To do a satisfactory examination, you must have a thoroughly cleaned colon. The best results have been obtained by following these instructions:

IMPORTANT - 1 WEEK PRIOR TO PROCEDURE:

1. Do not take any of these medications: Aspirin, Ibuprofen, Motrin, Advil, Naprosyn, Aleve and Plavix, or any non-steroidal anti-inflammatory medications, or iron or blood thinners (Coumadin). Over-the-counter cold medications may contain these medications. Please read the ingredients carefully.
2. Please avoid any foods containing seeds, such as popcorn, raspberries, strawberries, watermelon, etc.
3. Continue to take all other prescribed medications as usual. Celebrex and Tylenol are ok to continue.
4. If you have any tendency to be constipated, please begin a clear liquid diet two days prior to the exam.
5. Pick up your HalfLytely, Bisacodyl tablets and Fleet Phospho-soda Laxative (1.0 fl. oz., 30ml) from the pharmacy.

DAY BEFORE THE EXAMINATION:

1. If you are on Donnatol, Levsin, Robinul, Lotronex, Levbid, Bentyl, Imodium, Lomotil or Librax you should stop these medications while preparing for your colonoscopy.
2. All Day: Clear liquid diet only for breakfast, lunch, and dinner. This includes water, clear juice, bouillon, plain Jell-O, Gatorade, soda pop, coffee, and tea or any other liquid you can see through. Please avoid excess red or purple juices because they stain the colon. For effectiveness, you are required to drink large amounts of clear liquids.
3. NO solid foods, milk or milk products, or juice with pulp.
4. At 12 noon, take all 4 Bisacodyl tablets with water. Do not chew or crush. Do not take within 1 hour of taking an antacid.
5. At 5:30 p.m. take the Reglan pill wait 30 minutes.
6. Mix HalfLytely solution; add lukewarm water to top line on bottle, shake to dissolve the powder, the solution will be colorless; do not add any other flavorings.
7. At 6:00 p.m. begin to drink the solution.
8. Drink all of the solution, 8 oz. every 10 to 15 minutes, until the entire amount is gone.

DAY OF EXAM

1. Do not take high blood pressure medication or diuretics (water pills) the day of your procedure.
2. 5 hours prior to your exam take one Reglan 10 mg tablet. Wait 30 minutes. Add all the contents of a (1oz., 30 ml) bottle of Fleet Phospho- Soda laxative prep to one-half glass of ginger ale or cold juice and drink. Follow with at least 8 glasses or 64 oz. of clear liquid.
3. The goal is for your stools to appear as clear liquid. Please stop drinking 1 hour prior to your exam.
4. A sedative is used for this examination, so you will sleep for about 30 minutes afterwards. Because of the sedation you must bring someone with you to drive. The exam will be cancelled if there is no one to drive you home. Do not plan on working or driving the remainder of the day.
5. If you are diabetic, or have any lung, heart, kidney or liver disease, please notify the nurse. If you are a diabetic do not take your insulin before the exam. Please bring your insulin with you so you can take it after the procedure if needed. If you have asthma, please bring your inhaler.
6. If you have any questions at all, please call the nurse at 787-0270.

Pricing for this procedure is variable depending upon what the physician finds and feels is necessary at the time. This makes giving an exact price for the procedure difficult. If you need a price for any reason we can provide an estimate.

You will be receiving two statements for the procedure, and possibly three if biopsies are taken. The first statement is from NORTHERN UTAH GASTROENTEROLOGY AND ENDOSCOPY SPECIALIST and is for the physician’s services. The second statement is from NORTHERN UTAH ENDOSCOPY CENTER or LOGAN REGIONAL HOSPITAL and covers supplies, equipment, room charge, nursing, and technician services. If it is necessary to do biopsies during the procedure this will create a third statement. The third statement would be from the pathologist for the preparation of the biopsy and the interpretation of the slides. We appreciate your understanding and support.

Post Colonoscopy Guidelines

Do not eat until you are fully alert and awake. When alert and awake, sip a small amount of water. If you can swallow without choking in any way, you may resume your normal diet.

If you begin to pass large amounts of blood rectally, you should notify your physician immediately. Passing small amounts of blood after a biopsy has been taken is common.

After sedating medications you should not drive for the remainder of that day. You should also refrain from the use of power tools, standing on ladders, signing legal contracts, or doing anything that might injure you or someone else.

You may return to work the next day following the procedure.

Because you are medicated you will not remember the findings or the guidelines given by the physician. The directions and findings will be reviewed with the person you have arranged to drive you home. If you still have questions regarding either the treatment or findings, you should call and review this with the nurse or the physician.

You may notice gas and bloating after the procedure. This is common. Burping and passing gas should rapidly resolve increased gaseous discomfort.

If you had tissue removed (biopsy or polypectomy) you should be notified by the physician's office within about one week. If it has been longer than one week without any notification, please contact the doctor's office to get the report.

Certain conditions will require additional follow up to help assure your health and safety. Please maintain proper follow up as outlined. Notify the physician's office sooner if there are other problems or concerns.