Treatment & Procedures

Preparation using OsmoPrep

The colon preparation is the most important step leading to the successful completion of a colonoscopy. We know it is inconvenient, but a clean colon will lead to an efficiently and safely performed colonoscopy that will lead to good gastrointestinal health.


Seven Days Before The Procedure

1. Diabetics taking insulin will need dose adjustment the day before the exam. Please ask for advice from the physician that prescribes your insulin. For diabetics only taking diabetic pills simply stop the pills the day before the procedure (see below)
2. Blood thinners including Coumadin, aspirin, and Plavix type medicines. These can increase the risk of bleeding during endoscopic procedures to a varying degree. We recommend stopping Coumadin FIVE days before the procedure, if possible. Please ask for advice from the physician that prescribes your Coumadin. If aspirin is used for preventative reasons and not for active cardiac or stroke prevention then it should be stopped for 5-7 days before the procedure. Plavix has to be stopped for 5-7 days if ok with your Cardiologist or Primary MD
3. Stop Iron supplements and Multivitamins if you take them
 

Items o Purchase

    1. Fill the prescription for OsmoPrep (check for rebate coupon in the office)
    2. Fill the prescription for Phenergan/Ondansetron/Tigan (anti-nausea) drug.
    3. Any over-the-counter hemorrhoid ointment for anal discomfort (if needed).

    Three Days Before The Procedure

    No seeds, nuts, popcorn or peels from fruits and no raw vegetables or salads. Stop Multivitamins 3 days before the procedure

    One Days Before The Procedure

    1. Clear liquids only for the remainder of the day.
    2. You cannot have milk or orange juice for the entire day.
    3.Drink as much as you can to prevent dehydration. You may have bouillon, broth, black coffee (sugar is okay), tea, juice (apple, grape, cranberry), Gatorade, lemonade, soda, water, Popsicles and Jell-O (any flavor or color). No Red Jell-O and red Gatorade as these may turn your bowel movements red, should not be used.
    4. Do not take oral diabetic pills.
    5. If you have diabetes and take insulin, take one half of your usual morning dose of NPH, Lente or Novolin 70/30 or Lantus insulin. DO NOT TAKE Regular or Humalog insulin the morning of your test.

    If you take Ultralente insulin or are taking three or more injections per day, please contact the health care provider who manages your diabetes for specific instructions

    Evening Before The Colonoscopy

    Start Your physician will give you specific instructions for completing the OsmoPrep regimen. The tablets are taken with a total of 64 oz of the clear liquid of your choice. It is important that you finish the entire dosing regimen to achieve the best possible results and that you take all of the prescribed liquid to maintain proper hydration. Continue clear liquids till midnight and nothing by mouth after midnight except medication as instructed.

    Starting at 4:00 p.m. day before the test

    First regimen
    1. Take 4 tablets with 8 oz of any clear liquid every 15 minutes.
    5. You will take a total of 20 tablets over a 1-hour period.

    Starting at 8 pm day before the procedure

    Second regimen
    1. Take 4 tablets with 8 oz of any clear liquid every 15 minutes.
    2. You will take a total of 12 tablets over a 30-minute period,
    3. Continue clear liquids till midnight and nothing by mouth after midnight except medication as instructed

    Questions or Problems

    - Phone number is 407-843-0443
    - Internet website address is www.tummydoctor.org

    Important Information About Sedation

    Sedatives used for endoscopy include Propofol. These medications provide amnesia and pain relief. You are breathing on your own. It is not considered general anesthesia. The only reasons not to receive Propofol are pregnancy, egg allergy and soy allergy.
    © 2017 Gastroenterology & Nutrition Specialists