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GASTROENTEROLOGY
CONSULTANTS
MiraLax/Gatorade iNStrUCtioNS For CoLoNoSCoPY
Your appointment is scheduled on ________________________at ______________AM PM with Dr. _____________________.
Be at the location marked below by _________________AM PM A. Five days prior to the procedure stop herbals, vitamins, iron pills, blood thinners, stool formers such as Imodium, and fiber supplements (this does not include blood pressure medications or aspirin). Unless previously instructed, you may take your blood pressure medication, seizure medication, and aspirin the morning of the appointment, as prescribed. You will need to purchase a 238 gram bottle of MiraLax, four Dulcolax tablets, and two 32 ounce bottles of Gatorade (no red or B. The day before your colonoscopy you must be on a clear liquid diet all day. No solid food. Clear liquids include: water, apple juice, Gatorade, white grape juice, soft drinks, coffee and tea (without cream) orange drink (Hi-C or Crystal Lite), jello, bouillon, popsicles, and lemonade. do not drink milk or milk products. do not drink anything red or purple.
Drink an extra 8 ounces of clear liquid every hour while awake. In the morning, mix half of the MiraLax 238 gram bottle into one 32 ounce Gatorade bottle and the remaining half of the MiraLax into another 32 ounce bottle of Gatorade until dissolved and then put in the refrigerator to chill.
at 4 PM take 4 Dulcolax tablets with water and continue clear liquids.
at 6 PM drink the first bottle of the Gatorade/MiraLax solution at a rate of 8 ounces every 15-30 minutes (over 1-2
You may apply a petroleum based product or diaper rash ointment to the anorectal area if you experience C. On the day of your Colonoscopy: 5 hours before the time your procedure is scheduled, drink the second bottle of If your procedure is scheduled early in the morning, you will need to get up in the night to drink the Gatorade/MiraLax solution. The correct timing of this dose is essential for an effective cleansing of the colon.
You should drink water only until 4 hrs before your scheduled procedure time. Do not eat or drink anything 4 hours prior to After the procedure you may eat your usual diet unless otherwise instructed. Drink 8 ounces of liquid at least 6 times after the procedure and before retiring for the night. remember: Do not eat solid foods, drink dairy products, or consume anything red or purple the day before your
procedure. Report to the facility indicated below and bring someone with you that can safely drive you home. Due to sedation given during the procedure, you will not be permitted to drive upon departure (no taxi or public transportation).
Your appointment is scheduled at the following location:
( ) Gastroenterology Consultants of San Antonio, ASC, 8214 Wurzbach Rd. ( ) Gastroenterology Consultants of San Antonio, ASC, 855 Proton Rd.
( ) Methodist Endoscopy Center, 4499 Medical Dr. Sub Level I ( ) N. Central Baptist Hospital, 520 Madison Oak Dr.
San Antonio, TX 78229 - (210) 575-4999 - report to admitting
San Antonio, TX 78258 - (210) 297-4802 - report to admitting
( ) Christus Santa Rosa, 2827 Babcock Rd.
( ) Methodist Stone Oak Hospital, 1139 E. Sonterra Blvd.
San Antonio, TX 78229 - (210) 705-6490 - report to admitting
San Antonio, TX 78258 - (210) 638-2000 - report to admitting
( ) North East Baptist Hospital, 8811 Village Drive ( ) North East Methodist Hospital, 12412 Judson Road San Antonio, Texas 78217 - (210) 297-2000 - report to admitting
Live Oak, TX 78233 - (210) 757-5044 - report to admitting
( ) Methodist Specialty & Transplant Hospital, 8026 Floyd Curl Drive ( ) Main Methodist Hospital, 7700 Floyd Curl Drive San Antonio, Texas 78229 - (210) 575-8155 - report to admitting
San Antonio, TX 78229 - (210) 575-4343 - report to admitting
8214 WURZBACH ROAD · SAN ANTONIO, TEXAS 78229-3374
855 PROTON ROAD · SAN ANTONIO, TEXAS 78258 }210-614-1234 · FAX 210-614-0952
11485 TOEPPERWEIN ROAD, SUITE 2 · LIVE OAK, TEXAS 78233

Source: https://www.gastroconsa.com/pdf/forms/G-136%20MiraLax%20Instructions.pdf