GoLytely Prep AM

24 hour clear liquid GoLytely AM procedure colon prep (for procedures before noon)

Good visualization of your colon requires a clean colon. To clean your colon it is important that you carefully follow the instructions outlined below. No food, plenty of clear liquids and the colon prep will clean your colon. GoLytely(or generic version) prep requires a prescription and needs to be picked up at your pharmacy. Do not follow the instruction in the prep box; only follow the directions this office gives you. While at the pharmacy you may want to pick up some drinking straws, Aloe baby wipes, and Vaseline/Desitin ointment which will help prevent a sore bottom.

Please arrive at your designated facility 30 minutes prior to your procedure. Please bring identification, your insurance cards, the medical form from this office and a medication list.

***Because of the sedation, you must have someone drive or accompany you home after your procedure. No exceptions can or will be made to this. You cannot drive, operate machinery, nor should you sign any legal documents for 24 hours after your procedure. ***

If you are on anticoagulants such as Couomadin (Warfarin), Pradaxa(Dabigatran), Eloquis (Apixaban), or Xarelto (Rivaroxaban or are on anti-platelets such as Plavix (Clopidogrel), Ticlid (Ticlopidine, Effient (Prasugrel)or Persantine (Dipyrimadole) you will also need to contact your prescribing physician regarding any adjustment to your medications or additional blood tests prior to your colonoscopy.  Please then let my office know your medication adjustment.  Without my office knowing this information your procedure may need to be rescheduled.

If you have a history of constipation; if you regularly take narcotics such as morphine, OxyContin, Fentanyl or Vicodin contact my office. Your prep may need to be adjusted.

Diabetics should contact the physician who oversees your diabetes for your medicine or insulin schedule for the day of your colonoscopy prep.

Check with your insurance company prior to your procedure to assure that you understand your insurance benefits and coverage.  Your colonoscopy is considered to be a screening or routine if have you have no GI symptoms.  If you are experiencing GI symptoms (i.e. abdominal pain, bleeding, diarrhea, constipation, anemia) your colonoscopy is considered to be diagnostic.   If a polyp or tissue is removed during the procedure your colonoscopy may no longer be considered a screening but a surgical procedure.    Information on insurance claims adheres to your medical record.

Two days prior to your colonoscopy increase your liquids and follow a low residue diet Foods:  Soup, fish, chicken, eggs, white rice, bread, crackers, plain yogurt, pasta, potato with no skin, gelatin, broth, bouillon, all liquids  Avoid:  fresh and dried fruit, all vegetables, raisins, dried fruits, nuts and seeds. Drink: The more liquids the better. Increase your liquid intake to at least 12oz every 2 hours. Avoid: Do not drink liquids that are red or purple or have pulp.

The day before your colonoscopy: Take all your medications as scheduled. Mix your GoLytely as directed and refrigerate.  Do not consume any food, any dairy or non-dairy.

This day drink only clear liquids and drink at least 12 oz of clear liquid each hour. Clear liquids include coffee or tea without dairy/non-dairy creamers, all carbonated beverages and non-carbonated beverages such as Gatorade or vitamin water, fruit juices without pulp, broth, jello, popsicles and Italian ice. Avoid any clear liquid that is red or purple in color. Some of these should contain sugar, even if you are a diabetic. You may have gum and hard candies. It is best to avoid alcoholic beverages as these are dehydrating.

The evening before your colonoscopy:  5-7PM: Begin drinking the first half of the Golytely 8oz of prep every 15 minutes. The taste can be disguised by adding a powdered drink mix (not red) or a flavored clear liquid to dilute the Golytely. Drinking the prep through a straw is helpful. 7PM-Bedtime: continue to drink 12oz of a clear liquid each hour. Anytime you get up during the night, have a drink of a clear liquid.

6 Hours prior to your colonoscopy: Drink the remaining half of your GoLytely. Drink 8 ounces of prep every 15 minutes until it is all gone. The taste can be disguised by adding a powdered drink mix (not red) or a flavored clear liquid to dilute the Golytely. Drinking the prep through a straw is helpful.   Stop all liquids 4 hours prior to your procedure then nothing to drink until after your colonoscopy.

Your colonoscopy brings together an endoscopy team that provides you the best possible care available.  If you are not able to keep your procedure appointment we request at least a 72 hour notice.  Less than 72 hours may result in a $50 cancellation fee.