOURS BEFORE PROCEDURE

  • 5 hours before your scheduled procedure time, drink the last 32 ounces (8 oz. every 15-20 minutes) until remaining solution is gone.
  • Diarrhea may continue for several hours after you finish drinking the solution.

Two-Day Blue Procedure Preparation (Mirilax Split Prep)

Two-Day Blue Procedure Preparation Miralax

*Follow these instructionsDo NOT follow the instructions on the bottle.*

  • You must be on a clear liquid diet starting after lunch, two days prior to your procedure (please review the clear liquid diet sheet).
  • You must not have anything by mouth for 4 hours prior to your procedure, INCLUDING gum and hard candies.

NOTE: Failure to properly cleanse your colon may result in a cancelled procedure.

In preparation for your colonoscopy:

Purchase (over the counter):

  • Miralax 238 grams-8.3 oz
  • 64 oz Gatorade-Lemon/Lime preferred. DO NOT BUY RED OR PURPLE.

2 DAYS BEFORE COLONOSCOPY: Date____________

  • Eat a light breakfast and lunch before 1 pm.
  • Begin your clear liquid diet immediately after lunch (no more solid food until after colonoscopy)
  • At 6 pm, mix Miralax with Gatorade and drink 8 oz. every 15 minutes until complete 

1 DAY BEFORE COLONOSCOPY: Date_____________

  • CLEAR LIQUID DIET- It is very important to drink plenty of clear liquids throughout the entire day.
  • Follow the attached standard split preparation instructions.