MiraLax-Gatorade Preparation for Colonoscopy Before beginning the preparation, you must purchase from your local pharmacy the following: This does not require a. Fruits; Nuts; Red meat; Rice; Vegetables; Liquids to Be Avoided. In preparation for a colonoscopy, your diet should include plenty of liquids. However, there a. Diabetes Instructions for Colonoscopy Preparation and Procedure These are general guidelines. Please call the health care provider who manages your. Find out about your colonoscopy procedure from the Cleveland Clinic, including information on colonoscopy prep, what happens during and after your test & more. What is the Best Colonoscopy Prep? Your colon needs to be perfectly clean for the colonoscopy procedure to be accurate. It must be clear of any debris that might obscure the view inside the colon and rectum. Mayo Clinic College of Medicine and Science; Mayo Clinic Graduate School of Biomedical Sciences; Mayo Clinic School of Medicine; Mayo Clinic School of Continuous. One day before — and the day of — your colonoscopy, you will be on a clear-liquid diet. The chart shows examples of drinks you can include, and what to avoid. Easy Colonoscopy Preparation or “Colon Prep” Your colon needs to be perfectly clean for the colonoscopy procedure to be accurate. It must be clear of any debris. A colonoscopy is a procedure to look at the inside of the colon. The colon is the large intestine and the last part of the digestive system. The colon dries. Referral form. Thanks to innovations in colon prep products, the cleansing process is a lot easier and more palatable than in the past. You’ll find the colonoscopy preparation of choice as well as a list of the various colon preps. There are also free download instructions where listed. Colonoscopy Preparations Compared: Antibiotic Prophylaxistop. Colonoscopy Preparation of Choice. It does not require a prescription. It is cheaper than all of the other prescription colonoscopy preparations. It has been proven safe in a wide range of patients; including the elderly, diabetic, hypertensive, cardiac and renal as well as those with electrolyte imbalances. Patients can add taste by mixing it with their favorite flavor of Gatorade G2. Plan to be near a bathroom from the time the preparation is started until the end of the evening. The patient’s bowels may begin to move in about thirty to sixty (3. Feelings of nausea and bloating are common and resolve with time. An A+D type ointment applied to the rectal area can help with any irritation in that area. The goal is for the patient’s stool to be clear or light yellow water. Supplies: Two (2) bisacodyl tablets, which are available at any pharmacy. No prescription needed. Polyethylene glycol 3. No prescription needed. Also sold under the brand name Mira. LAX. Choice A: Buy one (1) 2. Choice B: Buy two (2) 1. Note: Some bottles of polyethylene glycol 3. Be sure to get the non- prescription polyethylene glycol 3. Two (2) 3. 2- ounce bottles of Gatorade G2 (6. It must be Gatorade G2. Do not substitute. Gatorade G2 is the only acceptable drink for mixing with the bowel preparation. Refrigerate the Gatorade G2 until its cold before use. Optional Supplies: A+D type ointment for rectal irritation. One week prior to your procedure: Do not take iron pills or medications that thin your blood (i. Coumadin, aspirin, ibuprofen naproxen, etc.) one week prior to your exam. Five days prior to your procedure: Please begin a restricted fiber diet which will result in less waste matter being discharged from the intestines, and smaller feces, thereby making the gastrointestinal tract easier to clean. Do not eat nuts, seeds, popcorn, corn, broccoli, cabbage, salads and onion. Discontinue high fiber foods, and fiber supplements like Metamucil and Konsyl. The day before the procedure: Drink only clear liquids for breakfast, lunch, and dinner. Solid foods, milk or milk products are not allowed. As a general rule, if you can see your fingers through a glass of liquid, that liquid is OK to drink. Red- colored liquids are not OK to drink because they can look like blood during the examination of your colon. Clear liquids include: Water. Gatorade. Ice Popsicle. Clear broth or bouillon. Kool- Aid or other fruit flavored drinks. Carbonated and noncarbonated soft drinks. Plain Jell- O (without added fruits or toppings)Coffee or tea (without milk or non- dairy creamer)Stained fruit juices without pulp (apple, white grape, lemonade)The day before the procedure at Noon: Take two 5mg Bisacodyl tablets with water. Do NOT chew or crush the tablet. No antacids should be taken within one hour of taking the bisacodyl delayed- release tablet. Wait for a bowel movement (or a maximum of six hours). First Dose: The day before the procedure at 6: 0. PM: After the first bowel movement, or by 6: 0. Choice A, mix one- half of a 2. Gatorade G2. Drink this over one to two (1–2) hours. For Choice B, mix one (1) of the 1. Gatorade G2. Drink this over one to two (1–2) hours. TIP: For most patients, rapidly drinking a glassful is better than sipping an ounce or two at a time. Clear liquids are gulped faster and easier if they are ice cold, have little or no calories, and if they are sipped through a straw. Consider yourself a connoisseur and try pre- chilling your glass before using. Take other clear liquids between doses of the bowel preparation. Drinking at least one (1) gallon of clear liquids during the evening will improve the quality of bowel cleansing. Second Dose: Take the second dose the morning of your colonoscopy. To determine when to start the morning preparation, allow at least four (4) hours for the preparation, and add the driving time to the endoscopy unit. The closer this second dose of the preparation is taken to the actual procedure, the better the preparation will be! Mix the remaining one- half bottle of polyethylene glycol 3. Gatorade G2 or mix the second 1. Gatorade G2. Drink this over one to two (1–2) hours. Stop drinking liquids four (4) hours before the scheduled appointment time. You must be accompanied by a friend or relative to drive you home. CAUTION: Polyethylene Glycol 3. COLON PREPARATIONSYour colon needs to be perfectly clean for the colonoscopy procedure to be accurate. It must be clear of any debris that might obscure the view inside the colon and rectum. You will be prescribed either a “polyethylene glycol 3. Osmo. Prep” tablets, or “Suprep” solution. All drugs should be taken with caution – see below: top. Mira. LAX Polyethylene Glycol. Gatorade Preparation: Its advantages are that it does not require a prescription, which makes it cheaper than all of the other prescription polyethylene glycol 3. Furthermore, it has been proven safe in a wide range of patients including the elderly, diabetic, hypertensive, cardiac and renal as well as those with electrolyte imbalances. Patients add taste by mixing it with their favorite flavor of Gatorade G2. This prep is only 1- quart when mixed, and is given in a split dose regimen, which is better tolerated by patients. Mira. LAX Polyethylene Glycol 3. Gatorade Colonoscopy Preparation Prescription Rx & Instructions. CAUTION: Polyethylene Glycol 3. Prescription Polyethylene Glycol 3. Gatorade Preparations: Prescription versions of polyethylene glycol 3. Tri. Lyte. Sulfites tend to be less palatable and are therefore not preferred by patients. CAUTION: Polyethylene glycol 3. Osmo. Prep Phospho- soda Preparation: Osmo. Prep. Patients whom have had a bad experience with traditional polyethylene glycol 3. Instructions for taking prescription Osmo. Prep. There have been reports of acute phosphate nephropathy, a type of acute renal failure that is a rare but serious adverse event, associated with the use of oral sodium phosphates (OSP) for bowel cleansing. Notify your physician’s office immediately if you are taking any of these medicines or have any of these conditions and ask your doctor to verify which colon preparation he wants you to take. Children under the age of 1. Suprep Sodium- potassium- magnesium Sulfate Preparation: Suprep. Patients whom have had a bad experience with polyethylene glycol 3. Suprep. Sulfites tend to be less palatable and are therefore not preferred by patients. Instructions for taking prescription Suprep. Most common adverse reactions (> 2%) are overall discomfort, abdominal distention, abdominal pain, nausea, vomiting and headache. Use is contraindicated in the following conditions: gastrointestinal (GI) obstruction, bowel perforation, toxic colitis and toxic megacolon, gastric retention, ileus, known allergies to components of the kit. Use caution when prescribing for patients with a history of seizures, arrhythmias, impaired gag reflex, regurgitation or aspiration, severe active ulcerative colitis, impaired renal function or patients taking medications that may affect renal function or electrolytes. Use can cause temporary elevations in uric acid. Uric acid fluctuations in patients with gout may precipitate an acute flare. Administration of osmotic laxative products may produce mucosal aphthous ulcerations, and there have been reports of more serious cases of ischemic colitis requiring hospitalization. Patients with impaired water handling who experience severe vomiting should be closely monitored including measurement of electrolytes. Advise all patients to hydrate adequately before, during, and after use. Each bottle must be diluted with water to a final volume of 1. Children under the age of 1. GI) obstruction, bowel perforation, toxic colitis and toxic megacolon, gastric retention, ileus, and known allergies to components of the kit; should not use Suprep. Colonics are often promoted by Natural Health Practitioners for colon detoxification. A 3. 0- minute infusion of short pulses of warm tap water via the rectum through a rectal tube immediately before the colonoscopy, combined with magnesium citrate 1. Polyethylene glycol 3. PEG) in those individuals who cannot tolerate oral administration of PEG. The disadvantages to this colon preparation is that its time consuming, requires skilled nursing to administer, and as a result it is expensive to use. CAUTION: In patients with congestive heart failure or impaired kidney function, there is a danger of a fluid overload in this procedure which could result in a cardiac arrest. Antibiotic Prophylaxis. Are preoperative, perioperative, or peri- procedural antibiotics ever indicated for a colonoscopy procedure, EGD, or upper gastrointestinal endoscopy? The answer to this age old question is ever changing. For example, there are two past indications for which antibiotic prophylaxis is no longer relevant: NON- INDICATION FOR ORTHOPEDIC PROSTHESISAs of 2. Antibiotic prophylaxis is not recommended for patients with orthopedic prosthesis who are undergoing GI endoscopic procedures. NON- INDICATION FOR INFECTIVE ENDOCARDITISAs of 2. Antibiotic prophylaxis solely to prevent infective endocarditis (IE) is no longer recommended before endoscopic procedures. Antibiotic Prophylaxis for Colonoscopy. As of 2. 00. 8- 2. Cirrhosis with acute GI bleeding. Cystic lesions along the GI tract. Please see our web page on Antibiotic Prophylaxis for a complete explanation. Antibiotic Prophylaxis for Upper Endoscopy, Esophagogastroduodenoscopy (EGD)As of 2. EGD) procedure: Cirrhosis WITH acute GI bleeding.
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