Two Days Before the Examination

• Read the instructions. Follow them until complete.
• Always have an "Alternative Prep" ready in case of intolerance. Including 8 Dulcolax tablets.
• Notify your doctor if:
• You are taking Aspirin like products, ibuprofen, Plavix, Coumadin. You may need to stop that 1 week before the procedure.
• You have a history of heart murmur, vascular graft implantation, or prosthetic joints, as prophylactic antibiotics may be necessary.
• Prior history of Bowel obstructions
• Persistent nausea, vomiting or abdominal distension
• Alert your physician if you have renal disease, diabetes or take diuretics or blood thinners. 
• Understand the following definitions:
• Clear liquid diet: Liquid that allows light to go thru or that you can see thru. i.e. strained fruit juices, without pulp (apple, white grape, lemonade), water, Gatorade, clear broth or bouillon, coffee or tea (without milk or non-dairy creamer). Carbonated or non-carbonated soft-drinks, Kool-aid, (or other fruit flavored drinks), plain Jell-O, (preferably clear or yellow, without added fruit or toppings), ice popsicles
• High Fiber diet: TO BE AVOIDED 2 DAYS BEFORE PROCEDURE. Roughage in general, i.e. Broccoli, tomato, corn, cucumber, zucchini, green peppers, green beans, beans, etc.
• NPO: Nothing by mouth after midnight.
• Your bowel movements MUST be as clear as possible, like dish water.
• Bowel Movements once a week or more? Constipated? Your prep may be more challenging. A week before you may need stool softeners or laxatives. Ask your doctor.

Day Before the Examination

• Drink only clear liquids for breakfast, lunch, and dinner. Solid foods, milk, or milk products are NOT allowed.
• You may take your regular medications EXCEPT anticoagulants, medications for Diabetes or insulin. Ask your physician.
• If you take insulin notify our scheduler to be one of the first cases of the day.