PEG 3350 Bowel Prep Kit

GI CONSULTANTS, LLC

BHAVIN DAVE, MD

302-744-9310

COLONOSCOPY INSTRUCTIONS

Medications: Attached is a prescription for PEG 3350 Bowel Prep Kit with Bisacodyl (Dulcolax) tablets, take this prescription to you local pharmacy to be filled.

The Day Before the Colonoscopy:

You must be on a clear liquid diet the entire day. This includes water, clear fruit juices, jello, and soup broth. On the back of this paper we provided you with a sample menu.

In the morning, you must mix the PEG 3350 solution.

1. Add lukewarm drinking water to the top of the line on the bottle.

2. Place the cap on the bottle and shake well to dissolve the powder.

3. Do not add anything else to the solution.

4. Refrigerate the solution.

At 4:00 PM

1. Take 4 Bisacodyl (Dulcolax) tablets with a large glass of water. Do not crush or chew the

    tablets. Do not take the tablets within one hour of taking an antacid.

At 7:00 PM Start:

2. Drink ALL of the PEG solution as follows:

·        You must drink one 8-ounce glass every 20-30 minutes

·        It is best to drink each glass quickly, sometimes using a straw helps.

·        If you feel yourself starting to get nauseated stop and wait for it to pass and then continue drinking.

·        You must finish the entire solution. It will be a total of about 8 glasses.

·        Remember nothing to drink or eat after Midnight.

The Day of the Colonoscopy:

·        Take your morning medications with as little water as possible.

·        DO NOTtake your diabetic medication unless told to do so. Please check your blood sugar before coming in for your procedure. (Diabetic patients only)

·        DO NOTstop taking your blood thinner medication unless instructed to by Dr. Dave or the prescribing physician.

·        Please be on time for your appointment.

·        Leave all jewelry at home; bring insurance card and a picture ID.

·        There must be someone available to drive you home following your procedures, because you will not be permitted to leave the facility on your own.

·        Plan to be at the endoscopy center or surgery center for a total of 2- 3 hours.

·        Your follow up appointment should be at the bottom of your envelope.

·        Your results will be given to you at your follow up appointment.

·        Any questions please call the office or surgery center we will be glad to answer any questions you might have.

NO PUBLIC TRANSPORTATION CAN BE USED TO TAKE A PATIENT HOME UNLESS THEY ARE ACCOMPANIED BY A FAMILY MEMBER OR FRIEND.

LIQUID DIET

A LIST OF LIQUID FOODS:

·        Tea and Coffee ( no cream or dairy products, sugar is okay)

·        Apple juice

·        White grape juice

·        Gatorade

·        Natural cranberry juice

·        Soda of any kind

·        Clear fruit flavored powdered drinks

·        Flavored Jell-O ( no red or green)

·        Soup broth (you may have any kind of soup broth but make sure you strain it, do not eat the noodles)

·        Popsicles (no red or green)

·        Italian Ice ( no red or green)

Sample Menu:

Breakfast                                   Morning Snack                                                 Lunch

White grape juice                       Jell-O                                                                   Apple Juice

Chicken broth                                                                                                       Beef broth

Tea/Coffee (black)                                                                                                 Jell-O  

Afternoon Snack                        Dinner                                                               Bedtime

Soda                                             Cranberry Juice                                                   Popsicle

Hard Candy                                  Chicken broth

                                                     Jell-O

                                                     Coffee/Tea (black)

The day before your procedure please drink plenty of fluids and water all day!