Stanford UniversityMedical Center

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1 Stanford UniversityMedical Center COLONOSCOPY WITH Colyte/NuLytley Two days before the procedure: Add water to the Colyte/NuLytley following the instructions on the on the 4 liter bottle container. Place in the refrigerator overnight to get really chilled. At approximately 2pm, begin drinking the Colyte/NuLytely solution. You will need to drink an 8oz glass every 15 minutes. It will take you about 4 hours to drink the entire 4L. Note that individual responses to laxatives vary. This prep will cause multiple bowel movements. It often works within 30 minutes, but may take up to 3 hours to begin. For dinner, you may have any of the above listed clear liquids. For an afternoon procedure: You may have a clear liquid breakfast before 8AM. You may take your morning medications with a small sip of water, unless otherwise instructed. If you are a diabetic, transportation and taxis are not an option. If you need assistance, our office may be able to help you find a ride.

2 COLONOSCOPY WITH FLEET PHOSPHO-SODA (Advil, Motrin), naproxen (Aleve), Feldene, Relafen, Daypro, etc. Acetaminophen (Tylenol) is Please purchase two 1.5 oz bottles of Fleet Phospho-Soda soda pop, popsicles, and Jell-O. Please, no red or purple colors. It is very important that you drink frequently throughout the day to avoid dehydration and to enhance the laxative response. At approximately 3PM, mix 1 ½ oz Fleets with 4 to 6 oz of chilled water or ginger ale. Drink this and then follow it with an 8 oz glass of another approved clear liquid, like ginger ale or 7-UP. Over the next hour, be sure to drink an additional glass of clear liquids every 15 minutes. At approximately 7PM, repeat this step. One of the most important things to remember is to drink a lot of clear liquids all day long, especially in between the two doses of laxatives and before bedtime. transportation and taxis are not an option. If you need assistance, our office may be able to help you find a ride.

3 FLEXIBLE SIGMOIDSCOPY Preparation for the procedure: Purchase over the counter: One 10oz bottle of Citrate of Magnesia Two Fleet enemas THE DAY BEFORE THE PROCEDURE: At approximately 3:00pm, take ½ bottle (5oz) Citrate of Magnesia. For dinner, you may not have any solid foods. You may drink only CLEAR LIQUIDS. Acceptable clear liquids include: coffee/tea with sweetener only, beef/chicken broth, apple juice, white grape or white cranberry juices, Gatorade, soda pop, popsicles, and Jell-O. Please, no red or purple colors You may not have anything to eat or drink after midnight, except for your morning medications. THE MORNING OF THE PROCEDURE: Please self-administer the two Fleet enemas according to the package directions. The first one is to be given approximately 1 hour prior to your exam. The second enema is to be given 15 minutes after the first.

4 COLONOSCOPY WITH HalfLytely BOWEL PREP KIT Two days before the procedure: Add water to the HalfLytely following the instructions on the on the 2 liter bottle container. Place in the refrigerator overnight to get really chilled. At 3 PM, take 2 Bisacodyl tablets with an 8oz glass of water. Swallow the pills whole. Do not crush or chew. You may experience bowel movements 1-6 hours later. At 6 PM, begin drinking the chilled HalfLytely solution. You will need to drink an 8 ounce glass about every 15 minutes to finish it in two hours. For dinner this evening, you may have any of the above clear liquids. transportation and taxis are not an option. If you need assistance, our office may be able to help you find a ride.

5 COLONOSCOPY WITH Miralax/Gatorade Prep Purchase these items at your pharmacy: One bottle of Miralax powder 255 grams Small box of Dulcolax laxative tablets One 64 ounce bottle of Gatorade Thirst Quencher. (Avoid red flavors) At 3PM, take 4 Dulcolax tablets with an 8oz glass of water. Swallow the pills whole. Do not crush or chew. You may experience bowel movements 1-6 hours later. At 5 PM, mix the 255 gram bottle of Miralax in the 64j oz. bottle of Gatorade. Shake solution until the Miralax is dissolved. Drink an 8 ounce glass about every 15 minutes until completely gone. For dinner this evening, you may have any of the above clear liquids. For a morning procedure: Do not eat or drink anything after midnight the night before. transportation and taxis are not an option. If you need assistance, our office may be able to help you find a ride.