How Long After I Stop Taking Prep Can I Start Again

This information volition aid you get prepare for your colonoscopy using polyethylene glycol (MiraLAX^®).

A colonoscopy is a examination that lets your doc run across inside your colon (large intestine). Your doctor volition use a colonoscope (flexible tube with a camera on the terminate) to see the inside of your colon on a video monitor. During your process, your doctor can:

Remove a small sample of tissue (biopsy) for testing
Remove a polyp (growth of tissue)
Take photos of the inside of your colon

Before your procedure, y'all must follow these instructions advisedly. You will need to do a bowel preparation to empty your colon before your process. It's very of import that your colon is empty for your colonoscopy. If in that location's stool (poop) inside your colon, your doctor may non exist able to run across polyps or other problems inside your colon and y'all may have to repeat the procedure. If you lot take any questions, contact your doctor's function.

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i Week Before Your Process

Adapt for someone to take you home

Yous must have a responsible care partner take y'all home later on your procedure. A responsible care partner is someone who can aid y'all go home safely. They should be able to contact your care team if they accept any concerns. Brand sure to plan this before the day of your procedure.

If you lot don't take a responsible care partner to take you dwelling, phone call i of the agencies below. They'll send someone to go home with you lot. At that place'south often a charge for this service, and yous'll need to provide transportation. Information technology'southward OK to use a taxi or motorcar service, only you lot yet demand a responsible care partner with you.

Inquire about your medications

Yous may need to stop taking some of your medications before your process. Talk with your physician about which medications are condom for y'all to stop taking. Nosotros have included some mutual examples below.

Anticoagulants (blood thinners)

If yous have a blood thinner, such equally to treat claret clots or to preclude a heart assail or stroke, ask the md who prescribes information technology for you when to end taking it. Examples are listed in the "Common anticoagulants (claret thinners)" table. There are others, so check with your doctor if you're not certain.

Common anticoagulants (claret thinners)
apixaban (Eliquis^®) cilostazol (Pletal^®) clopidogrel (Plavix^®) dalteparin (Fragmin^®)	enoxaparin (Lovenox^®) fondaparinux (Arixtra^®) heparin	rivaroxaban (Xarelto^®) tinzaparin (Innohep^®) warfarin (Coumadin^®)

Medications for diabetes

If yous accept insulin or other medications for diabetes, you may need to change the dose. Ask the doctor who prescribes your diabetes medication what you should do the day before and the morning of your procedure. Tell your dr. you will exist drinking a sugar-free clear liquid diet the day before your procedure.

If you accept metformin (such equally Glucophage^®or Glumetza^®) or a medication that contains metformin (such every bit Janumet^®), don't take information technology the 24-hour interval before or the mean solar day of your procedure.

Tell your physician if you have an AICD

Tell your Memorial Sloan Kettering (MSK) doc if y'all have an automatic implantable cardioverter-defibrillator (AICD).

Get a letter from your doctor, if needed

If you have an automatic implantable cardioverter-defibrillator (AICD), you will demand to get a clearance letter from your cardiologist (heart physician) before your procedure. A clearance letter is a letter that says y'all tin can safely have the procedure.
If you've had chest pain, dizziness, trouble breathing that's new or worse, or take fainted in the final 6 weeks, you need to be examined by your doctor, and become a clearance letter from your doctor before your process.

Your MSK doctor's role must have your clearance alphabetic character at to the lowest degree 1 day before your procedure.

Buy supplies

Yous will need to buy the following supplies for your bowel preparation:

4 (5 mg) tablets of bisacodyl (Dulcolax^®). These are usually sold as a box of 10 tablets.
1 (238 gram) bottle of polyethylene glycol (MiraLAX ^®).
64 ounces of any articulate liquid that isn't ruby-red, purple, or orange. Yous will need to mix this with the MiraLAX. Keep information technology at room temperature.
- A sports potable similar Gatorade^® or Powerade^® is a practiced choice. Sports drinks will help replace electrolytes that y'all will lose during the bowel preparation.
- If yous have diabetes, be certain to get saccharide-gratuitous articulate liquids.

Some people may need other supplies. To encounter if yous need any other supplies, answer the questions below:

Do you tend to be constipated (have fewer bowel movements than what's normal for y'all) or have fewer than 3 bowel movements per week?
Exercise you take narcotic (opioid) medications such equally fentanyl (Duragesic^®, Subsys^®) morphine (DepoDur^®, Duramorph^®), hydrocodone (Vicodin^®) or oxycodone (Oxycontin^®, Percocet^®)? If you lot're not sure, inquire your healthcare provider.
Accept you had a colonoscopy with a poor prep in the past? This means that during your colonoscopy, your healthcare provider still saw stool in your colon.

If you answered yes to any of the questions, y'all must as well buy the post-obit supplies:

3 (17 gram) doses of MiraLAX (for a full of 51 grams).
- You can buy 1 additional small canteen (119 grams) or the packets.
More liquids for a full liquid diet.
- Examples of what you can drink are listed in the department chosen "two Days Before Your Procedure."

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5 Days Before Your Procedure

Stop taking fe supplements

If yous take an iron supplement, you'll need to stop taking it 5 days before your procedure. Iron supplements can cause color changes in your stool, which can make it harder for your doc to meet your colon clearly.

iii Days Before Your Procedure

Avoid certain foods

You should follow a low-fiber nutrition starting 3 days earlier your colonoscopy. During this time, do not eat:

Raw (fresh) fruits and vegetables
Whole kernel corn, including canned corn
Whole grains (such every bit oatmeal, brown rice, quinoa, or wheat breadstuff)
Seeds (such as poppy or sesame)
Nuts

Talk with your endoscopy nurse

A few days earlier your procedure, yous'll go a call from an endoscopy nurse. They will review the instructions in this guide with you and ask you questions nigh your medical history. The nurse volition also review your medications and tell you which to take the forenoon of your process.

Use the space below to write them down.

Use this space to write down your medications

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2 Days Earlier Your Procedure

Don't start your clear liquid diet until the day earlier your procedure if you:

Aren't usually constipated
Don't take narcotic (opioid) medications
Oasis't had a colonoscopy with poor prep in the past

Avert raw fruits and vegetables, whole kernel corn, grains, seeds, and nuts. Skip to the next section "The Twenty-four hours Earlier Your Procedure."

If y'all're commonly constipated, take narcotic medications, or have had a colonoscopy with a poor prep in the by:

Take 1 capful (17 grams) of MiraLAX mixed with 8 ounces of liquid at breakfast, luncheon, and dinner.
Follow a total liquid diet. On a full liquid diet, y'all may consume and drinkable the post-obit:
- Yogurt (without whatever pieces of fruit)
- Fruit juices without pulp
- Soda
- Broth or cream soups that have been strained so there are no vegetable pieces
- Nutritional supplements
- Ice cream and fruit ices (without whatsoever pieces of fruit)

The Day Before Your Process

Prepare your MiraLAX bowel grooming

On the morning of the day before your process, mix all 238 grams of the MiraLAX pulverisation with 64 ounces of a room temperature articulate liquid until the MiraLAX powder dissolves.

Once the MiraLAX is dissolved, yous tin put the mixture in the refrigerator. Many people find it tastes better when it's chilled.

Don't mix the MiraLAX before than the morning of the mean solar day before your procedure.

Follow a articulate liquid diet

You will need to follow a clear liquid diet the day earlier your procedure. Examples of articulate liquids are listed in the tabular array in this department.

Don't eat any solid foods.
Don't potable anything ruby-red, purple, or orange.
Make sure to drink plenty of liquids other than simply water, coffee, and tea. This helps to make sure that you become enough calories and is an important role of your colonoscopy preparation. Try to drink at least 1 (viii-ounce) glass of liquid every 60 minutes while you lot're awake.
If you have diabetes, you lot should drink simply sugar-free clear liquids and check your blood sugar level frequently. If you have any questions, talk with your healthcare provider.

Clear Liquid Diet
	Potable	Do Not Potable
Soups	Clear broth, bouillon, or consommé	Any products with particles of dried food or seasoning
Sweets	Gelatin, such as Jell-O^® Flavored ices Difficult candies, such as Life Savers^®	Anything crimson, purple, or orangish
Drinks	Clear fruit juices, such as apple tree, white cranberry, lemonade, or white grape Soda, such as 7-Up^®, Sprite^®, ginger ale, or seltzer Gatorade^® Black java Tea Water	Juices with pulp Nectars Milk or cream Alcoholic beverages Anything cerise, purple, or orange

Annotation the time of your process

A staff member will call yous after noon the day before your procedure. The staff member volition tell you what time you should make it for your procedure. If you lot're scheduled for your procedure on a Monday, you will exist called on the Friday earlier. If you don't receive a call, phone call your doctor'southward office.

If y'all demand to abolish your procedure, phone call the medico who scheduled it for you.

Starting time your bowel grooming

Footstep one: At 4:00 p.grand. on the day before your process, accept 2 bisacodyl (5mg) tablets by mouth with a glass of h2o.

Step 2: At 4:fifteen p.m., start drinking the MiraLAX mixture.

At iv:xv p.thou. , drink 1 (eight-ounce) glass of the mixture.
At 4:30 p.m. , drinkable 1 (8-ounce) glass of the mixture.
At 4:45 p.thousand. , potable 1 (8-ounce) glass of the mixture.
At 5:00 p.grand. , drink 1 (8-ounce) glass of the mixture.

You volition potable 4 glasses of the mixture in full.

When you're finished, half of the MiraLAX mixture will be left. Save the rest of information technology in the refrigerator for the second half of your preparation.
Bowel movements usually begin inside 1 60 minutes of drinking the start dose, but information technology may have longer for some people.
- Don't worry if you lot don't get-go having bowel movements after drinking the first half of the MiraLAX. Continue to drink liquids and start the second one-half of the MiraLAX as instructed.
Put petroleum jelly (Vaseline^®) or A & D^® ointment on the skin around your anus after every bowel movement. This helps prevent irritation.
Continue to drink clear liquids to stay hydrated and flush out your colon.

Step 3 (If you lot were told to arrive for your procedure before xi:00 am):

If yous were told to go far for your procedure before 11:00 a.m., follow these instructions the night before your procedure:

At 11:00 p.m. , accept two bisacodyl tablets by oral fissure with a glass of water. Then, start drinking the 2nd half of the MiraLAX mixture.

At xi:15 p.thou. , drink 1 (eight-ounce) drinking glass of the mixture.
At 11:30 p.m. , drink 1 (eight-ounce) glass of the mixture.
At 11:45 p.m. , drink 1 (8-ounce) glass of the mixture.
At 12:00 a.m. (midnight), drink 1 (8-ounce) glass of the mixture.

Be sure to finish the unabridged MiraLAX mixture.

You can go on to drink articulate liquids until 4 hours earlier your scheduled arrival time.
Don't eat annihilation until after your process.

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The Day of Your Process

Step 3 (If you were told to arrive for your procedure at xi:00 a.1000. or afterward):

If you were told to arrive for your process at eleven:00 a.thousand. or later, follow these instructions the morning of your procedure:

At 6:00 a.g. , accept 2 bisacodyl tablets by rima oris with a glass of water. Then, start drinking the second one-half of the MiraLAX mixture.

At 6:15 a.grand. , beverage 1 (8-ounce) glass of the mixture.
At vi:30 a.thousand. , drink 1 (eight-ounce) glass of the mixture.
At half-dozen:45 a.g. , drinkable one (viii-ounce) drinking glass of the mixture.
At 7:00 a.m. , drink 1 (viii-ounce) glass of the mixture.

Be sure to finish the entire MiraLAX mixture.

You can go on to drink clear liquids until four hours before your scheduled arrival time.
Don't swallow annihilation until after your procedure.

Things to call up

Accept only the medications you were instructed to take the morning of your procedure. Have them with a few sips of water.
Don't apply any lotions, creams, or powder to your chest or arms.
Remove any jewelry, including body piercings.
Leave all valuables, such every bit credit cards and jewelry, at home. Nosotros don't take lockers to store your valuables in.
If you wear contacts, wear your glasses instead.

What to bring

A list of the medications you take at abode
If y'all take an implanted pacemaker or cardioverter-defibrillator (AICD), bring your wallet card with you lot.
Your rescue inhaler (such as albuterol (Proventil^®, Ventolin^®) for asthma), if y'all take one
A case for your spectacles
Your Wellness Intendance Proxy class, if you have completed one

Where to go

Your process will take place at i of these locations:

Endoscopy Suite at Memorial Hospital (MSK's chief hospital)
1275 York Avenue (between E 67^th and East 68^th Streets)
New York, NY 10065
Take the M elevator to the ii^nd Floor. Enter the Endoscopy Suite through the glass doors.
MSK Monmouth
480 Red Hill Road
Middletown, NJ 07748

What to expect

Once you arrive, yous will exist asked to country and spell your proper noun and date of nascence many times. This is for your safety. People with the aforementioned or like names may be having procedures on the same day.

When it'southward time to change for your procedure, you lot will get a hospital gown, robe, and nonskid socks to clothing.

Y'all volition meet with your doctor before your procedure. They volition explain the procedure to you and answer any questions you may have.

Y'all will meet with your anesthesiologist. They volition review your medical history with you and talk with you lot near the kind of anesthesia (medication to make y'all slumber) yous will receive.

Once information technology'due south fourth dimension for your process, you volition exist brought into the procedure room and helped onto the exam table. Yous will lie on your left side with your knees bent.

Your anesthesiologist will place an intravenous (IV) line into a vein, unremarkably in your arm or mitt. You will get anesthesia through your IV, which volition make you fall asleep. Once y'all're asleep, your doctor will brainstorm the process.

Your md will place a colonoscope into your rectum. The colonoscope is continued to a video monitor. This lets your doctor to run into the inside of your colon. Your doctor will employ air and fluid to move the colonoscope through your colon while looking for anything unusual on the video monitor.

The process usually takes less than 60 minutes (1 hr).

Oft Asked Questions (FAQs)

I'm taking the prep and started having loose, watery stool before I finished information technology. Do I nonetheless need to take the rest of the prep?

Yes. You must drink all the prep to fully clean out your colon for a safe and consummate colonoscopy.

I feel like throwing upwards (nausea) or did throw up (vomit) after taking the bowel prep. What should I do?

Many people may feel nauseous while drinking the bowel prep. To help with this, effort mixing the MiraLAX powder with clear liquids you lot like drinking.

If y'all feel like airsickness, you should drink slowly, and take a break. This ways you should end drinking the liquid for thirty to 45 minutes to let your stomach empty. While you take a pause, put your prep liquid in the fridge. After your interruption, attempt to slowly drink the prep again. Use a straw if you have 1.

If y'all practice vomit, take a xxx to 45 minute break. If you have anti-nausea medication at home, y'all can have 1 dose before starting the prep again. You can drink any articulate liquids you like to drink to stay hydrated. It'south important that y'all beverage all the prep liquid to fully clean out your colon for a safe and complete colonoscopy.

Afterwards Your Procedure

Your nurse will go on to monitor your heart, breathing, and blood pressure level. Many people experience swollen and have stomach cramps later on a colonoscopy. This is normal and goes away by passing gas.

In one case you're fully awake, your nurse will remove your IV. If you have someone waiting with you, your nurse volition explain your belch instructions to both of you lot before y'all go home.

At home

You may brainstorm eating lite foods as shortly every bit y'all're discharged. Avoid spicy, greasy, and fried foods at first. Piece of work your way up to your normal nutrition. If your doctor wants you to limit your diet for a period of time, they will tell yous.
Yous tin can go back to doing your usual activities 24 hours after your procedure.
Don't drinkable alcoholic beverages for 24 hours subsequently your procedure.

If you had a biopsy, it's normal to have a small corporeality of bleeding from your rectum. At that place should be no more than than a few drops of claret, and the haemorrhage should terminate within 24 hours after your procedure.

After a colonoscopy, it's normal for your bowel movements to be irregular or different from your usual habits. This may last for up to a calendar week afterwards your procedure.

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When to Telephone call Your Healthcare Provider

Call your healthcare provider if you have any of the following:

A fever of 101° F (38.iii° C) or college
Serious stomach pain or bloating
Bleeding from your rectum that lasts more than 24 hours
Haemorrhage between bowel movements
Weakness, faintness, or nausea
Heavy bleeding from your rectum

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Source: https://www.mskcc.org/cancer-care/patient-education/how-prepare-your-colonoscopy-using-miralax