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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 28 (or 32) oz bottle (No Red, Purple or Orange Color)
7 DAYS BEFORE
  • Stop fiber supplements and iron supplements, including multivitamins
3 DAYS BEFOREBegin 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 28 (or 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:
URINE PREGNANCY TESTING
  • If you are a premenopausal woman, you will need to submit a urine sample upon office check in
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 WEIGHT LOSS MEDICATIONS
  • Alert your GI provider to discuss holding your medication(s) prior to your procedure
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 Jan 22, 2024 by Dr. Shawn Khodadadian (Gastroenterologist) of Manhattan Gastroenterology