Gregory J. Ardigo, M.D.
Lawrence M. Hurwitz, M.D.
Jack Dinh, M.D.
Diplomates American Board of Gastroenterology and Internal Medicine
PATIENT INSTRUCTIONS FOR COLONOSCOPY
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Read these instructions carefully NOW and review 7 days & 2 days before your procedure.
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The Endoscopy Center will notify you of your exact arrival time the business day before
your procedure.
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You will be on a CLEAR LIQUID DIET the entire day before your procedure. See instructions.
PLANNING FOR YOUR PROCEDURE
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Ensure we have the correct contact information and insurance coverage.
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Call 951.304.0200 at least 72 hours prior to procedure in the event we are unable to contact you.
Failure to do so may result in cancellation of your procedure.
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YOU MUST HAVE A RESPONSIBLE ADULT TO DRIVE YOU HOME.
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If scheduled to arrive after 1:00 your driver must remain in the facility, If your driver leaves the
facility your procedure will be rescheduled for another day, or may be performed without sedation
based upon physician review. Please make the necessary arrangements.
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For drivers not required to remain in the facility, we must have a contact number in case of an
emergency. If we are unable to your responsible adult your procedure will be rescheduled.
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Plan on being at the center for 1.5 to 3.0 hours, please notify your driver of this.
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Co-Pay/Deductible is due at the time of service.
7 DAYS PRIOR TO PROCEDURE
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Fill your Prescription for your bowel prep at least 5-7 days before your procedure.
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Stop taking iron pills or vitamins containing iron.
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Stop taking NSAIDS (Nonsteroidal Anti-inflammatory medications) Examples include:
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Motrin
Mobic
Naprosyn
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Advil
Celebrex
Naproxen
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Aleve
Toradol
Feldene
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Iboprofen
Orudis
Excedrin
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Indocin
Relafen
Aspirin
** If you are taking a physician prescribed NSAID medication you may be instructed to stop taking
3 days prior to exam.
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YOU MUST INFORM your doctor’s office (951.600.0288) if you are taking the following medication
for specific instructions:
o DIABETIC medication
o BLOOD THINNING (Aspirin, Coumadin, Plavix, Aggrenox, Warfarin, Heparin, Lovenox)
o BLOOD WORK – Depending on the type of blood thinning medication you are taking you
may be required to have a blood test in the morning the day before your procedure, Inland
Empire Gastroenterology Medical Group will give you a prescription for the test.
THE DAY BEFORE YOUR PROCEDURE
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CLEAR LIQUIDS ONLY for the entire day before your colonoscopy starting with
breakfast. The morning of your procedure you will drink the second ½ of your prep 3-4 hours
before your arrival time. This is the only fluid you may have if you are schedule in the AM.
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You will then begin your bowel cleansing solution or pills at 6PM in the evening.
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DO NOT have anything RED or PURPLE , No Solid foods, No Milk or Dairy Products.
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Drink plenty of liquids for adequate hydration, nutrition & improved prep results. See examples.
Orange Soda
Ginger Ale
Crystal Light
White Grape
Kool-Aid, Tang
Broths / Bouillon
Jello (no fruit or toppings)
Sprite
7-up
Apple Juice
Tea / Coffee
Mountain Dew
Lemonade
Popsicles (no sherbet/fruit bars)
Powerade
Gatorade
Clear Protein Drinks
** Isopure or Cytosport
FOLLOW THE SPECIFIC COLON CLEANSING INSTRUCTIONS GIVEN BY OFFICE ONLY.
If your prep is changed due to your insurance simply follow the instructions for the prep given.
THE MORNING OF YOUR PROCEDURE
IF YOUR ARRIVAL TIME IS BEFORE 11:30 AM
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DO NOT DRINK ANYTHING AFTER MIDNIGHT, EXCEPT the remainder of you colon prep 3-4
hours before your arrival time.
IF YOUR ARRIVAL TIME IS AFTER 11:30 AM
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DO NOT DRINK ANYTHING AFTER 08:00am the morning of your procedure, EXCEPT the
remainder of your colon prep 3-4 hours prior to your arrival time. If you are scheduled to arrive
after 11:30 AM you may have clear liquids only until 8:00am.
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Take blood pressure, heart, & seizure medication with small sip of water if you normally take in AM.
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Bring completed Medication Record & Co-pay.
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Wear comfortable clothing, do not wear jewelry, perfume or lotions. Leave valuables at home.
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Bring Insurance card & photo ID if you did not preregister with the Endoscopy Center in person.
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Expect to be at the Endoscopy Center for approximately 1.5 to 3.0 hours.
The length of stay is based on many variables beyond our control, such as poor prep,
findings & therapeutic interventions. Rest assured we will not rush through any procedure
just to stay on schedule. If your driver leaves we must be able to contact them to return
within 20 minutes of our call.
FOLLOWING YOUR PROCEDURE
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Do not drive a vehicle, operate any machinery, or sign legal documents until the following day.
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It is recommended to have someone stay with you after your procedure for assistance.
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The physician will discuss findings and specific instructions with you and your responsible adult;
however, due the sedation given, you may not recall the conversation. You will be given specific
discharge instructions in writing to review after the sedation has worn off.
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The Endoscopy Center will call you the business day following your procedure to check on you.
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A report will be sent to your primary care physician. If specimens were obtained results usually take
10-14 days to receive. You will be notified of the results and a copy will be sent to your primary MD.
SUGGESTIONS AND POINTS TO REMEMBER
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Drink plenty of Clear Liquids the entire day for nutritional value and improved prep results.
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If you develop discomfort or distention (bloating), wait 20-30 minutes and resume drinking a glass
every 15-20 minutes. This will improve once you begin having bowel movements.
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Nausea, cramping and abdominal fullness are the most common adverse reactions. Stay well
hydrated to avoid symptoms related to dehydration (headache, weakness, lightheadedness).
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Do not add one flavor to entire gallon. Pour part of solution into a smaller container (glass, pint, or
quart) prior to adding a flavor packet (crystal light crystals or tang may be used) to vary the flavors.
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Suggestions include drinking each cup quickly, or through a straw.
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Don’t pour over ice this will only increase the amount.
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Eating Jello or sucking on hard candy after each cup may also help.
COLONOSCOPY BOWEL PREP INSTRUCTIONS
Follow these instructions given by the office. (They may be different than the instructions on the bottle.)
Additional instructions have been given regarding clear liquid diet, medication and preparation.
Failure to follow instructions may result in a poor prep and cancellation of your procedure.
**If your prep has been substituted due to insurance, simply follow instructions for prep given.
Trilyte, Golytely, Halflytely or PEG Bowel Prep
THE DAY BEFORE YOUR PROCEDURE
1. In the morning the day before your procedure prepare Prep Solution: Add tap water to the
FILL LINE mark on the container. Shake several times to insure the ingredients are dissolved.
Place in refrigerator to chill.
** HALFLYTELY ONLY @ 12:00 Noon take bisacodyl tablet/s in prep kit with a glass of water.
2. AT 6:00 PM THE NIGHT BEFORE YOUR PROCEDURE begin the colon prep solution. Take
one 8oz glass every 10-15 minutes until ½ the bottle of the solution is consumed.
THE MORNING OF YOUR PROCEDURE
1. 3-4 HOURS PRIOR TO YOUR SCHEDULED ARRIVAL TIME begin drinking the second ½ of the
prep solution until gone. Drink one (8oz) Glass every 10-15 minutes until the solution is gone.
OSMO PREP
THE DAY BEFORE YOUR PROCEDURE
1. At 6:00 PM take 4 Osmoprep tablets every 15 minutes with at least 8 ounces of any clear liquid until 20
tablets have been consumed.
4 Pills @ 6pm
4 Pills @ 6:15pm
4 Pills @ 6:30pm
4 Pills @ 6:45pm
4 Pills @ 7PM
THE MORNING OF YOUR PROCEDURE
1. 3-4 hours before your arrival time: Take 4 Osmoprep tablets every 15 minutes with at least 8 ounces
of any clear liquid until the remaining 12 tablets have been consumed.
4 Pills, 3-4 hours before you arrive.
4 Pills 15min. after 1st dose
4 Pills 15min. after 2nd dose
SUPREP
THE DAY BEFORE YOUR PROCEDURE
1. At 6:00 PM the night before your colonoscopy.
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Pour the contents of the First Bottle of SUPREP Bowel Prep Kit into the mixing container
provided. Fill the container with water to the 16 oz fill line, and drink the entire amount.
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Drink an additional 32 ounces of water over the next hour.
THE MORNING OF YOUR PROCEDURE
1. 3-4 hours before your scheduled arrival time:
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Pour the contents of the Second Bottle into mixing container, Fill the container with water to the
16 oz fill line, and drink the entire amount.
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Drink an additional 32 ounces of water over the next hour.
For questions regarding the instructions given you may call the physician office at (951) 600-0288 or
the Endoscopy Center (951) 304-0200. If after 5 PM the night before your procedure you may call the
physician on call for urgent or emergent matters concerning your procedure or colon preparation.
40404 California Oaks Rd. Suite A, Murrieta, CA, 92562