Please follow these instructions carefully so the examination will be successful. The day prior to the procedure you will need to prep which will cause diarrhea. If you do not have liquid stools after taking this prep notify the office at 239-772-3636 before coming in for your colonoscopy.
Date of Procedure: ___________________ Arrival Time: ___________________
Location of Procedure:
_____ Cape Health Surgery Center 665 Del Prado Blvd. S Cape Coral 33990 right across the street from the Cape Coral Hospital.
_____ Cape Coral Hospital 636 Del Prado Blvd. S. Cape Coral 33990 – main entrance first left into outpatient services.
Remember you must have someone to drive you home.
- 64 oz. of Gatorade
- 1 bottle of Miralax 238 gram
- 1 bottle of Cirate of Magnesium 10 oz.
- Dulcolax (laxative) or generic x 4 tablets
On ____________________ follow the instructions below. NO SOLID FOODS on this day.
- In the morning, mix the entire bottle of Miralax with 64 oz of Gatorade. You may use another clear liquid if unable to tolerate Gatorade. We recommend Gatorade as it replaces electrolytes. Allow the powder to dissolve. Refrigerate the solution. Do not let anyone else drink this preparation.
- Until 12 noon you will be allowed full liquids (milk, ensure, boost, plain yogurt with no pieces of fruit, creamed soup with no chunks, ice cream, and creamer) and clear liquids (water, tea, coffee, broth, apple/white grape juice, jell-o, Gatorade, soda, and popsicles).
No solid foods.
- After 12 noon you will only be allowed clear liquids (water, tea, coffee, broth, apple/white grape juice, jell-o, Gatorade, soda, and popsicles). No solid foods.
- At 3pm, take the 4 Dulcolax tablets. Follow this by drinking the Miralax/Gatorade solution. You will need to drink an 8 ounce glass of the preparation every 15-30 minutes until the entire 64 oz is gone. Nausea can be side effect of this preparation. If you become nauseated stop, wait 30 minutes, and then continue. You need to finish the solution within 4 hours. Continue to drink lots of clear liquids.
- At 10pm drink the bottle of Citrate of Magnesium. Continue drinking Clear Liquids only thru the evening.
- On __________________ the day of your procedure you may continue to have CLEAR LIQUIDS ONLY until 4 HOURS PRIOR to your arrival time. Please note if you drink any liquids within the 4 hour window your procedure will be delayed or cancelled.
Make sure you take your blood pressure and heart medications day before and day of procedure. Do not take oral diabetic agents, insulin, diuretics (Lasix, HCTZ), vitamins or supplements the morning of your procedure.
Pre Procedure Medication Instructions
If you take blood thinners you may be at an increased risk of bleeding if tissue is removed. You may continue aspirin unless otherwise instructed to stop by your doctor. The risk of stopping your blood thinner must be individualized for each patient. If you had a stent placement within the past 12 months or have a history of TIA’s, talk to your physician before stopping these medications. Please remind staff at the Endoscopy unit that you are taking blood thinners.
Stop taking: Coumadin Plavix Other ___________________ on ___________________
Please resume your medication after the procedure is completed or as directed by the doctor.
If you are diabetic we will do our best to schedule your procedure in the morning.
On __________________ you will be on full liquids until noon and clear liquids the rest of the day. Do not take your diabetic medications the morning of the procedure. You will need to only take one half (1/2) of your morning and evening dose. Once the procedure has been completed and you have eaten a meal you will need to take one half (1/2) of your morning dosage. Resume your normal dosage regime after this.
What to expect for your Colonoscopy:
Colonoscopy utilizes a long flexible tube camera to evaluate the large intestine. This test is commonly performed to investigate the cause of blood in the stool, diarrhea, abdominal pain, a change in bowel habits, or personal/family history of polyps/cancer.
An intravenous (IV) will be started in your arm and you will be sedated to make you drowsy and relaxed. The examination is performed with you lying on your left side and colonscope will be gently guided through the colon. If any abnormalities are found such as polyps, biopsies (removal of small pieces of tissue) may be taken for examination. This is a very safe procedure and in many cases eliminates the need for surgery.
Your stay at the facility will be approximately two hours long, depending on how long it takes to pass the scope through the colon. Please bring with you to the center your glasses, hearing aids, dentures (no Fixodent or glue), insurance card, photo ID, and Medication list. Do not bring jewelry or any valuables. Do not use lotion, sprays, and perfume/cologne. Wear warm loose fitting clothing.
After the procedure:
You will be observed for about thirty minutes before going home. You will not allowed to drive for 24 hours after the procedure since you will be drowsy several hours afterward. Following the procedure, your doctor will inform you of the preliminary results of the test. A follow-up visit may be scheduled so the final test results (biopsies) can be explained to you when you are fully awake.
This is a very safe examination, but there is a small risk of complications, which occur in less than 1% of patients which could include bleeding or perforation of the bowel. Reactions to medications may rarely occur such as allergic reactions or difficulty breathing. If you experience severe pain, bleeding, or any serious problems after the test, please contact our office immediately at (239) 772-ENDO (3636).