Plan Calendar: Colonoscopy Split Preparation

7 Days Before Procedure 3 Days Before Procedure 2 Days Before Procedure 1 Days Before Procedure Day of Procedure After Procedure
Date: Date: Date: Date: Date: Date:
 Review your prep  Review and plan dietary  Continue low fiber diet.  No solid foods allowed.  6 hours before your  Follow Discharge
instructions carefully. If needs for next 3 days. procedure time, begin Instructions given to
for any reason you  At midnight, stop  Start clear liquid diet drinking the remaining you at time of
need to cancel or  BEGIN: eating solid foods until (Please see Clear Liquid prep mixture. Continue discharge.
reschedule your Low fiber diet (Please after your procedure. Diet Document). drinking 1 glass every
procedure, please call see Low Fiber Diet 10-15 minutes until the  Resume a regular diet
the office at (717) 812- Document).  Be sure to drink an entire mixture is gone as tolerated.
5120. extra 12 glasses (8-10 (4 glasses over 1 hour).
 STOP EATING: ounces each) of clear  Plan to rest.
 Stop taking: • Popcorn liquids throughout the  4 hours before your
• Iron • Corn day. procedure time, do not Due to the anesthetic being
• All vitamins • Beans have anything by in your system for 24 hours:
• All supplements (fiber • Nuts / Seeds  At 4:00 PM, take 2 mouth (including  Do not make any
and herbal) • Fruits with skin or seeds Bisacodyl tablets. Mix water, gum, hard important decisions.
• Fiber supplements • Tomatoes and chill the prep candy, and chewing
(such as Metamucil; • Okra mixture (Please see tobacco).  Do not drive.
Citrucel; Fibercon; • Celery Colonoscopy Split
BeneFiber) • Salads Preparation Directions  Wear loose comfortable  Do not use dangerous
• Potato Skins Document). clothes. machinery.
 Confirm plans with your • Raw/Uncooked
driver to take you to Vegetables  At 6:00 PM, start  Only light make-up  Do not drink alcohol.
and from your drinking the prep should be worn; NO
procedure mixture. Continue to perfume or cologne.
appointment. drink one glass every
10-15 minutes until  Leave jewelry and
 Make sure you have all half the mixture is left. valuables at home.
your prep supplies (4 glasses over 1 hour).
(Please see Grocery List It is normal to  Bring your eyeglass
– Required Items). experience bloating, case, contact lens
nausea and abdominal container and denture
discomfort. If this cup, if you have any of
happens, slow down or these.
stop drinking mixture
for 30 minutes, and
then restart drinking.

 Continue clear liquids