Trilyte With Dulcolax

Colonoscopy Prep with Trilyte and Dulcolax

5 Days Prior to the Procedure

Hold fish oil supplement.

4 Days Prior to the Procedure

Make sure that your prescription for the bowel prep has been filled.

Be sure to let your provider know if you are on a blood thinner such as Coumadin or Plavix. If on a blood thinner_______________________________________________.

Begin low fiber diet below.

LOW FIBER DIET

White bread, melba toast, waffles, french toast, pancakes, saltines, plain cakes, cookies
White rice, pasta, peeled cooked potatoes
Cereals: farina, cream of rice, puffed rice, rice krispies, corn flakes, special K
Tender cooked or canned vegetables (without seeds), carrots, asparagus tips, green or wax beans, pumpkin, spinach, lima beans
Strained fruit juice, canned fruit (except pineapple), ripe bananas, melons
Milk, plain or flavored yogurt, custard, ice cream, cheese, cottage cheese
Well-cooked tender beef, lamb, ham, veal, pork, fish, poultry, ground meats, organ meats, eggs, creamy peanut butter
Margarine, butter, oils, mayonnaise, sour cream, salad dressings, sugar, clear jelly, honey, syrups
Plain gravies, spices, cooked herbs, bouillon/broth, soups made with allowed vegetables
Coffee, tea, carbonated drinks
Hard candy, pretzels, plain snack crackers, gelatin, plain puddings, custard, ice cream, sherbet, popsicles, chocolate

1 Day Prior to the Procedure

Upon waking, start clear liquid diet below. This means no solid food the day before the procedure. Stay well hydrated by drinking a minimum of 64 ounces of clear liquids. If you do not adhere to the clear liquid diet your procedure may be cancelled.

If diabetic:_____________________________________________________________.

At 1:00pm, Mix the NuLytely/TriLyte solution according to the directions. Shake well and refrigerate.

At 1:00pm, take 2 Dulcolax (Bisacodyl) tablets (you can purchase over the counter at your local pharmacy if not dispensed by your pharmacist).

At 6:00PM, start drinking liquid solution, one glass every 10-15 min until you have consumed the first half gallon. You must drink the first half gallon (8- 8oz glasses). After first half gallon is consumed, continue drinking solution until you have had 5-6 cloudy to clear liquid bowel movements.

Once you achieve this, you can discard the rest of the solution. You may have diarrhea for 1-2 hours after finishing the solution. If you experience anal discomfort, you may use pre-moistened towelettes, Vaseline or Desitin to the peri-anal area after each bowel movement to minimize irritation. If you have any problems with your preparation, please contact our office at 425-454-4768.

CLEAR LIQUID DIET

Clear chicken, beef or vegetable broth
Apple, cranberry or grape juice, flavored bottled waters, gatorade, crystal lite, pedialyte, sprite, 7-UP
Water, coffee, tea (Do NOT add milk, cream, or non-dairy creamer; you may add sugar or other sweeteners if desired)
Popsicles, Jell-O, orange, lime, lemon okay (No red Jell-O)
Hard candy such as lifesavers, suckers, gummy bears

Day of the Procedure

You may continue with the clear liquid diet and take any necessary medications as long as it is 2 hours before checking in for your procedure. Within 2 hours of checking in for your procedure, do not put ANYTHING in your mouth. This includes water, gum, mints and lozenges.

If you use a CPAP at night for sleep apnea, please bring it with you to your procedure.

If you use an inhaler for pulmonary disease, please bring it with you to your procedure.

After the Procedure

Please arrange transportation with an escort that you trust to receive your discharge instructions. All patients will be required to have an escort – YOU CANNOT DRIVE (or take a taxi without an escort). You must plan to refrain from driving or operating heavy machinery for at least 12 hours after your examination. Alcohol and sedatives should be avoided for 24 hours after the procedure. If you have biopsies or a polyp removed, you will need to avoid aspirin, aspirin-related products, and blood thinners for 24 hours.