Patient Education Procedure Prep & Instructions

PROCEDURE PREPARATION:

• 5-7 days prior to the procedure: Pick up your prep prescription at the pharmacy.
• Arrange a responsible adult driver. (Uber/Lyft, Bus, Taxis are not allowed). Plan to be at the facility for approximately 2-2.5 hours from the check-in time.
• Please inform the staff if you are taking any blood thinning medication, including Aspirin, fish oil, Coumadin/Warfarin, Plavix/Clopidogrel, Eliquis, Pradaxa, Xarelto, Brilinta as these need to be held 5-7 days in advance. STOP Phentermine at least 2 weeks prior to exam.
• Avoid seeds, nuts, fiber and iron supplements 3-4 days prior to the exam
• You will be on a CLEAR LIQUID DIET THE ENTIRE DAY BEFORE THE PROCEDURE (see attached) and will be required to drink a 2-part laxative prep (1 dose in the evening, 1 dose the morning of the exam)
• You may consume clear liquid items while doing the prep doses but all items must be completed 3 HOURS prior to your arrival time. Do not consume anything by mouth for 3 hours prior to the exam.
• Essential prescribed medications (blood pressure, thyroid) may be taken as scheduled on the day of the procedure with exception to blood thinners and diabetic medications.

POST PROCEDURE:

• You will be given endoscopic results and discharge instructions in recovery
• Details of your procedure and pathology results will be discussed at your follow up office visit (2 weeks following the exam)
• Plan to rest at home the day of your procedure, normal activities may be resumed the following day. Refrain from driving on the day of your procedure.
• Hydrate well and avoid heavy exercise for 2-3 days.
• You will receive a call from the surgery center the day after your procedure to follow up with you and answer any additional questions that you may have.

IMPORTANT POINTS:

• Drink plenty of fluids the day prior to your procedure. This will keep you well hydrated and your bowel preparation will be more successful.
• Nausea and cramping can occur while consuming the preparation, if necessary you may drink the preparation slowly, taking short breaks until this subsides.
• Should you have any questions please call the surgery center at 951-698-8805
• Please refer to our website (www.UnitedGI.com) for valuable information and frequently asked question.

CLEAR LIQUID DIET EXAMPLE:

The day before your colonoscopy you MUST remain on a clear liquid diet.

• Water (tap or carbonated)
• Coffee with sugar or honey (no creamer)
• Tea (no milk or chai)
• Clear Soda (7Up, Sprite)
• Gatorade/Powerade (No Red or Purple)
• Crystal light or powdered drinks
• Pulp-free juice (apple, white grape)
• Clear Hard Candy
• Jell-O (no red or purple, no fruit)
• Clear Broth (chicken, beef or vegetable)
• Popsicles

Please DO NOT consume solid food, items that are red or purple in color, juice with pulp, smoothies, milk products, or alcohol. If in doubt about something not on this list, avoid it!

PROCEDURE PREPARATION:

• Nothing to eat/drink after midnight before the procedure.
• Arrange a responsible adult driver. (Uber/Lyft, Bus, Taxis are not allowed). Plan to be at the facility for approximately 2-2.5 hours from the check-in time.
• Please inform the staff if you are taking any blood thinning medication, including Aspirin, fish oil, Coumadin/Warfarin, Plavix/Clopidogrel, Eliquis, Pradaxa, Xarelto, Brilinta as these need to be held 5-7 days in advance. STOP Phentermine at least 2 weeks prior to exam.
• Avoid seeds, nuts, fiber and iron supplements 3-4 days prior to the exam
• You will not be able to eat or drink ANYTHING after midnight the night before your procedure
• Essential prescribed medications (blood pressure, thyroid) may be taken as scheduled on the day of the procedure with exception to blood thinners and diabetic medications.

POST PROCEDURE:

• You will be given endoscopic results and discharge instructions in recovery
• Details of your procedure and pathology results will be discussed at your follow up office visit (2 weeks following the exam)
• Plan to rest at home the day of your procedure, normal activities may be resumed the following day. Refrain from driving on the day of your procedure.
• Hydrate well and avoid heavy exercise for 2-3 days.
• You will receive a call from the surgery center the day after your procedure to follow up with you and answer any additional questions that you may have.

MEDICATIONS REQUIRED:

The patient will need to purchase the following prep medications prior to the exam (all are available over the counter at the pharmacy:

• 1 bottle of Magnesium Citrate (any flavor)
• 1 Fleets Enema (saline)

PREPARATION INSTRUCTIONS:

• 1 day prior to exam, eat a regular breakfast and a light lunch
• Start a clear liquid diet at 2:00 pm
• Drink the bottle of Magnesium Citrate at 6:00 pm over 1 hour
• Continue to drink clear liquids until midnight and then nothing by mouth after midnight
• 3 to 4 hours prior to the confirmed arrival time, administer the Fleets Enema