Very Important
- Read and familiarize yourself with all the prep instructions.
- Call the office with any questions or concerns at 814-453-2777.
- Discuss diabetes and blood thinner medications with the physicians that prescribed them.
One week before the surgery
- Stop all iron-containing supplements and vitamins
- Stop Plavix medication; if applicable
- Purchase 238 gm bottle of Miralax and Dulcolax tablets (both sold over the counter at your local pharmacy)
Five days before the surgery
- Stop all Aspirin, Coumadin (Warfarin) and Motrin-type (NSAID) drugs
- Avoid fiber supplements as well as high fiber/multigrain foods
One day before the surgery
- A very light breakfast is allowed until 8 a.m. (toast, bagel, cereal type of foods) (no fruits or vegetables allowed)
- Take two Dulcolax tablets after breakfast
- Unlimited clear liquids are allowed until midnight before the surgery
- Avoid all mannitol, lactulose, and xylose sweeteners until after the procedure
- At noon, or as soon as you return home from work, start drinking the Miralax solution
- Miralax should be mixed in clear liquids only (Recommended solutions include Powerade, Powerade Zero, Gatorade, G2 or equivalents.)
- One capful of Miralax (17 gm) should be mixed in 8 oz of clear liquid and taken every 15-20 minutes until entirely consumed
- The clean out process usually takes 4-8 hours
- If nausea develops, take a one-hour break and then resume the prep
- Hard candy and lollipops between Miralax doses helps suppress nausea
- Continue to take clear liquids after the Miralax is completed
- Take two additional Dulcolax tablets two hours before the planned bedtime
- Do not eat or drink anything after midnight or the surgery may have to be cancelled
On the day of the surgery
- Take your morning medications with a sip of water
- Wear loose-fitting, comfortable clothing
- Avoid body powders/lotions
- Arrive at the surgery facility two hours before your exam is scheduled
- Bring a list of your current medications and allergies
- Bring a photo ID and up to date insurance information