14 days or more before your colonoscopy:
- If you are on blood thinners Lovenox (enoxaparin), Normiflo (ardeparin), Fragmin (dalteparin), Innohep (tinzaparin), Coumadin (warfarin), Arixtra (fondaparinux), Plavix (clopidogrel), or Ticlid (ticlopidine)} you will need to contact your private doctor, who ordered your test, about this. In most cases, GI procedures require that you stop blood thinners like Plavix, or Ticlid 7-10 days before the procedure, Coumadin 3-5 days before the procedure, Arixtra 72 hours before the procedure, and Lovenox, Normiflo, Fragmin, or Innohep 12-24 hours before the procedure. However, every case is individual depending on why you are on blood thinners and what exact GI procedure you will be undergoing. If you are reading this and your physician has not counseled you regarding whether to take or not take your blood thinners, please call your private doctor now and discuss with him/her. After the colonoscopy, ask the physician who performed your examination, when you can restart your blood thinners.
- If you take iron supplements, discontinue them at least 5 days before your colonoscopy; you can restart them after your procedure has been completed.
- If you are a diabetic, please consult your private doctor on how to modify your diabetes medication or insulin shots.
- If you take Lactulose, Chronulac, Krystalose, Enulose, or Sorbitol, stop these 6 hours before you start your colonoscopy prep; restart it after your colonoscopy exam has been completed .
- We do want you to take all other regular medications you usually take on the morning of the procedure (example: take your blood pressure medication for sure). Any medication you do not have to take in the morning, do not take until the procedure is over (example: vitamins).
- Do not eat any products that contain Olestra (example: WOW potato chips). Also avoid salads, raw or leafy vegetables and raw fruit 3 days prior to your procedure.
- Keep your appointment. If you cannot keep your appointment, please notify the scheduler as soon as possible at (606) 638-4656.
- Bring a designated driver. If you do not bring a driver, the procedure will be canceled, because you will be receiving medication that will make you unable to drive or make important decisions.
- Report to Three Rivers Medical Center Outpatient Registration, which is located in the 1st Floor of the hospital. Please make sure you arrive at the time of your appointment.
One Day before the Colonoscopy:
- Make sure you buy 1 Prepopik kit.
- Eat a light breakfast.
- Early in the morning, place the entire box in the refrigerator.
- At 12:00 noon, start the “clear liquid diet” – clear liquids are those that, if placed in a clear glass bottle, you can read a paper placed behind the bottle. (Do not have any solid, soft, pureed nor “milky” foods or drink, or supplements like Ensure or Boost). Please avoid red, green, blue, or purple colored clear liquids or gelatin because they make the exam more difficult. Please drink large amounts of clear liquids to avoid dehydration. Do not drink alcoholic beverages. On the day of the colonoscopy, stop drinking clear liquids 3 hours before leaving home. Examples of clear liquids are:
- Clear broth or bouillon (without noodles or other solids), any flavor.
- Coffee or tea (without milk or cream)
- Soft drinks like soda-pop, Kool–Aid, Gatorade, Tang, lemonade
- Juices without pulp: apple, cranberry, orange, grapefruit
- Gelatin like Jello (no red, blue, green or purple)
- Popsicles (no ice cream or yogurt bars)
- At 6:00PM, take 4 Dulcolax 5mg each. Mix prep and drink the 8 oz glass of Prepopik. Fifteen minutes later, start drinking 5 (8oz) glasses of water. Drink them within 5 hours.
On the day of the colonoscopy:
- Six (6) hours before leaving home to come to the hospital, take 2 tablets of Dulcolax (bisacodyl) 5 mg each, the other 8 oz glass of Prepopik. Fifteen minutes later, start drinking 3 (8oz) glasses of water. Immediately after, take your regular medications with water.
- Do not eat nor drink anything else, until after your colonoscopy has been finished.
- Come to the Hospital with your designated driver.