SPLIT DOSE NULYTELY/GOLYTELY COLONOSCOPY

A colonoscopy is a scope examination of your colon or large intestine.  This is about (6) feet long in most adults. 

• A thin, flexible scope with a light and lens will be inserted through your rectum into your colon.

• The doctor will guide the scope along your colon to the junction of the large and small intestines.

• The test usually takes (30) minutes.

• Unless the test is prescribed for other reasons, the main purpose of the colonoscopy is to search for polyps.

• A colonoscopy can be used to screen for cancer or precancerous polyps.  It can also be used to assess the large intestine for various other diseases.

• If biopsies are obtained during the procedure, you will be notified of the results in (14) days.

• We will sedate you for the test by giving you medicines through an IV that will help you to relax and sleep.  We will keep you after the exam for (30) minutes.

• The doctor will speak to you before and after the procedure.

• Unless you request otherwise, we will invite your driver to the recovery room to hear the doctor’s post-exam report.

• The colon must be completely clean for the procedure to be both accurate and comprehensive. Please follow the preparation instructions carefully.

SPLIT DOSE NULYTELY/GOLYTELY COLONOSCOPY

PATIENT NAME:  ___________________ Dr. __________________________                 

You are scheduled for a colonoscopy on:   _________________________     at    ____________

You must arrive by: ________________     and check in at ADMISSIONS/SURGERY CENTER.

Instructions: Fill your prescription at least (3) days before your scheduled procedure time. 

1 Week Prior:

1. Stop taking iron supplements (including multivitamins containing iron).

2. Do not eat any foods having nuts, seeds, or kernels (for example: sunflower seeds or popcorn).

3. Discuss diabetic medications and insulin with the prescribing physician.

5 Days Prior:

1. Check with your prescribing physician for instructions about stopping your blood thinner. Examples of blood thinners are Aleve, Aspirin, Coumadin, Eliquis, Ibuprofen, Naproxen, Plavix, and Xarelto.

2. Do not give yourself a Lovenox injection the morning of the test. Lovenox injections may be taken as usual through the day before your test.

4 Days Prior: 

1. Stop taking Metamucil, Perdiem, Citrucel, or any other bulk laxatives. Miralax is okay.

Day Prior:

1. Beginning in the morning, start a clear liquid diet. Drink a generous amount of clear liquids throughout the day, no alcohol. No solid or creamed/pureed foods. If you are on a fluid restriction, drink the recommended amount of clear liquids allowed by your physician.                                  

2. At 11:00 A.M. fill the Nulytely/Golytely jug to the “fill” line with lukewarm drinking water. Cap the jug and shake to dissolve the powder.  Place the jug in the refrigerator.

3. At ­­­5:00 P.M. drink one 8-ounce glass of Nulytely/Golytely and repeat every (10-15) minutes until you have finished the first (¾) gallon of Nulytely/Golytely (3) liters. If you become nauseated, hold off on drinking for (30) minutes or so, then resume.

Day of Test:

1. Continue clear liquid diet.

2. Five hours beforeyour scheduled procedure time drink the remaining Nulytely/Golytely 8-ounces at a time. Repeat every (10-15) minutes until you have finished.

3. You may drink clear liquids up until (4) hours before your scheduled procedure time. After this you should have nothing by mouth. This includes GUM or CANDY.

   1. Chewing tobacco must be stopped (6) hours before your scheduled procedure.

   2. If you have an early morning test, take ONLY your essential morning medications (heart, blood pressure, seizure, etc.) with a small sip of water.

4. You will be sedated for the procedure.  A responsible adult must drive you home (no Uber, taxis or buses are allowed). If you do not have a driver, we will be unable to do the test.

5. You will be here for (3-4) hours from arrival time.

6. You will not be able to return to work the same day if you have received sedation.

7. Please bring a list of your current medications and the dosages with you.