PATIENT INSTRUCTIONS FOR COLONOSCOPY 

ON                            [date] YOUR DOCTOR HAS SCHEDULED YOU TO HAVE A COLONOSCOPY PROCEDURE

If you need to change or cancel your appointment, please call (718) 579-5550 Monday through Friday, 9:00 a.m. to 5 p.m. (except holidays).

YOU MUST DO THE FOLLOWING AT HOME STARTING 4 DAYS BEFORE THE PROCEDURE

On_____ [4 days before the procedure]

  • Purchase your preparation from the pharmacy (but do not mix it). Also stop taking bulk-forming agents such as Metamucil and iron supplements. 
  • Start eating a low fiber diet (no seeds, nuts and dried fruit).

On______ [day before the procedure]

  • Start a liquid diet in the morning. It can consist Jell-O (plain) no red color, clear soup, clear soda, ginger ale, tea, or coffee no milk. 
  • Mix your preparation solution but do not drink it until later in the evening. 
  • DO NOT EAT ANY SOLID FOOD UNTIL AFTER THE PROCEDURE.  
  • Do NOT drink fruit juices, milk, alcoholic beverages, or beer until after the procedure. 
  • Tonight drink only HALF of the PEG-3350 (Golytely). Drink one glass every 10 to15 min. Please set your alarm clock.
  • Many people prefer to drink the mixture chilled, and some prefer to drink it with a straw.

On ____ [day of the procedure]

  • At 4:00 a.m. Drink the SECOND HALF of the mixture.  
  • 3 hours before your procedure, DO NOT DRINK OR EAT ANYTHING until after the procedure.

MEDICATIONS:  

  • If you take oral diabetes medication do not take them on ________ [day before the procedure] and in the morning of the procedure.
  • If you use insulin, take ½ the dose of _____________________ [name of basal insulin] on ________________ [day before the procedure] ONLY. DO NOT TAKE ANY INSULIN ON THE MORNING OF THE PROCEDURE.
  • If you take blood pressure, heart, thyroid or seizure medication, take them the morning of the procedure with a sip of water.
  • If you use asthma inhalers, use them before coming to the hospital
  • Please continue taking your aspirin and anticoagulants as prescribed by your doctor.

 

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