GENERAL SURGERY INFORMATION

CLEAR LIQUID DIET FOR THE DAY PRIOR TO SURGERY. A Clear Liquid is any liquid you can see through.

THESE CLEAR LIQUID ITEMS ARE ALLOWED:

  • Water
  • Clear broth: beef or chicken
  • Gatorade
  • Lemonade or Kool-Aid
  • Sodas, tea, coffee (no cream)
  • Gelatin
  • Popsicles (without fruit or cream)
  • Italian ices
  • Juices without pulp: Apple, white grape juice
  • You may use salt, pepper, and sugar

NOT ALLOWED:

  • Milk or Cream
  • Milkshakes
  • Tomato Juice
  • Orange
  • Grapefruit Juice
  • Cream soups or any soup other than broth
  • Oatmeal
  • Grits
  • Cream of Wheat

Note: It is important to stay well-hydrated for your bowel prep… so please drink as much of these clear liquids as allowed!

RIGHT COLON & ILEOSTOMY CLOSURE

BOWEL PREPARATION INSTRUCTIONS

The day before your surgery

Day PRIOR to surgery:

  • BREAKFAST: BEGIN CLEAR LIQUID DIET (see list above). DO NOT EAT any solid food or drink any thicker liquids like milk, pulped juices or add cream to any clear liquid drink.
  • LUNCH: CLEAR LIQUID DIET
  • DINNER: CLEAR LIQUID DIET

Midnight and the morning of your procedure

  • DO NOT eat mints, candy, or chew gum after midnight.
  • The morning of surgery, take your heart or blood pressure medications before leaving to come to the  hospital. You may continue to drink ONLY CLEAR LIQUIDS  up until the time you leave to go to the  hospital. After leaving home, you will only drink Gatorade.
  • Drink your 20oz bottle of Gatorade on the way to the hospital. It must be finished 2 hours before the time of your scheduled surgery.

Please call the office (410-730-1712) if you have any questions concerning these instructions.

View/print your instructions

Right Colon and Ileostomy Closure
Bowel Prep Instructions

LEFT COLON & RECTAL

BOWEL PREPARATION INSTRUCTIONS

Bowel Prep Purchases

You will need to purchase the following items for your bowel prep:

A. One bottle Miralax Powder (238g), laxative (over-the-counter medication)*

B. Bisacodyl 5mg tablets (four tablets), laxative (over the counter medication)*

C. For Rectal Cancer Surgery ONLY: 2 Fleets Enemas*
*Please call our office if you have allergies to any of the above medications.

The day before your surgery

Day PRIOR to surgery:

  • BREAKFAST:  BEGIN CLEAR LIQUID DIET (see list above). DO NOT eat any solid food or drink any thicker liquids like milk, pulped juices or add cream to any clear liquid drink.
  • NOON:
  • 2:00PM
  •  6:00PM
  •  7:00PM
  • Be sure to drink an 8 ounce glass of a clear liquid every hour until 11pm (at 7pm, 8pm, 9pm, 10pm, 11pm), after finishing the Miralax Mix prep.  This keeps you hydrated.

Midnight and the morning of your procedure

  • DO NOT  EAT  mints, candy, or chew gum after midnight.
  • The morning of surgery, take your heart or blood pressure medications before leaving to come to the  hospital. You may continue to drink ONLY CLEAR LIQUIDS  up until the time you leave to go to the  hospital. After leaving home, you will only drink Gatorade.
  • For Rectal Cancer Surgery Only: Administer rectally 2 Fleets enemas 30 min apart, beginning 1 hour  before leaving your house for the hospital.
  • Drink your 20oz bottle of Gatorade on the way to the hospital. It must be finished 2 hours before  the time of your scheduled surgery.

Please call the office (410-730-1712) if you have any questions concerning these instructions.

View/print your instructions

Left Colon and Rectal
Bowel Prep Instructions

LOW SODIUM (MAG CITRATE) BOWEL PREP FOR SURGERY

Before your procedure

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.

The day of your procedure

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.

View/print your Low Sodium instructions

Low Sodium (Mag Citrate)
Surgery Bowel Prep

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