Colonoscopy Instructions for Miralax/Gatorade Prep
Please follow the instructions below carefully. Should you need further assistance please call 715-531-6520 M-F between 7am and 5pm. 1 Week Prior
3 Days Prior
2 Days Prior
1 Day Prior
Procedure Day
PURCHASE the following:
STOP consuming all
NO solid foods after
BEGIN clear liquid diet.
4 HOURS before your arrival
high fiber foods.
midnight tonight.
(No solid food all day-no solid foods
time, drink the 10 oz bottle of
until after your procedure.)
the Magnesium Citrate
No raw vegetables
No Corn (raw or
No whole wheat or
No nuts or popcorn
No bran or bulking
No Jell-O, Popsicles or broth
If you take medication to thin your
blood, such as Coumadin (warfarin),
Plavix (clopidogrel), or Pradaxa
Remember you must have a
(dabigatran), etc., ask your regular
driver to accompany you home
doctor for instructions prior to stopping  You cannot drive the
remainder of the day.
Two hours after taking the
Remember – you
Dulcolax tablets, mix the 238 gram
must have a driver
accompany you
home after your
procedure. (Taxi or
every 15-30 minutes until the
van service may not
entire solution is gone.
 If you have diabetes, ask your regular  Pregnant or think you may be?
Please discuss the risks and benefits of  Continue to drink clear liquids until Low Fiber Diet Guidelines
Foods Recommended
Foods to Avoid
 White bread, rolls, biscuits, and croissant  Breads or rolls with nuts, seeds or fruit  Whole wheat, pumpernickel, rye breads and  White rice, noodles, pasta, macaroni and peeled  Potatoes with skin, brown or wild rice, and kasha Tips for Colon Cleansing
 You may use over the counter hydrocortisone creams and hemorrhoid treatments or tucks wipes as  Cold cereals: Puffed Rice, Rice Krispies, Corn necessary. You may want to purchase alcohol free baby wipes to ease anal irritation and you may also apply Vaseline to protect the skin from irritation.  Tender cooked and canned vegetables without seeds: carrots, asparagus tips, green or wax  Chill the solution in your refrigerator or by setting it in a bowl of ice. DO NOT add ice to your
Winter squash, peas, broccoli, Brussels sprouts, cabbage, onions, cauliflower, baked beans, peas  Set a timer for every 10 minutes; drink the whole glass quickly. The action of this preparation is partly a “flushing” or “dumping” syndrome: if it goes in quickly (dumping it in), it will aid in the cleansing  All berries, figs, dates and raisins  Even if you are sitting on the toilet, continue  Expect that you will be uncomfortable until Fats, Snack, Sweets, Condiments, and Beverages: Fats, Snack, Sweets, Condiments, and Beverages:  Margarine, butter, oils, mayonnaise, sour cream  If you experience nausea or vomiting, rinse your mouth with water, take 15 to 30 minute break and  Pickles, olives, relish and horseradish then continue drinking the prep solution.  Sugar, clear jelly, honey, and syrup  All desserts containing nuts, seeds, dried fruit,  Spices, cooked herbs, bouillon, broth, and soups coconut, or made from whole grains or bran  Eventually your stools will be liquid, and clear enough so that you can see the bottom of the toilet. Continue drinking until the solution is gone.  Crackers and snack chips made with whole grains  Gelatin, plain puddings, custard, ice cream,  Ground, well-cooked tender beef, lamb, ham, veal, pork fish, poultry and organ meats.


Otc guide10.28.03.doc

Announcement: Over-the-Counter (OTC) Drugs Now FSA Reimbursable IRS Revenue Ruling 2003-102, released September 3, 2003, permits many OTC drugs purchased without a physician’s prescription to be reimbursed through a health care flexible spending account (FSA), as long as the items alleviate illness or injury. Below are examples of medical-only and dual purpose OTC


• have anything to eat at least 6 hours prior to your surgery. You can drink CLEAR fluids (ie nothing with milk in it) up to two hours before your surgery • smoke for at least 6 weeks before and 2 weeks after surgery. This is particularly important for patients undergoing Breast Reduction, Tummy tuck or Facelift surgery. • overdo alcohol. You don’t have to stop all alcohol intake but i

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