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1. Do not take aspirin or aspirin-like products (i.e. Advil, Aleve) for one week prior to your procedure. You may have Tylenol (acetaminophen).
2. Do not take iron, iron-containing compounds, vitamin E, or fish oil beginning one week prior to your colonoscopy.
3. Please inform us if you are a diabetic so that we can schedule you early in the day.
4. Please inform us if you have an allergy to latex products.
5. If you take any blood thinning medications (i.e. Coumadin, Plavix, Aggrenox, Pletal, Ticlid, Pradaxa or Trental), you must bring this to the attention of this office.
6. Please let us know in advance if you have a history of a prosthetic heart valve, history of endocarditis, vascular graft implantation or prosthetic joints, as a prophylactic antibiotic may be necessary prior to performing a colonoscopy in these situations.
7. Please contact this office at least two days prior to your procedure if you need to cancel.
8. If we have given you a prescription for blood work, please have this performed 7 - 14 days prior to your procedure unless instructed otherwise by our office.

1. Drink only clear liquids the entire day before your procedure. Solid food, milk, or milk products are not allowed. Clear Liquids include:
   • Strained fruit juices without pulp (apple, white grape or lemonade)
   • Water
   • Clear broth or bouillon, coffee or tea (without milk or non-dairy creamer).
   • All of the following as long as they are NOT COLORED RED OR PURPLE
   • Gatorade - Snapple
     
   • Carbonated and non-carbonated soft drinks
     
   • Kool-Aid (or other fruit flavored drinks)
     
   • Plain Jello (preferably clear or yellow, without added fruits or toppings)
     
   • Ice Popsicles
     

2. Drink at least 8 glasses of water throughout the day and evening.

Directions for taking Suprep Laxative:

Beginning at 6PM on the day before your colonoscopy

• Pour one of the 6-ounce bottles of Suprep liquid into the mixing container.
• Add cool drinking water to the 16-ounce line on the container and mix.
• Drink ALL the liquid in the container.
• You must drink TWO more 16-ounce containers of water over the next 1 hour (fill the cup 2 more times with plain water and drink).

Beginning at 6 hours before your colonoscopy

• Pour the remaining 6-ounce bottle of Suprep liquid into the mixing container.
• Add cool drinking water to the 16-ounce line on the container and mix.
• Drink ALL the liquid in the container.
• You must drink TWO more 16-ounce containers of water over the next 1 hour (fill the cup 2 more times with plain water and drink).
3. If your arrival time at the hospital/office is prior to 10:00 AM take the second dose between 10:00 - 11:00 PM the night before.

4. If your procedure is being performed in the hospital, call the hospital the day before the procedure after 3:30 PM for arrival time.

   Mather Hospital: 476-2717     St. Charles Hospital: 474-6441

5. If your procedure is in our office we will call you two days before to confirm the time of the procedure.

1. Do not eat or drink anything after midnight on the day of the procedure, except the second dose of the preparation as described above.
2. If your procedure is schedule for the afternoon, you may have clear liquids (as described above) ONLY UP UNTIL 6 HOURS PRIOR TO THE PROCEDURE.
3. Have nothing by mouth, including chewing gum or any kind of candy, i.e. mints, tic-tacs, hard candy etc.
4. On the day of the procedure take all other necessary medications (blood pressure and cardiac medications) with a sip of water as you normally do.
5. Loose fitting clothing should be worn, particularly at the sleeves and waist. Please do not wear contact lenses, eye make-up, or lipstick. It is recommended that you leave all body jewelry home.
6. Please bring all medications, including inhalers, with you the day of your procedure.
7. In the event your physical condition changes (cold, fever, illness) please contact us prior to coming to the office/hospital for your procedure.
8. After your procedure, you will not be released unless there is a driver to take you home.
9. If you have any questions please contact our office at (631) 751-8700.

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