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Miralax-Gatorade (colonoscopy prep)

Miralax has not been proven safe for patients with a history of congestive heart failure, cardiomyopathy or with renal failure. Patients over 75 years of age should not take the Miralax prep but instead should take the GoLytely prep.

PLEASE READ ENTIRE INSTRUCTIONS BEFORE STARTING YOUR PREP

  • If you are diabetic, consult your doctor for diet and medication instructions.
  • If you take medication to thin your blood and have not already discussed this with our office, please call (320) 229-4974.
  • If you take aspirin, you may continue to do so.
  • If you are or may be pregnant, please discuss the risks and benefits of this procedure with your doctor.
  • Check with your insurance carrier about coverage (phone number on the back of your insurance card).
  • You will not be able to return to work the day of your procedure.
  • You must arrange for a ride for the day of your exam. If you fail to arrange transportation with a responsible adult your procedure may be canceled and rescheduled.
  • If you must cancel or reschedule your appointment, please call (320) 229-4933 as soon as possible. You may also call (800) 835-6652, ext. 74933, Monday through Friday between 7:30 a.m. and 5 p.m.
  • Dress comfortably, short sleeves are allowed under your patient gown. Please leave your valuables at home. If you wear glasses, bring your glass case with you.

To ensure a successful exam, please follow all instructions carefully. Failure to accurately and completely prepare for your exam may result in the need for an additional procedure and both procedures will be billed to your insurance.

Before your exam:

  • You will receive two phone calls (one from a nurse and one from registration) 1 to 2 days prior to your scheduled procedure. If you have questions, you can call (320) 229-4974. Information will be collected to pre-admit you. This will assist us in giving you the best care possible.
  • Purchase the following:
    Bisacodyl/Dulcolax 5mg. tablets, 4 oral tablets, available over-the-counter at your local pharmacy

      Miralax powder, 1 bottle (8.3 ounces or 238 grams, available over-the-      counter at your local pharmacy)

      Gatorade (64-ounces or two 32-ounce bottles) no red or purple,
      orange is okay (available at any grocery store).

  • 5 days before your exam: stop taking medications containing iron; this includes iron supplements and multivitamins with iron.
  • 3 days before your exam: stop eating all high fiber foods and begin a low fiber diet. A low fiber diet makes the cleanout more effective. Examples of a low fiber diet include: white bread, white rice, pasta, potato without skin, plain crackers, fish, any cooked meat, eggs, peanut butter without nuts, clear beverages (apple juice, white grape juice, Sprite, sparkling water, Gatorade), any cooked vegetables, milk, yogurt, cheese and jelly.

    Avoid raw fruits or vegetables, whole wheat or high fiber foods, seeds, nuts, popcorn, Metamucil, Fibercon, bran or any bulking agent.
  • 2 days before your exam: continue a low fiber diet, drink at least 8 glasses of water during the day, refrigerate the Gatorade if you wish to drink it cold, stop eating solid foods at 11:45 p.m.
  • 1 day before your exam: start a clear liquid diet — no solid foods. Examples of a clear liquid diet: water (drink at least 8 glasses of water during the day), coffee or tea (do not add milk or creamer), clear broth or bouillon, Gatorade, Pedialyte (no red or purple),
    carbonated and non-carbonated soft drinks (no red or purple), strained fruit juices without pulp (orange, apple, white grape, white cranberry), Jell-O, popsicles, hard candy, (no red or purple). Avoid red or purple liquids, alcohol and dairy products.

Continue 1 day before exam: if your exam is before 11 a.m.

  • You will need to be on a clear liquid diet the entire day.
  • In the morning, mix the entire contents of the Miralax powder with the Gatorade until completely dissolved. You may put the solution in the fridge but it is not necessary.
  • At 9 a.m. take the 4 oral tablets of Biscodyl/Dulcolax.
  • At 6 p.m. start drinking your solution of Gatorade and Miralax. You will drink half (32 ounces) of this solution.
  • Set a timer for every 15 minutes. Drink an 8-ounce glass of solution to help flush your colon. If you feel nauseated, bloated, have cramping or vomit, rinse your mouth with water, take a 15 to 30 minute break and then continue until the 32 ounces of prep solution are gone.
  • It will take about 1 to 2 hours to complete drinking the 32 ounces of prep solution.
  • Continue to drink clear liquids after you finish the 32 ounces of prep solution.

Day of Procedure

  • Start drinking the last half (32 ounces) of your prep solution at 4 a.m.
  • Set a timer for every 15 minutes. Drink an 8-ounce glass of solution to help flush your colon.
  • You will need to finish this at least 2 hours before your scheduled procedure time.
  • You must finish all of the prep solution.
  • You may have clear liquids up to 2 hours before your procedure.
  • Allow extra time to travel to your procedure, you may need to stop and use a restroom along the way.

Continue 1 day before exam: if your exam is after 11 a.m.

  • You will need to be on a clear liquid diet the entire day.
  • In the morning, mix the entire contents of the Miralax powder with the Gatorade until completely dissolved. You may put the solution in the fridge but it is not necessary.
  • At 9 a.m. take the 4 oral tablets of Biscodyl/Dulcolax.
  • At 6 p.m. start drinking your solution of Gatorade and Miralax. You will drink half (32 ounces) of this solution.
  • Set a timer for every 15 minutes. Drink an 8-ounce glass of solution quickly to help flush your colon. (If you feel nauseated, bloated, have cramping or vomit, rinse your mouth with water, take a 15 to 30 minute break and then continue until the 32 ounces of prep solution are gone.)
  • It will take about 1 to 2 hours to complete drinking the 32 ounces of prep solution.
  • Some patients will continue going to the bathroom throughout the night.

Day of Procedure

  • Start drinking the last half (32 ounces) of your prep solution at 8 a.m.
  • Set a timer for every 15 minutes. Drink an 8-ounce glass of solution to help flush your colon. (If you feel nauseated, bloated, have cramping or vomit, rinse your mouth with water, take a 15 to 30 minute break and then continue until the 32 ounces of prep solution are gone.)
  • It will take about 1 to 2 hours to complete drinking the 32 ounces of prep solution.
  • You will need to finish this at least 2 hours before your scheduled procedure time.
  • You must finish all of the prep solution.
  • You may have clear liquids up to 2 hours before your procedure. Have nothing to drink after that time.
  • Allow extra time to travel to your procedure, you may need to stop and use a restroom along the way.

Colon Cleansing Tips

  • Stay near a toilet! You will have diarrhea.
  • If you feel nauseated, bloated, have cramping or vomit, rinse your mouth with water, take a 15 to 30 minute break and then continue until the 32 ounces of prep solution are gone.
  • You will be uncomfortable until stool is flushed from your colon, you may feel chilled.
  • You may suck on hard candies, (No red or purple)
  • Alcohol-free baby wipes or Vaseline may help ease skin irritation.
  • Over-the-counter hydrocortisone creams, hemorrhoid treatments or Tucks may be used if desired.

Checklist

  • You are ready for your exam, if you followed instructions and your stool is all clear or yellow liquid (nothing solid).
  • Unless you were told otherwise, we recommend holding your morning medications until after your procedure.
  • Bring a list of your current medications and allergies to your appointment if you have not talked with the pre-admission nurse.

If you have questions regarding these instructions, please call 320-229-4933 Monday through Friday between 7:30 a.m. and 5 p.m. or you may call us toll free 800-835-6652, ext. 74933.

Miralax has not been proven safe for patients with a history of congestive heart failure, cardiomyopathy or with renal failure. Patients over 75 years of age should not take the Miralax prep but instead should take the GoLytely prep.

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