Manhattan Gastroenterology
  • MIDTOWN 56 W 45th St, Ste 802 New York NY, 10036
  • UPPER EAST SIDE 983 Park Ave, Ste 1D New York NY, 10028
  • UNION SQUARE 55 W 17th St Ste 102 New York NY, 10011

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FLEXIBLE SIGMOIDOSCOPY PREP WITH MIRALAX & GATORADE
PLEASE PURCHASE
  • Over the counter at local pharmacy
    • Dulcolax (bisacodyl) 5 mg pills (need 3 pills total)
    • Miralax 238 gram bottle
    • Gatorade – one 32 oz bottle (No Red, Purple or Orange Color)
7 DAYS BEFORE
  • Stop fiber supplements and iron supplements, including multivitamins
3 DAYS BEFORE Begin a LOW FIBER Diet including:

  • White or sour dough bread
  • White Rice, Pasta
  • Eggs, Chicken, Turkey, Fish
  • Cheese, Yogurt, Milk, Ice Cream, Pudding
  • Canned or cooked fruit/vegetables without skin or peel (carrots, cucumbers, potatoes)
  • Pureed fruits/vegetables (smoothies, strained puree soups)
  • Creamy peanut or almond butter
High Fiber Foods to AVOID:

  • Raw fruits/vegetables with seeds, skin, membranes
  • Cooked/canned fruit/vegetables with skin/seeds/peel
  • Whole wheat or multigrain bread or crackers
  • Nuts, Seeds
  • Popcorn
  • Oatmeal, bran cereal
  • Brown rice, quinoa
2 DAYS BEFORE
  • Continue LOW FIBER Diet
  • Avoid solid foods after midnight
1 DAY BEFORE
  • MORNING: Start a CLEAR LIQUID Diet
    • Water
    • Apple, White Grape, White Cranberry Juices without Pulp
    • Clear Soup/Broth
    • Tea or Black coffee (no milk/creamer)
    • Gatorade/Powerade (no red, purple or orange color)
    • Jello (no red, purple, or orange color)
    • Popsicles (no red, purple, or orange color)
  • 6PM: Take Dulcolax 3 tablets with sips of water
  • 7PM:
    • Pour half of the Miralax bottle into the Gatorade bottle; shake until dissolved
    • Drink one 32 oz bottle, a cup every 15 minutes until completed
  • Bowel movements should begin 1-2 hours after starting the Miralax/Gatorade mix but the effect can be delayed by up to 4-6 hours
  • By the end of the cleanse you should be passing watery liquid which can have a green to brown tinge
DAY OF SIGMOIDOSCOPY
3 HOURS BEFORE
  • Stop drinking/eating clear liquids
  • Do not chew gum or mints
  • Take regular medications with a small sip of water the morning of your procedure unless otherwise instructed by your physician
30 MIN BEFORE
  • Arrive at endoscopy suite 30 MIN PRE PROCEDURE (no later!)
  • Bring list of current medications including doses
  • Bring a Photo ID and Insurance Card
  • Bring any applicable Referrals
  • Please do not bring any valuables
GENERAL INSTRUCTIONS:
IF YOU HAVE DIABETES
  • Contact your primary care doctor or endocrinologist for instructions regarding your medications
IF YOU TAKE MEDICATION TO THIN YOUR BLOOD
  • Contact your gastroenterologist for further instructions at (212) 427-8761
  • Medications include but are not limited to:
    • Heparin, Lovenox, Warfarin (Coumadin), Rivaroxaban (Xarelto), Apixaban (Eliquis), Edoxaban (Lixiana, Savaysa), Betrixaban (Bevyxxa), Clopidigrel (Plavix), Prasugrel (Effient), Brilinta (Ticagrelor)
IF YOU TAKE ASPIRIN OR BLOOD PRESSURE MEDICATIONS
  • You may continue to take these medications
ESCORT
  • Please ensure that you have an escort (responsible adult over the age of 18) to pick you up at the end of the procedure
Updated on Sep 30, 2022 by Dr. Shawn Khodadadian (Gastroenterologist) of Manhattan Gastroenterology Manhattan Gastroenterology Locations: Manhattan Gastroenterology (Upper East Side) 983 Park Ave Ste 1D, New York 10028
(212) 427-8761
Manhattan Gastroenterology (Midtown) 56 W 45th St, Ste 802, New York 10036
(212) 533-2400
Manhattan Gastroenterology (Union Square) 55 W 17th St Ste 102, New York 10011
(212) 378-9983