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Colonoscopy Prep Using Suprep

Procedures scheduled before NOON

ONE WEEK before the procedure

Stop taking fiber, such as Metamucil; vitamins; iron; nutritional supplements; herbal products; any products that contain olestra (in non-fat potato chips); fish oil (may also be called Lovaza); and Alli. Also, arthritis type medications other than Tylenol or Celebrex should be stopped. If you are on Coumadin, be sure to discuss this with the nurse to determine whether you need lab work prior to the procedure to adjust the dosage of this medication.

Please let us know if you are diabetic or on any blood thinning medication, including Aspirin.

  • Go to the pharmacy and pick-up your prescription for the prep (we have sent it to them electronically.)
  • Go to a laboratory and have your lab work done if requested.

TWO DAYS before the procedure

Start low residue diet

ONE DAY before the procedure

start clear liquid diet

Continue clear liquids all day, even after the prep–hydrating will help reduce side effects such as cramping or nausea

  1. Between 5-6pm, Start prep. complete step a-d exactly as directed:
    1. Pour ONE (1) 6-ounce bottle of SUPREP liquid into the mixing container.
    2. Add cool drinking water to the 16-ounce line on the container and mix.
    3. Drink ALL the liquid in the container.
    4. You MUST drink two (2) more 16-ounce containers of water over the next 1 hour.
  2. If at any time during the prep you notice excessive bleeding (3 tablespoons or more), stop the prep and call our office. Returns from the prep should be a yellow or green liquid, unless you have had red Jell-O, then it may be red.
  3. Between 9-10pm, REPEAT STEPS a-d as listed above.
  4. When you finish the Suprep, you should pass clear liquid from your rectum. If your return is not clear, you should take a Fleets enema in the evening and another Fleets enema in the morning at least two hours prior to your scheduled arrival time.
  5. Do not eat or drink anything after midnight, except as noted below.
  6. The MORNING OF the procedure

  7. The endoscopy center may be contacted starting at 7:00AM if you have any questions. You may brush your teeth.
  8. You may continue your clear liquid diet until 4 hours prior to your arrival time. You will be sedated and you will have to have someone available to listen to the doctor’s advice upon discharge and drive you home after the test. If you do not have a driver, your test will be rescheduled to a day when one is available.
    • You can expect to be here for 2 to 3 hours.
  9. Blood pressure/heart medications should be taken with a small amount of water on the morning of your procedure.
  10. Insulin or oral diabetic medications should not be taken on the morning of your test. You may resume taking your medications after you are able to eat.
  11. BRING YOUR CURRENT MEDICATIONS OR LIST WITH YOU ON THE DAY OF YOUR TEST

Prep Tips

  • Walking around helps the prep go down.
  • You may reduce rectal soreness from the prep by cleansing with baby wipes after bowel movements and then applying zinc oxide to the skin in the rectal area.
  • The prep may seem difficult but it allows the physician to see the lining of your colon clearly.
  • Using a straw to drink the prep may help with the taste and getting the prep down.
  • A good prep may lengthen the time needed before your next colonoscopy!

***IF YOU HAVE ANY QUESTIONS PLEASE CALL OUR OFFICE AND ASK FOR A NURSE***

Procedures scheduled at NOON or later

ONE WEEK before the procedure

Stop taking fiber, such as Metamucil; vitamins; iron; nutritional supplements; herbal products; any products that contain olestra (in non-fat potato chips); fish oil (may also be called Lovaza); and Alli. Also, arthritis type medications other than Tylenol or Celebrex should be stopped. If you are on Coumadin, be sure to discuss this with the nurse to determine whether you need lab work prior to the procedure to adjust the dosage of this medication.

Please let us know if you are diabetic or on any blood thinning medication, including Aspirin.

  • Go to the pharmacy and pick-up your prescription for the prep (we have sent it to them electronically.)
  • Go to a laboratory and have your lab work done if requested.

TWO DAYS before the procedure

Start low residue diet

ONE DAY before the procedure

Start clear liquid diet

  1. Between 4-6pm, Start prep. complete step a-d exactly as directed:
    1. Pour ONE (1) 6-ounce bottle of SUPREP liquid into the mixing container.
    2. Add cool drinking water to the 16-ounce line on the container and mix.
    3. Drink ALL the liquid in the container.
    4. You MUST drink two (2) more 16-ounce containers of water over the next 1 hour.
  2. If at any time during the prep you notice excessive bleeding (3 tablespoons or more), stop the prep and call our office. Returns from the prep should be a yellow or green liquid, unless you have had red Jell-O, then it may be red.
  3. Do not eat or drink anything after midnight, except as noted below.
  4. The MORNING OF the procedure

  5. Six hours prior to your procedure, REPEAT STEPS a-d as listed above.
  6. When you finish the Suprep, you should pass clear liquid from your rectum. If your return is not clear, you should take a Fleets enema at least two hours prior to your scheduled arrival time.
  7. The endoscopy center may be contacted starting at 7:00AM if you have any questions. You may brush your teeth.
  8. You may continue your clear liquid diet until 4 hours prior to your arrival time. You will be sedated and you will have to have someone available to listen to the doctor’s advice upon discharge and drive you home after the test. If you do not have a driver, your test will be rescheduled to a day when one is available.
    • You can expect to be here for 2 to 3 hours.
  9. Blood pressure/heart medications should be taken with a small amount of water on the morning of your procedure.
  10. Insulin or oral diabetic medications should not be taken on the morning of your test. You may resume taking your medications after you are able to eat.
  11. BRING YOUR CURRENT MEDICATIONS OR LIST WITH YOU ON THE DAY OF YOUR TEST

Prep Tips

  • Walking around helps the prep go down.
  • You may reduce rectal soreness from the prep by cleansing with baby wipes after bowel movements and then applying zinc oxide to the skin in the rectal area.
  • The prep may seem difficult but it allows the physician to see the lining of your colon clearly.
  • Using a straw to drink the prep may help with the taste and getting the prep down.
  • A good prep may lengthen the time needed before your next colonoscopy!

***IF YOU HAVE ANY QUESTIONS PLEASE CALL OUR OFFICE AND ASK FOR A NURSE***