GENERAL SURGERY INFORMATION

Your efforts at cleansing your colon are essential for an accurate procedure. These instructions are designed to maximize the ease, safety, and success of your preparation. Failure to take the prep as indicated may result in a poorly cleansed colon and the cancellation of the procedure.

You will need to purchase:

• (1) 10 oz bottle of Magnesium Citrate
• (1)  pkg of 4 Bisacoyl (Ducolax) tablets

DAY BEFORE YOUR PROCEDURE:

You may have a light breakfast before 10:30 am, then drink only CLEAR LIQUIDS for lunch and dinner. These include: coffee, tea, hard candy, water, carbonated beverages, apple juice, white grape juice or white cranberry juice, Gatorade, soft drinks, Jell-O (no fruit added), icy popsicles and clear broth. Do not drink alcohol, dairy products (including non-dairy creamer) or any liquid with red or purple food coloring. It is important that you drink as much clear liquid as you can throughout the day to avoid dehydration due to the multiple bowel movements.

1. Drink an 8 oz glass of Water or Clear Liquid beverage at:
   • 1:00 pm
   • 2:00 pm
   • 3:00 pm
   • 4:00 pm
2. Drink the 10 oz bottle of Magnesium Citrate at 5:30 pm
3. Drink an 8 oz glass of Water or Clear Liquid beverage at:
   • 6:00 pm
   •  7:00 pm
4. At 7:30 pm:  Peel the backing off the packet of Bisacodyl (Ducolax) tablets and remove the 4 enclosed tablets. Take all 4 tablets with one 8 oz  glass of Water or Clear Liquid beverage. This will usually produce a bowel movement in 6-12 hours.
5. Drink an 8 oz glass of Water or Clear Liquid beverage at:
   • 8:00 pm
   • 9:00 pm

Medications (unless otherwise advised by your doctor):

• STOP 2 weeks prior to your procedure
  • Phenteramine and All Herbal Supplements/Teas (Black Cohash, Echineasa, Ephedra, Fererfew, Garlic, Ginkgo Biloba, Ginseng, GBL/BD/GHB, Goldenseal, Hoodia, Kava, Licorice, Saw Palmetto, St. John's Wort, Valerian)
• STOP 10 days prior to your procedure
  • Aspirin or aspirin-containing medicines
  • Plavix
  • Fish Oil and Vitamin E
• STOP 5 days prior to the procedure
  • Coumadin/Warfarin
• STOP 2 days prior to the procedure
  • NSAIDS (Motrin, Advil, Ibuprofen, Aleve, Naprosyn, Celebrex)
• If you take heart or blood pressure medications, please take them the morning of your procedure with a small sip of water.
• Discuss changes in your Insulin dosage with your Primary Care provider
• Tylenol is safe to use as a pain reliever
• Continue all other medications. You may brush your teeth.
• A&D Ointment or Desitan along with Cottonelle moist flushable wipes are recommended for anal irritation.

Please call the office (410.730.1712) if you have any questions concerning these instructions.

Please arrive ONE HOUR BEFORE your procedure is scheduled for registration and preparation.  The facility may ask you to pay a co-pay or deductible at that time.

CLEAR LIQUIDS are allowed until 4 hours before your surgery.

IMPORTANT:

• ABSOLUTELY NO SOLID FOOD OF ANY TYPE WITHIN 8 HOURS OF YOUR SURGERY OR IT WILL BE CANCELLED.
• ABSOLUTELY NO LIQUIDS OF ANY TYPE WITHIN 4 HOURS OF YOUR SURGERY OR IT WILL BE CANCELLED.
• Arrive at the facility ONE HOUR BEFORE your procedure is scheduled.
• Make sure that you have your health insurance cards with you and a list of any medications which you are taking, including the dosage. Be prepared to answerer questions about your medical history.
• YOU CANNOT DRIVE YOURSELF HOME following the procedure. Please arrange for a responsible adult to drive you home. You will not be able to take a cab or bus ride home.

Low Sodium (Mag Citrate)
Surgery Bowel Prep