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Colon Surgery Prep Instructions **PLEASE READ THIS AT LEAST ONE WEEK PRIOR TO YOUR PROCEDURE** Call our office at 781-729-2020 if you have any questions. PROCEDURE You are scheduled to have surgery on your lower gastrointestinal tract (colon or rectum). Since the colon is filled with bacteria, it is helpful to clean it out and decrease the number of bacteria in order to help prevent infection. Pre-Procedure Instruction for Colon Surgery: MIRALAX PREP Five (5) days before your procedure: • Purchase an 8.3 ounce (238 grams) bottle of Miralax. Also purchase Dulcolax Tablets (Bisacodyl). You will only need four of these and they come in a package of 10. • • Purchase 64 ounces of a clear liquid i.e. Gatorade, Powerade, Vitamin Water, or Crystal Lite (not purple or red) to mix Miralax in. You may also use water. You will be given a prescription for antibiotics to take the day before the surgery. These will be sent electronically to your pharmacy. Please pick up the antibiotics today. Two (2) days before the procedure: • • If you are usually constipated or sometimes use a laxative, take two tablespoons of Milk of Magnesia at 8:00pm. Mix the entire 8.3 ounce bottle of Miralax with 2 quarts (64 ounces) of water or your clear liquid of choice and refrigerate it. The Day before your Procedure: • • • • Begin a CLEAR LIQUID DIET at lunch (you can eat a regular breakfast) and continue this diet until midnight. Do not eat or drink anything after midnight. A clear liquid diet includes water, tea, black coffee, clear broth, apple juice, white grape juice, Gatorade, soda, and Jell-O. Avoid sugar free drinks. All patients, including those with diabetes, should be sure to get enough sugar during this time. Early afternoon (by at least 3pm), take two of the Dulcolax tablets by mouth with a glass of water. If you do not have a bowel movement within two hours of taking the Dulcolax, take another two tablets of Dulcolax. Approximately 2 to 3 hours after taking the first dose of Dulcolax, begin taking the Miralax drink. Try to drink an 8 ounce glass every 15 to 30 minutes until the entire 64 ounces is finished. Do not eat or drink anything after midnight. Take the antibiotics as prescribed. You will have 2 different antibiotics to take, 3 doses of each (at 1pm, 3pm and 7pm). If you have had any problems with these antibiotics before, please call our office. HINTS: • Most patients find the solution is easier to drink when chilled. • Drink through a straw; rinse mouth with clear liquid between glasses, use sugar-free candy or ice pops between glasses. • If you have severe discomfort or distention (bloating), stop drinking the solution for a while or wait longer between each glass until the discomfort goes away. • If you feel nauseous, a glass of water or ginger ale may help settle your stomach. Wait a while and continue with the prep. • Use moist baby wipes instead of toilet paper. Do not eat or drink anything after midnight.