To do a satisfactory examination you must have a thoroughly cleansed 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: iron, or Coumadin (blood thinners).
2. Please avoid any foods containing seeds, such as popcorn, raspberries, strawberries, watermelon, etc.
3. Continue to take all other prescribed medications as usual.
4. Pick up Visicol and Reglan (Metoclopramide) pills from your pharmacy.
5. If you have a tendency to be constipated, please begin a clear liquid diet two days prior to the exam.

DAY BEFORE THE EXAMINATION:

1. If you are on Donnatol, Levsin, Robinul, Lotronex, Levbid, Bentyl, Imodium, Lomtil, 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 juices, bouillon, plain Jell-O, Gatorade, soda pop, coffee, and tea or any other liquid you can see through. Please limit the amount of red and purple juices you drink 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.

NIGHT BEFORE PROCEDURE:
At 5:00 p.m.

Take one Reglan (Metoclopramide) 10 mg. tablet by mouth. Wait 30 minutes. Take 4 Visicol tablets, every 15 minutes, for a total of 5 doses (total of 20 tablets). Take each dose with 8 oz of Ginger Ale, and follow the last dose with an additional 12 oz. of Ginger Ale.

MORNING OF PROCEDURE:
5 hours prior to procedure

Take one Reglan (Metoclopramide) 10 mg. tablet by mouth. Wait 30 minutes. Take 4 Visicol tablets, every 15 minutes, for a total of 3 doses (total of 12 tablets). Take each dose with 8 oz. of Ginger Ale, and follow last dose with an additional 12 oz. Of Ginger Ale.
Please Continue drinking. You may drink clrear liquids up to 1 hour prior to your procedure.

A sedative is used for this procedure, 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.

If you are diabetic, or have any lung, kidney or liver disease, please notify the nurse. If you are diabetic, do not take your insulin before the exam. Please bring your insulin with you to the exam so you can take it after the procedure if needed. If you have asthma, please bring your inhaler with you.

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 SPECIALISTS 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 interpretation of the pathology. 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.