Download INSTRUCTIONS FOR COLONOSCOPY WITH MIRALAX

INSTRUCTIONS FOR COLONOSCOPY WITH MIRALAX PREP (SPLIT-DOSE)
Purchase: two (2) bottles of Miralax 119 grams, four (4) Dulcolax 5mg tablets, two (2) 32 ounce
bottles of Gatorade (Crystal Light if diabetic). These medications are available over the counter at
any drugstore/pharmacy.
You may want to have Tucks or unscented baby wipes and an ointment available for comfort.
Continue ALL MEDICATIONS including blood pressure pills and aspirin unless otherwise
instructed.
Additional medication instructions: ____________________________________________________________________
DAY BEFORE PROCEDURE:
Drink clear liquid diet only (no solid food)
CLEAR LIQUIDS include:
strained fruit juices without pulp (apple, white grape, lemonade)
water
coffee or tea (without milk or non-dairy creamer)
Gatorade
carbonated and non carbonated soft drinks
clear broth or bouillon
Kool-Aid (or other fruit flavored drinks)
Popsicles
Jell-o (without added fruit or toppings)
NO RED OR PURPLE PLEASE!
Try to drink at least one glass of fluid every hour to avoid dehydration. You will want to include some
liquids with sugar throughout the day.
3:00 pm: Take four (4) Dulcolax (bisacodyl) laxative tablets (all at one time).
Mix first bottle of Miralax 119 gms in 32 ounces (one quart) Gatorade and chill. You may use any
flavor of Gatorade except red or purple. .
Between 4:00 – 7:00 pm: Begin drinking the Miralax/Gatorade solution Try to drink one 8oz.
glassful every 10 – 15 minutes. It is best to drink each glass quickly rather than sipping it. The
entire prep should be consumed within 1 – 2 hours. Note: It takes the entire laxative to really
do a good job of cleansing and get an optimum exam. If your colon is not adequately cleansed, you
may have to be rescheduled.
Feelings of bloating, chills, and/or nausea are common after the first few glasses due to the large volume of fluid
ingested. This is temporary and will improve once bowel movements begin but may continue intermittently for one to
two hours after the last glass is finished. Most people have a bowel movement within an hour or two of starting the
laxative. Sometimes, there may be a delay of four hours. You just need to be patient. Remember to stay close to the
bathroom.
DAY OF EXAM:
6:00 am: Mix second bottle of Miralax 119 gms in 32 ounces (one quart) chilled Gatorade and begin
drinking. Try to drink one 8oz. glassful every 10 – 15 minutes. It is best to drink each glass quickly
rather than sipping it. The entire prep should be consumed within 1 – 2 hours.
You may have clear liquids until three hours before reporting for exam, then nothing by mouth
until after the exam.
Report to Scott and White Round Rock Hospital at 300 University Boulevard, Round Rock, TX. Please report to the 1st floor
Admissions desk to check in. You may be contacted by the Endo nurse the work day before your procedure with a slightly
different report time.
For any questions regarding medication or instructions, or to cancel or reschedule your procedure, please call 512-509-0200.
The GI Department requests that any patients needing to reschedule call at least three business days prior to the
procedure. Failure to do so may cause a delay of up to three months for the next available appointment.
You must bring a driver and have them remain in the lobby during the exam.
The procedure will not be done without a driver present!
PLEASE AVOID NAIL POLISH
**Only light make-up should be worn, and please do not wear any jewelry.