Colonoscopy Two Day Gallon Prep Instructions | McKay-Dee Gastroenterology Clinic (2024)

Please read and follow the below instructions carefully. A complete colonoscopy cannot be completed if your colon is not clean and you will be rescheduled.

Seven Days Prior To Your Exam

  • Discontinue all Iron supplements.

Three Days Prior To Your Exam

  • Purchase your SUPREP bowel prep at the pharmacy.
  • Discontinue all blood thinning drugs (prescription and non-prescription), including:
    • Coumadin
    • Plavix
    • Xarelto
    • Elequis
    • Pradaxa
    • Prasugrel
    • Brilinta
    • Cilostazol
    • Aggrenox
    • Aspirin and any aspirin-containing medications, e.g. Bayer, Anacin, Excedrin, Advil, Naprosyn (Naproxen)
    • Alka Seltzer
    • Ibuprofen
    • Motrin
    • Aleve or any arthritis pain medications

    REMEMBER! The physician that prescribed your blood thinner medication MUST approve this action BEFORE you discontinue these medications when you are taking them for blood thinning.

  • Avoid nuts, seeds, whole wheat bread, beans, corn, raw fruits and vegetables with seeds or skin as they may adversely influence the quality of your exam.

Two Days Prior To Your Exam

  • Restrict your diet to CLEAR LIQUIDS ONLY. No solid food until after the procedure and stay hydrated.
    • CLEAR LIQUIDS INCLUDE: water, chicken/beef/vegetable broth, flavored waters, apple juice, Jell-O, Kool-Aid, coffee, tea, Sprite, Gatorade, PowerAde, Mountain Dew, co*ke/Pepsi, Rootbeer, and Slurpee’s.
    • DO NOT DRINK milk or use any dairy or non-dairy creamer in your coffee or tea.
    • DO NOT DRINK anything colored RED, PURPLE, or ORANGE or that contains pulp material.
    • DO NOT DRINK alcoholic beverages.

One Day Prior To Your Exam

  • Restrict your diet to CLEAR LIQUIDS ONLY. No solid food until after the procedure and stay hydrated.
    • CLEAR LIQUIDS INCLUDE: water, chicken/beef/vegetable broth, flavored waters, apple juice, Jell-O, Kool-Aid, coffee, tea, Sprite, Gatorade, PowerAde, Mountain Dew, co*ke/Pepsi, Rootbeer, and Slurpee’s.
    • DO NOT DRINK milk or use any dairy or non-dairy creamer in your coffee or tea.
    • DO NOT DRINK anything colored RED, PURPLE, or ORANGE or that contains pulp material.
    • DO NOT DRINK alcoholic beverages.
  • Using your GALLON PREP kit the day prior to the exam follow the timeline below:
    • Morning:
      • Add water to gallon jug, shake well, and put it in the refrigerator.
    • At 5:00 p.m. complete following steps:
      • Step 1: Start half of your prep (½ gallon). You may have small sips of Sprite or Ginger Ale along with the prep to help settle your stomach.
      • Step 2: Drink the first ½ gallon within two hours of when you begin drinking.
    • 5-6 hours before your exam (this may require that you get up in the middle of the night) complete the following steps:
      • Step 1: Start the remaining ½ gallon.
      • Step 2: Drink the rest of the prep within two hours of starting the remaining ½ gallon. Be sure to finish the prep.

*NOTE: If you become nauseated during the prep, stop for one hour and then resume. You must finish ALL the prep. There may be somediscomfort in the beginning, use the restroom as needed. Please look in the toilet to see if your results are clear or yellow in color. If yourbottom gets sore during the prep you can use baby wipes, Vaseline, or Desitin applied to the anal area for relief.

Day Of Your Procedure

  • You may NOT have anything to EAT UNTIL AFTER THE PROCEDURE and may ONLY HAVE CLEAR LIQUIDS up until THREE HOURS PRIOR to your check in time.
  • You MUST be accompanied by an adult who will remain at the facility and drive you home after your colonoscopy. You may NOT work or drive for 12 hours after the procedure. Plan on spending two to three hours at the facility.
  • Wear comfortable clothing. Bring your glasses, hearing aids, insurance cards and completed information forms, if applicable. Avoid bringing valuables.
  • Please remember to stop by suite 2600 to sign your coverage waiver form before you get your procedure.

Other Medications

  • You may take any necessary blood pressure, heart, Parkinson’s and/or seizure medication with a small sip of water up until three hours prior to your procedure.
  • If you are on antibiotic prophylaxis:
    • According to the latest information from the American Gastroenterology Association and of Endocarditis (infection of the heart valve), you do not need antibiotic prophylaxis before a colonoscopy.
  • If you take diabetic medications:
    • Oral Hypoglycemic medications (such as Metformin) can be taken in the morning the day before your procedure. Please do not take these medications the night before or the morning of your procedure.
    • For insulin, please take your insulin the morning prior to your procedure. Please do not take insulin the night prior or the morning of your procedure.

Other Information

  • Please be aware that your scheduled procedure time is tentative and may change.
  • You will receive three separate phone calls prior to your procedure from registration, a nurse, and our clinic.
  • If you need to cancel or reschedule your procedure, please call our office at least two days prior to your procedure at 801-387-5620.
  • If you have any biopsies or polyps removed, and don’t hear from us within 5 business days you may call our clinic to receive your test results.
  • You may receive up to four separate bills, including one each from the facility, physician, pathology, and anesthesia.

Wayfinding

Your procedure is scheduled at McKay-Dee Hospital. Take the main elevator to the second floor, turn left, and go down the hall to suite 2670 (GI Lab). Please make sure to stop by suite 2600 to sign your coverage waiver if you have not already done so.

Colonoscopy Two Day Gallon Prep Instructions | McKay-Dee Gastroenterology Clinic (2024)
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