How You Tell You Have Clean Your Colon

This data volition assist y'all go fix for your colonoscopy using polyethylene glycol (MiraLAX^®).

A colonoscopy is a test that lets your md see inside your colon (big intestine). Your doctor will use a colonoscope (flexible tube with a photographic camera on the end) to come across the inside of your colon on a video monitor. During your procedure, your doctor tin:

Remove a small-scale sample of tissue (biopsy) for testing
Remove a polyp (growth of tissue)
Take photos of the inside of your colon

Before your process, you must follow these instructions carefully. You lot will need to do a bowel training to empty your colon before your procedure. It's very of import that your colon is empty for your colonoscopy. If there'due south stool (poop) inside your colon, your doctor may not exist able to see polyps or other problems inside your colon and y'all may have to repeat the procedure. If you take any questions, contact your md's part.

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1 Calendar week Earlier Your Procedure

Arrange for someone to take you home

You lot must have a responsible intendance partner take you home after your procedure. A responsible intendance partner is someone who tin assist you go home safely. They should be able to contact your intendance team if they take any concerns. Make sure to program this earlier the day of your process.

If you lot don't take a responsible intendance partner to have you home, call i of the agencies below. They'll ship someone to get home with you. There'southward often a charge for this service, and you'll need to provide transportation. It's OK to use a taxi or machine service, only you still need a responsible intendance partner with you.

Ask about your medications

You may need to terminate taking some of your medications before your procedure. Talk with your md about which medications are safe for you to terminate taking. We have included some common examples below.

Anticoagulants (blood thinners)

If you take a blood thinner, such as to treat blood clots or to prevent a center attack or stroke, enquire the doctor who prescribes it for you when to stop taking it. Examples are listed in the "Common anticoagulants (blood thinners)" table. There are others, then check with your doctor if you're non certain.

Common anticoagulants (blood thinners)
apixaban (Eliquis^®) cilostazol (Pletal^®) clopidogrel (Plavix^®) dalteparin (Fragmin^®)	enoxaparin (Lovenox^®) fondaparinux (Arixtra^®) heparin	rivaroxaban (Xarelto^®) tinzaparin (Innohep^®) warfarin (Coumadin^®)

Medications for diabetes

If you have insulin or other medications for diabetes, you may need to change the dose. Ask the doctor who prescribes your diabetes medication what you should do the 24-hour interval before and the morning of your procedure. Tell your md you volition be drinking a sugar-gratis clear liquid diet the day before your procedure.

If y'all take metformin (such as Glucophage^®or Glumetza^®) or a medication that contains metformin (such equally Janumet^®), don't take it the day before or the solar day of your procedure.

Tell your doctor if you take an AICD

Tell your Memorial Sloan Kettering (MSK) doctor if you accept an automatic implantable cardioverter-defibrillator (AICD).

Go a alphabetic character from your dr., if needed

If you have an automatic implantable cardioverter-defibrillator (AICD), y'all volition need to get a clearance letter from your cardiologist (eye doc) earlier your procedure. A clearance letter of the alphabet is a letter that says you can safely have the procedure.
If you've had breast hurting, dizziness, trouble breathing that's new or worse, or take fainted in the concluding 6 weeks, yous need to be examined by your doc, and get a clearance letter of the alphabet from your doctor before your procedure.

Your MSK medico'due south part must have your clearance alphabetic character at least i day before your procedure.

Buy supplies

You volition need to buy the following supplies for your bowel preparation:

four (five mg) tablets of bisacodyl (Dulcolax^®). These are normally sold as a box of 10 tablets.
ane (238 gram) canteen of polyethylene glycol (MiraLAX ^®).
64 ounces of any clear liquid that isn't red, royal, or orange. You will need to mix this with the MiraLAX. Keep it at room temperature.
- A sports drink similar Gatorade^® or Powerade^® is a good choice. Sports drinks will help replace electrolytes that yous will lose during the bowel grooming.
- If you have diabetes, be certain to get sugar-gratis articulate liquids.

Some people may need other supplies. To see if you lot need any other supplies, answer the questions beneath:

Do you tend to exist constipated (have fewer bowel movements than what's normal for you) or have fewer than 3 bowel movements per week?
Do you take narcotic (opioid) medications such as fentanyl (Duragesic^®, Subsys^®) morphine (DepoDur^®, Duramorph^®), hydrocodone (Vicodin^®) or oxycodone (Oxycontin^®, Percocet^®)? If you're not sure, ask your healthcare provider.
Have yous had a colonoscopy with a poor prep in the past? This means that during your colonoscopy, your healthcare provider still saw stool in your colon.

If you answered yes to any of the questions, you must too purchase the post-obit supplies:

3 (17 gram) doses of MiraLAX (for a total of 51 grams).
- You can buy ane additional small bottle (119 grams) or the packets.
More liquids for a full liquid diet.
- Examples of what you can drink are listed in the section called "ii Days Before Your Procedure."

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5 Days Before Your Procedure

Cease taking fe supplements

If you take an fe supplement, yous'll demand to stop taking it 5 days before your procedure. Fe supplements can cause color changes in your stool, which can make information technology harder for your doc to run across your colon clearly.

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3 Days Before Your Procedure

Avoid certain foods

You lot should follow a depression-fiber diet starting iii days before your colonoscopy. During this time, do not eat:

Raw (fresh) fruits and vegetables
Whole kernel corn, including canned corn
Whole grains (such equally oatmeal, dark-brown rice, quinoa, or wheat bread)
Seeds (such as poppy or sesame)
Basics

Talk with your endoscopy nurse

A few days before your procedure, you'll get a call from an endoscopy nurse. They volition review the instructions in this guide with you and inquire you questions nearly your medical history. The nurse will also review your medications and tell you which to take the morning of your procedure.

Use the space beneath to write them down.

Use this space to write down your medications

2 Days Before Your Procedure

Don't start your clear liquid diet until the day before your process if yous:

Aren't usually constipated
Don't take narcotic (opioid) medications
Oasis't had a colonoscopy with poor prep in the past

Avoid raw fruits and vegetables, whole kernel corn, grains, seeds, and basics. Skip to the next section "The Day Before Your Process."

If you're usually constipated, take narcotic medications, or have had a colonoscopy with a poor prep in the by:

Accept 1 capful (17 grams) of MiraLAX mixed with 8 ounces of liquid at breakfast, luncheon, and dinner.
Follow a full liquid diet. On a full liquid diet, y'all may swallow and drink the following:
- Yogurt (without any pieces of fruit)
- Fruit juices without pulp
- Soda
- Goop or cream soups that take been strained and then at that place are no vegetable pieces
- Nutritional supplements
- Ice cream and fruit ices (without any pieces of fruit)

The Day Before Your Process

Fix your MiraLAX bowel grooming

On the morning of the solar day before your procedure, mix all 238 grams of the MiraLAX powder with 64 ounces of a room temperature clear liquid until the MiraLAX powder dissolves.

Once the MiraLAX is dissolved, you tin can put the mixture in the fridge. Many people find it tastes better when it's chilled.

Don't mix the MiraLAX earlier than the morning of the 24-hour interval earlier your process.

Follow a clear liquid diet

You will need to follow a clear liquid diet the twenty-four hours before your process. Examples of clear liquids are listed in the tabular array in this section.

Don't consume whatsoever solid foods.
Don't drink anything red, purple, or orange.
Make sure to potable plenty of liquids other than just water, coffee, and tea. This helps to brand sure that you get enough calories and is an important part of your colonoscopy preparation. Effort to drinkable at least 1 (8-ounce) glass of liquid every hr while you're awake.
If you have diabetes, you should drink but carbohydrate-free clear liquids and bank check your blood saccharide level often. If you have any questions, talk with your healthcare provider.

Clear Liquid Nutrition
	Potable	Do Not Drink
Soups	Clear broth, burgoo, or consommé	Any products with particles of dried food or seasoning
Sweets	Gelatin, such equally Jell-O^® Flavored ices Difficult candies, such as Life Savers^®	Anything crimson, majestic, or orangish
Drinks	Clear fruit juices, such as apple, white cranberry, lemonade, or white grape Soda, such equally vii-Upward^®, Sprite^®, ginger ale, or seltzer Gatorade^® Black coffee Tea H2o	Juices with pulp Nectars Milk or cream Alcoholic beverages Annihilation red, regal, or orange

Note the time of your procedure

A staff fellow member will call you after noon the day before your process. The staff member volition tell you what time you lot should arrive for your procedure. If you're scheduled for your process on a Mon, you will be called on the Friday before. If y'all don't receive a telephone call, phone call your dr.'due south function.

If you need to cancel your procedure, call the doctor who scheduled it for you lot.

Get-go your bowel preparation

Pace i: At iv:00 p.m. on the twenty-four hours before your procedure, take 2 bisacodyl (5mg) tablets by oral cavity with a glass of water.

Step 2: At 4:fifteen p.chiliad., showtime drinking the MiraLAX mixture.

At 4:15 p.m. , drink ane (8-ounce) glass of the mixture.
At 4:30 p.k. , beverage 1 (8-ounce) glass of the mixture.
At 4:45 p.m. , potable 1 (8-ounce) drinking glass of the mixture.
At 5:00 p.m. , drink one (8-ounce) glass of the mixture.

Yous volition drink iv glasses of the mixture in total.

When y'all're finished, one-half of the MiraLAX mixture will be left. Save the residuum of it in the fridge for the second half of your grooming.
Bowel movements usually brainstorm within 1 hour of drinking the offset dose, merely it may accept longer for some people.
- Don't worry if yous don't start having bowel movements after drinking the start one-half of the MiraLAX. Continue to drink liquids and starting time the 2d half of the MiraLAX as instructed.
Put petroleum jelly (Vaseline^®) or A & D^® ointment on the pare around your anus later every bowel movement. This helps prevent irritation.
Continue to drink clear liquids to stay hydrated and flush out your colon.

Step iii (If you lot were told to arrive for your procedure before 11:00 am):

If you were told to arrive for your procedure before 11:00 a.1000., follow these instructions the dark earlier your procedure:

At 11:00 p.m. , accept ii bisacodyl tablets past rima oris with a drinking glass of water. And so, start drinking the second half of the MiraLAX mixture.

At 11:15 p.1000. , beverage i (eight-ounce) glass of the mixture.
At xi:30 p.chiliad. , drink 1 (eight-ounce) glass of the mixture.
At 11:45 p.m. , drink 1 (8-ounce) glass of the mixture.
At 12:00 a.m. (midnight), potable 1 (8-ounce) glass of the mixture.

Exist certain to finish the unabridged MiraLAX mixture.

Y'all can keep to drink articulate liquids until four hours before your scheduled arrival time.
Don't eat anything until after your procedure.

The Day of Your Process

Step iii (If you were told to arrive for your procedure at eleven:00 a.1000. or later):

If y'all were told to make it for your procedure at 11:00 a.m. or later, follow these instructions the morning of your procedure:

At 6:00 a.m. , accept 2 bisacodyl tablets past mouth with a drinking glass of h2o. Then, start drinking the second one-half of the MiraLAX mixture.

At six:15 a.m. , drink i (viii-ounce) glass of the mixture.
At 6:30 a.m. , drink i (8-ounce) glass of the mixture.
At half-dozen:45 a.yard. , drink one (8-ounce) glass of the mixture.
At 7:00 a.1000. , drink i (8-ounce) glass of the mixture.

Exist certain to finish the unabridged MiraLAX mixture.

You can continue to drink clear liquids until four hours before your scheduled inflow time.
Don't eat anything until after your process.

Things to recall

Accept but the medications you were instructed to take the forenoon of your process. Take them with a few sips of water.
Don't apply any lotions, creams, or powder to your chest or arms.
Remove any jewelry, including body piercings.
Go out all valuables, such as credit cards and jewelry, at abode. We don't have lockers to store your valuables in.
If you wear contacts, habiliment your glasses instead.

What to bring

A listing of the medications you lot take at habitation
If yous have an implanted pacemaker or cardioverter-defibrillator (AICD), bring your wallet menu with y'all.
Your rescue inhaler (such as albuterol (Proventil^®, Ventolin^®) for asthma), if you have one
A case for your glasses
Your Health Care Proxy form, if you have completed one

Where to go

Your procedure will take place at ane of these locations:

Endoscopy Suite at Memorial Hospital (MSK'south main hospital)
1275 York Avenue (between East 67^th and East 68^th Streets)
New York, NY 10065
Take the Thou lift to the 2^nd Floor. Enter the Endoscopy Suite through the glass doors.
MSK Monmouth
480 Red Loma Road
Middletown, NJ 07748

What to wait

Once you arrive, y'all will be asked to land and spell your proper noun and date of birth many times. This is for your rubber. People with the aforementioned or similar names may exist having procedures on the same day.

When it'south fourth dimension to change for your process, yous will get a hospital gown, robe, and nonskid socks to wear.

Y'all will run across with your doctor before your process. They will explain the process to you and answer whatsoever questions you may have.

You volition meet with your anesthesiologist. They will review your medical history with you and talk with you lot about the kind of anesthesia (medication to make y'all sleep) you will receive.

Once information technology'southward time for your procedure, you will exist brought into the procedure room and helped onto the exam table. You will lie on your left side with your knees bent.

Your anesthesiologist will place an intravenous (IV) line into a vein, usually in your arm or hand. You will get anesthesia through your IV, which will brand yous fall comatose. Once yous're asleep, your md will brainstorm the procedure.

Your medico will identify a colonoscope into your rectum. The colonoscope is continued to a video monitor. This lets your doc to see the inside of your colon. Your doctor will use air and fluid to movement the colonoscope through your colon while looking for annihilation unusual on the video monitor.

The procedure usually takes less than threescore minutes (ane hour).

Frequently Asked Questions (FAQs)

I'grand taking the prep and started having loose, watery stool before I finished information technology. Practise I all the same demand to take the residual of the prep?

Yep. You must drink all the prep to fully clean out your colon for a condom and consummate colonoscopy.

I feel similar throwing up (nausea) or did throw upwards (vomit) after taking the bowel prep. What should I do?

Many people may experience nauseous while drinking the bowel prep. To assistance with this, try mixing the MiraLAX powder with clear liquids you like drinking.

If y'all experience like vomiting, you should drink slowly, and take a break. This means you lot should finish drinking the liquid for 30 to 45 minutes to permit your stomach empty. While y'all accept a break, put your prep liquid in the fridge. Afterward your break, try to slowly drink the prep again. Use a straw if you have one.

If you practise vomit, take a 30 to 45 infinitesimal interruption. If you have anti-nausea medication at dwelling house, yous tin take i dose before starting the prep once again. Yous can drinkable whatever clear liquids you lot similar to drink to stay hydrated. It's important that you drink all the prep liquid to fully clean out your colon for a condom and complete colonoscopy.

Later on Your Procedure

Your nurse will continue to monitor your centre, animate, and blood pressure. Many people feel bloated and have stomach cramps afterwards a colonoscopy. This is normal and goes away past passing gas.

Once you're fully awake, your nurse will remove your Iv. If y'all accept someone waiting with you, your nurse will explain your discharge instructions to both of you earlier you become home.

At home

You may begin eating light foods as presently equally you're discharged. Avoid spicy, greasy, and fried foods at offset. Piece of work your mode upwards to your normal nutrition. If your dr. wants you to limit your diet for a catamenia of time, they will tell you.
You can go dorsum to doing your usual activities 24 hours later on your process.
Don't potable alcoholic beverages for 24 hours after your procedure.

If you had a biopsy, it's normal to have a minor amount of bleeding from your rectum. At that place should be no more than a few drops of blood, and the bleeding should stop within 24 hours after your procedure.

Afterwards a colonoscopy, it's normal for your bowel movements to be irregular or unlike from your usual habits. This may last for upward to a calendar week after your procedure.

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When to Call Your Healthcare Provider

Telephone call your healthcare provider if you have whatsoever of the following:

A fever of 101° F (38.3° C) or college
Serious stomach hurting or bloating
Haemorrhage from your rectum that lasts more than than 24 hours
Bleeding betwixt bowel movements
Weakness, faintness, or nausea
Heavy bleeding from your rectum

Source: https://www.mskcc.org/cancer-care/patient-education/how-prepare-your-colonoscopy-using-miralax

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