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This data will assistance you become set up for your colonoscopy while you're nether intendance at Memorial Sloan Kettering (MSK) using a SUPREP^® Bowel Prep Kit. Your doctor will requite you a prescription for the kit.

A colonoscopy is an exam of your colon (large intestine). Your doctor will employ a colonoscope (flexible tube with a camera on the stop) to run into the inside of your colon on a video monitor. During your procedure, your doctor can:

Remove a small-scale sample of tissue (biopsy) for testing
Remove a polyp (growth of tissue)
Have photos of the within of your colon

Follow these instructions advisedly. It'southward very of import that your colon is empty for your colonoscopy. If at that place's stool inside your colon, your physician may not be able to see polyps or other issues within your colon and you may accept to repeat the process. If y'all take whatever questions, contact your doctor's office.

1 Week Before Your Procedure

Ask near your medications

You lot may need to stop taking some of your medications before your procedure. Talk with your dr. most which medications are condom for you to cease taking. We take included some common examples below.

Anticoagulants (claret thinners)

If y'all have a claret thinner, such as to treat blood clots or to forbid a middle attack or stroke, ask the doctor who prescribes information technology for you when to finish taking information technology. Examples are listed in the "Common anticoagulants (claret thinners)" table. At that place are others, so check with your dr. if yous're not sure.

Mutual anticoagulants (blood thinners)
apixaban (Eliquis^®) cilostazol (Pletal^®) clopidogrel (Plavix^®) dalteparin (Fragmin^®)	enoxaparin (Lovenox^®) fondaparinux (Arixtra^®) heparin	rivaroxaban (Xarelto^®) tinzaparin (Innohep^®) warfarin (Coumadin^®)

Medications for diabetes

If you take insulin or other medications for diabetes, you may need to change the dose. Inquire the doctor who prescribes your diabetes medication what you should practice the solar day before and the morning of your procedure. Tell your doc you will be drinking a sugar-free clear liquid diet the day before your procedure.

If you take metformin (such every bit Glucophage^®or Glumetza^®) or a medication that contains metformin (such as Janumet^®), don't take it the day before or the twenty-four hours of your procedure.

Tell your md if you lot have an AICD

Tell your MSK doc if you have an automatic implantable cardioverter-defibrillator (AICD). If you have this device, you will demand to take your procedure done at Memorial Hospital (MSK'due south main hospital).

Become a letter from your doctor, if needed

If you lot take an automatic implantable cardioverter-defibrillator (AICD), y'all need to go a clearance alphabetic character from your cardiologist (eye doc) before your procedure.
If you lot've had chest pain, dizziness, problem animate that'south new or worse, or have fainted in the last 6 weeks, you demand to go a clearance letter from your doc before your procedure.

Your MSK dr.'south office must receive your clearance letter at least i day earlier your procedure.

Arrange for someone to have y'all home

You must have a responsible intendance partner accept you home subsequently your process. A responsible intendance partner is someone who can help you get home safely. They should be able to contact your care team if they have whatever concerns. Make certain to program this before the mean solar day of your procedure.

If y'all don't have a responsible intendance partner to take you abode, phone call one of the agencies below. They'll transport someone to go home with you. At that place's often a charge for this service, and you'll need to provide transportation. It'due south OK to use a taxi or car service, simply yous however demand a responsible care partner with you.

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3 Days Before Your Procedure

Avoid certain foods

Yous should follow a low-fiber nutrition starting 3 days before your colonoscopy. During this time, do not eat:

Raw (fresh) fruits and vegetables.
Whole kernel corn, including canned corn
Whole grains (such equally oatmeal, brown rice, quinoa, or wheat staff of life)
Seeds (such as poppy or sesame)
Nuts

Talk with your endoscopy nurse

An endoscopy nurse will call you between 8:00 a.m. and 6:00 p.yard. 3 days before your procedure. They will review the instructions in this guide with y'all and ask you questions about your medical history. The nurse will also review your medications and tell you which medications to take the morning of your procedure. Apply the space below to write them down.

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1 Solar day Before Your Procedure

Starting the twenty-four hour period before your process, do not eat anything. Follow a clear liquid diet.

Follow a clear liquid diet

A clear liquid diet includes only liquids you tin see through. Examples are listed in the "Clear Liquid Diet" table. While you're following this diet:

Don't eat whatsoever solid foods.
Attempt to beverage at least 1 (viii-ounce) drinking glass of clear liquid every hour you're awake.
Drink enough of liquids other than water, coffee, and tea.
Don't drink anything red, purple, or orange.
If you lot have diabetes, only drink carbohydrate-free articulate liquids and cheque your claret carbohydrate level often. If you have any questions, talk with your healthcare provider.

Clear Liquid Diet
	Drink	Do Not Drinkable
Soups	Clear goop, bouillon, or consommé	Any products with particles of dried food or seasoning
Sweets	Gelatin, such as Jell-O^® Flavored ices Hard candies, such every bit Life Savers^®	Anything red, purple, or orange
Drinks	Articulate fruit juices, such as apple, white cranberry, or white grape Soda, such every bit vii-Up^®, Sprite^®, ginger ale, or seltzer Gatorade^® Black coffee Tea H2o	Juices with pulp Nectars Milk or cream Alcoholic beverages Anything cherry, purple, or orange

Note the time of your procedure

A staff fellow member will telephone call you after 11:00 a.yard. the day before your procedure. The staff member will tell you what fourth dimension to arrive for your process. If you lot're scheduled for your procedure on a Monday, you will exist called on the Friday earlier. If you don't receive a call, telephone call your physician'southward part.

If you need to cancel your process, call the doctor who scheduled information technology for you.

‌ Write your appointment data below.

Scheduled inflow fourth dimension: ____________________
Engagement: ____________________

SUPREP bowel preparation

Yous will drink a big amount of cool liquid for your SUPREP bowel preparation. This may cause bloating or discomfort in your abdomen (belly), nausea, or a headache. These things aren't crusade for alarm. If y'all take pain in your abdomen or vomit, call your doctor.

Do your SUPREP bowel training in 2 parts.

At 5:00 p.one thousand. the evening before your procedure, outset drinking the start office of your SUPREP bowel preparation. Start at 5:00 p.m. no affair what time you lot're scheduled to arrive for your procedure.

Empty i (half-dozen-ounce) bottle of SUPREP liquid into the mixing container.
Add together absurd drinking water up to the 16 ounce line on the container. Mix.
Drink all of the liquid in the container.
Beverage two more 16-ounce containers of water (32 ounces total) over the next hour. Yous don't need to drink the water all at once, but it's important to cease all 32 ounces over the next hour.
After you finish all 32 ounces of water, you lot can keep drinking other articulate liquids until iv hours before your scheduled inflow time.

You volition repeat steps 1 to five for the second part of your SUPREP bowel preparation. The time you get-go drinking the second part of your SUPREP bowel training depends on your scheduled arrival time.

If your scheduled arrival time is earlier 11:00 a.m., starting time at viii:00 p.1000. the night earlier your process.
If your scheduled inflow time is eleven:00 a.chiliad. or later, offset at _____________ (5 hours before your scheduled arrival time) the day of your process.

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The Twenty-four hours of Your Process

If your scheduled arrival time is xi:00 a.m. or later, retrieve to get-go drinking the second role of your SUPREP bowel grooming five hours before your scheduled inflow time.

Starting 4 hours before your scheduled inflow fourth dimension, do not swallow or beverage anything. This includes water, difficult candy, and gum.

Things to remember

Take only the medications you lot were instructed to take the morning of your procedure. Accept them with a few sips of water.
Don't put on any lotion, cream, powder, makeup, perfume, or cologne.
Remove any jewelry, including body piercings.
Leave valuable items (such as credit cards and jewelry) at home.
If you wearable contacts, wear your spectacles instead.

What to bring

A list of the medications you take at home, including patches and creams.
If you take an implanted pacemaker or cardioverter-defibrillator (AICD), bring your wallet bill of fare with you if it isn't already on file with the hospital.
Your rescue inhaler (such as albuterol for asthma), if you have one
A case for your glasses
Your Health Care Proxy form, if you have completed one

Where to go

Your procedure volition accept place at i of these locations:

Endoscopy Suite at Memorial Hospital (MSK's main hospital)
1275 York Avenue (between East 67^th and East 68^thursday Streets)
New York, NY 10065
Take the Thou elevator to the two^nd Floor. Enter the Endoscopy Suite through the glass doors.
MSK Monmouth
480 Ruby-red Hill Road
Middletown, NJ 07748

What to expect

Once you go far, you volition be asked to state and spell your proper name and date of birth many times. This is for your condom. People with the same or similar names may be having procedures on the same day.

After changing into a hospital gown, y'all will meet your nurse. They volition place an intravenous (4) catheter into one of your veins, ordinarily in your hand or arm. The Four volition exist used to give you anesthesia (medication to make you lot slumber) during your procedure. Y'all may also get fluids through the IV before your procedure.

You will talk with your physician before your procedure. They volition explain the process and reply your questions.

You volition also come across with your anesthesiologist. They volition review your medical history with you and talk with you about the kind of anesthesia (medication to make you sleep) yous will receive.

When it'southward time for your procedure, you will be brought into the procedure room and helped onto an exam table. You lot will exist attached to equipment to monitor your heart, breathing, and blood pressure level. You will as well receive oxygen through a sparse tube that rests beneath your nose. You lot will lay on your left side with your knees bent. Yous will get anesthesia through your IV, which volition make you fall asleep.

Once you're asleep, your physician will examine your rectum. Next, they volition place a colonoscope into your rectum. Your doctor volition use air and fluid to move the colonoscope along the length of your colon while looking for anything unusual on the video monitor.

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Later Your Procedure

In the Post Anesthesia Recovery Unit (PACU)

Y'all volition wake up in the PACU. Your nurse volition continue to monitor your heart, animate, and blood pressure. You may feel bloated and have stomach cramps. This is normal and goes away by passing gas.

Once you're fully awake, your nurse volition remove your Iv. If you have someone waiting with you, your nurse will explain your belch instructions to both of y'all before you go domicile.

At home

You can consume all of your usual foods after your procedure, unless your doctor gives you lot other instructions.
Don't beverage alcoholic beverages for 24 hours after your process.
You lot can go back to doing your usual activities 24 hours after your procedure.

If you had a biopsy, it's normal to accept a small amount of bleeding from your rectum. There should be no more than a few drops of claret, and the bleeding should stop within 24 hours afterwards your process.

After a colonoscopy, it'south normal for your bowel movements to be irregular or different from your usual habits. This may last for up to a week after your process.

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When to Call Your Healthcare Provider

Call your healthcare provider if yous have any of the following:

A fever of 101° F (38.3° C) or higher
Astringent tummy pain or hardness
Haemorrhage from your rectum that lasts more 24 hours
Bleeding between bowel movements
Weakness, faintness, or nausea
Heavy bleeding from your rectum

Contact Information

If you have whatever questions or concerns, talk with a member of your healthcare team. You can achieve them Monday through Friday from 9:00 a.k. to 5:00 p.m. at 212-639-2210. Afterward 5:00 p.m., during the weekend, and on holidays, please call 212-639-2000.

Low-Fiber Diet

See the next folio for examples of foods to consume and foods to avoid while y'all're post-obit a low-fiber diet.

	Low-fiber foods to consume	High-cobweb foods to avoid
Grains	White bread Obviously crackers, such as saltines Cooked cereals, such as cream of wheat or grits Cold cereals, such as corn flakes or puffed rice White rice, noodles, and pasta	Seeds, nuts, and coconut Popcorn Whole-grain products, such equally pasta, cereals, crackers, and breads
Fruits and Vegetables	Well-cooked canned vegetables without seeds, such as asparagus tips, beets, light-green beans, carrots, mushrooms, spinach, seedless squash, and pumpkin Cooked potatoes without skin Ripe bananas Melon, such as cantaloupe and honeydew Canned or cooked fruits without seeds or pare, such equally applesauce or pears Avocado	Almost raw vegetables Most raw or dried fruits, such as pineapple, raisins, and figs Certain cooked vegetables, such as peas, broccoli, winter squash, Brussels sprouts, cabbage, corn (and corn bread), onions, cauliflower, and potatoes with skin
Meats and Proteins	Lean and tender meats, such as beefiness, lamb, chicken, fish, and pork Eggs	Beans Lentils Tofu
Snacks	Plain cakes and cookies Gelatin, puddings, custard, and sherbet Ice cream and popsicles Pretzels Vanilla wafers	Peanut butter Jam, marmalade, and preserves Popcorn
Drinks	Coffee and tea Carbonated drinks Milk Apple juice, no-lurid orangish juice, and cranberry juice Strained vegetable juices	Fruit juices with pulp or seeds Clip juice Nectars

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