Other Procedures

Colonoscopy Miralax Spilt Prep Instructions

Please read all instructions at least 14 days prior to your procedure.

(Click on the Print link to the right to print a copy of these instructions.  You can also click on the Email link to email them to yourself or a friend)

 

CHECK WITH YOUR INSURANCE COMPANY: Ensure we are a participating provider, that your procedure is covered, and what your out of pocket cost will be. You may be required to get pre-certification and/or pre-authorization. Be sure to ask about any fees charged by the facility and anesthesiologist. Procedure code range is CPT 45378 through 45385, G0105 and G0121.

 

NO DRIVING: You cannot drive, use a taxi, or a bus after the procedure. You must be accompanied by an adult during your entire stay. If you fail to do so, the medical facility may cancel your appointment. You need someone to assist you for 24 hours after the procedure.

PURCHASE AT THE PHARMACY:  4 Dulcolax laxative tablets, 1 MiraLAX (polyethylene glycolax) 238 gram bottle and 64 ounces of a non-red beverage, such as Gatorade or Powerade, flattened  7Up, Sprite or ginger ale (diet or regular), lemonade, or tea.

   

14 DAYS BEFORE THE PROCEDURE:

Stop taking all diet aids such as Phentermine, Hydroxycut, Slimquick or any natural diet supplements.

 

DIETARY INSTRUCTION:

  1. Seven (7) days before procedure stop eating salads, corn, popcorn, black beans, nuts, seeds and oatmeal. 

   

 MEDICATION INSTRUCTION: 

  1. Stop taking blood thinners (Aspirin 325mg, Coumadin, Plavix, Pradaxa, Effient, etc.). We will contact prescribing physician to obtain clearance.  We will inform you of the instructions.

  2.  Five (5) days before procedure stop taking ibuprofen, Mortin, Glucosamine, fish oil, flax seed oil, Lovaza, iron, vitamin E, vitamin C, arthritis medications as well as multi-vitamins.

  3.  You may take Tylenol, Celebrex, Ultram, Methotrexate and Aspirin 81mg, if you are already taking these.

   

ONE DAY BEFORE THE PROCEDURE: 

  1. You may have a regular breakfast before 9:00 am. Then start a clear liquid diet which includes black coffee or tea, clear fruit juices (apple or white grape), broth or bouillon, Jell-O, Popsicles and pop that do not contain red food coloring. No solid foods, alcohol, or dairy products.

  2.  3:00 pm: Take 4 Dulcolax tablets.

  3.  5:00 pm: Mix the whole bottle of 238 gram MiraLax in the 64 ounces of non-red beverage. Mix until dissolved.  Drink 8 ounces of liquid every 15 minutes for a total of 6 glasses (48 ounces).  Place the other 16 ounces of mixture in the refrigerator to store overnight to drink the next day.

  4.  If nauseous during prep, stop for 30 minutes. Mix 1 tsp. lemon juice with 4 ounces of water and sip as much as you need and then restart prep.

  5.  If diabetic, take half of your insulin dose.

  6. Continue drinking clear liquids. NO solid foods until after your colonoscopy.

   

DAY OF PROCEDURE: 

  1. Start drinking the other 2 glasses of the Miralax mixture 4 hours before your procedure. If your procedure is at 8 am, you must get up at 4 am, etc. Drink 8 oz. every 15 minutes for a total of 2 glasses.

  2.  If you are diabetic, do not take your morning dose of insulin or your oral diabetic medications. 

  3.  If you take any other medications, you may take them 3 hours before your arrival for your procedure with a small amount of water.  Please take blood pressure and heart medications such as beta blockers.  All fluids must be stopped 2 hours before arrival for the procedure.  Call the office if you have any questions about the medication intructions. 

  4.  Please leave all jewelry and valuables at home.

  5.  Arrive at the facility at the time indicated at the beginning of instructions.

        

 

OVERVIEW:

1 day before

   

- Regular breakfast before 9am, then start clear liquid diet.

 

- At 3 p.m. take 4 dulcolax tablets. 

 

- At 5 p.m. mix the whole bottle of Miralax in 64 oz non-red beverage until dissolved.  Drink 8 oz every 15 minutes for a total of 6 glasses.  Place the other 16 oz in the refrigerator to drink the next day. 

 

- If diabetic, take half of your insulin dose. 

 
 

 

Day of Procedure

4 hours prior to your arrival time, drink the last 2 glasses (8 oz. every 15 min) of Miralax mixture.

- 3 hours prior to your procedure, PLEASE take your daily blood pressure and heart medications.

 

 - All liquids must be stopped 2 hours before arrival for procedure. 

 

If diabetic, do not take your morning dose of insulin or oral medications.

 

- Arrive at the facility at the time indicated at the beginning of instructions.

 

   

ITEMS TO BRING WITH YOU TO THE PROCEDURE: 

  1. Insurance cards.

  2.  Photo I.D.

  3.  Responsible adult to drive you home. The driver must stay with you the entire time.  No drop-offs and pick-ups allowed.

  4.  List of your current medications and allergies.

 

An Excellent Prep Is Key To A Clean Colon

prepping a clean colon

It is extremely important that your colon be thoroughly cleaned before your colonoscopy. This will let the doctor see any abnormalities, such as colon polyps, during the procedure. It is also important to stop certain medications 5 days prior to your procedure. Finally, many preps only allow you to drink clear liquids. Click here for a list of acceptable clear liquids.

Find your specific procedure preparation below and read all instructions 7 days prior to your procedure.

Miralax Colon Prep Instructions (most common)
Miralax Spilt Prep Instructions
Colonoscopy 2 Day Prep Instructions
Colonoscopy Prescription Prep Instructions
EGD Preparation
ERCP Prep Instructions
Liver Biopsy Prep Instructions
VCE Prep Instructions
Clear Liquid Diet

ERCP Prep

Please read all instructions at least 7 days before your procedure.

(Click on the Print link to the right to print a copy of these instructions.  You can also click on the Email link to email them to yourself or a friend.)

CHECK WITH YOUR INSURANCE COMPANY, to ensure we are a participating provider, that your procedure is covered, and what your out of pocket cost will be. You may be required to get pre-certification and/or pre-authorization. Be sure to ask about any fees charged by the facility and anesthesiologist. Procedure code range is CPT 453260 through 43271.

NO DRIVING: You cannot drive, use a taxi, or a bus after the procedure. You must be accompanied by an adult during your entire stay. If you fail to do so, the hospital may cancel your appointment. If unable to care for yourself, you may need someone to assist you for 24 hours after the procedure.

SEVEN DAYS BEFORE THE PROCEDURE:

  1. You must stop taking all aspirin-like products, NSAID products and iron at least one week prior to test. You make take Tylenol if necessary.
  2. Stop taking blood thinners (Coumadin, Plavix, etc.), aspirin and arthritis products. You make take Tylenol only. If you have questions regarding your medications, please call your pharmacist.

DAY OF PROCEDURE:

  1. Do not eat or drink anything 8 hours prior to your procedure.
  2. You may take your routine medications with a small amount of water three hours prior to test.
  3. Report to the Outpatient Registry for admission to the Short Stay Unit, two hours before the test time.
  4. Please bring a list of your medications and allergies with you when you come for your procedure.

Please provide 72 business hours notice to avoid a late cancellation fee of $75.

Liver Biopsy Prep Instructions

Please read all instructions at least 7 days before your procedure.

(Click on the Print link to the right to print a copy of these instructions.  You can also click on the Email link to email them to yourself or a friend.)

CHECK WITH YOUR INSURANCE COMPANY, to ensure we are a participating provider, that your procedure is covered, and what your out of pocket cost will be. You may be required to get pre-certification and/or pre-authorization. Be sure to ask about any fees charged by the facility and anesthesiologist. The procedure code CPT 76942.

NO DRIVING: You cannot drive, use a taxi, or a bus after the procedure. You must be accompanied by an adult during your entire stay. If you fail to do so, the hospital may cancel your appointment. If unable to care for yourself, you may need someone to assist you for 24 hours after the procedure.

ONE DAY BEFORE THE PROCEDURE:

  1. No solid foods or dairy after midnight the night before your procedure.
  2. Diabetic Patients: Take your usual diabetic medications. Monitor your blood sugar at your usual times. Oral Diabetic medication – take 1/2 the night before the procedure and none the morning of the procedure.

DAY OF PROCEDURE:

  1. DO NOT take Anti-Inflammatory medications or Aspirin the day of your procedure.
  2. You may have clear liquids only until 4 hours prior to your procedure. Diabetic Patients: Reduce AM insulin dosage by 1/2. Do not take oral diabetic mediations until after the procedure.
  3. Please leave all jewelry and valuables at home.
  4. Bring your Photo ID, all Insurance cards and a list of all prescription medications and nonprescription products (over-the-counter, anti-inflammatory, herbal, vitamins, etc.) you are taking and a list of any medications you are allergic to with you to your appointment.

Please provide 72 business hours notice to avoid a late cancellation fee of $75.

Video Capsule Endoscopy Prep

Please read all instructions at least 7 days before your procedure.

(Click on the Print link to the right to print a copy of these instructions.  You can also click on the Email link to email them to yourself or a friend.)

ONE WEEK PRIOR TO PROCEDURE:

  1. Stop iron

ONE DAY PRIOR TO PROCEDURE:

  1. A light meal no later than 11:30 am.
  2. Clear liquid diet the rest of the day.
  3. Nothing to eat or drink after 8:15 pm.

DAY OF THE PROCEDURE:

  1. Routine medications need to be discontinued 2 hours prior to procedure.
  2. Wear 100% cotton under garment (t-shirt or tank top) to place equipment over.
  3. Patient may drive to and from the procedure.

CLEAR-LIQUID-DIET
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PATIENT INSTRUCTIONS – DURING CAPSULE ENDOSCOPY

  1. You have just swallowed a capsule endoscopy. This sheet contains information about what to expect over the next 8 hours. Please call our office if you have severe or persistent abdominal or chest pain, fever, difficulty swallowing or if you have any questions.
  2. Two hours after swallowing the capsule, you may have clear liquids (water, apple juice). You may eat a light meal 4 hours after swallowing the capsule. You may also take your medications at this time.
  3. Do not exercise. Avoid heavy lifting. You may walk, sit, and lay down. You can drive a car. You may return to work, if your work allows avoiding unsuitable environments and/or physical movements.
  4. Avoid going near MRI machines and radio transmitters. You may use a computer, radio, stereo or cell phone.
  5. Do not stand directly next to another patient undergoing capsule endoscopy.
  6. Try not to touch the recorder or the sensor array leads. Do not remove the sensor array leads.
  7. Avoid getting the data recorder or sensor array leads wet.
  8. You may loosen the belt to allow yourself to go to the bathroom. Do not take the belt off.
  9. Observe the LED light on the data recorder at least every 15 minutes. If the light stops blinking, document the time and call our office.
  10. Return to the office at 4:30 pm to have the equipment removed.

POST CAPSULE ENDOSCOPY – PATIENT INSTRUCTIONS

You have just had a capsule endoscopy. This sheet contains information about what to expect over the next two days. Please call our office if you have severe or persistent abdominal or chest pain, fever, difficulty swallowing or if you have any questions.

  1. Pain: Pain is uncommon following capsule endoscopy. Should you feel sharp or persistent pain, please call our office.
  2. Nausea: Nausea is also very uncommon and should it occur, please notify the office.
  3. Diet: You may resume your regular diet. There are not dietary restrictions.
  4. Activities: Following the exam, you may resume normal activities, including exercise.
  5. Medications: You may resume all medications immediately. Do not make up for doses you have missed, just begin your normal dosage.
  6. Further Testing: Until the capsule passes, further testing, which includes any type of MRI, should be avoided. If you have an MRI examination scheduled within the next 3 days, the MRI examination should be postponed.
  7. The Capsule: The capsule passes naturally in a bowel movement, typically in about 24 hours. Most likely, you will be unaware of its passage. It does not need to be retrieved and can safely be flushed down the toilet. Occasionally, the capsule lights will still be flashing when it passes. Should you be concerned that the capsule did not pass, in the absence of symptoms, an abdominal x-ray can be obtained after 3 days to confirm its passage.

KGH Office

1535 Gull Road, Suite 105
Kalamazoo, MI 49048
P: 269-385-9900
F: 269-385-2140
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DHC Office

3770 Capital Ave, SW, Suite B
Battle Creek, MI 49015
P: 269-385-9900
F: 269-385-2140
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Westside Office

6565 West Main Street, Suite C
Kalamazoo, MI 49009
P: 269-385-9900
F: 269-385-2140
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