Colonoscopy Prep

The procedure

A colonoscopy is a visual examination of the large intestine (colon) using a lighted, flexible fiberoptic or video endoscope. It is usually performed on an outpatient basis, and it usually takes 15-30 minutes.

You will be mildly sedated while the endoscopy is inserted through the anus and moved gently around the bends of the colon. If a polyp is encountered, it will be removed.

After the procedure, your vital signs are monitored until you are fully awake. Normal mild cramping and abdominal pressure usually subside within an hour or so. Due to the mild sedation, you should not drive or operate machinery for the remainder of the day. Somebody needs to accompany you to the hospital and drive you home after the procedure.

More information about the colonoscopy procedure is available here.

Preparing for a colonoscopy

Prior to the colonoscopy, your colon must be clean and free of stool. You will drink a solution that flushes the colon clean, or take laxatives and enemas. Drink only clear liquids and eat no food for the day prior to the exam. The physician will adivse you regarding the use of regular medications during that time.

There are several colon preparations available for bowel cleansing. Your physician will recommend the prep you should use, with any modifications (if necessary). The three major preps used by our office are listed below. Click on the name of the prep type to see more information. You can print these instructions for easy reference.

Osmoprep

Osmoprep

Print these instructions

Purchase with a prescription

Osmoprep tablets

THE DAY BEFORE YOUR EXAM

START A CLEAR LIQUID DIET
IT IS IMPORTANT THAT YOU KEEP WELL HYDRATED AND CONTINUE TO DRINK CLEAR LIQUIDS THROUGHOUT YOUR PREPARATION.

“Clear liquids” are soft drinks (orange, ginger ale, cola , sprite, 7-up), Gatorade, Kool Aid, strained fruit juice such as apple juice or white grape juice, clear juices with no pulp, water or tea (no cream), beef or chicken bouillon or broth (fat free, low sodium), small amounts of plain lemon, lime, or orange jello (no fruit, etc.), popsicles (no sherbets or fruit bars), hard candies.
DO NOT EAT OR DRINK ANYTHING RED OR PURPLE.

  1. At 4 p.m., take 4 tablets with 8 oz. of any clear liquid every 15 minutes for a total of 5 doses (20 tablets).
  2. At 8 p.m., take 4 tablets with 8 oz. of any clear liquid every 15 minutes for a total of 3 doses (12 tablets).
  3. Suggestion: Baby wipes may be used for cleansing.

THE DAY OF YOUR EXAM:

  • You may continue to have clear liquids up to 4 hours prior to your procedure, but NO JELLO THE DAY OF YOUR EXAM.
  • YOU MUST MAKE ARRANGEMENTS FOR SOMEONE TO COME WITH YOU, WAIT FOR YOU, AND DRIVE YOU HOME (you have been given sedation). Your procedure will be cancelled if this requirement is not met.
    YOU WILL NOT BE ALLOWED TO DRIVE A CAR FOR THE REST OF THE DAY.
    YOU WILL NOT BE ALLOWED TO LEAVE BY ANY TYPE OF PUBLIC TRANSPORTATION.
  • Please arrive 45 minutes prior to your appointment time. Report to the Registration Desk in the lobby of the North Entrance of Beaumont Hospital-Royal Oak. They will direct you to the Endoscopy Unit.
  • Following your colonoscopy, you will spend approximately 30 minutes in the recovery room before being discharged. Generally, the only restriction is no driving for the rest of the day; however, you will be given detailed instructions before leaving the hospital.

IMPORTANT!

  • You may continue to take all prescription medications during the preparation for this exam; however, all ASPIRIN, IBUPROFIN, PLAVIX, COUMADIN, PERSANTINE, OR ANY TYPE OF BLOOD THINNERS MUST BE DISCONTINUED 3 DAYS PRIOR TO THE EXAM. (Our office will advise you if you need to consult with your physician regarding changes in medication dosage and/or medical clearance before your procedure.)
  • Natural/Herbal Supplements should be discontinued for two weeks prior to the exam (such as St. Johns Wort, Ginkgo Biloba, Kava Kava, Garlic, Ginger).
  • Insulin-dependent diabetics should contact their personal physician for dosage instructions prior to the procedure.

Your colonoscopy is scheduled for____________________with Dr.__________________________
Please arrive at the hospital (North Entrance) at ______________________________________
If for any reason you need to reschedule your procedure, please notify our office as soon as possible.
DX. _________________________________   Procedure __________________________________

Citrate/Miralax Prep

Citrate/Miralax Prep

Print these instructions

Purchase without prescription

One 10 oz. bottle of Citrate of Magnesia, One 238 g bottle of Miralax, four Dulcolax laxative tablets, and 64 oz. of Gatorade, Propel Water or Smart Water

TWO DAYS PRIOR TO YOUR EXAM

Take the 10 oz. bottle of Citrate of Magnesia at 5 p.m.

THE DAY BEFORE YOUR EXAM

START A CLEAR LIQUID DIET
IT IS IMPORTANT THAT YOU KEEP WELL HYDRATED AND CONTINUE TO DRINK CLEAR LIQUIDS THROUGHOUT THE PREPARATION.

“Clear liquids” are soft drinks (orange, ginger ale, sprite, 7-up), Gatorade, Kool Aid, strained fruit juice such as apple juice or white grape juice, clear juices with no pulp, water or tea (no cream), beef or chicken bouillon or broth (fat free, low sodium), small amounts of plain lemon, lime, or orange jello (no fruit, etc.), popsicles (no sherbets or fruit bars), hard candies.
DO NOT EAT OR DRINK ANYTHING RED OR PURPLE.

  1. At 3 p.m., mix the one 238 g bottle of Miralax with the 64 oz. of Gatorade, Smart Water or Propel. Drink an 8 oz. glass every 15-20 minutes until gone.
  2. At 6 p.m., take two Dulcolax tablets with an 8 oz. glass of water.
  3. At 9 p.m., take two Dulcolax tablets with an 8 oz. glass of water.
  4. Suggestion: Baby wipes may be used for cleansing.

THE DAY OF YOUR EXAM:

  • You may continue to have clear liquids up to 4 hours prior to your procedure, but NO JELLO THE DAY OF YOUR EXAM.
  • YOU MUST MAKE ARRANGEMENTS FOR SOMEONE TO COME WITH YOU, WAIT FOR YOU, AND DRIVE YOU HOME (you have been given sedation). Your procedure will be cancelled if this requirement is not met.
    YOU WILL NOT BE ALLOWED TO DRIVE A CAR FOR THE REST OF THE DAY.
    YOU WILL NOT BE ALLOWED TO LEAVE BY ANY TYPE OF PUBLIC TRANSPORTATION.
  • Please arrive 45 minutes prior to your appointment time. Report to the Registration Desk in the lobby of the North Entrance of Beaumont Hospital-Royal Oak. They will direct you to the Endoscopy Unit.
  • Following your colonoscopy, you will spend approximately 30 minutes in the recovery room before being discharged. Generally, the only restriction is no driving for the rest of the day; however, you will be given detailed instructions before leaving the hospital.

IMPORTANT!

  • You may continue to take all prescription medications during the preparation for this exam; however, all ASPIRIN, IBUPROFIN, PLAVIX, COUMADIN, PERSANTINE, OR ANY TYPE OF BLOOD THINNERS MUST BE DISCONTINUED 3 DAYS PRIOR TO THE EXAM. (Our office will advise you if you need to consult with your physician regarding changes in medication dosage and/or medical clearance before your procedure.)
  • Natural/Herbal Supplements should be discontinued for two weeks prior to the exam (such as St. Johns Wort, Ginkgo Biloba, Kava Kava, Garlic, Ginger).
  • Insulin-dependent diabetics should contact their personal physician for dosage instructions prior to the procedure.

Your colonoscopy is scheduled for____________________with Dr.________________
Please arrive at the hospital (North Entrance) at ______________________________________
If for any reason you need to reschedule your procedure, please notify our office as soon as possible.
DX. _________________________________   Procedure __________________________________

Miralax Prep

Miralax Prep

Print these instructions: BEAUMONT HOSPITAL-ROYAL OAK

Print these instructions: WEST BLOOMFIELD AMBULATORY SURGICAL CENTER
6900 Orchard Lake Road
Lower Level Suite 100
West Bloomfield, MI 48322
(248) 855-7872

Print these instructions: BEAUMONT – GROSSE POINT CAMPUS
468 Cadieux
(313)473-1787

Purchase without prescription

One 238 g bottle of Miralax, four Dulcolax laxative tablets, and 64 oz. of Gatorate, Propel Water or Smart Water

THE DAY BEFORE YOUR EXAM

START A CLEAR LIQUID DIET
IT IS IMPORTANT THAT YOU KEEP WELL HYDRATED AND CONTINUE TO DRINK CLEAR LIQUIDS THROUGHOUT YOUR PREPARATION.

“Clear liquids” are soft drinks (orange, ginger ale, sprite, 7-up), Gatorade, Kool Aid, strained fruit juice such as apple juice or white grape juice, clear juices with no pulp, water or tea (no cream), beef or chicken bouillon or broth (fat free, low sodium), small amounts of plain lemon, lime, or orange jello (no fruit, etc.), popsicles (no sherbets or fruit bars), hard candies.
DO NOT EAT OR DRINK ANYTHING RED OR PURPLE.

  1. At 3 p.m., take four Dulcolax tablets with an 8 oz. glass of water.
  2. At 6 p.m., mix the one 238 g bottle of Miralax with the 64 oz. of Gatorade, Propel or Smart Water. Drink an 8 oz. glass every 15-20 minutes until gone.
  3. Suggestion: Baby wipes may be used for cleansing.

THE DAY OF YOUR EXAM:

  • You may continue to have clear liquids up to 4 hours prior to your procedure, but NO JELLO THE DAY OF YOUR EXAM.
  • YOU MUST MAKE ARRANGEMENTS FOR SOMEONE TO COME WITH YOU, WAIT FOR YOU, AND DRIVE YOU HOME (you have been given sedation). Your procedure will be cancelled if this requirement is not met.
    YOU WILL NOT BE ALLOWED TO DRIVE A CAR FOR THE REST OF THE DAY.
    YOU WILL NOT BE ALLOWED TO LEAVE BY ANY TYPE OF PUBLIC TRANSPORTATION.
  • Please arrive 45 minutes prior to your appointment time. Report to the Registration Desk in the lobby of the North Entrance of Beaumont Hospital-Royal Oak. They will direct you to the Endoscopy Unit.
  • Following your colonoscopy, you will spend approximately 30 minutes in the recovery room before being discharged. Generally, the only restriction is no driving for the rest of the day; however, you will be given detailed instructions before leaving the hospital.

IMPORTANT!

  • You may continue to take all prescription medications during the preparation for this exam; however, all ASPIRIN, IBUPROFIN, PLAVIX, COUMADIN, PERSANTINE, OR ANY TYPE OF BLOOD THINNERS MUST BE DISCONTINUED 3 DAYS PRIOR TO THE EXAM. (Our office will advise you if you need to consult with your physician regarding changes in medication dosage and/or medical clearance before your procedure.)
  • Natural/Herbal Supplements should be discontinued for two weeks prior to the exam (such as St. Johns Wort, Ginkgo Biloba, Kava Kava, Garlic, Ginger).
  • Insulin-dependent diabetics should contact their personal physician for dosage instructions prior to the procedure.

Your colonoscopy is scheduled for____________________with Dr.________________
Please arrive at the hospital (North Entrance) at ______________________________________
If for any reason you need to reschedule your procedure, please notify our office as soon as possible.
DX. _________________________________   Procedure __________________________________

Non-Workers Miralax Prep

Miralax Prep

Print these instructions

You will need to purchase (1) 238 gram bottle of Miralax and 4 Dulcolax Laxative tablets at your pharmacy. (No prescription is required.) Also purchase a 64 oz. bottle of Gatorade, Crystal Light, Smart Water or Propel.


No red or purple.


Discontinue all Aspirin products for seven days prior to your exam. If you are taking blood thinners such as Coumadin or Plavix you must stop 5-7 days before your procedure. Please contact your prescribing doctor prior to discontinuing use and contact our office if they instruct you differently.

Modify your diet to eliminate roughage (salad) and flax seed 48 hours prior to your procedure.

Please follow the detailed preparation below the day before your procedure:

  • DRINK CLEAR FLUIDS ALL DAY (broth, bouillon, black coffee, tea, lemon/lime jello, soft drinks, fruit juices (no pulp), popsicles). Nothing RED or PURPLE. NO SOLID FOOD IS TO BE CONSUMED.
  • At 10:00 a.m., take (2) Dulcolax with a glass of water.
  • At 1:00 p.m. mix 238 gram bottle of Miralax in a 64 oz. bottle of Gatorade or Crystal Light, Smart Water, or Propel.
  • Drink an 8 oz. glass every 15-20 minutes until gone.
  • Take (2) Dulcolax with the last glass of (Crystal Light) Gatorade/Miralax, Smart Water, Propel or a glass of tap water.
  • Drink only clear fluids util midnight. No solid food after midnight, or until after your procedure.
  • Do not chew gum or hard candy after midnight, or until after your procedure.
  • Nothing by mouth 4 hours prior to procedure.


You may take your daily medications except Coumadin, Plavix or other blood thinners on the morning of your exam with water. If you have had bone replacement surgery (knee, hip, etc.) within the past year make sure that the office is aware.

Physician Name: ____________________________
Date of Appointment: ________________________________________
Arrive at: ________________________________________
Appointment Time: ____________________________
Location:
______ Wm. Beaumont Hospital Royal Oak (go to North Entrance registration desk)
______ Wm. Beaumont Hospital West Bloomfield (go to Lower Level, Suite 100)

Dr. Priest's Standard Preparation

Dr. Priest’s Standard Preparation

Print these instructions

You will need to purchase the following items at your pharmacy (no prescription is necessary):

  • Two Regular Fleet Enemas
  • One-10 ounce bottle of Citrate of Magnesia
  • Three-Dulcolax tablets

Discontinue all aspirin products and blood thinners seven days prior to your exam. You may take Tylenol or Tylenol based products.

If you take Coumadin, Plavix or other blood thinners contact the prescribing doctor prior to discontinuing use and let our office know if they have instructed your differently

You must have a driver/companion come with you, stay with you and bring you home from your procedure per hospital policy.

Contact our office if you have had bone replacement surgery (hip, knee, etc.) or heart valve replacement within the last year.

Day 1

Start on ____________________________ at 12 noon. You may have clear liquids such as broth, bouillon, black coffee, tea, lemon or lime Jell-O, soft drinks, and fruit juices.

Day 2

On ____________________________, you will need to continue with clear liquid diet.
At 10:00 a.m. drink the 10 ounce bottle of Citrate of Magnesia (chilled).
At 2:00 pm take the three Dulcolax tablets (swallowed whole) with a glass of water. You may have clear liquids until Midnight. Drink at least one full glass of water prior to bedtime.

Day of Procedure

On the day of your procedure two hours prior to exam take two fleet enemas. Report for your exam at the time indicated at the top of the page. You may have nothing to eat after midnight until after your exam.

You may have clear liquids only until 4 HOURS prior to your procedure time. If you have medication you are required to take you may take them with a sip of water only.

Doctor: ____________________________
Date of Appointment: ________________________________________
Report at: ________________________________________
Appointment Time: ____________________________
Report To:
______ William Beaumont Hospital Royal Oak (go to North entrance registration)
______ William Beaumont West Bloomfield Surgical Center (go to lower level, Suite 100)

Flexible Sigmoidoscopy Preparation - AM

Flexible Sigmoidoscopy Preparation (AM Preparation)

Print these instructions

No solid food after 6:00 p.m. the night prior to your examination. You may continue to have clear liquids up until your appointment time.

You will need to purchase two Saline Laxative FLEET ENEMAS (green and white box) over the counter at any pharmacy. Administer the first enema no more than 2 hours prior to your appointment. After evacuating the first enema, administer the second one. If the second enema does not run clear, fill the empty Fleet container with warm tap water and repeat.

Flexible Sigmoidoscopy Preparation - PM

Flexible Sigmoidoscopy Preparation (PM Preparation)

Print these instructions

You may have a light breakfast before 9:00 am the morning of your appointment. You may continue to have clear liquids up until your appointment time.

You will need to purchase two Saline Laxative FLEET ENEMAS (green and white box) over the counter at any pharmacy. Administer the first enema no more than 2 hours prior to your appointment. After evacuating the first enema, administer the second one. If the second enema does not run clear, fill the empty Fleet container with warm tap water and repeat.