Please read all of these instructions carefully several days before the procedure.
You
must follow the instructions exactly in order to cleanse your colon
adequately. If your colon is not properly prepared, it may
result in cancellation of your procedure. You will be given a
prescription for the oral colon purge solution MoviPrep and you will need to purchase an over the counter
laxative (Dulcolax).
*4 Days prior to procedure: Avoid high fiber foods such as corn, nuts, tomatoes, lettuce, bran cereals, etc. Click here for more examples on Low Fiber Diet. Drink extra clear liquids all day.
*1 Day prior to procedure: You are to have Clear Liquids only the entire day before your procedure and are encouraged to drink liberally, at least 10 (8 oz.) glasses, throughout the day. Clear liquids include: broth, tea, plain Jell-o(without fruit), punch, Kool-Aid, Sprite, 7-up, clear juices (i.e. apple or cranberry) sports drinks, flavored waters or Popsicles. If you drink or consume red colored products, you may experience red colored bowel movements so this is not advised. You may have clear liquids up until the time of your procedure.
* Please note, the start times below are approximations. If you need
to move the start time up or back an hour or more, then adjust the
other times the same amount.
*At 3pm the Day prior to procedure: Take 1 Dulcolax tablet every 10 minutes with an 8 oz. glass of water until you have taken a total of 4 tablets (over the counter, no prescription needed).
*At 6pm the Day prior to procedure: Step 1: Empty 1 Pouch A and 1 Pouch B into the container provided. Add lukewarm drinking water to the top line of the container. If you prefer, mix solution ahead of time and refrigerate prior to drinking. Use within 24 hours. Start drinking the solution, one 8-ounce glass every 10-15 minutes until the solution is gone. It is best to drink the whole glass quickly rather than sipping small amounts continuously. You may drink other clear liquids or suck on hard candies between glasses of prep solution. Then drink at least two additional 8-ounce glasses of any clear liquid.
Feelings of bloating are common after the first few glasses because of the large amount of fluid ingested. This is usually temporary and should disappear once bowel movements begin. If you experience nausea or cramping, stop drinking for 15 minutes. Try drinking warm tea, broth, or hard candy, and then begin again. Your stools should begin after the first 4-6 glasses. Continue drinking once the stools have begun. They should become more and more liquid and lighter in color.
*At 6am the Day of procedure: Step 2: Follow the same instructions as listed under step 1. The prep is not complete until the stools are clear or light yellow water.
If you
experience any difficulty with the prep, call the Endoscopy Unit at the
number below. You may call any time day or night. An endoscopy nurse
is on call 24 hours a day. For more information and directions to the
Endoscopy Units listed below see the Services page.
Mercy Endoscopy Unit:
398-6484 (7am-5pm) after 5pm: 533-2205
St. Lukes Endosopy Unit:
369-7301
Surgery Center Cedar Rapids:
558-4800 (6am-4pm) after 4pm: 533-7136
IMPORTANT POINTS
--You
must have a driver available to take you home once the procedure is
completed. NO CABS OR BUSES. The procedure will be cancelled if you do
not have a driver to take you home. Your stay will be approximately 2
1/2 to 3 hours.
--You will need a responsible adult to stay with you after your procedure for the remainder of the day.
--If you are on Plavix, Coumadin, Lovenox, or Ticlid, please talk to your doctor well in advance of the procedure.
--DO NOT use Advil (Ibuprofen), Aleve (Naproxen), Relafen, Mobic, Motrin or other NSAIDs for 5 days prior to procedure.
--DO NOT use Aspirin or Fish Oil for 7 days prior to procedure. You may take Tylenol.
--Please
take necessary prescription medications, such as blood pressure and
asthma medications, with a small amount of water on the morning of the
procedure.
--Stop iron supplements at least one week before your procedure. This includes vitamins with iron.
--Stop FIBER supplements 2 days before the procedure. This includes METAMUCIL, CITRUCEL.
--Leave valuables at home.
--Bring a list of your medications and allergies with you.
--Contact your insurance company and confirm the details of your coverage and pre-certification.