准备肠镜-科普 （ZT） Prep

One Day Bowel Prep With MiraLAX and Dulcolax

Buy at the store:

Large bottle (8.3 oz or 238 gm) of laxative polyethylene glycol 3350, such as MiraLAX	4 tablets Dulcolax laxative tablets (5 mg each)	Total of 64 ounces of a sports drink, such as Gatorade (no red or purple) For diabetes: use sugar free option

Starting 5 days before your procedure, do not eat:

Corn	Nuts	Leafy greens	Popcorn
Fruit with skin or seeds	Whole grain or high fiber foods	Do not take vitamins with iron, iron tablets, or fiber supplements.

About this prep

• You will drink a medicine mixture to clear your bowels of all solid matter. You will need to go to the bathroom often, and your stool will get very watery. The prep may cause you to have cramps or feel bloated.
• The prep medicine may not taste good. You need to take all of it so your bowels are clear. Your bowels are clear when you are passing pale yellow liquid without any stool. 
• If you vomit up your prep medicine, have not had any bowel movements, or your bowels are not clear after this prep, please contact the health care provider who is doing your procedure. The procedure may need to be rescheduled.
• If you have a history of heart failure, kidney disease, cirrhosis of the liver, electrolyte problems, or chronic constipation, you may need a different bowel prep medicine. Please contact the nurse for instructions.  
• You should not smoke or vape the day before and on the day of your procedure.    
• If you have an implanted stimulator device, it should be turned off before your procedure. Please bring the remote with you on the day of the procedure. 

Day before your procedure

Start Clear Liquid Diet

Do not eat any solid food or eat or drink any milk products until after your procedure is done. Drink only clear liquids. You can drink clear and light colored liquids up to 4 hours before your procedure. Do not have anything with red or purple dye.      

Okay to have:

Water, flavored water, or ice chips	Coffee or tea  (no milk or cream)	Ginger ale or lemon-lime soda	Fruit juices you can see through, such as apple or white grape
Gatorade, other sports drinks, or drink mixes like Kool-Aid	Popsicles (no fruit or cream) (no red or purple)	Jell-O or other gelatin, without fruit (no red or purple)	Clear broth or bouillon

Do NOT have:

• Alcoholic drinks
• Milk
• Smoothies
• Milkshakes
• Cream
• Yogurt
• Orange juice
• Grapefruit juice
• Tomato juice
• Soup (other than clear broth)
• Red or purple drinks
   

At 3 p.m., take 4 Dulcolax tablets.

Pour all of the MiraLAX and 64 ounces of sports drink into a larger container and shake well. Put it into the refrigerator to keep cool.

At 6 p.m., drink one (8-ounce) glass of the mixture every 10 to 15 minutes until you finish half of it. It may help to use a straw. Put the rest back in the refrigerator.

6 hours before your procedure

6 hours before your procedure, drink the rest of the mixture. You may need to set your alarm to get up to finish your prep medicine. Drink two (8-ounce) glasses of clear liquids after you finish the mixture. You can drink clear liquids up to 4 hours before your procedure.

You can take a small sip of water to take any allowed medicines within 2 hours of your procedure. Your procedure will be delayed or canceled if you drink anything other than a sip of water with medicines. This is important to make sure it is safe to give you sedation or anesthesia.

If you have alcohol, marijuana, or illegal drugs in your system, your procedure may be rescheduled for your safety.

Arriving for the procedure

Arrive by the arrival time on your letter, so the staff can get you ready. 

• Please leave all valuables and jewelry, including piercings, at home.
• Patients who can become pregnant may need to give a urine sample in case a pregnancy test is needed.
• Bring these with you to your procedure:
  • List of all medicines, including prescription and over the counter medicines, and any vitamin or herbal products you are taking
  • List of your allergies 
  • List of medical conditions and previous surgeries
  • Copy of your advanced directive, such as a living will or power of attorney
  • Photo identification, insurance card, and co-payment, if needed

What can you eat during bowel prep?

It’s important to closely follow the bowel prep instructions and avoid certain food and drinks as recommended before your testing.

Five (5) days before your test, you may eat food such as:

• Milk, cream, cheese, yogurt, sour cream, hot chocolate
• Breads and grains made with refined white flour, white rice, plain crackers, low-fiber cereal including puffed rice, corn flakes
• Meat
• Egg
• Juice without pulp, applesauce, fruit without seeds or skin
• Canned or cooked vegetables without skin or peel, tofu
• Broth, bouillon, strained soups, milk or cream-based soup
• Ice cream, sorbet, plain pudding, custard, Jell-O or gelatin without added fruits or red or purple dye, cookies or cake made with white flour without seeds, nuts, or dried fruit
• Ensure, Boost without added fiber

One to two (1-2) days before your test (depending on your instructions), you’ll switch to a clear liquid diet. You can drink clear and light-colored liquids up to four (4) hours before your test. Do not have anything with red or purple dye.

How do you know when bowel prep is complete?

Good bowel prep is essential to have a high-quality colonoscopy exam. Otherwise, abnormalities in the colon, such as polyps, can be hidden by stool and undetected during your testing. Your colonoscopy may have to be repeated if bowel prep is not completed properly.

You should follow the diet instructions thoroughly and take the entire bowel preparation as prescribed. Your stool should be clear or yellow and translucent after you have completed the bowel prep.

 

Bowel prep color guide

   Dark, murky: NOT READY

 

   Brown, murky: NOT READY

 

   Dark orange, semi-clear: NOT READY

 

   Light orange, mostly clear: ALMOST READY

 

   Yellow, clear: READY