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Microsoft word - prep_procedure_5.doc

PREPARING FOR
YOUR PROCEDURE

PREPARING FOR YOUR PROCEDURE .page 2
RECOMMENDED CLEAR LIQUID
DIET FOR COLONOSCOPY AND CAPSULE ENDOSCOPY .page 3

MIRALAX ALL IN ONE DAY PREP.page 4-5
HELPFUL HINTS DURING YOUR PREPARATION
FOR COLONOSCOPY .page 6

PREPARING FOR UPPER GI ENDOSCOPY .page 7
PREPARING FOR YOUR CAPSULE ENDOSCOPY.page 8
PREPARING FOR YOUR ENDOSCOPIC ULTRASOUND……….page 9
PREPARING FOR YOUR PROCEDURE
If you are currently scheduling a procedure or if you have a procedure scheduled this
information will be helpful in preparing for your procedure.
If you are already scheduled and you are unsure about your admitting time or about
where your procedure will be performed, contact our office at 203-863-2900.
If you are diabetic, please call your physician, if you have questions regarding your
diet the day before your procedure
.
Please inform us if you think you might be pregnant.
If you are taking any of the following blood thinners discuss with your doctor
stopping them 5 Days before your procedure.

Aspirin, Coumadin, Ticlid, Warfarin, Persantine, Plavix, Aggrenox,Dipyridamole.
3 Days before the procedure please stop consuming the following:
If you are taking any bulking agent, Metamucil, Citrucel, please stop it.
Avoid food with small seeds, breads with poppy or sesame seed, preserves,berries, kiwi, tomato, any fruit or vegetable with a small seed that cannot beremoved prior to eating. No Nuts.
You may take Tylenol.
It is VERY IMPORTANT that you notify us if you are allergic to antibiotics, egg, soy,
Fentanyl, Valium, Propoful, Demerol or Versed prior to your procedure.
It is VERY IMPORTANT that you notify us of any Joint Replacement, Stent or Valve
Replacement surgeries you may have had. These surgeries may require antibiotic
prophylaxis at the time of your procedure.
It is VERY IMPORTANT that you take your regular medications as prescribed,
especially cardiac or blood pressure medications on the day of your procedure.
If you are unsure about a certain medication, check with your physician the day
before the procedure.
Upon discharge for the hospital facility you will require a driver. By law, patients
undergoing anesthesia or intravenous sedation must have an escort drive them
home after a procedure. Your procedure cannot be preformed unless this
arrangement is made.

500 West Putnam Avenue, Greenwich, CT 06830, Telephone 203-863-2900 RECOMMENDED CLEAR LIQUID
DIET FOR COLONOSCOPY AND CAPSULE ENDOSCOPY

Consume only a clear liquid diet the day before your procedure unless you are
instructed by your physician to do otherwise. A clear liquid is one you can
see through, these include:

• Black coffee, tea, you may use sugar, sugar substitute, honey, lemon, • Clear fruit juices, apple, apple combinations, cranberry, cranberry combinations, dark or white grape juice. NO citrus juice.
• Beef, chicken, vegetable broth or consommé, NO bouillon cubes.
• All sodas, non-carbonated beverages such as ice tea, crystal light lemonade, seltzer, • Jell-O, Italian ices, Popsicles and hard candy such as lifesaver.
• PLEASE avoid all RED flavors of any of the items listed above other than cranberry juice. Cranberry juice is a natural red and does not tint the bowel a color that mightraise alarm.
500 West Putnam Avenue, Greenwich, CT 06830, Telephone 203-863-2900 MIRALAX COLONOSCOPY
All IN ONE-DAY PREPARATION

Purchase these over the counter laxatives and drinks: 1. 1 Box Gas X Pills2. 1 Box of Dulcolax laxative tablets 5 mg * not stool softeners, not suppositories, you 3. 3 (119 gm) bottle of4. You will need to purchase 3 – 32 ounce bottles of Iced Tea, Crystal Light Lemonade, Water, or Cranberry Juice. You will be mixing your preparation more than once soyou can divide your doses by flavor if desired. NO RED flavors are allowed.
On the day before your procedure ____________________________ you will remain on a
clear liquid diet. Absolutely NO SOLID FOOD is allowed.
If your procedure if after 12:30 PM on ______________ you may have breakfast before 10AM. After breakfast you will remain on a clear liquid diet for the remainder of the day.
Drink only the clear liquids listed:
You may have beef, chicken, and vegetable broth. You may have clear fruit juices, such as
apple, apple combinations, cranberry, cranberry combinations, dark and white grape juice.
Black coffee and tea are allowed and you may use sugar, sugar substitute, lemon and honey
in them, however, NO MILK, or non-DAIRY CREAMERS should be used. You may have all
carbonated beverages, such as coke and 7up and non-carbonated beverages such as crystal
light lemonade and ice tea. Orange, lemon and lime Jell-O is allowed. You may have
Popsicles, Italian ices, hard candies such as lifesavers and sour balls. Do not take artificial red
food products. The dye in these products mimics the appearance of blood in the colon and
should not be consumed while prepping for your procedure. Cranberry juice is a natural red
food product and is allowed.
At __________ ON __________ - Take 4 DULCOLAX laxative tablets At ___________ ON ___________ - Mix (1) 119 gm bottle of Miralax into (1) 32-ounce bottleof your choice of clear liquid. Shake well. Wait until the liquid is fully dissolved (you shouldsee no powder). Take 2 Gas X pills then begin drinking a measured 8-ounce glass every 15 –20 minutes until you finish 32 ounces. (usually 4 glasses).
500 West Putnam Avenue, Greenwich, CT 06830, Telephone 203-863-2900 You may continue to drink any of the clear liquids listed above up to ( 4 ) hours prior to yourprocedure time. Take your morning medications as prescribed.
REMEMBER: The preparation is very important. An adequate clean out allows for the best
evaluation of your entire colon. During the prep, using baby wipes may ease some of your
discomfort. You may use Vaseline or Preparation H around your anus if it becomes irritated

YOU MUST HAVE A DRIVER. You should NOT plan on working or driving the rest of theday due to sedation given at the procedure.
500 West Putnam Avenue, Greenwich, CT 06830, Telephone 203-863-2900 HELPFUL HINTS DURING YOUR PREPARATION
FOR COLONOSCOPY

• Have some unscented baby wipes on hand in case you need them for comfort and some type of an ointment, like Vaseline or Preparation H cream.
• DRINK! DRINK! DRINK! The better hydrated you keep yourself during your preparation, the better you will feel.
500 West Putnam Avenue, Greenwich, CT 06830, Telephone 203-863-2900 PREPARING FOR UPPER GI ENDOSCOPY
You may eat and drink normally until midnight the day before your procedure. Aftermidnight have nothing to eat or drink.
If you are taking any of the following blood thinners discuss with your doctor
stopping them 5 Days before your procedure.

Aspirin, Coumadin, Ticlid, Warfarin, Persantine, Plavix, Aggrenox, Dipyridamole.
You may take you regular medications as prescribed the morning of the procedurewith a small amount of liquid. Especially your heart of blood pressure medications.
Please inform us if you might be pregnant.
500 West Putnam Avenue, Greenwich, CT 06830, Telephone 203-863-2900 PREPARING FOR YOUR CAPSULE ENDOSCOPY
Do not smoke for 24 hours prior to your procedure.
Do not take Iron for (7) days prior to your procedure.
Do not take Carafate for 24 hours prior to your procedure

DAY BEFORE YOUR CAPSULE ENDOSCOPY:
You may eat a regular breakfast and a regular lunch before 12 noon.
From 12 noon until 10 pm, follow the recommended Clear Liquid Diet.
After 10 pm nothing to eat or drink, except any prescribed medication with a smallsip of water.
THE MORNING OF YOUR CAPSULE ENDOSCOPY:
On the day of your procedure have nothing to eat or drink including yourmedications after 6:30 am.
DO NOT apply powder or lotion to your abdomen, as this will inhibit good contact
of the sensors.
Male patients should shave their abdomens starting 6 inches above navel and
continuing 6 inches below the navel if they are hairy.
500 West Putnam Avenue, Greenwich, CT 06830, Telephone 203-863-2900 PREPARING FOR YOUR ENDOSCOPIC ULTRASOUND
You may eat and drink normally until midnight the day before your procedure. Aftermidnight have nothing to eat. You may have clear liquids up to six hours prior to yourprocedure. Absolutely NO SOLIDS after midnight.
If you are taking any of the following blood thinners discuss with your doctor
stopping them 5 Days before your procedure.

Aspirin, Coumadin, Ticlid, Warfarin, Persantine, Plavix, Aggrenox, Dipyridamole.
You may take you regular medications as prescribed the morning of the procedurewith a small amount of liquid. Especially your heart of blood pressure medications.
Please inform us if you might be pregnant.
500 West Putnam Avenue, Greenwich, CT 06830, Telephone 203-863-2900

Source: http://www.centerforgimed.com/pdf/prep_procedure.pdf

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