Colonoscopy and Bravo - Suprep Instructions
7 Days Prior to Your Procedure:
Acid reducing medication needs to be discontinued for the testing. Stop taking Prilosec, Nexium, Aciphex, Protonix, or Prevacid.
5 Days Prior to Your Procedure:
A prescription for your bowel prep has been submitted to your pharmacy around the time your procedure was scheduled (this could have been sent several months ago). Please contact your pharmacy prior to picking it up, to ensure is it ready. If your pharmacy is unable to locate your prescription, have them look under held prescriptions. If you are taking blood thinning medications or diabetic medications, follow the MEDICATION INSTRUCTIONS unless specified by our office with special instructions. Please discontinue multi vitamins with iron or iron supplements.
3 Days Prior to Your Procedure:
H2 Blockers (Tagamet, Zantec, Axid, Pepcid) should be stopped.
Begin the COLONOSCOPY PREP DIET. Continue following this diet until 1:00 pm on day prior to your procedure.
One Day Prior to Your Procedure:
Antacids (Tums) should be stopped.
At 1:00 pm Start a clear liquid diet. You may have water, ice, soda, Gatorade, ginger ale, broth (chicken, beef, vegetable), popsicles, Jell‑O, apple or white grape juice, tea and black coffee (no milk or cream). No alcoholic beverages. Avoid anything red or purple.
At 5:00 pm empty one bottle of Suprep into mixing container found in prep kit. Fill container with water to the 16 oz line. Drink the prep slowly over a one hour period of time. Follow prep by drinking 32 ounces of water over another period of one hour. You may continue drinking clear liquids along with your prep, however these must be sugar free or contain artificial sweetener. Once you have completed your bowel prep you may resume liquids containing sugar.
The Day of Your Procedure:
Continue a clear liquid diet, excluding broth and Jell O. Take your usual medications including pain relievers and anti anxiety medications, excluding the ones listed above. If you are taking blood thinning medications or diabetic medications, follow the MEDICATION INSTRUCTIONS unless specified by our office with special instructions. You may continue aspirin products.
At 5 hours prior to check in: repeat with the second dose of Suprep following the same directions as before. Drink the prep slowly over a one hour period of time. Follow the prep by drinking 32 ounces of water over another period of one hour. You may continue drinking clear liquids along with your prep, however these must be sugar free or contain artificial sweetener. Once you have completed your bowel prep you may resume liquids containing sugar. ****If you are coming from out of town please add in your drive time and take earlier than 5 hours prior to check in.****
At 2 hours prior to check in: Nothing by mouth, including water.
At check in time: see DIRECTIONS TO OUR FACILITY.
We are limiting the patients and people in our clinic and Oregon Endoscopy Center; drivers and family will be asked to wait outside the facility or in their cars during the procedure. If you are scheduled at OEC you will be with us for 2 hours. If you are scheduled at SPA you will be with us for 3 hours. You are having a medical procedure with sedation which requires you have a driver after your procedure. If you do not have a driver or responsible adult, we will reschedule your procedure. You cannot drive again until the next day. You may use a medical transport service, taxi or bus with a responsible adult to accompany you home. For safety reasons, we recommend that you have a responsible adult with you for a few hours after your procedure.
Because we are interested in knowing whether certain symptoms are associated with acid in the esophagus, we will ask you to keep a written log. In this log you will mark the time and duration of certain symptoms such as chest pain, heartburn and cough. You will wear an external receiver that will collect and record the data from the sensor. You must return the equipment to OEC after the data has been collected.
If you have any questions or concerns regarding these instructions, call our office at 541-868-9500. Urgent concerns outside of office hours should be directed to the on call physician at 541-868-9500.