Services – Gastroenterological Procedures and Preps
Miralax Prep for Colonoscopy
Items Needed:
Four
Dulcolax tablets
Purchase
from pharmacy one 255 gram bottle of Miralax or generic equivalent
Purchase
one 64oz. bottle of Gatorade. (NO RED FLAVORS)
One week prior to
procedure:
Stop
taking blood thinning medications, including Coumadin, Plavix, Aspirin, or
Aspirin containing medications, such as Goody’s or BC Powders. Any form of Tylenol product is
safe to continuing taking.
Stop
taking iron and vitamins with iron 5 days before the colonoscopy.
Read and familiarize yourself with the
preparation instructions below.
Three days prior
to Procedure:
Stop
taking any anti-inflammatory such as Ibuprofen, Aleve, Motrin and Advil.
Discontinue
fiber supplements, such as Metamucil, Citrucel, Benefiber, fiber-con,
etc. You may continue to eat
fiber-containing foods.
One day before
procedure:
Start on a clear
liquid diet all day! Do
not eat solid food of any kind.
Take
you usual prescription medications (except iron). If you have Diabetes: You
should take your diabetic medications at one half the usual dose. Monitor your blood sugar at your
usual times.
Sometime between 12 Noon and 6:00pm take the 2 Dulcolax tablets. Please keep in mind that the cleansing process will take 4 to 8
hours or longer so plan your schedule accordingly.
Two hours after taking Dulcolax
tablets mix the 255 gram bottle of Miralax in 64 oz of Gatorade. Shake the solution until the
Miralax is dissolved. Drink 8
oz. every 15-30 minutes until the entire solution is gone. Continue to drink clear liquids
until bedtime. If you become
nauseated during the ingestion of the Miralax pre; stop the prep for 45
minutes then resume.
8pm
take 2 Dulcolax tablets
Nothing to eat or drink after
midnight.
On the day of the
procedure:
If you take heart or blood pressure
medications, please take it early in the morning of your procedure with a small
amount of water. If you are
diabetic, please DONOT take your diabetic
medication on the day of your procedure (and check with your PCP or
endocrinologist regarding diabetic medication). You will be sedated for the procedure.You must have someone drive you home
after the procedure or it will not be performed. This is for your safety. You
may not take a taxi by yourself or ride the bus.
Attention Patients scheduled in Digestive
Healthcare’s Endoscopy Lab:
Your driver must check in and wait for
you in the Endoscopy waiting room. It generally takes 1 ½ - 2 hours
for a procedure to be completed.
Bring your insurance cards and
picture ID with you.
Bring a list of your medications.
Leave your car keys and parking
ticket with your driver.
If you have any special needs
please notify the staff prior to your procedure (Pacemaker, internal
defibrillator, latex allergy, need interpreter).
Wear comfortable clothes to your procedure. Please wear shoes that will remain on your feet (i.e. No
flip flops, sandals or backless shoes)*
If you cannot keep your
appointment you must call and cancel the appointment 72 hours prior to the
appointment to avoid being charged a cancellation or no show fee of $150.00.
PLEASE NOTE:
When you receive your statement
from this procedure, there will be an invoice for the doctor’s fee, an invoice
for the endoscopy center (supplies and nursing care)
and you may receive a separate bill from the Pathology laboratory if biopsies
are obtained.
If you have any questions
regarding insurance or precertification, please call our billing office at
404-603-3543.
**If your insurance does not cover
this procedure or you have been notified that there is a deductible or copay you need to pay, please bring a credit card. If you
are paying by check, bring 2 checks with you (one for the Doctor’s fee and one
for the center) **
***Digestive Healthcare of Georgia Endoscopy Center is Co-Owned by the physicians of
Digestive Healthcare and Piedmont Hospital. ***
