![]() ![]() * Prepare two doses of the Miralax/Gatorade Mixtures.Purchase Miralax 238g (8.3 oz) and 4 Dulcolax Laxative Pills (Not stool softeners) at the pharmacy (over the counter). Whatever system you use, this modern way of timing the intake will make for the best chance of an effective cleansing and a good, safe exam. These instructions are given individually but the principle remains the same: half the night before, and half about four hours before the exam. Some patients still prefer to use old fashioned Miralax preparation, or Osmoprep, which is done with pills (a lot of them!). If you assume it will take about an hour to wake up, drink the second bottle and finish any extra clear liquids, then you should set your alarm for about four hours before the colonoscopy time and start the second half of your preparation right away. So, make sure you know the time of your procedure, and make sure you have finished the second bottle of prep AND any extra clear liquids, three hours before that. ![]() This way it will be empty while you are sedated and there will be no chance of you aspirating while you are asleep. The idea behind the timing of the second bottle is this: For a safe anesthetic, your stomach should have NO clear liquids going into it for three hours (at a minimum) before your procedure. The second bottle is the one that really does the important final preparation. It is easy to get faint and light-headed if you do not drink enough fluids. Follow the prep solution with at least 40 oz of clear liquids and keep drinking as much as you can to avoid dehydration. ![]() Don’t make any plans to leave your house after you start the process – the first bowel movement will arrive unexpectedly without warning any time from one to about four hours after you finish the liquid. The first prep solution bottle should be drunk sometime after work the evening before your exam. jello, chicken broth, popsicles, sorbet, juice without pulp, Gatorade, Miso (without the tofu!). Blended foods do not qualify. Also, no dairy and no protein. Be creative with your clear liquid restriction: anything water-based that light shines through counts as a clear liquid, e.g. Don’t eat a lot of bulky fiber, especially seeds – we are always seeing chia, sesame, quinoa, flax seeds, etc., in an otherwise clean colon, and they clog up the scope and hide small polyps, so you should try to cut them out of your diet for 2-3 days before your colonoscopy.Īfter breakfast, you should have nothing except clear liquids until your exam the next day. The morning of the day of the prep you can have a light breakfast. You will receive instructions to take half the solution in the evening and half of it very early in the morning. We have also found that the “split prep” technique works much better than taking the whole preparation the evening before the exam. The result is that the clear liquids you drink along with them will act as a kind of “colonic” from above – flushing through the colon and washing it clean. These solutions are not really drugs since they don’t get absorbed into the bloodstream but remain in the colon. They contain medications that, when taken orally, will hold water in the bowel so it does not get absorbed into the body. Our office regularly uses one of two similar solutions: Suprep or Clenpiq. ![]()
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