Preparation for Colonoscopy

For patients doing both procedures please follow the preparation for colonoscopy.

Preparation instructions for a colonoscopy can vary depending on your health and other special considerations. If you are unsure as to which procedure is right for you, consult your doctor or call us for more information.

No Health Problems

7 Days Prior To The Procedure

– Go to the pharmacy and purchase the following over-the-counter medications:

– 1 bottle of MAGNESIUM CITRATE (300ml/10fl oz)

– 1 box of PICO-SALAX or PURG-ODAN (contains 2 sachets)

– Stop taking the following over-the-counter medications: IRON, VITAMIN E, GINKO, GINGER and GARLIC

Stop taking flaxseeds, fruits with seeds (kiwi), nuts, popcorn, and seeds

5 Days Prior To The Procedure

Stop taking PLAVIX, TICLID, AGGRENOX. You must check with the prescribing physician to obtain permission to stop these medications prior to the procedure.

4 Days Prior To The Procedure

Stop taking COUMADIN. You must check with the prescribing physician to obtain permission to stop these medications prior to the procedure.

A nurse will call you within the next few days to answer any questions you may have regarding these instructions and/or your medications.

2 Days Prior To The Procedure

Stop NSAIDS (Motrin, Advil, Celebrex)
Stop taking fiber supplements (Metamucil, Fibersure).

Day Before The Procedure

– Stop Xarelto, Pradaxa, Eliquis or any other anticoagulation drug. Please obtain permission from your doctor prior to stopping your medication.

– Your last solid meal is a light breakfast (no large meals). Remain on a clear liquid diet (have a minimum of 2L of fluid) during the day of preparation.

No red or purple coloured fluids.

The following are acceptable:
– Juices (apple, white grape, white cranberry, orange and grapefruit without pulp)
– Water
– Soft drinks
– Tea, coffee without milk or cream
Gatorade (recommended)
– Clear soup/broth – no noodles or rice
– Popsicles (not red/purple coloured)
– Jello

START OF PREPARATION:

– First sachet at 2pm
– Empty contents of the first packet into a mug or large cup
– Add 150 mls (5ozs) cold water and stir frequently for 2-3 minutes to dissolve the laxative (mixture may heat up)
– Continue stirring as it cools, then drink the mixture
– Drink 4 large glasses (250ml x 4 or 8 oz x 4) of water/clear liquids within the next hour
– Continue to drink 1 large glass (250ml or 8 oz) of water/clear liquid every hour until bedtime. You may drink until 2 hours prior to the procedure
– You will have an urgency for bowel movements. This may take up to 5 hours to begin

Take the 2nd sachet at 7pm, as directed above (keep drinking clear liquids to prevent dehydration)
– Once bowel movements start, they will be watery. Your last bowel movement should be watery and clear/yellow.

Day Of The Procedure

– At 5:00 a.m. (the day of your colonoscopy) take 1/2 bottle of Magnesium Citrate (300ml/10fl oz).

– If your stools are still brown please take the entire bottle 300ml/10fl oz. Your stools should be clear or slight yellow.

– Stop drinking fluids 2 hours before your procedure (except Magnesium Citrate)

– Arrive 30 to 45 minutes before your appointment

– Do not take your high blood pressure medications or any other medications that the nurse has told you not to take.

– Do not take your usual dose of INSULIN check with your primary care physician on ways to manage diabetes during your preparation for the procedure.

– You must be accompanied by a responsible adult who can take you home after your procedure. To ensure your safe discharge, your accompanying adult must escort you out of the Endovision premises. Taxi or Uber is acceptable. There are no exceptions. Failure to comply with this will result in our inability to perform the procedure under sedation, or we will not perform the procedure at all. If this is the case please reschedule your procedure for a time when you can fulfill this requirement.

Please bring with you:

– A list of your medications and allergies

– If you have an ostomy, bring your supplies with you, should you need to change

– Contact information for the responsible adult who will be taking you home

– The name and fax number of your referring physician

Chronic Constipation

7 Days Prior To The Procedure

– Go to the pharmacy and purchase the following over-the-counter medications:

– 1 bottle of MAGNESIUM CITRATE (300ml/10fl oz)

– 2 boxes of PICO-SALAX or PURG-ODAN (contains 2 sachets per box)

– Stop taking the following over-the-counter medications: IRON, VITAMIN E, GINKO, GINGER and GARLIC

– Stop taking flaxseeds, fruits with seeds  (kiwi), nuts, popcorn, and seeds.

5 Days Prior To The Procedure

Stop taking PLAVIX, TICLID, AGGRENOX. You must check with the prescribing physician to obtain permission to stop these medications prior to the procedure.

4 Days Prior To The Procedure

Stop taking COUMADIN. You must check with the prescribing physician to obtain permission to stop these medications prior to the procedure.

A nurse will call you within the next few days to answer any questions you may have regarding these instructions and/or your medications.

2 Days Prior To The Procedure

– Stop NSAIDS (Motrin, Advil, Celebrex).
– Stop taking fiber supplements (Metamucil, Fibersure). 
– Your last solid meal is a light lunch (no large meals).
Remain on a clear liquid diet during the rest of the day.
– No red or purple coloured fluids.

The following are acceptable:

– Juices (apple, white grape, white cranberry, orange and grapefruit without pulp)
– Water
– Soft drinks
– Tea, coffee without milk or cream
– Gatorade (recommended)
– Clear soup/broth – no noodles or rice
– Popsicles (not red/purple coloured)
– Jello

START OF PREPARATION:

– First sachet at 2pm

– Empty contents of the first packet into a mug or large cup.

– Add 150 ml (5oz) cold water and stir frequently for 2-3 minutes to dissolve the laxative (mixture may heat up).

– Continue stirring as it cools, then drink the mixture.

– Drink 4 large glasses (250ml x 4 or 8 oz x 4) of water/clear liquids within the next hour.

– Continue to drink 1 large glass (250ml or 8 oz) of water/clear liquid every hour.

– You will have an urgency for bowel movements. This may take up to 5 hours to begin.

– Take the 2nd sachet at 7pm, as directed above (keep drinking clear liquids to prevent dehydration).

– Continue to drink 1 large glass (250ml or 8 oz) of water/clear liquid every hour until bedtime.

Day Before The Procedure

– Stop Xarelto, Pradaxa, Eliquis or any other anticoagulation drug. Please obtain permission from your doctor prior to stopping your medication.

Continue on a clear fluid diet. Clear liquids for breakfast, lunch and supper…. No solid food.

The following are acceptable:

– Juices (apple, white grape, white cranberry, orange and grapefruit without pulp)
– Water
– Soft drinks
– Tea, coffee without milk or cream
Gatorade (recommended)
– Clear soup/broth – no noodles or rice
– Popsicles (not red/purple coloured)
– Jello

– First sachet at 2pm. Follow instructions as stated above.

– Second sachet at 7pm (continue drinking clear liquids to prevent dehydration). You may drink until 2 hours prior to the procedure.

Your last bowel movement should be watery and clear/yellow.

Day Of The Procedure

– At 5:00 a.m. (the day of your colonoscopy) take 1/2 bottle of Magnesium Citrate (300ml/10fl oz).

– If your stools are still brown please take the entire bottle 300ml/10fl oz. Your stools should be clear or slight yellow.

– Stop drinking fluids 2 hours before your procedure (except Magnesium Citrate)

– Arrive 30 to 45 minutes before your appointment.

Do not take your high blood pressure medications or any other medications that the nurse has told you not to take.

– Do not take your usual dose of INSULIN. Check with your primary care physician on ways to manage diabetes during your preparation for the procedure.

– You must be accompanied by a responsible adult who can take you home after your procedure. To ensure your safe discharge, your accompanying adult must escort you out of the Endovision premises. Taxi or Uber is acceptable. There are no exceptions. Failure to comply with this will result in our inability to perform the procedure under sedation, or we will not perform the procedure at all. If this is the case please reschedule your procedure for a time when you can fulfill this requirement.

Please bring with you:

– A list of your medications and allergies

– If you have an ostomy, bring your supplies with you, should you need to change

– Contact information for the responsible adult who will be taking you home

– The name and fax number of your referring physician

Kidney or Cardiac Problems

(ie. on Dialysis, chronic renal failure, Creatinine level above 150, Congestive heart failure, Arrhythmias, Coronary heart disease, History of a heart attack)

7 Days Prior To The Procedure

– Go to the pharmacy and purchase the following over-the-counter medications:

– 1 box of Bi-Peglyte

– 3 Bisacodyl tablets (15mg total)

– Stop taking the following over-the-counter medications: IRON, VITAMIN E, GINKO, GINGER and GARLIC

– Stop taking flaxseeds, fruits with seeds (eg. kiwi), nuts, popcorn, and seeds.

5 Days Prior To The Procedure

Stop taking PLAVIX, TICLID, AGGRENOX. You must check with the prescribing physician to obtain permission to stop these medications prior to the procedure.

4 Days Prior To The Procedure

Stop taking COUMADIN. You must check with the prescribing physician to obtain permission to stop these medications prior to the procedure.

– A nurse will call you within the next few days to answer any questions you may have regarding these instructions and/or your medications.

2 Days Prior To The Procedure

– Stop NSAIDS (Motrin, Advil, Celebrex)
– Stop taking fiber supplements (Metamucil, Fibersure).
– Your last solid meal is a light dinner.

Day Before The Procedure

Stop Xarelto, Pradaxa, Eliquis or any other anticoagulation drug. (Please obtain permission from your doctor prior to stopping your medication.)

– Remain on a clear liquid diet (have a minimum of 2L of fluid) during the day of preparation

– No red or purple coloured fluids.

The following are acceptable:
– Clear, pulp-free fruit juices (apple, white grape, white cranberry, lemonade)
– Water
– Ginger Ale, 7-Up, Sprite, Kool-Aid, iced tea
– Tea, herbal tea, coffee without milk products/substitutes
– Electrolyte Gastro, Gatorade, Powerade (recommended)
– Clear soup/broth – no noodles or rice
– Popsicles (not red/purple coloured)
– Jello

START OF PREPARATION:

– At 12pm, take 3 bisacodyl tablets (15mg) with water. Do not chew or crush.

Begin preparing the Bi-Peglyte solution as follows:

– Dissolve each sachet in 1 litre (32oz) of water and mix rapidly. No additional ingredients should be added to the solution (flavouring).

– Refrigerate the solution as chilling improves the taste.

YOU WILL ONLY START DRINKING THE 2 LITRES OR 64OZ OF BI-PEGLYTE SOLUTION AS OF 6PM

 

– At 6pm, begin to drink the Bi-Peglyte solution as follows:

– 240ml or 8oz every 10 minutes until the 2 litres (64oz) are finished.

– You must consume all 2 litres of the solution.

Day Of The Procedure

– Your stools should be clear or slight yellow.

– Stop drinking fluids 2 hours before your procedure.

– Arrive 30 to 45 minutes before your appointment.

Do not take your high blood pressure medications or any other medications that the nurse has told you not to take.

– Do not take your usual dose of INSULIN. Check with your primary care physician on ways to manage diabetes during your preparation for the procedure.

– You must be accompanied by a responsible adult who can take you home after your procedure. To ensure your safe discharge, your accompanying adult must escort you out of the Endovision premises. Taxi or Uber is acceptable. There are no exceptions. Failure to comply with this will result in our inability to perform the procedure under sedation, or we will not perform the procedure at all. If this is the case please reschedule your procedure for a time when you can fulfill this requirement.

Please bring with you:

– A list of your medications and allergies.

– If you have an ostomy, bring your supplies with you, should you need to change.

– Contact information for the responsible adult who will be taking you home.

– The name and fax number of your referring physician.