Easy Colonoscopy Prep

 

Colonoscopy Prep Has Gotten A Lot Easier Thanks to Improved Products

After we have determined what is the best colonoscopy prep for you, click on the name below for complete instructions. Also, make sure you read the importance and goal of colonoscopy preparation. You can click on the “top” button to be taken back to the top of the page.

Old Prep Days

It used to be that people dreaded the colonoscopy preparation, or colonoscopy prep as it’s called, more than getting the procedure. Thanks to scientific advances, there is no more having to consume vile tasting liquid that kept patients close to a bathroom for an entire day for fear of having an accident. The prep time is easy, shorter and more palatable. We recommend several preparation options: MoviPrep, OsmoPrep, Suprep, or PEG-3550.

It used to be that no solid food could be eaten at all the day before the exam. Although limited, there are some solid food items which can be consumed the day before the procedure. All of the details for both prep options are listed on this page.

Importance and Goal of Prep

It is very important to follow the instructions to prepare for your colonoscopy. Proper prep will help insure the best outcome. Improper preparation may cause a poor result or an incomplete result, which may indicate needing a second evaluation.

The goal of the prep is to eliminate all fecal matter from the colon so that the physician conducting the colonoscopy will have a clear view. There are several ways to achieve this, and some doctors and patients will have their own methods that work best for them. Try to think of the 24 hours before your colonoscopy as an opportunity to cleanse out your system, because, truly, that is what you are doing. We’ve included some helpful tips to make the best of your preparation time.

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OsmoPrep

Basic Instructions: STOP ALL aspirin or aspirin-like products 3 days prior to your exam.

DO NOT TAKE ANY BLOOD THINNERS 4-5 DAYS BEFORE THE EXAM.

Please check with your prescribing doctor for more specific instructions on when to stop and start taking any blood thinner medication.

Take your Osmo Prep prescription to your pharmacy.

DAY BEFORE EXAM

IT IS RECOMMENDED THAT YOU HAVE NO SOLID AT ALL THE DAY BEFORE THE EXAM. HOWEVER, YOU MAY HAVE ONE OF THE FOLLOWING CHOICES FOR FOOD THE DAY BEFORE:

  • At breakfast – Two Eggs OR One 8 oz. container of any flavored yogurt
  • OR - At breakfast 1 Ensure and at lunch 1 Ensure

THE REST OF THE DAY HAVE CLEAR LIQUIDS (See full examples on this page). For any additional questions, please talk to our staff.

First regimen: 5:00 PM – Take 4 OsmoPrep tablets with 8 oz of any clear liquid every 15 minutes

You will take a total of 20 tablets over a 1-hour period

Second regimen: 9:00 PM – Take 4 OsmoPrep tablets with 8 oz of any clear liquid every 15 minutes

You will take a total of 12 tablets over a 30-minute period

NOTHING TO EAT OR DRINK AFTER MIDNIGHT

Day of exam

Arrive at the hospital (or surgery office) at the scheduled time and check in at admitting/registration.

PLEASE REMEMBER THAT SOMEONE WILL NEED TO DRIVE YOU HOME.

Special note to diabetics:

Check your sugar levels as usual. If your sugar level is too low the day prior to the exam, you may take apple juice/other clear liquid. If your sugar level is too low after midnight on the day of the exam, you may have sugar water (dissolve 1-2 teaspoons of sugar in water). Please mention your last sugar level to the nursing staff/doctor at the time of your colonoscopy.

CLEAR LIQUID DIET

  • Water, coffee or decaffeinated (no milk or cream)
  • Tea, herbal tea
  • Carbonated beverages (soft drinks), regular and sugar free
  • Gelatin desert, plain or fruit flavored (avoid red gelatin)
  • Pulp free apple juice, orange juice, Juicy Juice,
  • Gatorade, Power Aid, Kool-Aid, lemonade, limeade
  • Clear fat-free beef or chicken broth
  • Bouillon, clear consommé
  • Popsicles
  • NO RED OR PURPLE DRINKS, JELL-O OR POPSICLES
  • Alcohol is not permitted

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MoviPrep

Basic Instructions: STOP ALL aspirin or aspirin-like products 3 days prior to your exam.

DO NOT TAKE ANY BLOOD THINNERS 4-5 DAYS BEFORE THE EXAM.

Please check with your prescribing doctor for more specific instructions on when to stop and start taking any blood thinner medication.

Take your MoviPrep prescription to your pharmacy.

DAY BEFORE EXAM

IT IS RECOMMENDED THAT YOU HAVE NO SOLID AT ALL THE DAY BEFORE THE EXAM. HOWEVER, YOU MAY HAVE ONE OF THE FOLLOWING CHOICES FOR FOOD THE DAY BEFORE:

  • At breakfast – Two Eggs OR One 8 oz. container of any flavored yogurt
  • OR - At breakfast 1 Ensure and at lunch 1 Ensure

THE REST OF THE DAY HAVE CLEAR LIQUIDS. For any additional questions, please talk to our staff.

CLEAR LIQUIDS ONLY

DAY BEFORE THE COLONOSCOPY

STEP 1: 5:00 PM

A.

      Mix the

MoviPrep

      by: Emptying 1 Pouch A and 1 Pouch B into the disposable container.

B. Add clear liquid to the top line of the container. Mix to dissolve.

  • Clear liquids = See definition below
  • If preferred, mix solution ahead of time and refrigerate prior to drinking, a straw is also recommended (drink solution within 24 hours of mixing).

C.

      Drink 8 oz every 15 minutes until

1-liter

      container is completed.

D. When finished with 1st liter, drink (2) 8 oz glasses of any clear liquid you desire.

STEP 2: Day before procedure: 8:30 PM

*Repeat all steps from 5:00 PM.

NOTHING TO EAT OR DRINK AFTER MIDNIGHT

Day of exam

Arrive at the hospital (or surgery office) at the scheduled time and check in at admitting/registration.

PLEASE REMEMBER THAT SOMEONE WILL NEED TO DRIVE YOU HOME.

Special note to diabetics:

Check your sugar levels as usual. If your sugar level is too low the day prior to the exam, you may take apple juice/other clear liquid. If your sugar level is too low after midnight on the day of the exam, you may have sugar water (dissolve 1-2 teaspoons of sugar in water). Please mention your last sugar level to the nursing staff/doctor at the time of your colonoscopy.

CLEAR LIQUID DIET

  • Water, coffee or decaffeinated (no milk or cream)
  • Tea, herbal tea
  • Carbonated beverages (soft drinks), regular and sugar free
  • Gelatin desert, plain or fruit flavored (avoid red gelatin)
  • Pulp free apple juice, orange juice, Juicy Juice,
  • Gatorade, Power Aid, Kool-Aid, lemonade, limeade
  • Clear fat-free beef or chicken broth
  • Bouillon, clear consommé
  • Popsicles
  • NO RED OR PURPLE DRINKS, JELL-O OR POPSICLES
  • Alcohol is not permitted

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Suprep

Basic Instructions: STOP ALL aspirin or aspirin-like products 3 days prior to your exam.

DO NOT TAKE ANY BLOOD THINNERS 4-5 DAYS BEFORE THE EXAM.

Please check with your prescribing doctor for more specific instructions on when to stop and start taking any blood thinner medication.

Take your Suprep prescription to your pharmacy.

DAY BEFORE EXAM

IT IS RECOMMENDED THAT YOU HAVE NO SOLID AT ALL THE DAY BEFORE THE EXAM. HOWEVER, YOU MAY HAVE ONE OF THE FOLLOWING CHOICES FOR FOOD THE DAY BEFORE:

  • At breakfast – Two Eggs OR One 8 oz. container of any flavored yogurt
  • OR - At breakfast 1 Ensure and at lunch 1 Ensure

Suprep Dosing

Beginning about 6 p.m. the evening before the procedure, drink the first 16 oz of Suprep
mixture followed by two more mixing containers (32 total oz) of clear fluids over the next hour. 3 to 4 hours later repeat this procedure.

NOTHING TO EAT OR DRINK AFTER MIDNIGHT

Day of exam

Arrive at the hospital (or surgery office) at the scheduled time and check in at admitting/registration.

PLEASE REMEMBER THAT SOMEONE WILL NEED TO DRIVE YOU HOME.

Special note to diabetics:

Check your sugar levels as usual. If your sugar level is too low the day prior to the exam, you may take apple juice/other clear liquid. If your sugar level is too low after midnight on the day of the exam, you may have sugar water (dissolve 1-2 teaspoons of sugar in water). Please mention your last sugar level to the nursing staff/doctor at the time of your colonoscopy.

CLEAR LIQUID DIET

  • Water, coffee or decaffeinated (no milk or cream)
  • Tea, herbal tea
  • Carbonated beverages (soft drinks), regular and sugar free
  • Gelatin desert, plain or fruit flavored (avoid red gelatin)
  • Pulp free apple juice, orange juice, Juicy Juice,
  • Gatorade, Power Aid, Kool-Aid, lemonade, limeade
  • Clear fat-free beef or chicken broth
  • Bouillon, clear consommé
  • Popsicles
  • NO RED OR PURPLE DRINKS, JELL-O OR POPSICLES
  • Alcohol is not permitted

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PEG-3350

Basic Instructions: STOP ALL aspirin or aspirin-like products 3 days prior to your exam.

DO NOT TAKE ANY BLOOD THINNERS 4-5 DAYS BEFORE THE EXAM.

Please check with your prescribing doctor for more specific instructions on when to stop and start taking any blood thinner medication.

Take your PEG-3350 prescription to your pharmacy.

DAY BEFORE EXAM

IT IS RECOMMENDED THAT YOU HAVE NO SOLID AT ALL THE DAY BEFORE THE EXAM. HOWEVER, YOU MAY HAVE ONE OF THE FOLLOWING CHOICES FOR FOOD THE DAY BEFORE:

  • At breakfast – Two Eggs OR One 8 oz. container of any flavored yogurt
  • OR - At breakfast 1 Ensure and at lunch 1 Ensure

Mix and chill in refrigerator prior to use. Beginning about 6 p.m. the evening before, start drinking an 8 oz. glass of solution every 10 to 15 min for a total of 16 doses. It usually is best to drink the mix quickly rather than slowly.

NOTHING TO EAT OR DRINK AFTER MIDNIGHT

Day of exam

Arrive at the hospital (or surgery office) at the scheduled time and check in at admitting/registration.

PLEASE REMEMBER THAT SOMEONE WILL NEED TO DRIVE YOU HOME.

Special note to diabetics:

Check your sugar levels as usual. If your sugar level is too low the day prior to the exam, you may take apple juice/other clear liquid. If your sugar level is too low after midnight on the day of the exam, you may have sugar water (dissolve 1-2 teaspoons of sugar in water). Please mention your last sugar level to the nursing staff/doctor at the time of your colonoscopy.

CLEAR LIQUID DIET

  • Water, coffee or decaffeinated (no milk or cream)
  • Tea, herbal tea
  • Carbonated beverages (soft drinks), regular and sugar free
  • Gelatin desert, plain or fruit flavored (avoid red gelatin)
  • Pulp free apple juice, orange juice, Juicy Juice,
  • Gatorade, Power Aid, Kool-Aid, lemonade, limeade
  • Clear fat-free beef or chicken broth
  • Bouillon, clear consommé
  • Popsicles
  • NO RED OR PURPLE DRINKS, JELL-O OR POPSICLES
  • Alcohol is not permitted

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Dr. Abbadessa is board certified by the AOA and is a member of the Missouri Association Osteopathic Physicians and Surgeons
| St. Louis Metropolitan
Medical Society | Missouri State Medical Association

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