Prep Instructions

IMA - Opelika | Dr. Gilbert
121 N. 20th St. #6, Opelika, AL, 36801
Phone: 334-749-3385
Fax:334-364-9974

What you will need to purchase:

• 4 Dulcolax laxative 5 mg tablets
• 17.9 oz. bottle of Miralax

The day before the procedure:

• Begin a clear liquid diet which includes water, tea, coffee (NO CREAMER), juice, soda, Jell-O, popsicle, chicken or beef broth, bullion, and Gatorade. Not Allowed: Milk, creamer, ice cream, orange juice, cream soups, tomato juice, or anything RED.
• DO NOT EAT ANY SOLID FOOD.
• At 3:00 pm, take 4 Dulcolax tablets with a large glass of water.
• Do not drink anything with sugar in it after starting the Miralax.
• At 4:00 pm begin mixing a capful of Miralax with 8 ounces of water every 10-15 minutes until you complete 12 doses.
• If you experience nausea, slow down the intake of the prep. Liquids while taking prep should be sugar free.
• Continue drinking plenty of water until bedtime.

After midnight the day of the procedure:

• NOTHING to eat or drink other than the prep solution.
• 5 HOURS BEFORE YOUR ARRIVAL TIME, begin mixing a capful of Miralax with 8 ounces of water every 10-15 minutes until you complete 12 doses. However, if the appointment has been scheduled in the afternoon begin the second part of the prep at 6 a.m. and be finished by 8 a.m.
• DO NOT TAKE YOUR DIABETIC MEDICINE THE MORNING OF THE PROCEDURE
• If you normally take medication for blood pressure or your heart in the morning, take these with a sip of water.
• Bring a driver with you for your procedure who will remain with you the entire time you are at the hospital.
• Arrive one hour prior to your scheduled test time.
• Report to the surgery center around back of EAMC.
• Bring a list of medications with you that includes name of medicine, dose, andd how often you take the medicine.
• DO NOT SMOKE THE DAY OF THE PROCEDURE

If you take blood thinners (Coumadin, Effient, Pradaxa, Eliquis, Xarelto, Brilinta or Plavix), you need to stop them prior to your exam. Check with your regular doctor or cardiologist to make sure it is ok to stop your blood thinner. If the blood thinner cannot be stopped, please notify Dr. Gilbert’s nurse as soon as possible. Eliquis, Pradaxa and Xarelto – 3 days prior. Plavix and Effient – 7 days prior. Brilinta and Coumadin – 5 days prior.

To reduce your registration wait time please call admission planning at 528-4266 or 1-877-624-2308. You will receive a call from a nurse who works for Endoscopy 1‐2 days prior to procedure. If you haven’t received a call please call 334-528-2007 the day before procedure.

If you need to reschedule call 334-528-1215

If you are unable to complete the prep;

• If you are unable to complete the prep, stop the prep for a couple of hours then restart the prep where you had previously stopped.
• Go to Endoscopy as scheduled.

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IMA - Opelika | Dr. McGehee
121 N. 20th St. #6, Opelika, AL, 36801
Phone: 334-749-3385
Fax:334-364-9974

MiraLAX and Dulcolax Prep

You will need to purchase the following from your pharmacy:

• 8.3 oz bottle of Miralax Powder
• 2 Dulcolax (bisacodyl) 5mg tablets
• 64 oz. of clear liquids (Gatorade, G2, Gatorade Ice, Powerade, or Powerade Zero) to mix the Miralax in. Nothing red, green, blue, or purple.

The Day Before Your Exam

1. The morning before your exam, mix 64 oz. of Gatorade, G2, Gatorade Ice, Powerade, or Powerade Zero (not red, green, blue, or purple) in a container and refrigerate. (DO NOT ADD ICE)
2. You can have a light breakfast (Examples include: toast, coffee, tea) followed by clear liquids (nothing else solid by mouth until after procedure - only clear liquids until starting prep).
   • Water, Propel, Gatorade, and Powerade are the preferred clear liquids (NO Red, Green, Blue, or Purple)
   • Clear fruit juices: White Grape Juice, White Cranberry Juice, Apple juice (no pulp)
   • Kool-aid (NO Red, Green, Blue, or Purple) or Pedialyte
   • Clear chicken or beef broth (must NOT contain noodles, meats, or vegetables)
   • Tea or coffee without creamer/dairy (sugar is ok)
   • Soda: Coke, Sprite, Dr. Pepper, Diet Coke, Ginger Ale, etc.
   • Jell-O and Popsicles (NO Red, Green, Blue, or Purple)
   • Coffee or tea (without milk or creamer)
3. Take 2 Dulcolax tablets at noon.
4. At 4:00 PM, start drinking your prep. Drink one 8 oz. glass every 10 to 15 minutes. Set a timer every 15 minutes to keep pace. Continue doing this until your prep is gone. Do not eat any food after drinking the prep until after the procedure. You may continue clear liquids until midnight.
5. If the prep makes you feel nauseated: Stop drinking it for 1-2 hours and then try to take it again. If you feel like you are “cleaned out” (bowel movements are clear in color), then go ahead and keep the endoscopy appointment the next day. If you do not feel like you are “cleaned out”, you were not able to tolerate the Miralax, and you do not have problems with your kidney function, you may also try drinking one 8 oz bottle of magnesium citrate (Citroma) followed by five 8 oz glasses of water. It may take 2 bottles of the magnesium citrate to adequately clean your colon. If you do require 2 bottles, please drink at least five 8 oz glasses of water after the first bottle and three 8 oz glasses of water after the second bottle.
6. Do your best to complete the prep and go to endoscopy as scheduled

The Day of Your Exam

1. DO NOT TAKE YOUR DIABETIC MEDICATIONS THE MORNING OF YOUR PROCEDURE. You may take any heart, blood pressure, or thyroid medications in the early morning with a SIP of water.
2. You must have a driver who is 18 years or older present throughout the procedure. If you do not have a driver with you, you will need to reschedule your appointment. This person must remain in the unit during your entire visit so that they are available for the physician to speak with after the procedure. You will not be discharged unless this person is in the unit. Because your judgment may be impaired after this procedure, you will not be released to take public transportation, a taxicab, or even walk home without another responsible adult present to accompany you.
3. Bring all medications (in their original bottles) to the hospital for your procedure

IF YOU TAKE ANY BLOOD THINNERS (ASPIRIN, COUMADIN, PLAVIX, XARELTO, ELIQUIS, BRILINTA, ETC.), THEY WILL NEED TO BE STOPPED PRIOR TO THE PROCEDURE. PLEASE CALL DR. MCGEHEE’S NURSE, JENNY, AT (334) 749-3385 AS SOON AS POSSIBLE TO DISCUSS WHEN EACH MEDICINE SHOULD BE STOPPED.

*If you must cancel or reschedule your appointment, please call Central Scheduling as soon as possible at (334) 528-1215, Option #3.

*If you have not heard from pre-registration at EAMC by 12 p.m. the day before your procedure, please call (334) 528-4266 to pre-register.

*If you have any questions or concerns, please call Dr. McGehee's nurse, Jenny, at (334) 749-3385 during normal business hours (8 a.m. - 4:30 p.m. CST).

Click here for a pdf version of these instructions

The Gastroenterology Center of EAMC
2000 Pepperell Pkwy Canopy 4, Opelika, AL 36801
Phone number: 334-528-6655
Fax: 334-528-6657

MiraLax and Dulcolax Prep

You will need to purchase the following:

• One 8.3 oz bottle of Miralax (polyethylene glycol) Powder (238 grams, 14 doses). Generic is OK.
• 4 Dulcolax (bisacodyl) 5mg tablets
• 64 oz. of clear liquids (Gatorade, G2, Gatorade Ice, Powerade, or Powerade Zero) to mix the Miralax in. Nothing red.

The Day Before Your Exam

1. The morning before your exam, mix all 14 doses of Miralax (polyethylene glycol) in 64 oz. of Gatorade, G2, Gatorade Ice, Powerade, or Powerade Zero (not red) in a container and refrigerate. (DO NOT ADD ICE)
2. You can have a light breakfast (Examples include: toast, coffee, tea) followed by clear liquids (nothing else solid by mouth until after procedure - only clear liquids until starting prep). Water, Propel, Gatorade, and Powerade are the preferred clear liquids. Clear fruit juices: White Grape Juice, White Cranberry Juice, Apple juice (no pulp), Kool-aid (not red) or Pedialyte Clear, chicken or beef broth (must NOT contain noodles, meats, or vegetables.) Soda: Coke, Sprite, Dr. Pepper, Diet Coke, Ginger Ale, etc. Jell-O and Popsicles (not red). Coffee or tea (without milk or creamer)
3. Take 2 Dulcolax (bisacodyl) tablets at noon.
4. At 2 p.m., start drinking your prep. Drink one 8 oz. glass every 15 minutes. Continue doing this until your prep is gone. Do not eat any food after drinking the prep until after the procedure. You may continue clear liquids until midnight.
5. If the prep makes you feel nauseated: SLOW DOWN. Stop drinking it for 1 - 2 hours and then try to take it again. If you feel like you are “cleaned out” (bowel movements are clear liquid), then go ahead and keep the endoscopy appointment the next day.
6. Do your best to complete the prep and go to endoscopy as scheduled.

The day of Your Exam:

1. DO NOT TAKE YOUR DIABETIC MEDICATIONS THE MORNING OF YOUR PROCEDURE. You may take any heart, blood pressure, or thyroid medications in the early morning with a SIP of water.
2. You must have a driver who is 18 years or older present throughout the procedure. If you do not have a driver with you, you will need to reschedule your appointment. This person must remain in the unit during your entire visit so that they are available for the physician to speak with after the procedure. You will not be discharged unless this person is in the unit. Because your judgment may be impaired after this procedure, you will not be released to take public transportation, a taxicab, or even walk home without another responsible adult
3. Bring all medications (in their original bottles) to the hospital for your procedure.

IF YOU TAKE ANY BLOOD THINNERS (ASPIRIN, COUMADIN (WARFARIN), PLAVIX (CLOPIDOGREL), XARELTO (RIVAROXABAN), ELIQUIS (APIXABAN), BRILINTA (TICAGRELOR), ETC.), THEY WILL NEED TO BE STOPPED PRIOR TO THE PROCEDURE. PLEASE CALL DR. NEWMAN OR DR. SHAPIRA'S NURSE AS SOON AS POSSIBLE TO DISCUSS WHEN EACH MEDICINE SHOULD BE STOPPED

If you must cancel or reschedule your appointment, please call Centralized Scheduling as soon as possible at (334) 528-1215 Option #3. If you have not heard from preregistration at EAMC by 12:00 PM the day before your procedure, please call (334) 528-4266 to pre-register. If you have any questions or concerns, please call Dr. Newman or Dr. Shapira's nurse at 334-528-6655 during normal business hours (Mon-Thurs: 8am – 5pm, Fri: 8am - 12pm).

Click here for a pdf version of these instructions

The Gastroenterology Center of EAMC
2000 Pepperell Pkwy Canopy 4, Opelika, AL 36801
Phone number: 334-528-6655
Fax: 334-528-6657

Non-Renal Issues Colonoscopy Patient Prep Instructions

Renal Patient Colonoscopy Patient Prep Instructions

Surgical Clinic, PC
121 North 20th St. Bldg 3, Opelika, AL 36801
Phone: 334-745-6271
Fax: 334-742-9879

MiraLax-Gatorade Preparation

To ensure a successful exam, please follow all instructions carefully.

PURCHASE THE FOLLOWING SUPPLIES AT YOUR LOCAL PHARMACY

• 4 Dulcolax laxative tablets containing 5 mg of bisacodyl each (NOT Dulcolax stool softener)
• 1 - 8.3 oz. bottle MiraLAX (238 grams)-may substitute 2-10oz bottles of Magnesium Citrate (NOT red)
• 64 oz. clear liquid (NOT red). Gatorade, G2, Gatorade Ice, Powerade or Powerade Zero are acceptable

1 DAY BEFORE YOUR COLONOSCOPY

Begin a clear liquid diet after a light breakfast. Drink at least 8 glasses of water during the day to avoid dehydration. At 12 noon, take 4 Dulcolax tablets. Mix 64 oz. liquid with 8.3 oz. MiraLAX and place in the refrigerator (DO NOT ADD ICE). At 5 pm, drink one 8 oz. glass ofthe MiraLAX/Gatorade solution and continue drinking one 8 oz. glass every 15 minutesthereafter until the mixture is gone.

Clear Liquid Examples:

• Gatorade,Pedialyte, Powerade
• Clear broth or bouillon
• Coffee or tea (no milk or non-dairy creamer
• Carbonated and Non-carbonated soft drinks
• Kool-Aid or other fruit flavored drinks
• Strained fruit juices (no pulp)
• Jell-O, Popsicles, Hard Candy

Avoid:

• No red or purple items
• No alcohol
• No milk or non-dairy creamers
• No noodles or vegetables in soup
• No juice with pulp
• No liquid you cannot see through

DAY OF YOUR COLONOSCOPY

Nothing to eat or drink after midnight. You may take all of your morning medications as usual with 4oz. of water up to 3-4 hours before your procedure.

No smoking or tobacco products the day of your procedure.

**If you take a diabetic medication or blood thinnner, please notify your doctor prior to scheduling as some medications need to be stopped ahead of timee.**

**If you need to reschedule your procedure at EAMC, call 334-528-1215, Option #3. If you need to reschedule your appointment at the EAMC ASC, call 334-364-3200. If you are scheduled at Lanier ASC and have questions, call 334-710-0013.**

**You will need a driver to be with you the ENTIRE TIME and take you home after the procedure.**

**If you have any questions, please call Surgical Clinic, PC at (334) 745-6271.**

Click here for a pdf version of these instructions